Susruta Samhita - Mandhata Global

586 THE SUSHRUTA SAMHITA.
[Chap. XXXIV,
men (Adhmana). It arrests the emission of flatus
(Vayu), stool and urine, makes the abdomen distended,
produces a breaking pain in the sides, a pricking pain
in the anus (Guda) and in the urinary bladder (^Vasti)
as well as a disrelish for food. This is called Adhmana.
The patient, in such a case, should be treated with
Andha-varti, appetising medicines and with Vasti
measures. 15.
Pari kartika (cutting pain in the anus, etc.):
The Vayu and Pitta in the organism of an enfeebled
person or of a person whose bowels can be easily moved
or of one of a dry and arid temperament or afflicted
with impaired digestive capacity, are deranged and
aggravated by the use of any extremely sharp, hot,
saline or dry (emetic or purgative) which give rise to
a sort of cutting, sawing pain (Parikartika) in the
anus, penis, umbilical region and the neck of the
bladder (Vasti). The emission of flatus is arrested,
the Va) u (windj lies incarcerated in the abdomen and
relish for food vanishes. The remedy consists in em-
ploying a Pichchha-Vasti with Yashti-madhu and black
sesamum pasted together and dissolved in clarified butter
and honey. The patient should be laved in cold water
and be given his food with milk. Anuvasana-Vasti*
with the cream of clarified butter or with oil cooked
with Yashti-jnadhu should be employed. 16,
Parisrava (.Dysenteric stools) :—TheDoshas and
the morbid matter accumulated in the system of a man
of extremely constipated bowels and almost saturated
with a plethora of Doshas (morbific diathesis) are stirred
up but are not fully emitted under the action of a mild
* In cases of a Pitta-predomin.ince, the Vasti should be employed
with the cream of clarified butler and in caces of a Vayu predominance,
with oil.
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