The 18th chapter of Uttaratantra of Sushruta Samhita is known as as Kriyā Kalpa Adhyaya. This chapter offers with the Therapies of the Eyes.
अथातः क्रियाकल्पं व्याख्यास्यामः ।। १ ।।
यथोवाच भगवान् धन्वन्तरिः ।।२।।
We are going to now expound the chapter by title Kriyā kalpa – strategies of remedy of the eyes; as revealed by the venerable Dhañvañtari.
सर्वशास्त्रार्थतत्त्वज्ञस्तपोदृष्टिरुदारधीः ।।
वैश्वामित्रं शशासाथ शिष्यं काशिपतिर्मुनिः ।। ३ ।।
Sage Divodasa Dhanvantari, who was also referred to as Kasipati, who had deeply understood the essence of all of the sciences and had acquired extensive information by penance. He instructed Sushruta, the son of Visvamitra as follows –
तर्पणं पुटपाकश्च सेक आश्योतनाञ्जने ।।
तत्र तत्रोपदिष्टानि तेषां व्यासं निबोध मे ।।४।|
‘To this point, I’ve talked about the therapies Tarpana, Putapaka, Seka, Ascyotana and Anjana right here and there. Now I shall clarify them intimately. Take heed to the identical.’
1. Tarpaņa cikitsa – Nourishing eye bathtub remedy
संशुद्धदेहशिरसो जीर्णान्नस्य शुभे दिने ।।
पूर्वाहे वाऽपराह्ने वा कार्यमक्ष्णोस्तु तर्पणम् ।। ५ ।।
वातातपरजोहीने वेश्मन्युत्तानशायिनः ।।
आधारौ माषचूर्णेन क्लिन्नेन परिमण्डलौ ।।६।।
समौ दृढावसंबाधौ कर्तव्यौ नेत्रकोशयोः ।।
पूरयेद्धृतमण्डस्य विलीनस्य सुखोदके ।।७।।
आपक्ष्माग्रात्ततः स्थाप्यं पञ्च तद्वाक्शतानि तु ।।
स्वस्थे, कपे षट्, पित्तेऽष्टौ, दश वाते तदुत्तमम् ।।८।।
रोगस्थानविशेषेण केचित् कालं प्रचक्षते ।।
यथाक्रमोपदिष्टेषु त्रीण्येकं पञ्च सप्त च ।।९।।
दश दृष्ट्यामथाष्टौ च वाक्शतानि विभावयेत् ।।
ततश्चापाङ्गतः स्नेहं स्त्रावयित्वाऽक्षि शोधयेत् ।। १० ।।
स्विन्नेन यवपिष्टेन, स्नेहवीर्येरितं ततः |
यथास्वं धूमपानेन कफमस्य विशोधयेत् ||११||
Aksi Tarpana – Beneath talked about are the circumstances for administering Aksi Tarpana –
– This remedy needs to be carried out to the individual solely after his physique and head has been purified by administration of associated purificatory therapies.
– It shall be carried out after the meals taken earlier has been correctly digested.
– It needs to be carried out on a luscious day, both within the fore midday or afternoon.
Technique of doing Aksi Tarpana – The individual is made to sleep on a cot together with his face up (on his again) in a room devoid of heavy breeze, daylight and dirt. A spherical properly is constructed across the eye socket utilizing moist flour of black gram. The properly needs to be even and have a thick and un-fissured wall.
On this properly, scum of ghee which has been melted by preserving it in sizzling / heat water needs to be poured until the attention lashes are submerged. The scum needs to be of the temperature which the attention can tolerate.
| Situation | Time interval for which the ghee scum needs to be retained (allowed to be) within the properly |
| Wholesome individual | Time required to utter 5 hundred vowels |
| Kapha aggravation / illness | Time required to utter 600 vowels |
| Pitta aggravation / illness | Time required to utter eight hundred vowels |
| Vata aggravation / illness | Time required to utter ten hundred vowels |
These are mentioned to be the very best intervals for retaining the drugs within the properly.
Based on some students, the time length for retaining the drugs is prescribed in accordance with the actual illness, both in three, 5, seven, ten and eight a whole bunch.
