The seventeenth chapter of Uttaratantra of Sushruta Samhita is called as Dristigata Roga Pratisedha Adhyaya. This chapter offers with the therapy of Ailments of the Pupil.
अथातो दृष्टिगतरोगप्रतिषेधं व्याख्यास्यामः ।।१ ।।
यथोवाच भगवान् धन्वन्तरिः ।। २ ।।
We’ll now expound Drstigata roga pratisedha – therapy of illnesses of the realm of imaginative and prescient (pupil); as revealed by the venerable Dhanvantari.’
त्रयः साध्यास्त्रयोऽसाध्या याप्याः षट् च भवन्ति हि ।।
There are twelve illnesses of Drsti – pupil. Amongst them –
– three illnesses are sadhya – curable i.e. Dhumadarsi, Pittavidagdha Drsti and Slesma Vidagdha Drsti
– three illnesses are asadhya – incurable i.e. Hrsvajadya, Nakulandhya and Gambirika and
– six illnesses are yapya – controllable (can’t be utterly cured however might be managed, the illness can be persistent) i.e. six forms of Kaca (Timira or Linganasa)
तत्रैकस्य प्रतीकारः कीर्तितो धूमदर्शिनः ।। ३ ।।
Already, the therapy of Dhumadarsi has been described earlier in chapter 10, verse 16.
दृष्टौ पित्तविदग्धायां विदग्धायां कफेन च ।।
पित्तश्लेष्महरं कुर्याद्विधिं शस्त्रक्षतादृते ।।४ ।।
नस्यसेकाञ्जनालेपपुटपाकैः सतर्पणैः ।।
आद्ये तु त्रैफलं पेयं सर्पिस्त्रैवृतमुत्तरे || ५ ||
तैल्वकं चोभयोः पथ्यं केवलं जीर्णमेव वा ।।
Therapies which might mitigate pitta and kapha ought to be finished in pitta vidagdha drsti and shleshma / kapha vidagdha drsti respectively, besides the surgical procedures (operations).
Beneath talked about therapies ought to be adopted –
– Nasya,
– Seka or Pariseka,
– Anjana,
– Alepa,
– Putapaka and
– Tarpana
Within the first situation i.e. Pitta Vidagdha Drshti – Triphala Ghrta ought to be administered.
Within the second situation i.e. Kapha Vidagdha Drshti – Trivrt Ghrta ought to be administered.
Tilvaka Ghrta or plain outdated ghee (which is outdated by a few years) is appropriate in each these situations (illnesses).
गैरिकं सैन्धवं कृष्णा गोदन्तस्य मषी तथा ।।६ ।।
गोमांस मरिचं बीजं शिरीषस्य मनःशिला ।।
वृन्तं कपित्यान्मधुना स्वयङ्गुप्ताफलानि च ।।७ ।।
चत्वार एते योगाः स्युरुभयोरञ्जने हिताः ।।
When used within the type of Anjana – collyrium, the beneath talked about 4 sorts of formulae are useful in therapy of each these illnesses i.e. pitta vidagdha drshti and kapha vidagdha drshti –
- Gairika, Saindhava, Krsna and ash of cow’s enamel;
- Gomamsa, Marica, Sirisabija and manassila;
- Tender leaves of Kapittha macerated with honey and
- Fruit of Svayamgupta macerated with honey.
कुब्जकाशोकशालाम्रप्रियङ्गुनलिनोत्पलैः ।।८ ।।
पुष्पैहरेणुकृष्णाह्वापथ्यामलकसंयुतैः ।।
सर्पिर्मधुयुतैश्चूर्णैर्वेणुनाड्यामवस्थितैः ।। ९ ।।
अञ्जयेद् द्वावपि भिषक् पित्तश्लेष्मविभावितौ ।।
Good powder of the beneath talked about herbs ought to be ready –
– Kubjaka,
– Asoka,
– Sala,
– Amra,
– Priyangu,
– flower of Nalina and Utpala,
– Harenu,
– Krshnahva – Pippali,
– Pathya and
– Amalaka
This powder is combined with ghee and honey, stuffed right into a tube of bamboo and preserved.
Now, the doctor ought to put this collyrium into the eyes in each pitta vidagdha drshti and sleshma vidagdha drshti.
आम्रजम्बूद्भवं पुष्पं तद्रसेन हरेणुकाम् ।। १० ।।
पिष्टवा क्षौद्राज्यसंयुक्तं प्रयोज्यमथवाऽञ्जनम् ।।
नलिनोत्पलकिञ्जल्कगैरिकैर्गोशकृद्रसैः ।। ११ ।।
गुडिकाञ्जनमेतद्वा दिनरात्र्यन्धयोर्हितम् ।।
Flowers of Amra and Jambu together with Harenu are macerated within the juice of their flowers itself. Later, honey and ghee are added to this and used as collyrium.
Beneath talked about substances ought to be macerated collectively –
– Nalina,
– Utpala Kinjalka – stamens of lotus flowers and
– Contemporary cow dung juice
Drugs / wicks are made out of this. These capsules are used for making use of collyrium in blindness occurring at day time and night time (day and night time blindness).
रसाञ्जनरसक्षौद्रतालीशस्वर्णगैरिकम् ।।१२ ।।
गोशकृद्रससंयुक्तं पित्तोपहतदृष्टये ।
Beneath talked about substances are macerated within the juice of cow dung and used as collyrium –
– Rasanjana,
– Rasa (in response to Dalhana – juice of Jati leaves),
– Honey,
– Talisapatra and
– Swarna Gairika
This collyrium is useful in therapy of Pittavidagdha Drshti.
शीतं सौवीरकं वाऽपि पिष्ट्वाऽथ रसभावितम् ||१३||
कूर्मपित्तेन मतिमान् भावयेद्रौहितेन वा |
चूर्णाञ्जनमिदं नित्यं प्रयोज्यं पित्तशान्तये ||१४||
Sita i.e. Rasanjana or Karpura and Suviraka i.e. Sauviranjana are macerated in one of many beneath talked about –
– Rasa – both mamsa rasa (meat soup) or Sakrt Rasa (juice of contemporary cow dung) or
– Kurma Pitta – bile of tortoise or
– Rohita Pitta – bile of crimson fish
That is dried and preserved.
