षट्त्रिंशोऽध्यायः अथातो मिश्रकमध्यायं व्याख्यास्यामः यथोवाच भगवान् धन्वन्तरिः ॥१॥
Now we shall discourse on the Chapter, which treats of miscellaneous remedies for swelling, etc. (Misraka-adhyaya). 1
मातुलुङ्गचग्निमन्थौ च भद्रदारु महौषधम् । अहिंसा चैव रास्ना च प्रलेपो वातशोफहृत् ॥ २ ॥
दूर्वा च नलमूलच मधुकं चन्दनं तथा । शीतलाच गणाः सर्वे प्रलेपः पित्तशोफहृत् ॥ ३ ॥
आगन्तुजे रक्तजे च ह्येष एव विधिः स्मृतः । विधिर्विषघ्नो विषजे पित्तघ्नोऽपि हितस्तथा ॥ ४ ॥
अजगन्धाऽश्वगन्धा च काला सरलया सह। एकैषिकाजश्रृङ्गी च प्रलेपः श्लेष्मशोफत् ॥ ॥ ५ ॥
एते वर्गास्त्रयो लोध्रं पथ्या पिण्डीतकानि च । अनन्ता चेति लेपोऽयं सान्निपातिकशोफहृत् ॥६॥
Metrical Texts : A medicinal plaster, composed of Matulanga,
1. The nomenclature of the chapter is based, according to certain authorities, on the fact of its jointly treating of eight principal processes of absorption, suppuration, spontaneous bursting, etc. of a swelling; while some there are who hold that the name of the chapter is derived from the fact of its containing remedial measures commonly (Misraka) beneficial to swellings and ulcers.
Agnimantha, Bhadradaru, Mahausadha, Ahimsra, and Rasna pasted together and applied to the seat of the affection, leads to the resolution of a swelling, due to the action of the deranged Vayu.
A plaster composed of Durva, Nalamula, Madhuka, Candana, as well as plasters composed of drugs of cooling properties,’ brings about the resolution of an inflammatory swelling of the Pittaja type, and proves similarly beneficial to a traumatic swelling, or to one which has its origin in the vitiated condition of the blood.
Measures, laid down in connection with a swelling resulting from the effects of poison, would lead to the resolution of a Pittaja swelling as well.
A plaster, composed of Ajagandha Asvagandha, Kala, Sarala, Ekaisika, and Ajasrngi pasted together, and applied to the spot, leads to the resolution of a Kaphaja swelling (appearing at any part of the body).
A plaster, composed of the components of the above-said groups of medicinal drugs and Lodhra, Pathya, Pinditaka, and Ananta, brings about the resolution of a swelling due to the simultaneous derangement of the three fundamental humours of the body (Sannipatika). 2-6
पित्ते चोष्णः कफ क्षार-मूत्राढयस्तत्प्रशान्तये ।।७।।
A medicinal plaster, prescribed for a swelling due to the deranged Vayu, should be applied by mixing it with a little rock salt, acid (Amla), and oil or clarified butter. Similarly, a plaster, prescribed for the resolution of a Pittaja swelling, should be applied cold, and with a little quantity of milk added to it. A plaster for the resolution of a Kaphaja swelling should be applied warm to the affected part, and with the addition of a considerable quantity of an alkali and cow’s urine. 7
शणमूलकशिग्रूणां फलानि तिलसर्षपाः। सक्तवः किण्वमतसी द्रव्याण्युष्णानि पाचनम् ।।८।।
1. Belonging to the groups (Gana) of medicinal herbs, which go by the names of their first components, such as the Kakolyadi group (Gana), the Utpaladi group etc.
Pacana Plaster: A plaster composed of the seeds of Sana, Mulaka, Sigru, Tila and Sarsapa, Yava-powder, Kinva ( enzyme), and linseed pasted together, or one consisting of thermogenetic drugs ( such as Kustha, Aguru etc.), would establish suppuration in a swelling. 8
चिरबिल्वोऽग्निको दन्ती चित्रको हयमारकः । कपोतगृध्रकङ्काणां पुरीषाणि च दारणम् ।।
क्षारद्रव्याणि वा यानि क्षारा वा दारणं परम् ।। ९ ।।
Darana Plasters : A plaster composed of Cirabilva, Agnika, Danti, Citraka, Hayamaraka and the dung of pigeons, vultures and storks (Kanka) pasted together, would lead to the spontaneous bursting of a swelling. An alkali, or its ingredients should be regarded as a powerful auxilliary in bringing about the spontaneous bursting of a swelling. 9
द्रव्याणां पिच्छिलानान्तु त्वङ्मूलानि प्रपीडनम् । यवगोधूममाषाणां चूर्णानि च समासतः ।।१०।।
Pidana Plasters: A nlaster composed of the roots and bark of slimy trees (salmali, selu, etc.), or of barley, wheat, and Masa pulse powdered together, would increase the secretion of pus from an ulcer, or a swelling that has burst.¹ 10
शङ्खन्यकोठसुमनः करवीरसुवर्चलाः । वर्गश्चारग्वधादिकः ।।११।। शोधनानि कषायाणि
Sodhana Plasters: A Kasaya 2 (decoction) of Sankhini, Ankotha, Sumana, Karavira, and Suvarcala, or of drugs belonging to the group (Ganas) known as the aragvadhadi-Varga, should be used in washing and purifying (asepsising ) the contents of an ulcer, or a secreting swelling. 11
अजगन्धाऽजश्रृङ्गी च गवाक्षी लाङ्गलाह्वया । पूतीकश्चित्रकः पाठा विडङ्गैलाहरेणवः ।। १२ ।।
