The 19th chapter of Chikitsasthana of Sushruta Samhita is named as Vrddhi-Upadamśa Slipada Cikitsitam Adhyaya. This chapter deals with Treatment of Scrotal Enlargement – Venereal Diseases and Filariasis.
अथातोवृद्ध्युपदंशश्लीपदचिकित्सितंव्याख्यास्यामः।।१।।
यथोवाचभगवान्धन्वन्तरिः।।२।।
We will now expound the chapter by name Vrddhyupadamsa –slīpada chikitsa – treatment of scrotal enlargement,venereal diseases and filariasis; as revealed by the venerable Dhañvañtari.
Vrddhi – Scrotal enlargement
अन्त्रवृद्ध्याविनाषड्यावृद्धयस्तासुवर्जयेत्।।
अश्वादियानंव्यायाममैथुनंवेगनिग्रहम्।।३।।
अत्यासनंचङ्क्रमणमुपवासंगुरूणिच।।
Antra Vrddhi means herniation of the intestine into the scrotum. Other than Antra Vrddhi, the remaining six kinds of Vrddhi (explained in chapter 12 of Nidana Sthana section of the same treatise) are curable.
Patients of Vrddhi should avoid the below mentioned things –
– riding on animals like horses etc.
– physical exercises,
– copulation,
– suppression of urges,
– sitting for long periods,
– walking for long periods of time,
– fasting,
– consumption of heavy (indigestible or difficult to digest) foods
Vātaja vrddhi cikitsā
तत्रादितोवातवृद्धौत्रैवृतस्निग्धमातुरम्।।४।।
स्विन्नंचैनंयथान्यायंपाययेतविरेचनम्।।
कोशाम्रतिल्वकैरण्डफलतैलानिवानरम्।।५।।
सक्षीरंवापिबेन्मासंतैलमेरण्डसंभवम्।।
ततःकालेऽनिलघ्नानांक्वाथैःकल्कैश्चबुद्धिमान्।।६।।
निरूहयेन्निरूढंचभुक्तवन्तंरसौदनम्।।
यष्टीमधुकसिद्धेनततस्तैलेनयोजयेत्।।७।।
स्नेहोपनाहौकुर्याच्चप्रदेहांश्चानिलापहान्।।
विदग्धांपाचयित्वावासेवनीपरिवर्जयेत्।।८।।
भिन्द्यात्ततःप्रभिन्नायांयथोक्तंक्रममाचरेत्।।
Snehana – Mixture of three fats i.e. oil, ghee and muscle fat should be given for drinking to the patient having scrotal swelling produced by aggravated vata.
Swedana – He should also be given sudation therapy in the usual way.
Virechana – After Snehana – oleation and Swedana – sudation, the patient should be administered purgatives. One of the below mentioned purgative recipes should be given –
– oil of kosamra,
– oil of tilvaka,
– oil of errands phala or
– eranda taila mixed with milk
These recipes shall be given daily, for a time period of one month.
Vasti – Next, decoction enema should be administered. The enema liquid should be prepared with decoction and paste of vata mitigating herbs.
The patient is advised to take food along with meat soup.
After that he should be administered with oil enema. For this, Yastimadhu Taila should be used.
Other measures – Below mentioned measures should also be administered –
– anointing with oils,
– warm poultices
– application of pastes prepared with vata mitigating herbs
The swelling which is ripening should be made ripe. After ripening it should be cut open taking care to avoid the suture (scrotal raphae). Following this, treatments recommended for wounds described previously should be followed.
Pittaja vrddhi cikitsā
पित्तजायामपक्वायांपित्तग्रन्थिक्रमोहितः।।९।।
पक्वांवामेदयेद्भिन्नांशोधयेत्क्षौद्रसर्पिषा।।
शुद्धायांचभिषग्दद्यात्तैलंकल्कंचरोपणम्।।१०।।
For treating the ama (unripe) stage of scrotal swelling produced by pitta, the same treatments prescribed for pittaja granthi should be adopted.
On the other hand, if the swelling has ripened, it should be punctured (or incised).