After preserving the drugs within the properly for prescribed time, the ghee needs to be allowed to come back out (i.e. eliminated) by making a gap within the wall of the properly on the Apanga i.e. outer canthus of the attention. The attention is cleaned of its greasiness. For this function, the paste of powder of fried barley flour is used. The residue kapha ought to subsequent be eliminated by inhaling smoke of applicable herbs which expel kapha.
एकाहं वा त्र्यहं वाऽपि पञ्चाहं चेष्यते परम् |
Tarpana is taken into account to be the very best (in offering outcomes) when carried out as soon as in three or 5 days.
Tarpana phala: Advantages
तर्पणे तृप्तिलिङ्गानि नेत्रस्येमानि लक्षयेत् ||१२||
सुखस्वप्नावबोधत्वं वैशद्यं वर्णपाटवम् |
निर्वृतिर्व्याधिविध्वंसः क्रियालाघवमेव च ||१३||
Beneath talked about are the options (advantages) of Tarpana carried out correctly –
– the individual will have the ability to sleep and awaken comfortably,
– cleanliness of the eyes,
– readability of colors (of various elements of the attention or colors of imaginative and prescient),
– aid from illnesses and
– lightness / easiness of actions of eyelids and eyeballs
Atiyoga and Hinayoga of Tarpana (tarpana carried out in extra and deficit)
गुर्वाविलमतिस्निग्धमशुकण्डूपदेहवत् ।।
ज्ञेयं दोषसमुत्क्लिष्टं नेत्रमत्यर्थतर्पितम् ।।१४।।
रूक्षमाविलमस्त्राढ्यमसहं रूपदर्शने ।।
व्याधिवृद्धिश्च तज्ज्ञेयं हीनतर्पितमक्षि च ।। १५ ।।
अनयोर्दोषबाहुल्यात् प्रयतेत चिकित्सिते ।।
धूमनस्याञ्जनैः सेकै रूक्षैः स्निग्धैश्च योगवित् ।। १६ । ।
Tarpana Atiyoga – Options of Tarpana carried out in extra are as under talked about –
– feeling of heaviness,
– dirtiness / turbidity of the attention,
– extreme unctuousness of eyes,
– circulation of tears (in extra),
– itching,
– thickening,
– aggravation of doshas
Tarpana Hinayoga – Options of inadequately carried out Tarpana are as under talked about –
– dryness, turbidity and soiled look of the attention,
– lack of tears,
– incapacity to see (photophobia),
– exacerbation of illness
Each these circumstances are predominant of dosha. Subsequently, the individual ought to attempt to deal with the individual by therapies like inhalation of smoke, collyrium and bathing the eyes with medicines – in dry and unctuous states respectively.
Tarpana phala: Advantages
ताम्यत्यतिविशुष्कं rÉSìÖ¤ÉÇ यच्चातिदारुणम् ।।
शीर्णपक्ष्माविलं जिह्वां रोगक्लिष्टं च यद्धृशम् ।। १७ ।।
तदक्षि तर्पणादेव लभेतोर्जामसंशयम् ।।
Within the under talked about circumstances, the eyes will undoubtedly derive energy from Tarpana remedy –
– eyes which have turn into very inactive,
– eyes which have turn into dry, tough and exhausting,
– eyes from which eyelashes have fallen off,
– eyes that are soiled, irregular and stricken by illnesses
Nişiddha kala: Forbidden occasions
दुर्दिनात्युष्णशीतेषु चिन्तायास भ्रमेषु च ।। १८ ।।
अशान्तोपद्रवे चाक्षिण तर्पणं न प्रशस्यते ।।
Tarpana shouldn’t be carried out within the under talked about circumstances –
– on sunless days,
– very cold and warm days,
– when the individual is grief stricken,
– when the individual is exhausted,
– when the individual is feeling dizzy and
– when the illnesses haven’t subsided
-
Putapāka cikitsā- eye-drops therapy-
पुटपाकस्तथैतेषु, नस्यं येषु च गर्हितम् ।। १९।।
तर्पणार्हा न ये प्रोक्ताः स्नेहपानाक्षमाश्च ये ।।
