Susruta Samhita - Mandhata Global

456 THE SUSHRUTA SAMHITA. [Chap. XX.
or five days. Then having lubricated the part (with
Ghrita), the glans penis should be gently pressed and
the prepuce should be smoothly drawn over the glans
penis, so as to cover it entirely within its fold. The prepuce,
being so drawn, should be fomented with warm
pDultices. Vayu-subduing Vastis ^Clysters) should be
employed and emollient diet should be prescribed
(during the course of the treatment/. A case of Ava-
paitika should be similarly treated, after a due considera-
tion of the nature and intensity of the Doshas involved
in the case, 24-25.
Treatment of Niruddha-Prakas'a :—
In a case of Niruddha-Prakas'a (constriction or stricture
of the urethra", a tube (open at both ends) made of iron,
wood, or shellac should be lubricated with clarified butter
and gently introduced into the urethra. The marrow
or lard of a boar, or of a porpoise, or the Chakra-taila,
mixed with Vayu-subduing drugs should be sprinkled
over the affected part. Thicker and thicker tubes
should be duly introduced into the urethra every
third day. The passage should be made to dilate in the
aforesaid manner, and emollient food should be given
to the patient. As an alternative, an incision should
be made i^into the lower part of the penis), avoiding the
sevani (raphe of the perineum\ and it should be treated
as an incidental ulcer Sadyo-vrana\ 26.
Treatment of Sanniruddha-Guda,
etc. :- Cases of Sauniruddha-Guda (stricture of
the anus), Valmika and Agni-Rohini should be duly
treated with regard to the nature and intensity (of the
Doshas engendering the disease ,
but without holding out
any definite hope of recovery. The treatment of a case
of Agni-Rohini should be like that of Visarpa (Erysi-
pelas), while the remedial measures, mentioned in connec-