The wound should be purified using a mixture of honey and ghee.
After this, the physician should bring about healing of the wounds by using oils and pastes prepared from healing herbs.
Raktaja vrddhi cikitsa (haematocele)
रक्तजायांजलौकोभिःशोणितंनिहरेद्भिषक्।।
पिबेद्विरेचनंवाऽपिशर्कराक्षौद्रसंयुतम्।।११।।
पित्तग्रन्थिक्रमंकुर्यादामेपक्वेचसर्वदा।।
The physician should administer the below mentioned therapies in scrotal swelling caused by vitiated blood –
– should remove blood (conduct bloodletting) using leeches or
– administer purgation recipe added with honey and sugar
Treatments indicated for pittaja granthi should be administered in both ripening and ripe stages of the disease.
Kaphaja Vrddhi Cikitsa
वृद्धिकफात्मिकामुष्णैर्मूत्रपिष्टैःप्रलेपयेत्।।१२।।
पीतदारुकषायंचपिबेन्मूत्रेणसंयुतम्।।
विम्लापनाइतेवाऽपिश्लेष्मग्रन्थिक्रमोहितः।।१३।।
पक्वायांचविभिन्नायांतैलंशोधनमिष्यते।।
सुमनारुष्कराकोठसप्तपर्णेषुसाधितम्।।१४।।
For treating Vriddhi caused by vitiated kapha, paste of herbs having hot potency macerated in gomutra – urine of cow should be applied.
For oral consumption, decoction of Pitadaru i.e. Daruharidra (Berberis aristata) should be used along with gomutra – urine of cows.
Except Vimlapana (kneading), the other treatments prescribed for Kaphaja Granthi should be used for treating Kaphaja Vrddhi.
The physician should incise the ripe swelling.
The wound should be made to heal using oil boiled and processed with the below mentioned herbs –
– Sumana,
– Aruskara,
– Ankotha and
– Saptaparna
Medaja Vrddhi Chikitsa
मेदःसमुत्थांसंस्वेद्यलेपयेत्सुरसादिना।।
शिरोविरेकद्रव्यैर्वासुखोष्णैर्मूत्रसंयुतैः।।१५।।
स्विन्नांचावेष्टयपट्टेनसमाश्वास्यतुमानवम्।।
रक्षन्फलेसेवनीचवृद्धिपत्रेणदारयेत्।।१६।।
मेदस्ततःसमुद्धृत्यदद्यात्कासीससैन्धवे।।
बनीयाच्चयथोद्दिष्टंशुद्धेतैलंचदापयेत्।।१७।।
मनःशिलाललवणैःसिद्धमारुष्करेषुच।।
Medoja Vrddhi i.e. vrddhi caused by morbid fat should be given fomentation.
It should be applied with paste of herbs belonging to Surasadi Gana or herbs belonging to Sirovirecana Gana macerated in Gomutra – cow urine. The application should be warm.
The swelling should be wrapped with cloth bands after administering fomentation. Later, it should be incised using Vrddhipatra – a sharp instrument, while protecting the testes and raphae. The fat therein is removed by scraping.
After this, the powder of Kasisa and Saindhava is applied. Bandaging is done as suitable.
The medicated oil prepared with manashila, ala, lavana and aruskara should be used for promoting healing.
Mutraja Vrddhi Chikitsa – (Hydrocele)
मूत्रजांस्वेदयित्वातुवस्त्रपट्टेनवेष्टयेत्।।१८।।
सेवन्याःपार्श्वतोऽधस्ताद्विध्येद्व्रीहिमुखेनतु।।
अथात्रद्विमुखांनाडीदत्त्वाविस्रावयेद्भिषक्।।१९।।
मूत्रं,नाडीमथोद्धृत्यस्थगिकाबन्धमाचरेत्।।
शुद्धायांरोपणंदघात्
For treatment of Vrddhi caused by urine i.e. hydrocele, fomentation should be first given. It should now be wrapped with cloth band following which puncture is made beside the raphae, below the swelling.