1. The plaster should be applied all round the swelling, leaving its head free and exposed.
2. A decoction with one part of a drug mixed with four, eight or sixteen parts of water, the whole being boiled down to a quarter part of the entire quantity.
कटुत्रिकं यवक्षारो लवणानि मनःशिला। कासीसं त्रिवृता दन्ती हरितालं सुराष्ट्रजा ।।१३।।
संशोधनीनां वर्त्तीनां द्रव्याण्येतानि निर्द्दिशेत् । एतैरेवौषधैः कुर्यात् कल्कानपि च शोधनान्।।१४।।
Sodhana Varti: A lint saturated with a plaster of Ajagandha, Ajasrngi, Gavaksi, Langalahvaya Putika, Citraka, Patha, Vidanga, Ela, Harenu, Tri-katu, Yavaksara, the five kinds of salt, Manahsila, Kasisa, Trivrta, Danti, Haritala and the Surastrajamrttika, and inserted into an ulcer or an open swelling, brings about the purification of its interior, and these drugs and substances should be regarded as the ingredients of Sodhana Vartis (aseptic plugs). 12-14
कासीसकटुरोहिण्योर्जातीकन्दहरिद्रयोः पूर्वोद्दिष्टेषु चाङ्गेषु कुर्यात् तैलघृतानि वा ।। १५ ।।
अर्कोत्तमां स्नुहीक्षीरं पिष्ट्वा क्षारोत्तमानपि । जातीमूलं हरिद्रे द्वे कासीसं कटुरोहिणीम् ।
पूर्वोद्दिष्टानि चान्यानि कुर्यात् संशोधनं घृतम् ।।१६।।
Sodhana Kalka: A kalka ( aseptic paste), composed of the preceding drugs and substances, is possesed of the virtue of purifying the interior of an ulcer, or open swelling.
Oil or clarified butter prepared with the aforesaid Ajagandha, Ajasrngi, etc. and Kasisa, Katurohini, Jatikanda, and the two kinds of Haridra, and applied to an ulcer or open swelling, purifies its interior. The medicated Ghrta prepared with the expressed juice of Arka roots, Uttama, the milky juice (latex) of Snuhi plants, drugs abounding in alkalis, Jati-roots, the two kinds Haridra, Kasisa, Katurohini and the aforesaid plug-drugs (Sodhana – Varti) pasted together, should be regarded as possessed of a virtue similar to the preceding one. 15-16
मयूरको राजवृक्षो निम्बः कोशातकी तिलाः । बृहती कण्टकारी च हरितालं मनःशिला। शोधनानि च योज्यानि तैले द्रव्याणि शोधने ।।१७।। कासीसे सैन्धवे किण्वे वचायां रजनीद्वये । शोधनाङ्गेषु चान्येषु चूर्ण कुर्वीत शोधनम् ।।१८ ।।
सालसारादिसारेषु पटोलत्रिफलासु च रसक्रिया विधातव्या शोधनी शोधनेषु च ॥ १९ ॥
A medicated oil prepared with Mayuraka (Apang), Rajavrksa, Nimba, Kosataki, Tila, Brhati, Kantakari, Haritala Manahsila, and the aforesaid plug-drugs (purgative drugs according to others), should be used for the purpose of purifying the interior of an ulcer. A pulverised compound consisting of Kasisa, Saindhava, Kinva, Vaca, the two kinds of Haridra and the component drugs of the aseptic plug powdered together, should be used for the purification of the cavity of an ulcer. For the same purpose a condensed extract ( Rasa-Kriya ) 1 should be made of the essence of the drugs belonging to the Salsaradi, Patoladi, and Triphaladi groups. 17-19
श्रीवेष्टके सर्जरसे सरले देवदारुणि । सारेष्वपि च कुर्वीत मतिमान् व्रणधूपनम् ।।२०।।
Dhupana : A wise physician should fumigate (Dhupana) an ulcer with the fumes of a compound consisting of Srivestaka, Sarjarasa, Sarala, Devadaru, and the drugs belonging to the Salsaradi group, pulverised together and made into an (aseptic) fumigating compound. 20
कषायाणामनुष्णानां वृक्षाणां त्वक्षु साधितम् । श्रुतं शीतं कषायं वा रोपणार्थेषु शस्यते ।। २१ ।।
A cold infusion (Sita-Sta) of trees (Bata, Audumbara, Asvattha, etc.) which are cooling and astringent in their virtue, should be used in healing or setting up a process of granulation in an ulcer. 21
सोमामृताश्वगन्धासु काकोल्यादौ गणे तथा । क्षीरिप्ररोहेष्वपि च वर्त्तयो रोपणाः स्मृताः ।। २२ ।।
समङ्गा सोमसरला सोमवल्का सचन्दना । काकोल्यादिश्च कल्कः स्यात् प्रशस्तो व्रणरोपणे ॥ २३ ॥
Thr Ropana-Varti : Plugs of drugs such as Soma, Amrta (Gulanca), and Asvagandha, or of those belonging to the Kakolyadi
1. The process consists in mixing the drugs with water weighing eight or sixteen times their combined weight, and then boiling them down to an eighth or sixteenth part of the entire quantity.
