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Susruta Samhita - Mandhata Global

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44^ THE SUSHRUTA SAMHITA. [Chap. XIX.<br />

an Upadams'a-ulcer of whatsoever type. The use of a<br />

pulverised compound composed of Svarjikd, Tuttha,<br />

Kdsisa, S'aileya, Rasdnjana, and Manahs'Ud taken in<br />

equal parts arrests the extension of an ulcer and<br />

Visarpa. C ises of Upadams'a and Visarpa readily yield<br />

to the application of a pulverised compound of the<br />

ashes of Gundrd, Haritdla and Manahs'Ud. An<br />

(external) application of Bhrimgardja^ Triphald and<br />

Danti mixed with th2 powders of copper and iron,<br />

destroys Upadams'a just as the thunder bolt of Indra<br />

(completely) destroys a tree. 20.<br />

Treatment of Tridoshaja and Raktaja<br />

Upadams'a: —The medical treatment of the<br />

two kinds of Upadams'a due to the concerted action of<br />

the three Doshas as well as that due to the vitiated blood<br />

(Riktaja) should be taken in hand without holding out<br />

any definite hope of recovery. The above-mentioned<br />

medicines specific to the different Doshas should be<br />

combinedly applied in these cases in consideration of<br />

the nature and intensity of the Doshas specifically involv-<br />

ed in them. Now hear me discourse on the special<br />

treatment of Tridoshaja Upadams'a. It should be the<br />

same as in the case of a malignant ulcer (Dushta-Vrana).<br />

The putrid portion of the male organ should be cut off<br />

and the remaining portion should be fully cauterized (in<br />

the incised part) with a Jambvoshtha instrument, made<br />

red-hot in fire. Honey, and clarified butter should then<br />

b3 applied to the cauterized part^ and medicinal plasters<br />

and oils possessed of haaling properties should be<br />

applied to the incidental ulcer when it would be<br />

cleansed (disinfected). 21-22.<br />

Treatment of ^lipada :— in a case of<br />

Elephantiasis (Slipada) due to the action of the deranged<br />

and aggravated Vayu, the vein (Sird) at a distance

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