Sushruta Samhita

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अथातः प्रमेहपिडकाचिकित्सितं व्याख्यास्यामः ||१||

sanskrit

Now we shall discourse on the medical treatment of the abscesses or eruptions which mark the sequel of a case of Prameha (Prameha-Pidaka).

english translation

hindi translation

athAtaH pramehapiDakAcikitsitaM vyAkhyAsyAmaH ||1||

hk transliteration

यथोवाच भगवान् धन्वन्तरिः ||२||

sanskrit

As said by Lord Dhanvantari.

english translation

hindi translation

yathovAca bhagavAn dhanvantariH ||2||

hk transliteration

शराविकाद्या नव पिडकाः प्रागुक्ताः; ताः प्राणवतोऽल्पास्त्वङ्मांसप्राप्ता मृद्व्योऽल्परुजः क्षिप्रपाकभेदिन्यश्च साध्याः ||३||

sanskrit

The nine kinds of abscesses (Pidakas), such as Saravika, etc., have been described before. Of these abscesses, those that appear in a strong person but are small in size, affecting (only) the skin and the flesh, soft to the touch, slightly painful, easily suppurative, and after some time bursting, are curable.

english translation

hindi translation

zarAvikAdyA nava piDakAH prAguktAH; tAH prANavato'lpAstvaGmAMsaprAptA mRdvyo'lparujaH kSiprapAkabhedinyazca sAdhyAH ||3||

hk transliteration

ताभिरुपद्रुतं प्रमेहिणमुपचरेत् | तत्र पूर्वरूपेष्वपतर्पणं वनस्पतिकषायं बस्तमूत्रं चोपदिशेत्; एवमकुर्वतस्तस्य मधुराहारस्य मूत्रं स्वेदः श्लेष्मा च मधुरीभवति प्रमेहश्चाभिव्यक्तो भवति, तत्रोभयतः संशोधनमासेवेत; एवमकुर्वतस्तस्य दोषाः प्रवृद्धा मांसशोणिते प्रदूष्य शोफं जनयन्त्युपद्रवान् वा कांश्चित्, तत्रोक्तः प्रतीकारः सिरामोक्षश्च; एवमकुर्वतस्तस्य शोफो वृद्धोऽतिमात्रं रुजो विदाहमापद्यते, तत्र शस्त्रप्रणिधानमुक्तं व्रणक्रियोपसेवा च; एवमकुर्वतस्तस्य पूयोऽभ्यन्तरमवदार्योत्सङ्गं महान्तमवकाशं कृत्वा प्रवृद्धो भवत्यसाध्यः; तस्मादादित एव प्रमेहिणमुपक्रमेत् ||४||

sanskrit

Patients suffering from Prameha and afflicted with the above kinds of abscesses (Pidakas) should be treated as follows: Measures, such as fastings (Apatarpana), herbal decoctions, and the urine of a she-goat, should be employed in the incubative stage of the disease. If the patient continues to consume sweet articles of food, the urine, perspiration, and sputum soon acquire a sweetish taste, leading to the full manifestation of Prameha. In this situation, the patient’s system should be cleansed with both emetics and purgatives. If these measures are not taken, the aggravated Doshas of the body increase in intensity and tend to vitiate the flesh and the blood, producing an inflammatory swelling or leading to other distressing conditions. In such cases, venesection and the aforementioned remedies should be used. If the swelling increases in size, accompanied by excessive pain and burning sensation, surgical interventions and other remedial measures related to abscesses should be employed. If not addressed, the pus can penetrate deeper tissues, creating large cavities and rendering the abscess incurable. Therefore, Prameha must be treated at its very outset.

english translation

hindi translation

tAbhirupadrutaM pramehiNamupacaret | tatra pUrvarUpeSvapatarpaNaM vanaspatikaSAyaM bastamUtraM copadizet; evamakurvatastasya madhurAhArasya mUtraM svedaH zleSmA ca madhurIbhavati pramehazcAbhivyakto bhavati, tatrobhayataH saMzodhanamAseveta; evamakurvatastasya doSAH pravRddhA mAMsazoNite pradUSya zophaM janayantyupadravAn vA kAMzcit, tatroktaH pratIkAraH sirAmokSazca; evamakurvatastasya zopho vRddho'timAtraM rujo vidAhamApadyate, tatra zastrapraNidhAnamuktaM vraNakriyopasevA ca; evamakurvatastasya pUyo'bhyantaramavadAryotsaGgaM mahAntamavakAzaM kRtvA pravRddho bhavatyasAdhyaH; tasmAdAdita eva pramehiNamupakramet ||4||

hk transliteration

भल्लातकबिल्वाम्बुपिप्पलीमूलोदकीर्यावर्षाभूपुनर्नवाचित्रकशटीस्नुहीवरुणकपुष्करदन्तीपथ्या दशपलोन्मिता यवकोलकुलत्थांश्च प्रास्थिकान् सलिलद्रोणे निष्क्वाथ्य चतुर्भागावशिष्टेऽवतार्य वचात्रिवृत्कम्पिल्लकभार्ङ्गीनिचुलशुण्ठीगजपिप्पलीविडङ्गरोध्रशिरीषाणां भागैरर्धपलिकैर्धृतप्रस्थं विपाचयेन्मेहश्वयथुकुष्ठगुल्मोदरार्शःप्लीहविद्रधिपिडकानां नाशनं नाम्ना धान्वन्तरम् ||५||

sanskrit

To prepare Dhanvantara Ghrita, take ten Pala of each of the following drugs: Bhallataka, Vilva, Ambu, roots of Pippali, Udakiryya, Varshabhu, Punarnava, Citraka, Shathi, Snuhi, Varunaka, Pushkara, Danti, and Pathya. Also, add a Prastha measure of barley, Kola, and Kulattha pulse. Boil these in a Drona measure of water until the decoction is reduced to one-fourth of its original volume. Remove from heat, strain, and then cook with a Prastha measure (four seers) of clarified butter along with half a Pala of the following drugs: Vaca, Trivrit, Kampilla, Bhargi, Nichula, Shunthi, Gaja-Pippali, Vidanga, and Shirisha as Kalka. This preparation, known as Dhanvantara-Ghrita, is effective against Meha (urinary diseases), swelling, Kushtha, Gulma, ascites, hemorrhoids, spleen enlargement, carbuncles, and abscesses.

english translation

hindi translation

bhallAtakabilvAmbupippalImUlodakIryAvarSAbhUpunarnavAcitrakazaTIsnuhIvaruNakapuSkaradantIpathyA dazapalonmitA yavakolakulatthAMzca prAsthikAn saliladroNe niSkvAthya caturbhAgAvaziSTe'vatArya vacAtrivRtkampillakabhArGgIniculazuNThIgajapippalIviDaGgarodhrazirISANAM bhAgairardhapalikairdhRtaprasthaM vipAcayenmehazvayathukuSThagulmodarArzaHplIhavidradhipiDakAnAM nAzanaM nAmnA dhAnvantaram ||5||

hk transliteration