This Curnanjana (collyrium in powder type) ought to be used each day for mitigating pitta.
काशमरीपुष्पमधुकदार्वीरोध्ररसाञ्जनैः |
सक्षौद्रमञ्जनं तद्वद्धितमत्रामये सदा ||१५||
स्रोतोजं सैन्धवं कृष्णां रेणुकां चापि पेषयेत् |
अजामूत्रेण ता वर्त्यः क्षणदान्ध्याञ्जने हिताः ||१६||
Beneath talked about substances added and combined with honey and used as collyrium at all times is useful on this eye illness –
– Kasmari Puspa,
– Madhuka,
– Darvi,
– Rodhra and
– Rasanjana
Different recipe –
Beneath talked about substances ought to be macerated in goat’s urine –
– Srotanjana,
– Saindhava,
– Krsna,
– Renuka and
– Ksanada (Haridra)
It’s then made into wicks / dragees. That is useful when used as a collyrium.
कालानुसारिवां कृष्णां नागरं मधुकं तथा |
तालीशपत्रं क्षणदे गाङ्गेयं च यकृद्रसे ||१७||
कृतास्ता वर्तयः पिष्टाश्छायाशुष्काः सुखावहाः |
Beneath talked about substances are macerated within the juice of liver or bile –
– Kalanusarya,
– Krsna,
– Nagara,
– Madhuka,
– Talisapatra,
– two sorts of Haridra and
– Gangeya – Musta
The paste is made into sticks or dragees and dried in shade. Later, it’s used as a collyrium and it bestows consolation in these illnesses.
मनःशिलाभयाव्योषबलाकालानुसारिवाः ||१८||
सफेना वर्तयः पिष्टाश्छागक्षीरसमन्विताः |१९|
Beneath talked about substances are macerated in goat’s milk –
– Manassila,
– Abhaya,
– Vyosa,
– Bala,
– Kalanusariva and
– Phena – Samudraphena
The paste is made into dragees and used as collyrium.
गोमूत्रपित्तमदिरायकृद्धात्रीरसे पचेत् ||१९||
क्षुद्राञ्जनं रसेनान्यद्यकृतस्त्रैफलेऽपि वा |
गोमूत्राज्यार्णवमलपिप्पलीक्षौद्रकट्फलैः ||२०||
सैन्धवोपहितं युञ्ज्यान्निहितं वेणुगह्वरे |२१|
Beneath talked about substances are boiled and made as Ksudranjana (Rasakriya – thick decoction) –
– Gomutra – cow’s urine,
– Gopitta – ox-bile,
– Madira – beer,
– Yakrt – juice of liver / bile and
– Dhatri Rasa – juice of Amalaka
Rasakriya can also be ready by boiling –
– Yakrt – liver and Triphala or Gomutra or
– Ghee, Samudraphena, Pippali, Honey, Katphala and Saindhava
The Rasakriya thus ready is preserved within the hole tube of bamboo. That is useful when used as a collyrium.
मेदो यकृद्धृतं चाजं पिप्पल्यः सैन्धवं मधु ||२१||
रसमामलकाच्चापि पक्वं सम्यङ्निधापयेत् |
कोशे खदिरनिर्माणे तद्वत् क्षुद्राञ्जनं हितम् ||२२||
Beneath talked about substances are cooked collectively to type Rasakriya (thick decoction) –
– Fats, liver and ghee of goat,
– Pippali,
– Saindhava,
– Honey and
– Amalaki juice
This Rasakriya is stuffed right into a container made out of Khadira wooden. This Ksudranjana i.e. collyrium of thick decoction is very useful.
Slesmavidgadha drusti cikitsa
हरेणुमगधाजास्थिमज्जैलायकृदन्वितम् |
यकृद्रसेनाञ्जनं वा श्लेष्मोपहतदृष्टये ||२३||
In Sleshma Vidagdha Drshti, collyrium ready by macerating the beneath talked about substances within the soup of liver or bile is useful –
– Harenu,
– Magadhajasthi Majja (seeds of Pippali whose husk has been eliminated in response to Dalhana),
– Ela,
– Yakrt
Naktandhya cikitsa – therapy of Night time blindness
विपाच्य गोधायकृदर्धपाटितं सुपूरितं मागधिकाभिरग्निना |
निषेवितं तद्यकृदञ्जनेन निहन्ति नक्तान्ध्यमसंशयं खलु ||२४||
The liver of Godha i.e. iguana lizard is break up. Magadhika – Pippali is stuffed in that liver. This liver is now cooked within the hearth by enveloping it with plaster of mud and placing it in a heap of burning cow dung. The cooked liver ought to be consumed whereas the Pippali is made into collyrium and utilized to the eyes. This recipe cures Naktandhya – night time blindness with none doubt.
तथा यकृच्छागभवं हुताशने विपाच्य सम्यङ्मगधासमन्वितम् |
प्रयोजितं पूर्ववदाश्वसंशयं जयेत् क्षपान्ध्यं सकृदञ्जनान्नृणाम् ||२५||
Equally Pippali ought to be stuffed within the goat liver and cooked within the hearth. It’s also utilized in the identical method as defined above. The liver ought to be consumed and the Pippali ought to be used as a collyrium. This shortly cures night time blindness.
प्लीहा यकृच्चाप्युपभक्षिते उभे प्रकल्प्य शूल्ये घृततैलसंयुते |
ते सार्षपस्नेहसमायुतेऽञ्जनं नक्तान्ध्यमाश्वेव हतः प्रयोजिते ||२६||
The spleen and liver are pierced with an iron and are cooked over the flame. These cooked spleen and liver ought to be consumed along with ghee and oil. They need to even be made as collyrium, added with sarsapa taila – mustard oil. It shortly cures night time blindness.
