Susruta Samhita - Mandhata Global

Chap. XXII.] CHIKITSA STHANAM. 469
and Vdrtdku mixed with (a liberal quantity of)
Vava-Kshdra 30.
Treatment of Upa-Jihva :— In a case of
Upa-jihva (,Raaula),the affected part should be scarified
and rubbed with an alkali, and the patient should be
treated with errhines (Siro-vireka), gurgles (Gandusha)
and inhalations of smokes (Dhuma). The treatment of
the tongue diseases has been thus described above.
We shall now describe the medical treatment of the
affections of the palate (Talu-gata Roga). 31-32.
TreatmentoftheTalu-gata diseases:
— In a case of Grala-s'andika, the Sundikd (protuber-
ance) should be drawn out along the tongue with the
help of the thumb and the second finger of the hand, or
with a Samdams'a (forceps) and then cut off with a Man-
dalagra instrument. But it should be severed neither
more nor less than three-quarters of the append-
age, inasmuch as profuse hcnemorrhage might follow
an excessive incision, and death might result therefrom ;
whereas, a case of lesser severance is usually found to
be attended with swelling, excessive salivation, somno-
lence,* vertigo, darkness of vision, etc. Hence a
surgeon, well-versed in the science of surgery and well-
skilled in practical operations, should carefully operate
a Gala-s'undika (with a knife) and subsequently adopt
the following measures. The incidental ulcer should
b^ treated with the pulverised compound of Maricha,
Ati-vishd,Pdthd, Vachd, Kushtha d,nd Kutannata, mixed
with honey and rock-salt. A decoction of Vachd,
Ati-vishd, Pdthd, Rdsnd, Katuka-rohini and Pichu-marda
should be used as gurgle (Kavala). The five drugs, viz.,
* S'rikantha Datla, in his commentary on Vrinda's compilation, quotes
this passage from the text, but does not include "somnolence" therein.
He reads "^MWHl H^T^w;" in place of "^fMT f^ ^^TO»T: " i