A tube with opening at both ends should be taken. It is inserted and the urine is drained out. Afterwards, the tube is removed. Sthagika type of bandage is applied.
It is made to heal as usual after cleaning the vrddhi as described.
Antraja Vrddhi Cikitsa – (scrotal hernia)
…………………वर्जयेदत्रहैतुकीम्।।२०।।
अप्राप्तफलकोषायांवातवृद्धिक्रमोहितः।।
तत्रयावङ्क्षणस्थातांदहेदर्धेन्दुवक्रया।।२१।।
सम्यङमार्गावरोधार्थकोशप्राप्तांतुवर्जयेत्।।
त्वचंभित्त्वाऽङ्गुष्ठमध्येदहेच्चाङ्गविपर्ययात्।।२२।।
अनेनैवविधानेनवृद्धीवातकफात्मिके।।
प्रदहेत्प्रयत: किंतुस्नायुच्छेदोऽधिकस्तयोः।।२३।।
शङ्खोपरिचकर्णान्तेत्यक्त्वायत्नेनसेवनीम्।।
व्यत्यासाद्वासिरांविध्येदत्रवृद्धिनिवृत्तये।।२४।।
Vrddhi caused by añtra i.e. intestinal hernia should generally be rejected (should not be treated).
Treatments to mitigate the aggravated vata are beneficial and should be done when the intestine has not descended into the scrotum.
When the vrddhi is localized in the groin i.e. inguinal hernia, it should be cauterized (branded by fire) with curved iron rod which is semilunar in shape. This would block its passage into the scrotum. The vrddhi should be rejected if it has descended into the scrotum.
A cut or incision should be made in the skin of the middle of the thumb (big toe). Cauterization should be done in the opposite part i.e. big toe opposite to the side of swelling.
The same methods of treatment should be adopted in vriddhi caused by vata-kapha and the area is cauterized with great effort. This should be done because there are great chances of cutting off the ligaments herein.
The vein present between the temples and ear should be punctured in the opposite side. While doing the puncture, the sevani i.e. suture on the skull should be avoided (care should be taken that it is not injured).
Upadamsa Chikitsa – treatment of venereal diseases
उपदंशेषुसाध्येषुस्निग्धस्विन्नस्यदेहिनः।।
सिरांविध्येन्मेढ़मध्येपातयेद्वाजलौकसः।।२५।।
हरेदुभयतश्चापिदोषानत्यर्थमुच्छ्रितान्।।
सद्योऽपहृतदोषस्य रुक्शोफावुपशाम्यतः ||२६||
यदिवादुर्बलोजन्तुर्नवाप्राप्तंविरेचनम्।।
निरूहेणहरेत्तस्यदोषानत्यर्थमुच्छ्रितान्।।२७।।
In the treatment of curable forms of Upadamsa (venereal diseases), the physician should at first administer oleation and sudation therapies.
After this, the vein at the centre of the penis should be punctured or bloodletting should be done using leeches.
Elimination therapies to expel the greatly aggravated doshas should be administered in both directions i.e. both vamana – emesis and virecana – purgation should be given.
Pain and swelling would subside by doing so.
The greatly increased doshas should be expelled by administration of decoction enema if the person is debilitated or did not have proper purgations.
Vātaja Upadamśa Cikitsā
प्रपौण्डरीकयष्टयाह्ववर्षाभूकुष्टदारुभिः।।
सरलागुरुरास्नाभिर्वातजंसंप्रलेपयेत्।।२८।।
निचुलेरण्डबीजानियवगोधूमसक्तवः।।
एतैश्चवातजंस्निग्धैःसुखोष्णैःसंप्रलेपयेत्।।२९।।
प्रपौण्डरीकपूर्वैश्चद्रव्यैःसेकःप्रशस्यते।।
Paste of the below mentioned herbs should be applied on the penis of the person suffering from Vataja Upadamsa –
– Prapaundarīka,
– Yastyāhvā,
– Varsābhūkuştha,
– Devadāru,
– Sarala,
– Aguru and
– Rāsñā
Alternatively, paste of the below mentioned should be applied comfortably warm –
– Nicula,
– Eranda Bija,
– Flour of Yava and
– Godhuma
It is also ideal to pour decoction of Prapaundarika and other herbs mentioned above on the lesion.