नदीजशिम्बीत्रिकटून्यथाञ्जनं मनःशिला द्वे च निशे य(श)कृद्गवाम् |
सचन्दनेयं गुटिकाऽथवाऽञ्जनं प्रशस्यते वै दिवसेष्वपश्यताम् ||२७||
Beneath talked about substances are cooked collectively and consumed –
– Nadija (saindhava lavana in response to Dalhana),
– Simbi (moist inexperienced gram),
– Trikatu,
– Anjana (Srotonjana),
– Manassila,
– two sorts of Nisa (Haridra and Daruharidra),
– Go Yakrt (liver of cow or ox) and
– Candana
Collyrium can also be ready with the identical substances and utilized to the eyes. That is useful for many who are unable to see even throughout day time.
Kaca cikitsa- therapy of Cataract
भवन्ति याप्याः खलु ये षडामया हरेदसृक्तेषु सिराविमोक्षणैः |
विरेचयेच्चापि पुराणसर्पिषा विरेचनाङ्गोपहितेन सर्वदा ||२८||
Bloodletting ought to be finished by venepuncture technique within the six illnesses that are Yapya (incurable however controllable / manageable).
Outdated ghee processed / boiled with purgative herbs ought to at all times be administered for the aim of purgation.
पयोविमिश्रं पवनोद्भवे हितं वदन्ति पञ्चाङ्गुलतैलमेव तु |
भवेद्धृतं त्रैफलमेव शोधनं विशेषतः शोणितपित्तरोगयोः ||२९||
त्रिवृद्विरेकः कफजे प्रशस्यते त्रिदोषजे तैलमुशन्ति तत्कृतम् |
| Dosha producing Kaca illness | Finest purgative |
| Vata | Oil of Pancangula (Eranda) added to boiled milk |
| Rakta and Pitta | Triphala Ghrta |
| Kapha | Trivrt |
| Tridosha | Oil boiled with Trivrt |
Ardha timira cikitsa – therapy of partial blindness
पुराणसर्पिस्तिमिरेषु सर्वशो हितं भवेदायसभाजनस्थितम् ||३०||
हितं च विद्यात्त्रिफलाघृतं सदा कृतं च यन्मेषविषाणनामभिः |
Purana Sarpi i.e. ghee which is outdated by a few years is stored in an iron vessel. It may be utilized in many strategies / varieties i.e. inner consumption, collyrium and many others and shall be useful when used.
Equally, Triphala Ghrta or ghee cooked and processed with Mesa Visananama (Mesasringi) are additionally useful.
सदाऽवलिह्यात्त्रिफलं सुचूर्णितां घृतप्रगाढां तिमिरेऽथ पित्तजे ||३१||
समीरजे तैलयुतां कफात्मके मधुप्रगाढां विदधीत युक्तितः |
| Predominant Dosha inflicting Timira (partial blindness) | Technique of utilizing Triphala Churna (good powder of Triphala |
| Pitta (Pittaja Timira) | Added with extra amount of ghee ought to be consumed at all times |
| Vata (Vataja Timira) | Blended with extra of sesame oil |
| Kapha (Kaphaja Timira) | Added with extra amount of honey. |
गवां शकृत्क्वाथविपक्वमुत्तमं हितं तु तैलं तिमिरेषु नावनम् ||३२||
हितं घृतं केवल एव पैत्तिके ह्यजाविकं यन्मधुरैर्विपाचितम् |
तैलं स्थिरादौ मधुरे च यद्गणे तथाऽणुतैलं पवनासृगुत्थयोः ||३३||
| Predominant dosha inflicting Timira | Nasya Completed with – |
| Kapha | Oil cooked with juice of contemporary cow dung |
| Pitta | Ghee of goat or sheep both alone or cooked with candy tasting herbs |
| Vata and Rakta | Oil boiled with herbs belonging to Sthiradi (Vidarigandhadi Gana) group and Madhura Gana (Kakolyadi Gana) group or Anu Taila |
सहाश्वगन्धातिबलावरीशृतं हितं च नस्ये त्रिवृतं यदीरितम् |
जलोद्भवानूपजमांससंस्कृताद्धृतं विधेयं पयसो यदुत्थितम् ||३४||
For Nasal drops, the beneath talked about ghee can be utilized –
– ghee boiled and processed with Ashwagandha, Atibala and Vari (Satavari) or
– Trivrt Ghrta or
– Ghee obtained from milk boiled with meat of animals residing in water and marshy areas
ससैन्धवः क्रव्यभुगेणमांसयोर्हितः ससर्पिः समधुः पुटाह्नयः ।।
वसाऽथ गृध्रोरगताम्रचूडजा सदा प्रशस्ता मधुकान्विताऽञ्जने ॥ ३५ ॥
The flesh of carnivorous animals and ena – black deer are cooked in Putapaka technique. By this, the meat juice of those animals is obtained. To this juice is added with Saindhava Lavana, ghee and honey and used as putapaka (eye drops).
At all times, the muscle fats of a vulture, snake or cock is added with honey and used as collyrium is useful.
प्रत्यञ्जनं स्त्रोतसि यत्समुत्थितं क्रमाद्रसक्षीरघृतेषु भावितम् ।।
Srotonjana – the anjana arising within the upriver is macerated in meat soup, milk and ghee, one after the opposite in an order. This ought to be used as Pratyanjana – counter collyrium.
Saraga timira / Kaca cikitsa
स्थितं दशाहत्रयमेतदञ्जनं कृष्णोरगास्ये कुशसंप्रवेष्टिते ।। ३६ ।।
तन्मालतीकोरकसैन्धवायुतं सदाऽञ्जनं स्यात्तिमिरेऽथ रागिणि ।।
सुभावितं वा पयसा दिनत्रयं काचापहं शास्त्रविदः प्रचक्षते ।। ३७ ।।
Anjana (srotonjana) is stored contained in the mouth of a black serpent and enveloped with Kusa grass and made to stay there for thirty days. Afterwards, it’s eliminated and macerated with buds of Malati flowers and Saindhava Lavana. Alternatively, it’s stored soaked in milk and later macerated in the identical milk and used as collyrium.
