The tenth chapter of Uttaratantra of Sushruta Samhita is called as Pittabhisyanda Pratisedha Adhyaya. This chapter offers with the remedy of Abhisyanda of Pitta Origin.
अथातः पित्ताभिष्यन्दप्रतिषेधं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
We’ll now expound pittabhisyanda pratisedha – remedy of Abhisyanda conjunctivitis) brought on by Pitta; as revealed by the venerable Dhanvantari.
Abhisyanda and Adhimantha
पित्तस्यन्दे पैत्तिके चाधिमन्थे रक्तास्रावः स्रंसनं चापि कार्यम् |
अक्ष्णोः सेकालेपनस्याञ्जनानि पैत्ते च स्याद्यद्विसर्पे विधानम् ||३||
Beneath talked about are the remedy strategies and rules really helpful for Abhisyanda and Adhimantha brought on by vitiated pitta –
– Raktasrava – bloodletting
– Sramsana – purgation
– Aksi seka / pariseka – irrigation / pouring of medicated liquids to the affected eyes
– Lepana – utility of medicinal pastes
– Anjana – collyriums, eye salves
– Paitte cha visarpa vidhanam – all therapies and comforts really helpful for remedy of pittaja visarpa as defined in Chikitsa sthana part, chapter 17
Gundradi ghrta
गुन्द्रां शालिं शैवलं शैलभेदं दार्वीमेलामुत्पलं रोध्रमभ्रम् |
पद्मात्पत्रं शर्करा दर्भमिक्षुं तालं रोध्रं वेतसं पद्मकं च ||४||
द्राक्षां क्षौद्रं चन्दनं यष्टिकाह्वं योषित्क्षीरं रात्र्यनन्ते च पिष्ट्वा |
सर्पिःसिद्धं तर्पणे सेकनस्ये शस्तं क्षीरं सिद्धमेतेषु चाजम् ||५||
योज्यो वर्गो व्यस्त एषोऽन्यथा वा सम्यङ्नस्येऽष्टार्धसङ्ख्येऽपि नित्यम् |६|
Gundradi Ghrta is a praised treatment for Pittaja Abisyanda. The components, methodology of preparation and advantages are as under talked about –
Substances – Paste and decoction is ready with Gundra, Sai, Saivala, Sailabheda (Pasanabheda), Darvi, Ela, Utpala, Rodhra, Abhra (Musta), Padmaptra, Sarkara, Darbha, Iksu, Tala, Rodhra, Vestasa, Padmaka, Draksa, Ksaudra (honey), Candana, Yastika, Yositkshira (lady’s milk), Ratri and the 2 Ananta.
Ghee ready from goat’s milk is then added to the above-mentioned decoction and cooked.
The resultant medicated ghee known as as Gundradi Ghrta.
Advantages – This ghee is used for –
– Tarpana – pooling across the eyes
– Pariseka – Eye bathtub or irrigation
– Nasya – nasal drops
Different preparation – Goat’s milk processed with the above stated Gundradi Kalka – paste of Gundra and many others herbs as defined above can be used for tarpana, pariseka and nasya.
Additionally – Ghee shall be ready utilizing the above talked about (Gundra and many others herbs) herbs, all or as many as accessible, shall be used for administering 4 sorts of Nasya i.e. Pratimarsa, Marsa, Avapida and Sirovirecana Nasya.
Pittahara Kriya
क्रियाः सर्वा पित्तहर्यः प्रशस्तास्त्र्यहाच्चोर्ध्वं क्षीरसर्पिश्च नस्यम् ||६||
All pittahara kriyas – therapies, medicines, meals, actions and comforts that are useful in mitigating pitta shall be utilized in treating pittaja abhisyanda. Milk and ghee could also be used after three days. They are often as meals inclusions and likewise to manage as nasal drops.
Recipes for Anjana and Rasakriya
पालाशं स्याच्छोणितं चाञ्जनार्थे शल्लक्या वा शर्कराक्षौद्रयुक्तम् |७|
रसक्रियां शर्कराक्षौद्रयुक्तां पालिन्द्यां वा मधुके वाऽपि कुर्यात् ||७||
मुस्ता फेनः सागरस्योत्पलं च कृमिघ्नैलाधात्रिबीजाद्रसश्च |
Beneath talked about recipes of Anjana and Rasakriya are useful for utility in pittaja abhisyanda –
For Anjana (collyrium) – Palasa, Sonita (kumkuma) or Sallaki combined with sugar and honey.
For Rasakriya (thickened decoction) – Palindi or Madhuka added with sugar and honey.
For the Rasakriya – Musta, Samudraphena, Utpala, Krimighna, Ela, Dhatri and Bijaka.
Different 4 Anjana recipes for utilization in Pittaja Abhisyanda
तालीशैलागैरिकोशीरशङ्खैरेवं युञ्ज्यादञ्जनं स्तन्यपिष्टैः ||८||
चूर्णं कुर्यादञ्जनार्थे रसो वा स्तन्योपेतो धातकीस्यन्दनाभ्याम् |
योषित्स्तन्यं शातकुम्भं विघृष्टं क्षौद्रोपेतं कैंशुकं चापि पुष्पम् ||९||
रोध्रं द्राक्षां शर्करामुत्पलं च नार्याः क्षीरे यष्टिकाह्वं वचां च |
पिष्ट्वा क्षीरे वर्णकस्य त्वचं च तोयोन्मिश्रे चन्दनोदुम्बरे च ||१०||
- Anjana – ready by macerating Talisa, Ela, Gairika, Usira and Sankha in breastmilk.