group or of the sprouts of mild-exuding trees (Ksurivrksas such as, Bata, Audumbara, etc. ) and inserted into an ulcer tend to help its granulation (Ropana ). A paste (Kalka) of Samanga, Soma, Sarala wood, Soma-Valka, (red) Candana, and drugs belonging to the Kakolyadi group, is recommended for the healing of an ulcer. 22-23
पृथक्पर्ण्यात्मगुप्ता च हरिद्रे मालती सिता । काकोल्यादिश्च योज्य: स्यात् प्रशस्तो रोपणे घृते ॥ २४ ॥
कालानुसार्यागुरुणी हरिद्रे देवदारु च। प्रियङ्गवा रोघ्रञ्च तैले योज्यानि रोपणे ॥ २५ ॥
A medicated Ghrta, prepared with the Prthakparni, Atmagupta, Haridra, Daruharidra, Malati, Sita, and drugs belonging to the Kakolyadi group, is renowned for its healing properties. A medicated oil prepared with Kalanusari, Aguru, Haridra, Daru – Haridra, Devadaru, Priyangu, and Rodhra, is possesed of a similar efficacy. 24-25
कङ्गका त्रिफला रोघं कासीसं श्रवणाह्वया । धवाश्वकर्णयोस्त्वक् च रोपणं चूर्णमिष्यते ॥ २६ ॥
पुष्पकासीसमेव च। रोपणार्थं प्रशस्यते ।। २७ ।।
त्रिफलायास्तथैव च । प्रियङ्गका सर्जरसः त्वक्चूर्णं धवजञ्चैव त्वक्षु न्यग्रोधवर्गस्य रसक्रियां रोपणार्थे विदधीत यथाक्रमम् ।। २८ ।।
A pulverised compound consisting of Kanguka, Triphala, Rodhra, Kasisa, Sravanavhaya and the barks of Dhava and Asvakama powdered together, is possessed of a similar healing property. The use of a pulverised compound consisting of Priyangu, Sarjarasa, Puspa-kasisa, Tvak, and Dhava powdered together is commended for the healing of an ulcer. A condensed extract ( Rasakriya) of the bark of milk-exuding trees (such as Bata, Asvattha etc.) and the drugs known as the Triphala, should be successively used for the healing of anulcer. 26-28
अपामार्गोऽश्वगन्धा च तालपत्री सुवर्चला । उत्सादने प्रशस्यन्ते काकोल्यादिश्च यो गणः ॥ २९ ॥
Utsadana : The drugs known as Apamarga, Asvagandha, Talapatri, Suvarcala and those belonging to the Kakolyadi group, should be used for the growth of flesh in an ulcer (Utsadana). 29
कासीसं सैन्धवं किण्वं कुरुविन्दो मनःशिला। कुक्कुटाण्ड-कपालानि फले शैरीष-कारने धातुचूर्णानि यानि च।
व्रणेषूत्सन्नमांसेषु सुमनोमुकुलानि च । ।३०।। प्रशस्तान्यवसादने ।। ३१ ।।
Avasadana: A compound consisting of Kasisa, Saindhava (rock salt), Kinva, Kuruvinda, Manahsila, the shell of a hen’s egg, the blossoms of Jati flowers, the seeds of Sirisa, and ]Karanja, and powders of the abovesaid metals (Dhatus) mixed together, should be used in destroying the fleshy super-growths of an ulcer (Avasadana). 30-31
समस्तं वर्गमर्धं वा यथालाभमथापि वा। प्रयुञ्जीत भिषक् प्राज्ञो यथोद्दिष्टेषु कर्मसु ॥३२॥
A wise physician should use all the drugs and substances as have been enumerated in connection with the healing or establishing of suppuration, etc. in an ulcer, or as many of them as would be available at the time. 32
इति सुश्रुतसंहितायां सूत्रस्थाने मिश्रको नाम षट्त्रिंशोध्यायः ॥३६॥
Thus ends the thirty-sixth Chapter of the Sutrasthana in the Susruta Samhita which treats of miscellaneous remedies for inflammatory swellings.