Advantages – Based on the individuals who’re discovered in sciences, this recipe cures Kaca – cataract.
हविर्हितं क्षीरभवं तु पैत्तिके वदन्ति नस्ये मधुरौषधैः कृतम् ।।
तत्तर्पणे चैव हितं प्रयोजितं सजाङ्गलस्तेषु च यः पुटाह्वयः ।। ३८ ||
Nasya in Pittja Kaca – Ghee ready from milk boiled with herbs belonging to Kakolyadi Gana (candy tasting herbs) group is the perfect one for use as nasal drops within the therapy of Pittaja Kaca.
The identical herbs talked about above are cooked in Putapaka technique together with the meat of animals residing in arid areas. Following this, their juice is extracted and is used for administering Tarpana – bathing the attention.
रसाञ्जनक्षौद्रसितामनः शिलाः क्षुद्राञ्जनं तन्मधुकेन संयुतम् ।।
समाञ्जनं वा कनकाकरोद्भवं सुचूर्णितं श्रेष्ठमुशन्ति तद्विदः ।। ३ ९ ।।
Collyrium ready with the beneath talked about is useful –
– Rasanjana,
– Ksaudra – honey,
– Sita – Karpura,
– Manassila and
– Madhuka
Alternatively, equal amount of srotonjana and that obtained from gold mines is effectively powdered and combined with honey. That is utilized as collyrium to the eyes and the specialists take into account it to be the perfect recipe.
भिल्लोटगन्धोदकसेकसेचितं प्रत्यञ्जने चात्र हितं तु तुत्थकम् ।।
समेषशृङ्गाञ्जनभागसंमितं जलोद्भवं काचमलं व्यपोहति ।। ४० ।।
Bhillota and Tutthaka are soaked in Gandhodaka and macerated in the identical. That is utilized to the eyes as collyrium.
Alternatively, equal components of the beneath talked about are made into collyrium and utilized to the eyes –
– Mesasrngi,
– Anjana (Srotonjana) and
– Jalodbhava
This helps in eradicating Kaca Mala.
पलाशरोहीतमधूकजा रसाः क्षौद्रेण युक्ता मदिराग्रमिश्रिताः ।।
Beneath talked about substances made into collyrium by including and mixing with honey and scum of madira (beer) is useful –
– Juice (latex / resin) of Palasa,
– Rohitaka and
– Madhuka
Kaphaja Kaca cikitsa
उशीरलोध्रत्रिफलाप्रियङ्गभिः पचेत्तु नस्यं कफरोगशान्तये ।। ४१ ।।
The beneath talked about herbs are cooked together with tila taila –
– Usira,
– Rodhra,
– Triphala and
– Priyangu
This ought to be used as nasal drops. It mitigates illnesses like Kaca produced by Kapha.
विडङ्गपाठाकिणिहीङ्गुदीत्वचः प्रयोजयेद्धूममुशीरसंयुताः ।।
Beneath talked about herbs ought to be used collectively as dhuma (smoke inhalation) –
– Vidanga,
– Patha,
– Kinihi,
– Bark of Ingudi and
– Usira
वनस्पतिक्वाथविपाचितं घृतं हितं हरिद्रानलदे च तर्पणम् ।। ४२ ।।
Ghee boiled with the decoction of beneath talked about substances ought to be used for tarpana –
– Vanaspatis – bushes shedding milky sap (Pancavalkala),
– Haridra and
– Nalada (Usira)
समागधो माक्षिकसैन्धवाढ्यः सजाङ्गलः स्यात् पुटपाक एव च ।।
Beneath talked about substances are cooked by Putapaka technique –
– meat of animals of arid lands,
– Magadhika,
– Maksika – honey and
– extra amount of Saindhava lavana
The resultant juice is put into the attention and is useful.
मनः शिलात्र्यूषणशङ्खमाक्षिकैः ससिन्धुकासीसरसाञ्जनैः क्रियाः ।। ४३ ।।
हिते च कासीसरसाञ्जने तथा वदन्ति पथ्ये गुडनागरैर्युते ।।
Rasakriya i.e. thick decoction is ready by cooking collectively the beneath talked about substances –
– Manassila,
– Tryusana,
– Sankha,
– Maksika,
– Sindhu (Srotonjana),
– Kasisa and
– Rasanjana
This Rasakriya is useful when utilized to the eyes.
Equally, thick decoction of the beneath talked about substances ought to be ready and utilized to the eyes –
– Kasisa,
– Rasanjana,
– Guda and
– Nagara
That is useful for the eyes in response to the specialists of the attention.
यदञ्जनं वा बहुशो निषेचितं समूत्रवर्गे त्रिफलोदके शृते ।।४४ ।।
निशाचरास्थिस्थितमेतदञ्जनं क्षिपेच्च मासं सलिलेऽस्थिरे पुनः ।।
मेषस्य पुष्पैर्मधुकेन संयुतं तदञ्जनं सर्वकृते प्रयोजयेत् ।। ४५ ।।
Anjana i.e. Srotonjana ought to be boiled many instances within the urines of animals together with Triphala powder. It’s made right into a thick decoction. Later this thickened decoction is stuffed into the hole of bones of nocturnal animals and birds. These bones are positioned in a flowing stream of water for a interval of 1 month. After one month, they’re taken out and added with flowers of Mesasrnga and Madhuka and used as a collyrium in Kaca produced by all of the doshas (aggravation of all doshas collectively).
क्रियाश्च सर्वाः क्षतजोद्भवे हितः क्रमः परिम्लायिनि चापि पित्तहृत् ।।
Completely different therapies indicated for all the attention issues like Ascyotana, Anjana, Tarpana and many others. shall be adopted in Kaca produced by harm. In Parimlayi additionally the identical therapies ought to be adopted. Moreover, therapies to mitigate pitta also needs to be adopted.