- Anjana – ready by macerating easy powder or juice / decoction of Dhataki and Syandana with breastmilk.
- Anjana – ready by macerating Satakumbha (gold) with breastmilk and added with honey.
- Anjana – ready by macerating Kimsuka flowers with breastmilk and added with honey.
- Anjana – ready by macerating Rodhra, Draksa, Sarkara, Utpala, Yasti, and Vaca with breastmilk.
- Anjana – ready by macerating bark of Varnaka, Candana and Udumbara with cow’s milk and added with water.
Different helpful recipes for Anjana and Ascotana
कार्यः फेनः सागरस्याञ्जनार्थे नारीस्तन्ये माक्षिके चापि घृष्टः |
योषित्स्तन्ये स्थापितं यष्टिकाह्वं रोध्रं द्राक्षां शर्करामुत्पलं च ||११||
क्षौमाबद्धं पथ्यमाश्च्योतने वा सर्पिर्घृष्टं यष्टिकाह्वं सरोध्रम् |
तोयोन्मिश्राः काश्मरीधात्रिपथ्यास्तद्वच्चाहुः कट्फलं चाम्बुनैव ||१२||
Anjana, ready by macerating Sagaraphena with breastmilk and added with honey.
Yasti, Rodra, Draksa, Sarkara and Utpala are saved immersed in breastmilk for a while. Later, they’re floor and made into paste. This paste is used as Anjana in pittaja abhisyanda.
Powder of Yasti, Rodra, Draksa, Sarkara and Utpala tied in a linen fabric (silk) is dipped in breastmilk repeatedly. This milk is used as aschyotana – eye drops.
Powder of Yasti and Rodra macerated in ghee must be used as Anjana or Aschyotana.
Nice powder of Kasmari, Dhatri and Pathya must be tied in a sterile fabric and a bolus is ready. This bolus is dipped in water. This water is used as Ascyotana. Alternatively, the powders of the talked about herbs must be macerated in water and used as ascyotana.
Nice powder of Katpala is tied in a sterile fabric and bolus ready. This bolus is dipped in water and that water is used as eye drops. Alternatively, Katpala is macerated with water and the juice expressed is dropped into the eyes as ascyotana.
Amladhyusita and Suktika Cikitsa
एषोऽम्लाख्येऽनुक्रमश्चापि शुक्तौ कार्यः सर्वः स्यात्सिरामोक्षवर्ज्यः ||१३||
सर्पिः पेयं त्रैफलं तैल्वकं वा पेयं वा स्यात् केवलं यत् पुराणम् |
दोषेऽधस्ताच्छुक्तिकायामपास्ते शीतैर्द्रव्यैरञ्जनं कार्यमाशु ||१४||
All of the above-mentioned therapies also needs to be adopted within the remedy of Amladhyusita and Suktika eye issues. Bloodletting by siramoksha i.e. venepuncture must be averted in these circumstances.
Beneath talked about ghee can be given in these situations –
– Triphala ghrta,
– Tilvaka Ghrta or
– Kevala Purana Ghrta – Plain previous ghee
In Suktika, –
– Virecana – purgagtion must be administered to remove the causative morbid dosha
– Anjana ready utilizing herbs of chilly efficiency must be shortly administered into the eyes
Anjana for Suktika
वैदूर्यं यत् स्फाटिकं वैद्रुमं च मौक्तं शाङ्खं राजतं शातकुम्भम् |
चूर्णं सूक्ष्मं शर्कराक्षौद्रयुक्तं शुक्तिं हन्यादञ्जनं चैतदाशु ||१५||
Beneath talked about components must be made into good powder –
– Vaidurya (cats eye / beryl),
– Sphatika (alum),
– Vidruma (Coral),
– Mukta (pearl),
– Sankha (conch),
– Rajata (silver) or
– Satakumbha (gold)
This powder must be added with sugar and honey and combined completely. This recipe must be used as Anjana. It cures Suktika eye illness shortly.
Dhumadarsi Cikitsa
युञ्ज्यात् सर्पिर्धूमदर्शी नरस्तु शेषं कुर्याद्रक्तपित्ते विधानम् |
यच्चैवान्यत् पित्तहृच्चापि सर्वं यद्वीसर्पे पैत्तिके वै विधानम् ||१६||
Beneath talked about are the remedy rules of Dhumadarsi eye dysfunction –
– Sarpi – sufficient quantity of ghee must be used within the type of meals (together with meals) and likewise as ascyotana – eye drops
– Raktapitta vidhanam – all therapies, medicines and comforts really helpful for Raktapitta (bleeding issues) can be utilized in remedy of Dhumadarsi
– Pittahrt Kriya – all pitta mitigating measures or therapies
– Paittika Visarpa Vidhanam – therapies, medicines, recipes and comforts indicated in Pittaja Visarpa also needs to be utilized in treating dhumadarsi
इति सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते शालाक्यतन्त्रे पित्ताभिष्यन्दप्रतिषेधो नाम दशमोऽध्यायः ||१०||
Thus ends the tenth chapter by identify Pittaabhisyanda Pratisedha in Uttara Sthana of Susruta of Samhita.