Pittaja Upadamśa Cikitsā
गैरिकाञ्जनयष्टयावसारिवोशीरपद्मकैः।।३०।।
सचन्दनोत्पलैःस्निग्धैःपैत्तिकंसंप्रलेपयेत्।।
पद्मोत्पलमृणालैश्चससर्जार्जुनवेतसैः।।३१।।
सर्पि:स्निग्धैःसमधुकैःपैत्तिकंसंप्रलेपयेत्।।
सेचयेच्चघृतक्षीरशर्करेक्षुमधूदकैः।।३२।।
अथवाऽपिसुशीतेनकषायेणवटादिना।।
Paste of the below mentioned ingredients should be used for application in treatment of Pittaja Upadamsa –
– Gairika,
– Anjana,
– Yastyahva,
– Sariva,
– Usira,
– Padmaka,
– Candana and
– Utpala
The paste should be made unctuous before applying.
Alternatively, ghee boiled with the below mentioned ingredients should be applied –
– Padma,
– Utpala,
– Mrnala,
– Sarja,
– Arjuna,
– Vetasa and
– Madhuka
The lesion should be bathed with the below mentioned –
– ghee,
– milk,
– sugar,
– water,
– sugarcane juice,
– honey water or
– cold infusion of vata etc.
Kaphaja Upadamśa Cikitsa
सालाश्वकर्णाजकर्णधवत्वग्भिःकफोत्थितम्।।३३।।
सुरापिष्टाभिरुष्णाभिःसतैलाभिःप्रलेपयेत्।।
रजन्यतिविषापुस्तासुरसासुरदारुभिः।।३४।।
सपत्रपाठापत्तूरैरथवासंप्रलेपयेत्।।
सुरसारग्वधाद्योश्चक्वाथाभ्यांपरिषेचयेत्।।३५।।
Paste of the below mentioned ingredients should be macerated in sura (beer) and made into paste –
– barks of Sala,
– Asvakarna,
– Ajakarna and
– Dhava
This paste should be applied warm in Upadamsa caused by vitiated kapha after adding oil to the post.
Alternatively, paste of the below mentioned ingredients too shall be applied –
– Rajani,
– Ativisa,
– Musta,
– Surasa,
– Suradaru,
– Patra,
– Patha and
– Pattara
For pouring over / bathing the lesion of Kaphaja Upadamsa, decoction of Surasa and Aragvadha Gana should be used.
एवंसंशोधनालेपसेकशोणितमोक्षणैः।।
प्रतिकुर्यात्क्रियायोगैःप्राक्स्थानोक्तैर्हितैरपि।।३६।।
नयातिचयथापाकंप्रयतेततथाभिषक्।।
विदग्धैस्तुसिरास्नायुत्वङ्मासैःक्षीयतेध्वजः।।३७।।
शस्त्रेणोपचरेच्चापिपाकमागतमाशुवै।।
तदाऽपोह्यतिलैःसर्पिःक्षौद्रयुक्तैःप्रलेपयेत्।।३८।।
करवीरस्यपत्राणिजात्यारग्वधयोस्तथा।।
प्रक्षालनेप्रयोज्यानिवैजयन्पर्कयोरपि।।३९।।
Upadamsa should be treated with –
– shodhana – purificatory therapies,
– alepa – applying pastes,
– seka – showering, bathing,
– shonita mokshana – removing blood / bloodletting and
– such other beneficial therapies described in earlier sections of this treatise
Very important is that the physician should try to prevent suppuration.
The penis would lose its veins, ligaments, skin and muscles if suppuration occurs.
Upadamsa should be quickly treated using sharp / surgical instruments when suppuration has commenced.
