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Susruta Samhita - Mandhata Global

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Chap. XXXIV,] CHIKITSA STHANAM, 587<br />

(emetic or purgative) medicine. The Doshas (conse-<br />

quently) try to pass out of the body constantly but in<br />

small quantities and bring on weakness, numbness and<br />

rigidity of the abdomen, aversion to food and lassitude<br />

of the limbs. The deranged Pitta (bile) and Kapha<br />

(mucus) are constantly emitted with pain through the<br />

anus) in such a case, and the disease is called Parisraiva.<br />

Asthapana-vasti with a decoction of Aja-kafna, Dhava,<br />

Tints'a and Paids'a saturated with honey is recommended<br />

in such cases. After the subsidence of the bodily<br />

Doshas involved in the case, the patient should be<br />

treated with Sneha and Sams'odhana * (emetic or<br />

purgative) remedies should again be employed. 17.<br />

Pravahika (Diarrhoea^ :—A medicine (purgative<br />

or emetic) administered to a person who has been<br />

excessively treated with Sveda or with Sneha produ-<br />

ces PraVJfchikai in him by making him pass his stool<br />

and flatus without any straining or by restraining<br />

altogether those natural urgings respectively. Constant<br />

passing of slimy, black, white or red-coloured mucus<br />

(Kapha) with cramps^ loud flatus and burning sensation<br />

form the chief characteristics of this disease. Its medical<br />

treatment should be similar to that of a case of<br />

Parisrava. 18.<br />

Hridayopasarana (Overwhelming the heart);<br />

—Urgings towards vomiting or purging being injudi-<br />

ciously checked by a person from ignorance, causes<br />

a downward or upward coursing of the Do.ihas of the<br />

body to and in the heart, thus pressing the greatest of the<br />

Marmas and giving rise to an excruciating pain in that<br />

locality. The patient, in such a case, drops down<br />

unconscious in a swoon with upturned eyes, violently<br />

* Dallana recommends that a strong purgative or emetic should be<br />

employed.

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