क्रमो हितः स्यन्दहरः प्रयोजितः समीक्ष्य दोषेषु यथास्वमेव च ।। ४६ ।।
दोषोदये नैव च विप्लुतिंगते द्रव्याणि नस्यादिषु योजयेद्बुधः ।।
Within the therapy of this illness additionally, therapies indicated for Abhisyanda as applicable to the aggravated dosha is useful and may therefore be adopted. These therapies ought to be adopted when there’s extreme aggravation of the doshas or once they have unfold extensively. Appropriate herbs ought to be chosen to arrange medicines for Nasya and many others. therapies and therefore the illnesses ought to be handled.
पुनश्च कल्पेऽञ्जनविस्तरः शुभः प्रवक्ष्यतेऽन्यस्तमपीह योजयेत् ।।४७ ।।
The small print of some extra useful collyriums shall be furnished in Kriya Kalpa context (subsequent chapter). These Anjanas additionally shall be introduced into use.
Prasasta ahara – useful meals
घृतं पुराणं त्रिफलां शतावरीं पटोलमुद्धामलकं यवानपि ।।
निषेवमाणस्य नरस्य यत्नतो भयं सुघोरात्तिमिरान्न विद्यते ।।४८ ।।
शतावरीपायस एव केवलस्तथा कृतो वाऽऽमलकेषु पायसः ।।
प्रभूतसर्पिस्त्रिफलोदकोत्तरो यवौदनो वा तिमिरं व्यपोहति ।। ४ ९ ।।
When an individual consumes the beneath talked about issues each day, with all efforts won’t have concern of dreadful Timira –
– Purana Ghrta – ghee which is outdated by a few years,
– Triphala,
– Satavari,
– Patola,
– Mudga,
– Amalaka and
– Yava
Beneath talked about recipes ought to be consumed –
– Payasa i.e. milk pudding ready from solely Satavari or
– Payasa ready from Amalaka or
– Yava Odana i.e. cooked barley added with extra amount of ghee
Following this, one ought to drink decoction of Triphala.
This cures Timira.
जीवन्तिशाकं सुनिषण्णकं च सतण्डुलीयं वरवास्तुकं च ।।
चिल्ली तथा मूलकपोतिका च दृष्टेर्हितं शाकुनजाङ्गलं च ॥५० ॥
पटोलकर्कोटककारवेल्लवार्ताकुतर्कारिकरीरजानि ।।
शाकानि शिग्वार्तगलानि चैव हितानि दृष्टेर्घृतसाधितानि ।। ५१ ।।
Beneath talked about are good for eye sight –
– Leaves of Jivanti, Sunisannaka, Tanduliyaka, Vastuka, Cilli, Mulaka Potika and
– Meat of animals residing in arid areas
Beneath talked about leaves cooked with ghee and used are additionally good for eyesight –
– Patola,
– Karkotaka,
– Karavella,
– Vartaka,
– Karira,
– Sigru and
– Artagalla
Varjya – Avoidable issues
विवर्जयेत्सिरामोक्षं तिमिरे रागमागते ।।
यन्त्रेणोत्पीडितो दोषो निहन्यादाशु दर्शनम् ।। ५२ ।।
Venepuncture shouldn’t be finished when Timira has attained color. It is because instrumentation causes extra aggravation of doshas. These doshas, aggravated as a result of instrumentation, shortly destroys the imaginative and prescient.
अरागि तिमिरं साध्यमाद्यं पटलमाश्रितम् ।।
कृच्छ्रं द्वितीये रागि स्यात्तृतीये याप्यमुच्यते ।। ५३ ।।
Timira is curable when it has not attained color and localized within the first layer (prathama patala) of the attention.
Timira localized within the second patala and having attained color is curable with issue.
Timira localized within the third patala is incurable and protracted.
रागप्राप्तेष्वपि हितास्तिमिरेषु तथा क्रियाः ।।
यापनार्थं यथोद्दिष्टाः सेव्याश्चापि जलौकसः ।।५४ ।।
It has been suggested that even the Timira which has attained color ought to be handled as a way to hold it beneath management. Leeches can be used for bloodletting on this situation.
Kaphaja Linganasa cikitsa
श्लैष्मिके लिङ्गनाशे तु कर्म वक्ष्यामि सिद्धये ।।
न चेदर्धेन्दुघर्माम्बुबिन्दुमुक्ताकृतिः स्थिरः ।। ५५ ।।
विषमो वा तनुर्मध्ये राजिमान् वा बहुप्रभः ।।
दृष्टिस्थो लक्ष्यते दोषः सरुजो वा सलोहितः ।। ५६ ।।
Now, the surgical therapy for the treatment of Lingnanasa – blindness produced by Kapha shall be described.