Decoction of the leaves of the below mentioned herbs may be used for washing the upadamsa wound –
– karavīra,
– jātī,
– āragvadha,
– vaijayañti and
– arka
सौराष्ट्रींगैरिकंतुत्थंपुष्पकासीससैन्धवम्।।
रोधंरसाञ्जनंदार्वीहरितालंमनःशिलाम्।।४०।।
हरेणुकैलेचतथासूक्ष्मचूर्णानिकारयेत्।।
तच्चूर्णंक्षौद्रसंयुक्तमुपदंशेषुपूजितम्।।४१।।
Nice powder of the below mentioned ingredients is prepared –
– Saurastri,
– Gairika,
– Tuttha,
– Puspa Kasisa,
– Saindhava,
– Rodhra,
– Rasanjana,
– Darvi,
– Haritāla,
– Manaśśilā,
– Hareņuka and
– Elā
This powder should be mixed with honey and applied. It is highly beneficial in curing venereal diseases.
जम्ब्वाम्रसुमनानिम्बश्वेतकाम्बोजिपल्लवाः।।
शल्लकीबदरीबिल्वपलाशतिनिशत्वचः।।४२।।
क्षीरिणांचत्वचोयोज्याःक्वाथेत्रिफलयासह।।
तेनक्वाथेननियतंव्रणंप्रक्षालयेद्भिषक्।।४३।।
अस्मिन्नेवकषायेतुतैलंधीरोविपाचयेत्।।
गोजीविडङ्गयष्टीभिःसर्वगन्धैश्चसंयुतम्।।४४।।
एतत्सर्वोपदंशेषुश्रेष्ठंरोपणमिष्यते।।
The physician should take care to see that the ulcer is washed often, every day, with the decoction of the below mentioned herbs –
– tender leaves of Jambu,
– Amra,
– Sumanā,
– Nimba,
– Sveta Kāmbojā;
Alternatively, the barks of the below mentioned herbs shall be used to prepare the decoction with which the ulcers can be washed –
– barks of Sallaki,
– Badari,
– Bilva,
– Palasa and
– Tinisa
Barks of Ksiri Vrksas / Pancavalkala (latex yielding trees) should be added with Triphala and used for the same purpose.
With the same decoction, medicated oil may be prepared and added with paste of Goji, Vidanga, Yasti and Sarvagandha herbs. This oil is said to be the best one for healing the ulcers of all kinds of upadamsa.
स्वर्जिकातुत्थकासीसंशैलेयंचरसाञ्जनम्।।४५।।
मनःशिलासमैश्चूर्णंव्रणवीसर्पनाशनम्।।
गुन्द्रांदग्ध्वाकृतंभस्महरितालंमनःशिला।।४६।।
उपदंशविसर्पाणामेतच्छान्तिकरंपरम्।।
मार्कवस्त्रिफलादन्तीताम्रचूर्णमयोरजः।।४७।।
उपदंशंनिहन्त्येषवृक्षमिन्द्राशनिर्यथा।।
The below mentioned ingredients, all taken in equal parts are nicely powdered –
– Svarjikā,
– Tuttha,
– Kāsīsa,
– Saileya,
– Rasāñjana AND
– Manaśśilā
When used, this powder cures ulcers and erysipelas.
Powder of the below mentioned ingredients is ideal for curing upadamsa and visarpa –
– ash of Gundra,
– Haritala and
– Manassila
Powder should be prepared from the below mentioned ingredients –
– Mārkava,
– Triphalā,
– Dañti,
– powder of Tāmra (copper) and
– Ayas (iron)
This powder when used destroys upadamśa just like the thunderbolt destroys the tree.
उपदंशद्वयेऽप्येतांप्रत्याख्यायाचरेत्क्रियाम्।।४८।।
तयोरेवचयायोग्यावीक्ष्यदोषबलाबलम्।।
In case of Sannipataja Upadamsa and Raktaja Upadamsa, the patient and his attendants should be intimated about the incurability of the disease and then the treatments should be commenced.
Any kind of treatment which is ideal in accordance with strength or weakness of the doshas should be adopted in the treatment of Upadamsa.