Beneath talked about individuals are unsuitable / unfit for putapaka remedy –
– these individuals who’re forbidden from present process (unfit for) the above talked about Tarpana remedy
– these unfit for nasal medicine and
– these unfit for oleation remedy (consuming medicated fat)
ततः प्रशान्तदोषेषु पुटपाकक्षमेषु च ।।२०।।
पुटपाकः प्रयोक्तव्यो नेत्रेषु भिषजा भवेत् ।।
स्नेहनो लेखनीयश्च रोपणीयश्च स त्रिधा ।। २१ ।।
The doctor ought to administer Putapaka –
– after the doshas have subsided and
– to the eyes which might tolerate this remedy
Putapaka is of three sorts. They’re –
– Snehana (putapaka) – lubricating
– Lekhana (putapaka) – scarifying and
– Ropana (putapaka) – therapeutic
हितः स्निग्धोऽतिरूक्षस्य स्निग्धस्यापि च लेखनः ।।
दृष्टेर्बलार्थमपरः पित्तासृग्व्रणवातनुत् ।। २२ ।।
Sort of Putapaka
| Sort of Putapaka | Indications / Advantages |
| Snehana | for very dry eyes |
| Lekhana | very unctuous eyes |
| Ropana | to bestow energy to the sight,
to mitigate pitta, rakta and vata and to heal ulcers |
स्नेहमांसवसामज्जमेदः स्वाद्वौषधैः कृतः ।।
स्नेहनः पुटपाकस्तु धार्यो द्वे वाक्शते तु सः ।। २३ ।।
Snehana Putapaka is created from the under talked about issues –
– fat – ghee, oil and so on.
– muscle-fat,
– bone marrow,
– fats and
– herbs predominantly of candy style
Time for retention – Sneha needs to be retained for a time interval required for uttering 2 hundred vowels.
जाङ्गलानां यकृन्मांसैर्लेखनद्रव्यसंभृतैः ।।
कृष्णलोहरजस्ताम्रशङ्खविद्रुमसिन्धुजैः ।। २४ ।।
समुद्रफेनकासीसस्त्रोतोजदधिमस्तुभिः ।।
लेखनो वाक्शतं तस्य परं धारणमुच्यते ।। २५ ।।
Lekhana Putapaka is ready from the under talked about –
– liver and meat of animals residing in arid areas, processed with powder of scarifying herbs,
– iron, silver,
– copper,
– conch shell, coral,
– saindhava lavana,
– samudraphena,
– kasisa,
– srotonjana and
– dadhimastu
Retention time – They need to be retained for a most time frame required for uttering 100 vowels.
स्तन्यजाङ्गलमध्वाज्यतिक्तद्रव्यविपाचितः ।।
लेखनात्रगुणं धार्यः पुटपाकस्तु रोपणः ।। २६ ।।
Ropana Anjana is created from the under talked about issues properly cooked –
– breast milk,
– soup of meat of animals residing in arid areas,
– honey,
– ghee and
– herbs belonging to the bitter group
Time of retention – This drugs needs to be retained for thrice the interval of lekhana putapaka or time interval required for uttering 300 vowels.
वितरेत्तर्पणोक्तं तु धूमं हित्वा तु रोपणम् ।।
स्नेहस्वेदौ द्वयोः कार्यौ, कार्यो नैव च रोपणे ।। २७ ।।
In snehana and lekhana varieties of putapaka, dhuma indicated beneath tarpana remedy needs to be administered. It shouldn’t be carried out in ropana putapaka. Equally, oleation and sudation additionally needs to be carried out in snehana and lekhana putapaka and never in ropana putapaka.
एकाहं वा ह्यहं वाऽपि त्र्यहं वाऽप्यवचारणम् ।।
यन्त्रणा तु क्रियाकालाद्विगुणं कालमिष्यते ।। २८ ।।
Putapaka remedy could also be carried out every day or as soon as in two days or as soon as in three days. Restrictions associated to meals and actions are for twice the interval prescribed for length of remedy.
तेजांस्यनिलमाकाशमादर्श भास्वराणि च ।।
नेक्षेत तर्पिते नेत्रे पुटपाककृते तथा ।। २९ ।।
Seeing the under talked about issues is contraindicated for many who have been administered tarpana and putapaka therapies –
– vivid objects like flames, lamps, lightning and so on.