Surgical therapy ought to be finished solely within the beneath talked about situations –
– when doshas localized on the drshti – pupil just isn’t within the form of half moon, candy drop or a pearl
– when drshti is static (mounted, with out motion),
– when drshti is irregular,
– when drshti is skinny within the center having linens,
– when it is extremely brilliant, painful or painless
Sastra cikitsa vidhi – process for surgical procedure for cataract
स्निग्धस्विन्नस्य तस्याथ काले नात्युष्णशीतले ।।
यन्त्रितस्योपविष्टस्य स्वां नासां पश्यतः समम् ।।५७ ।।
मतिमान् शुक्लभागौ द्वौ कृष्णान्मुक्त्वा ह्यपाङ्गतः ।।
उन्मील्य नयने सम्यक् सिराजालविवर्जिते ।।५८ ।।
नाधो नोर्ध्वं न पार्श्वाभ्यां छिद्रे दैवकृते ततः ।।
शलाकया प्रयत्नेन विश्वस्तं यववक्रया || ५ ९ ।।
मध्यप्रदेशिन्यङ्गुष्ठस्थिरहस्तगृहीतया ।।
दक्षिणेन भिषक् सव्यं विध्येत् सव्येन चेतरत् ।। ६० ।।
वारिबिन्द्वागमः सम्यग् भवेच्छब्दस्तथा व्यधे ।।
संसिच्य विद्धमात्रं तु योषित्स्तन्येन कोविदः ।।६१ ।।
स्थिरे दोषे चले वाऽपि स्वेदयेदक्षि बाह्यतः ।।
सम्यक् शलाकां संस्थाप्य भङ्गैरनिलनाशनैः ।।६२ ।।
शलाकाग्रेण तु ततो निर्लिखेदृष्टिमण्डलम् ।।
विध्यतो योऽन्यपार्श्वेऽक्ष्णस्तं रुद्धवा नासिकापुटम् ।। ६३ ।।
उच्छिङ्गनेन हर्तव्यो दृष्टिमण्डलगः कफः ।।
निरभ्र इव धर्माशुर्यदा दृष्टिः प्रकाशते ।। ६४ ।।
तदाऽसौ लिखिता सम्यग् ज्ञेया या चापि निर्व्यथा ।
(एवं त्वशक्ये निर्हर्तुं दोषे प्रत्यागतेऽपि वा ।। ६५ ।।
स्नेहाद्यैरुपपन्नस्य व्यधो भूयो विधीयते ।। )
ततो दृष्टेषु रूपेषु शलाकामाहरेच्छनैः ।।६६ ।।
घृतेनाभ्यज्य नयनं वस्त्रपट्टेन वेष्टयेत् ।।
ततो गृहे निराबाधे शयीतोत्तान एव च ।। ६७ ।।
उद्गारकासक्षवथुष्टीवनोत्कम्पनानि च ।।
तत्कालं नाचरेदूर्ध्वं यन्त्रणा स्नेहपीतवत् ।। ६८ ।।
Oleation and sudation therapies ought to be given at a time which is neither very popular nor very chilly. After this, the affected person ought to be made to sit down on a stool / chair and restrained from making any actions (he ought to be held by attendants not permitting him to maneuver). He ought to be instructed to take a look at his nostril steadily.
Now, the clever doctor ought to hold the attention of the affected person vast open.
He ought to now choose
– a spot close to the apanga (outer angle / outer canthus)
– avoiding the 2 third portion of sukla (white of the attention – sclera) from krshna (cornea),
– devoid of a community of veins,
– neither very above, beneath or to the facet and
– close to to the god made pure orifice (pupil) and
– make an incision with a rod like instrument having a really small leading edge within the form of barley
Subsequent, the doctor ought to maintain the rod like instrument firmly with the center and index fingers and thumb of his proper hand, ought to incise the left eye and along with his left hand ought to incise the suitable eye.
Indicators of incision correctly finished – A drop of water i.e. serous fluid resembling water comes out accompanied with a small sound.
Now, the doctor ought to fill the attention of the affected person with breast milk. He also needs to give fomentation over the attention regardless of doshas, whether or not regular or unsteady. Fomentation ought to be given through the use of bits of vata mitigating leaves (patra pinda sweda).
Now, the doctor holding the instrument ought to scrape the pupil (drshti mandala) of the opposite eye firmly after which incise it.
The doctor ought to then instruct the affected person to shut his nostrils tightly and suck up with drive. That is the best technique of eradicating kapha from Drsti Mandala.
Indicators of correct scraping (incision, minimize) –
– affected person is ready to see the solar within the sky devoid of clouds,
– the affected person’s sight is shining i.e. is obvious or unhazy and
– the attention is devoid of ache
The affected person ought to be administered oleation and different therapies following which incising ought to be finished as soon as once more extra deeply within the beneath talked about situations –
– if doshas (illness) can’t be eliminated by this technique (defined above) directly or
– when the doshas have accrued as soon as once more (illness has recurred)
The instrument ought to be eliminated out slowly when the particular person is ready to see the objects. After this, the attention ought to be bathed with ghee and bandaged with bands of fabric.
The affected person is then shifted to a home which is free from hindrances and made to lie down along with his face up.
The affected person can also be instructed to not indulge within the beneath talked about throughout that point
– belching,
– coughing,
– sneezing,
– spitting and
– shivering
Restraints associated to meals and actions listed here are identical as these prescribed for individuals who’ve undergone oleation remedy i.e. those that have consumed fat.
त्र्यहात् त्र्यहाच्च धावेत कषायैरनिलापहैः ।।
वायोर्भयात् त्र्यहादूर्ध्वं स्वेदयेदक्षि पूर्ववत् ।। ६९ ।।
शाहमेवं संयम्य हितं दृष्टिप्रसादनम् ।।
पश्चात्कर्म च सेवेत लघ्वन्नं चापि मात्रया ।।७० ।।
There may be at all times a concern of aggravation of vata. Due to this fact, eyes ought to be washed with decoction ready with vata mitigating eyes as soon as in three days.
The eyes ought to be fomented as described earlier (verse 62) after the third day.
The publish operative measures corresponding to Nasya, Tarpana, Shirovasti and many others. (in response to Acharya Dalhana) ought to be adopted after treating the eyes like this for a interval of ten days. Additionally, the affected person ought to devour gentle meals in restricted portions.
सिराव्यधविधौ पूर्व नरा ये च विवर्जिताः ।।
न तेषां नीलिकां विध्येदन्यत्राभिहिताद्भिषक् ।। ७१ ।।
पूर्यते शोणितेनाक्षि सिरावेधाद्विसर्पता ।।
तत्र स्त्रीस्तन्ययष्ट्याह्नपक्कं सेके हितं घृतम् ।।७२।।
The doctor ought to by no means do venepuncture in Nilika (Linganasa) at locations of the attention aside from these indicated, particularly in those that are declared as unfit / rejectable for venepuncture process (ref – sarira sthana – chapter 8).
If finished, the attention turns into stuffed with exuding blood. On this situation it’s useful to conduct pariseka (bathe, eye bathtub) with breast milk or ghee ready with Yashtimadhu.