उपदंशेविशेषेणशृणुभूयस्त्रिदोषजे।।४९।।
दुष्टव्रणविधिंकुर्यात्कुथितंमेहनंत्यजेत्।।
जम्ब्बोष्ठेनाग्निवर्णेनपश्चाच्छेपंदहेद्भिषक्।।५।।
सम्यग्दग्धंचविज्ञायमधुसर्पिःप्रयोजयेत्।।
शुद्धेचरोपणंदद्यात्कल्कंतैलंहितंचयत्।।५१।।
Next, the treatment of Upadamsa caused by all three doshas shall be explained. Listen to the same.
The wound should be treated on the lines of treating Dusta Vrana (septic ulcer).
The portion of the decomposed / gangrenous penis should be removed and discarded. The remaining part of the penis should be burnt using Jambavostha (black cylindrical piece of stone) which is heated on fire and made red hot.
A mixture of honey and ghee should be applied if it is improperly burnt.
Following this, suitable paste of herbs or medicated oils shall be used for promoting the healing.
Slipada chikitsa -Treatment of Filariasis
Vātaja slīpada cikitsā
स्नेहस्वेदोपपन्नेतुश्लीपदेऽनिलजेभिषक्।।
कृत्वागुल्फोपरिसिरांविध्येत्तुचतुरङ्गुले।।५२।।
समाप्यायितदेहंचबस्तिभिःसमुपाचरेत्।।
मासमेरण्डजंतैलंपिबेन्मूत्रेणसंयुतम्।।५३।।
पयसौदनमश्नीयानागरक्वथितेनच।।
त्रैवृतंचोपयुञ्जीतशस्तोदाहस्तथाऽग्निना।।५४।।
Firstly, the physician should administer Snehana – oleation and Swedana – sudation therapies in Vataja Slipada – Slipada (filariasis) produced by vitiated vata.
Then he should puncture the vein situated four angula (8cm) above the ankle joint.
Enemas should be administered once the body regains strength.
The patient should drink Eranda Taila mixed with urine of cow for a period of one month. Milk boiled with Nagara (ginger) should be taken along with food.
Trivrt Ghrta should also be administered.
Cauterization (burning) is also beneficial in this condition.
Pittaja slīpada cikitsa
गुल्फस्याधःसिरांविध्येच्छ्लीपदेपित्तसंभवे।।
पित्तघ्नींचक्रियांकुर्यात्पित्ताबुंदविसर्पवत्।।५५।।
Siravedha – venepuncture should be done below the ankle joint in Slipada produced by vitiated pitta.
Also, treatments should be done to mitigate pitta on similar lines of treatments explained in the context of treatment of Pittaja Arbuda or Pittaja Visarpa.
Kaphaja slīpada cikitsa
सिरांसुविदितांविध्येदङ्गुष्ठेश्लैष्मिकेभिषक्।।
मधुयुक्तानिचाभीक्ष्णंकषायाणिपिबेन्नरः।।५६।।
पिबेद्वाऽप्यभयाकल्कंमूत्रेणान्यतमेनच।।
कटुकाममृतांशुण्ठीविडङ्गंदारुचित्रकम्।।५७।।
हितंवालेपनेनित्यंभद्रदारुसचित्रकम्।।
विडङ्गमरिचार्केषुनागरेचित्रकेऽथवा।।५८।।
भद्रदार्वेलुकाख्येचसर्वेषुलवणेषुच।।
तैलंपक्वंपिबेद्वाऽपियवान्नंचहितंसदा।।५९।।
पिबेत्सर्षपतैलंवाश्लीपदानांनिवृत्तये।।
पूतीकरञ्जपत्राणांरसंवाऽपियथाबलम्।।६०।।
अनेनैवविधानेनपुत्रञ्जीवकजंरसम्।।
प्रयुञ्जीतभिषक्प्राज्ञःकालसात्म्यविभागवित्।।६१।।
केबुकाकन्दनिर्यासंलवणंत्वथपाकिमम्।।
रसंदत्त्वाऽथपूर्वोक्तंपेथमेतद्भिषग्जितम्।।६२।।
The physician should first puncture the vein prominent in the big toe while treating the patients of Slipada caused by vitiated pitta.