– breeze,
– sky,
– mirror and
– shining objects
मिथ्योपचारादनयोर्यो व्याधिरुपजायते ।।
अञ्जनाश्योतनस्वेदैर्यथास्वं तमुपाचरेत् ।।३०।।
Some illnesses would seem as a consequence of improper administration of tarpana and putapaka therapies. These illnesses needs to be handled with anjana, ascyotana and svedana, whichever is appropriate.
Putapāka phala: Advantages
प्रसन्नवर्णं विशदं वातातपसहं लघु ।।
सुखस्वप्नावबोध्यक्षि पुटपाकगुणान्वितम् ।।३१।।
Beneath talked about are the advantages of putapaka –
– eye obtains pleasing color in its totally different elements,
– cleanliness of the eyes,
– skill of the attention to bear breeze and daylight,
– feeling of lightness,
– getting good sleep and
– the individual awakens fortunately
अतियोगाद्वजः शोफः पिडकास्तिमिरोद्गमः ।।
पाकोऽश्रु हर्षणं चापि हीने दोषोद्गमस्तथा ।। ३२।।
Therapies when administered in extra would trigger the under talked about signs –
– ache,
– swelling,
– eruptions and
– blindness
Insufficient remedy produces –
– extreme tears,
– tingling and
– aggravation of doshas
Putapāka vidhi: Process
अत ऊर्ध्वं प्रवक्ष्यामि पुटपाकप्रसाधनम् ।।
द्वौ बिल्वमात्रौ श्लक्ष्णस्य पिण्डौ मांसस्य पेषितौ ।। ३३ ।।
द्रव्याणां बिल्वमात्रं तु ब्रवाणां कुडवो मतः ।।
तदैकध्यं समालोड्य पत्रैः सुपरिवेष्टितम् ।।३४।।
(काश्मरीकुमुदैरण्डपद्मिनीकदलीभवैः ।।)
मृदावलिप्तमङ्गारैः खादिरैरवकूलयेत् ।।३५ ।।
कतकाश्मन्तकैरण्डपाटलावृषबादरैः ।।
सक्षीरनुमकाष्ठैर्वा गोमयैर्वाऽपि युक्तितः ||३६।।
स्विन्नमुद्धृत्य निष्पीड्य रसमादाय तं नृणाम् ।।
तर्पणोक्तेन विधिना यथावदवचारयेत् ।। ३७ ।।
कनीनके निषेच्यः स्यान्नित्यमुत्तानशायिनः ।।
Subsequent, I shall describe the process of doing putapaka.
Meat is macerated properly and balls are ready from the good paste of this macerated meat. It’s taken in 2 bilva (80 grams) amount.
Paste of medicinal herbs needs to be taken in a single bilva (40 grams) amount. Likewise, one kudava (160 grams) of liquids is taken.
All of the above mentioned issues are correctly blended and made into balls. These balls are lined with leaves of the under talked about –
– kashmiri,
– kumuda,
– eranda,
– padmini or
– kadali
On these, the coating of mud is made and dried properly. They’re now stored in a heap of burning coal of khadira wooden. Alternatively the burning coal of kataka, asmantaka, eranda, patala, vrsa, badara, ksiri vrksa, or cow dung can be used.
After the balls are correctly cooked, they’re taken out and allowed to chill. The layers are eliminated and juice is expressed from the medicines contained in the balls. This juice is put into the eyes in an analogous approach defined for tarpana. It’s instilled into the interior canthus when the individual is mendacity together with his face up.
रक्ते पित्ते च तौ. शीतौ कोष्णौ वातकफापहौ ।। ३८ ।।
अत्युष्णतीक्ष्णौ सततं दाहपाककरौ स्मृतौ ।।
अप्लुतौ शीतलौ चाश्रुस्तम्भरुग्घर्षकारकौ ।। ३९ ।।
अतिमात्रौ कषायत्वसङ्कोचस्फुरणावहौ ।।
हीनप्रमाणौ दोषाणामुत्क्लेशजननौ भृशम् ।।४० ।।
The drops needs to be chilly in aggravation of rakta and pitta.
Drops needs to be comfortably heat in aggravation of vata and kapha.
If the drops are extremely popular and penetrating, they produce burning sensation and ulceration.
If the drops are chilly and watery, they cease the circulation of tears and trigger ache and friction.
Drops utilized in extra produce roughness, constriction of pores and skin and throbbing.