अपाङ्गासन्नविद्धे तु शोफशूलानुरक्तताः ।।
तत्रोपनाहं भ्रूमध्ये कुर्याच्चोष्णाज्यसेचनम् ।।७३ ।।
व्यधेनासन्नकृष्णेन रागः कृष्णं च पीड्यते ।।
तत्राधः शोधनं सेकः सर्पिषा रक्तमोक्षणम् ।। ७४ ।।
अथाप्युपरि विद्वे तु कष्टा रुक् संप्रवर्तते ।।
तत्र कोष्णेन हविषा परिषेकः प्रशस्यते ।।७५।।
शूलानुरागास्त्वत्यर्थमधोवेधेन पिच्छिलः ।।
शलाकामनु चास्त्रावस्तत्र पूर्वचिकित्सितम् ।। ७६ ।।
रागाश्रुवेदनास्तम्भहर्षाश्चातिविघट्टिते ।।
स्नेहस्वेदौ हितौ तत्र हितं चाप्यनुवासनम् ।।७७।।
दोषस्त्वधोऽपकृष्टोऽपि तरुणः पुनरूर्ध्वगः ।।
कुर्याच्छुक्लारुणं नेत्रं तीव्ररुङ्नष्टदर्शनम् ।। ७८ ।।
मधुरैस्तन्त्र सिद्धेन घृतेनाक्ष्णः प्रसेचनम् ।।
शिरोबस्तिं च तेनैव दद्यान्मांसैश्च भोजनम् ।। ७९ ।।
Indicators and signs of slicing / incising finished very close to to outer canthus of the attention (apanga) –
– swelling,
– ache,
– lacrimation and
– redness
Remedy – If these signs happen, heat poultice ought to be utilized on the affected eye / eyes. Additionally, ghrta dhara ought to be finished i.e. heat ghee ought to be poured as dhara in between the eyebrows.
Indicators and signs of slicing / incising finished very near krsna – cornea –
– redness,
– ache (in cornea)
Remedy – Beneath talked about therapies ought to be done-
– purgation,
– pouring ghee on corneal area and
– venepuncture
Indicators and signs of slicing / incising finished beneath the indicated website –
– extreme ache,
– extreme tears popping out,
– redness and
– slimy exudation after eradicating the instrument
Remedy – ought to be finished as acknowledged above.
Indicators and signs of slicing / incising finished deeply –
– redness,
– lacrimation,
– ache,
– lack of actions and
– tingling sensation
Remedy – On this situation, oleation, sudation and oil enema are useful.
When linganasa illness (cataract) is unripe, it offers rise to whitish crimson color (of the eyes), extreme ache and lack of imaginative and prescient, despite the upward doshas being introduced downward (by slicing or incising).
Remedy – Ghee boiled and ready with herbs predominantly having a candy style ought to be used for filling the eyes. The identical ghee shall be used for administering Sirobasti – pooling of medicated fat (oil or ghee) over the pinnacle. Meals predominantly having or made from meat ought to be given to the affected person for consuming.
दोषस्तु संजातबलो घनः संपूर्णमण्डलः ।।
प्राप्य नश्येच्छलाकाग्रं तन्वभ्रमिव मारुतम् ।।८० ।।
मूर्धाभिघातव्यायामव्यवायवमिमूर्च्छनैः ।।
दोषः प्रत्येति कोपाच्च विद्वोऽतितरुणश्च यः ।। ८१ ।।
Doshas turn out to be stable once they have attained energy. They occupy your entire Dristimandala. They injury the skinny tip (sharp flat edge) of the instrument inserted within the eye and make it blunt, inactive and sluggish, similar to the wind shortly destroys skinny clouds.
Beneath talked about are the causes of doshas turning into tremendously aggravated –
– harm to the pinnacle,
– bodily train,
– copulation,
– vomiting,
– fainting and
– anger and
– slicing or incising linganasa when it’s in an unripe state
Sastra Gunavaguna – dangerous and good instrument
शलाका कर्कशा शूलं, खरा दोषपरिप्लुतिम् ।।
व्रणं विशालं स्थूलाग्रा, तीक्ष्णा हिंस्यादनेकधा ।। ८२ ।।
जलास्त्रावं तु विषमा, क्रियासङ्गमथास्थिरा ।।
करोति वर्जिता दोषैस्तस्मादेभिर्हिता भवेत् ।।८३ ।।
अष्टाङ्गुलायता मध्ये सूत्रेण परिवेष्टिता ।।
अङ्गुष्ठपर्वसमिता वक्रयोर्मुकुलाकृतिः ।।८४ ।।
ताम्रायसी शातकुम्भी शलाका स्यादनिन्दिता ।।
Rod line instrument, –
– if tough, offers rise to ache;
– if coarse (blunt, irregular) produces spreading of the Doshas;
– if its tip (edge) is thick it offers rise to a large / broad wound;
– if very sharp, causes troubles (wounds) of many sorts;
– if irregular produces exudation of watery fluid;
– if irregular (curved) and unsteady (free) causes hindrance to work (of surgical procedure)
Due to this fact, an instrument devoid of those blemishes ought to be used for getting advantages and good outcomes.
The instrument having the beneath talked about options is alleged to be preferrred –
– it ought to be of eight angula (16cm) in size,
– ought to be wound with thread in its center,
– ought to have the thickness of the thumb,
– its face i.e. sharp edge ought to be within the form of a flower bud,
– it ought to have been made from both copper, iron or gold
रागः शोफोऽर्बुदं चोषो बुद्रुदं शूकराक्षिता ।।८५।।
अधिमन्तादयश्चान्ये रोगाः स्युर्व्यधदोषजाः ।।
अहिताचारतो वाऽपि यथास्वं तानुपाचरेत् ।।८६ ।।
Beneath talked about are the illnesses / problems produced by improper slicing (incising) or by improper actions –
– reddish colouration of the attention,
– swelling,
– tumour,
– sucking ache,
– look of pig-like eyes i.e. eyes that are at all times trying downwards,
– adhimantha – glaucoma and many others.
These ought to be promptly and appropriately handled.