Decoction of kapha mitigating herbs added with honey should be prescribed for drinking often.
The patient should alternatively consume paste of Abhaya / Haritaki mixed with urine of cow or any other animal.
Paste of the below mentioned ingredients should be used for application –
– Katuka,
– Amrta,
– Sunthi,
– Vidanga,
– Dru and
– Citraka
Oil cooked with one of the below mentioned should be consumed every day after adding all salts to it –
– Vidanga, Marica and Arka or
– Nagara and Citraka or
– Bhadradaru and Eluka (Elavaluka)
The patient should always take boiled Yava as food.
He should drink Sarsapa Taila or fresh juice of Putikaranja as suitable to his strength.
Similarly, after having considered the season and habituation, a wise physician should administer the juice of Putranjivaka.
Also, juice of tubers of Kebuka, Pakima Lavana / Bida Lavana salt added to the juices described earlier should be consumed. It is the best medicine for Slipada.
काकादनीकाकजवांबृहतीकण्टकारिकाम्।।
कदम्बपुष्पीमन्दारीलम्बांशुकनसांतथा।।६३।।
दग्ध्वामूत्रेणतद्भस्मस्रावयेत्क्षारकल्पवत्।।
तत्रदद्यात्प्रतीवापंकाकोदुम्बरिकारसम्।।६४।।
मदनाच्चफलात्क्वाथंशुकाख्यस्वरसंतथा।।
एषक्षारस्तुपानीयःश्लीपदंहन्तिसेवितः।।५।।
अपचींगलगण्डंचग्रहणीदोषमेवच।।
भक्तस्यानशनंचैवहन्यात्सर्वविषाणिच।।६६।।
The below mentioned ingredients are burnt to obtain their ash –
– Kakadani,
– Kākajangha,
– Brhati,
– Kantakari,
– Kadambapuspi (alambusā),
– Mandarin (āli),
– Lambā (kațukālābu) and
– Sukanāsa
This ash is now dissolved in the urine of cows and filtered many times.
After this, it is added with the below mentioned and cooked in the method of preparing Ksara – alkali, so as to prepare their alkali –
– Juice of Kakodumbarika,
– Decoction of Madanaphala and
– fresh juice of Sukakhya (Sukanasa)
Benefits – When used, this ksara would cure the below mentioned conditions –
– slipada – filariasis,
– goiter,
– cervical lymphadenitis,
– diseases of the duodenum,
– inability to eat food and
– all kinds of poisons
एष्वेवतैलंसंसिद्धंनस्याभ्यङ्गेषुपूजितम्।।
एतानेवामयान्हन्तियेचदुष्टव्रणानृणाम्।।६७।।
The medicated oil cooked with the same herbs is said to be the best one for usage as nasal drops and also for anointing / massaging. This oil cures all the diseases mentioned above. It also cures dusta vrana – bad / septic ulcers.
द्रवन्तींत्रिवृतांदन्तींनीलींश्यामांतथैवच।।
सप्तलांशङ्खिनीचैवदग्ध्वामूत्रेणगालयेत्।।६८।।
दद्याच्चत्रिफलाक्वाथमेषक्षारस्तुसाधितः।।
अधोगच्छतिपीतस्तुपूर्वैश्चाप्याशिषःसमाः।।६९।।
Ash of the below mentioned ingredients should be obtained by burning them –
– Dravañtī,
– Trivrt,
– Dañtī,
– Nīlī,
– Syāmā,
– Saptalā and
– Sañkhinī
This ash is added with the urine of cows and Triphala decoction. All these are cooked together so as to prepare their ksara (alkali).
This ksara produces purgation when consumed. It is similar in properties as those mentioned earlier.
इतिसुश्रुतसंहितायांचिकित्सास्थानेवृद्ध्युपदंशश्लीपदचिकित्सितंनामैकोन– विंशोऽध्यायः।।१९।।
Thus ends the nineteenth chapter by name Vrddhyupadamśa-Slīpada
Cikistita in Cikitsā Sthāna of Suśruta Samhita.