Drops utilized in very much less amount would trigger nice excitation of doshas.
युक्तौ कृतौ दाहशोफरुग्घर्षस्त्रावनाशनौ ।।
कण्डूपदेहदूषीकारक्तराजिविनाशनौ ।। ४१ ।।
तस्मात् परिहरन् दोषान् विदध्यात्तौ सुखावहौ ।।
Snehana and Lekhana Putapaka, when correctly administered would mitigate –
– burning sensation,
– swelling,
– ache,
– tingling sensation,
– exudations,
– itching,
– thickening,
– eye exertion,
– pink strains
They might additionally take away the doshas and bestow consolation.
व्यापदश्च यथादोषं नस्यधूमाञ्जनैर्जयेत् ।।४२ ।।
Beneath talked about therapies needs to be administered to remedy the issues arising from this remedy –
– nasal drops,
– inhalation of smoke and
– making use of collyrium
आद्यन्तयोश्चाप्यनयोः स्वेद उष्णाम्बुचैलिकः ।।
तथा हितोऽवसाने च धूमः श्लेष्मसमुच्छ्रितौ ।। ४३ ।।
Fomentation to the attention with material dipped in sizzling water is helpful initially and finish of those therapies. On the finish of the therapies, inhalation of smoke needs to be given, to take away the collected kapha.
3. Aścyotana and seka – eye-bath therapies
यथादोषोपयुक्तं तु नातिप्रबलमोजसा ।।
रोगमाश्योतनं हन्ति सेकंस्तु बलवत्तरम् ।।४४।।
Aścyotana remedy rapidly cures the illnesses when they’re administered in accordance with the aggravated doshas (illness inflicting doshas), particularly so when these illnesses aren’t very sturdy (these which aren’t very extreme or dreadful). However, seka cures even these illnesses that are very sturdy and dreadful.
(Seka or Pariseka consists of the act of pouring medicated liquids both on the complete physique or anybody explicit a part of the physique. Liquids resembling water, milk, buttermilk, medicated decoction or oil, urines and even meat soup can be utilized for this function. The liquids can be utilized both heat or chilly, relying on the illness and illness inflicting dosha).
तौ त्रिधैवोपयुज्येते रोगेषु पुटपाकवत् ।।
These therapies are additionally administered in three types / strategies similar to putapaka i.e. snehana, lekhana and ropana.
लेखने सप्त चाष्टौ वा बिन्दवः स्नैहिके दश ।। ४५ ।।
आश्च्योतने प्रयोक्तव्या द्वादशैव तु रोपणे |४६|
| Sort of Ascyotana | Variety of drops to be instilled within the eye |
| Lekhana | seven to eight drops |
| Snehana | ten drops |
| Ropana | twelve drops |
सेकस्य द्विगुणः कालः पुटपाकात् परो मतः ।।४६ ।।
अथवा कार्यनिर्वृत्तेरुपयोगो यथाक्रमम् ।।
The time of retention of drugs for seka is double the time indicated for the retention of putapaka. Alternatively it may be carried out until the illness will get relieved.
पूर्वापराहे मध्याह्ने रुजाकालेषु चोभयोः ।। ४७ ।।
योगायोगात् स्नेहसेके तर्पणोक्तान् प्रचक्षते ।।
For each these therapies, the time of doing them is versatile and may be carried out both within the forenoon, afternoon, noon or when there may be ache.
Options of correctly and improperly (extra or poor) administered snehana ascyotana and seka therapies are just like these described beneath tarpana remedy.
4. Sirobasti: Enema to the pinnacle
रोगाञ्छिरसि संभूतान् हत्वाऽतिप्रबलान् गुणान् ।। ४८ ।।
करोति शिरसो बस्तिरुक्ता ये मूर्धतैलिकाः ।।
शुद्धदेहस्य सायाह्ने यथाव्याध्यशितस्य तु ।। ४ ९ ।।
ऋज्वासीनस्य बध्नीयाद्वस्तिकोशं ततो दृढम् ।।
यथाव्याधिशृतस्नेहपूर्णं संयम्य धारयेत् ।।५० ।।
तर्पणोक्तं दशगुणं यथादोषं विधानवित् ।।
Sirobasti through which medicated oil is pooled over the pinnacle, is one among the many murdha taila procedures (oil therapies carried out on the pinnacle). It cures illnesses arising within the head. It additionally bestows extremely useful results in these circumstances.