रुजायामक्षिरागे वा योगान् भूयो निबोध मे ।।
गैरिकं सारिवा दूर्वा यवपिष्टं घृतं पयः ।।८७।।
सुखालेपः प्रयोज्योऽयं वेदनारागशान्तये ।।
मृदुभृष्टैस्तिलैर्वाऽपि सिद्धार्थकसमायुतैः ।।८८ ।।
मातुलुङ्गरसोपेतैः सुखालेपस्तदर्थकृत् ।।
पयस्यासारिवापत्रमञ्जिष्ठामधुकैरपि ।।८९ ।।
अजाक्षीरान्वितैर्लेपः सुखोष्णः पथ्य उच्यते ।।
दारुपद्मकशुण्ठीभिरेवमेव कृतोऽपि वा ।। ९० ।।
द्राक्षामधुककुष्ठैर्वा तद्वत् सैन्धवसंयुतैः ।।
रोघ्रसैन्धवमृद्वीकामधुकैर्वाऽप्यजापयः ।। ९१ । ।
शृतं सेके प्रयोक्तव्यं रुजारागनिवारणम् ।।
मधुकोत्पलकुष्ठैर्वा द्राक्षालाक्षासितायुतैः ।।
ससैन्धवैः शृतं क्षीरं रुजारागनिबर्हणम् ।। ९२ ।।
शतावरीपृथक्पर्णीमुस्तामलकपद्मकैः ।।
साजक्षीरैः शृतं सर्पिर्दाहशूलनिबर्हणम् ।।९३ ।।
वातघ्नसिद्धे पयसि सिद्धं सर्पिश्चतुर्गुणे ।।
काकोल्यादिप्रतीवापं तद्युञ्ज्यात् सर्वकर्मसु ।।१४।।
Subsequent, the medicinal formulations which shall be helpful in treating the pinkish and reddish colouration of the eyes shall be defined by me.
A mix or recipe ready from the beneath talked about substances could also be used within the type of poultice on the eyes to mitigate ache and redness of the attention –
– gairika,
– sariva,
– durva,
– flour of yava and
– milk
For making use of on the face – barely fried tila added with siddhartaka and macerated with matulunga juice could also be used.
Beneath talked about substances are macerated in goat’s milk –
– Payasya,
– Sariva,
– Patra
– Manjistha and
– Madhuka
The resultant paste is useful when comfortably utilized on the face.
Equally, the paste of Daru, Padmaka and Sunthi, ready in the identical technique shall be used for a similar function.
For Pariseka i.e. bathing the attention, the beneath talked about recipes boiled and ready in goat’s milk shall be used –
– Draksha, Madhuka, Kustha and Saindhava or
– Rodhra, Saindhava, Mrdvika and Madhuka
These recipes would assist in mitigating ache and redness.
Equally, the beneath talked about are boiled and ready in goat’s milk –
– Madhuka,
– Utpala,
– Kustha,
– Draksha,
– Laksha,
– Sita and
– Saindhava
It’s used to offer reduction from ache and redness.
Ghee is ready with the beneath talked about substances –
– Satavari,
– Prthakparni,
– Musta,
– Amalaka,
– Padmaka and
– Goat’s milk
This ghee is used for bathing the eyes. It cures burning sensation and ache.
Medicated ghee is ready by cooking the beneath talked about substances collectively –
– decoction ready from vata mitigating herbs – 4 components,
– ghee – one half and
– paste of Kakolyadi Gana – one half
This ghee is used for all functions i.e. for bathing the attention, nasal drops and many others. therapies.
शाम्यत्येवं न चेच्छूलं स्निग्धस्विन्नस्य मोक्षयेत् ।।
ततः सिरां दहेद्वाऽपि मतिमान् कीर्तितं यथा । । ९५ । ।
If the ache doesn’t subside by these therapies, the affected person ought to be subjected to oleation and sudation therapies. After these, the doctor shall conduct venepuncture or burn the vein with hearth (cauterization utilizing hearth) as described beforehand.
दृष्टेरतः प्रसादार्थमञ्जने शृणु मे शुभे ।।
मेषशृङ्गस्य पुष्पाणि शिरीषधवयोरपि ।। ९६ ।।
सुमनायाश्च पुष्पाणि मुक्ता वैदूर्यमेव च ।।
अजाक्षीरेण संपिष्य ताम्रे सप्ताहमावपेत् ।। ९७।।
प्रविधाय च तद्वर्तीयजयेच्चाञ्जने भिषक् ।।
स्त्रोतोजं विद्रुम्ं फेनं सागरस्य मनः शिलाम् ।। ९८ ।।
मरिचानि च तद्वर्ती: कारयेच्चापि पूर्ववत् ।।
दृष्टिस्थैर्यार्थमेतत्तु विदध्यादञ्जने हितम् ।। ९९ ।।
Now, take heed to the anjana formulation for getting clear imaginative and prescient.
Beneath talked about substances ought to be macerated in goat’s milk –
– flowers of Mesasrnga, Sirisa, Dhava and Sumana,
– Mukta,
– Vaidurya
Now, it’s stored in a copper vessel for a time interval of seven days. After seven days, it’s made into wicks (sticks, dragees) and used to use collyrium.
Wicks are additionally made with the beneath talked about substances as described earlier –
– Srotaja – Srotonjana,
– Vidruma,
– Samudraphena,
– Manassila and
– Marica
These ought to be used as collyrium. It can bestow steadiness of imaginative and prescient.
भूयो वक्ष्यामि मुख्यानि विस्तरेणाञ्जनानि च ।।
कल्पे नानाप्रकाराणि तान्यपीह प्रयोजयेत् ।।१००।।
Within the Kriyakalpa context within the subsequent chapter, I shall describe many extra necessary collyrium recipes which can be successfully administered to the eyes.
इति श्रीसुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते शालाक्यतन्त्रे दृष्टिगतरोगविज्ञानीयो नाम सप्तदशोऽध्यायः ।।१७।।
Thus ends the seventeenth chapter by title Drustigataroga Pratisedha in Uttara Sthana of Susrutha Samhita.