Sirobasti needs to be administered solely to these individuals who’ve been given with physique purification therapies i.e. emesis, purgation, enema and so on. It shall be carried out at evenings, to the one who has taken meals. It needs to be carried out with liquids appropriate to the illness.
The one who is to be given Sirobasti remedy needs to be instructed by the doctor to take a seat straight on a stool. A basti kosa i.e. cap like receptacle designed to carry the oil is tied across the head. Medicated oil applicable to the illness is now stuffed in that cap. The affected person is instructed to retain the oil rigorously for ten occasions the time frame prescribed for Aksi Tarpana remedy. It must also be in accordance with the aggravated dosha.
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Anjana karma – Collyrium remedy:-
व्यक्तरूपेषु दोषेषु शुद्धकायस्य केवले ||५१||
नेत्र एव स्थिते दोषे प्राप्तमञ्जनमाचरेत् |
लेखनं रोपणं चापि प्रसादनमथापि वा ||५२||
Anjana remedy needs to be administered to the individuals who’ve been purified earlier by administration of emesis, purgation and so on. therapies, particularly when the doshas are exhibiting their signs and are residing within the eyes solely.
It may be used within the type of lekhana, ropana or prasadana anjana, as and when wanted.
Lekhana Anjana: Sacrificing collyrium
तत्र पञ्च रसान् व्यस्तानाद्यैकरसवर्जितान् |
पञ्चधा लेखनं युञ्ज्याद्यथादोषमतन्द्रितः ||५३||
Herbs having 5 tastes besides candy style needs to be utilized in preparation of Anjana recipe. It shall be made in 5 totally different sorts with every style individually and in accordance with the aggravated doshas.
नेत्रवर्त्मसिराकोशस्रोतःशृङ्गाटकाश्रितम् |
मुखनासाक्षिभिर्दोषमोजसा स्रावयेत्तु तत् ||५४||
The motion of collyrium may be thus defined. The collyriums of the sorts defined above, by the advantage of their energy, make the doshas circulation out from veins and cavities of the eyelids, srngata marma, face, mouth, nostril and eyes.
कषायं तिक्तकं वाऽपि सस्नेहं रोपणं मतम् |
तत्स्नेहशैत्याद्वर्ण्यं स्याद्दृष्टेश्च बलवर्धनम् ||५५||
Ropana Anjana ought to be ready from the herbs predominantly having astringent or bitter tastes together with little quantity of fat i.e. ghee or oil.
It’s unctuous and chilly on the property. This anjana bestows good color to the eyes and will increase the ability of imaginative and prescient.
मधुरं स्नेहसम्पन्नमञ्जनं तु प्रसादनम् |
दृष्टिदोषप्रसादार्थं स्नेहनार्थं च तद्धितम् ||५६||
That collyrium (Anjana) which is good in style and wealthy in unctuousness is soothing and nice to the eyes. It’s useful for correcting defects of imaginative and prescient and for offering correct lubrication (unctuous nourishment) to the eyes.
Prasdana Anjana: Soothing Collyrium
यथादोषं प्रयोज्यानि तानि रोगविशारदैः |
अञ्जनानि यथोक्तानि प्राह्णसायाह्नरात्रिषु ||५७||
They need to be administered by the attention specialists in accordance with aggravated doshas. It may be utilized through the forenoon, afternoon / night or nights.
Anjana prakara – types of collyrium
गुटिकारसचूर्णानि त्रिविधान्यञ्जनानि तु |
यथापूर्वं बलं तेषां श्रेष्ठमाहुर्मनीषिणः ||५८||
Beneath talked about are the three sorts of collyrium –
– Gutika Anjana – within the type of tablets, dragee, small cylindrical formed sticks
– Rasa Aanjana – Rasakriya – within the type of thick decoction which appears to be like like jelly
– Curna Anjana – within the type of powder
Amongst these three sorts of collyrium, the sensible specialists say that every previous one is stronger and finest compared to their succeeding ones.
Anjana matra – dose of collyriums
हरेणुमात्रा वर्तिः स्याल्लेखनस्य प्रमाणतः |
प्रसादनस्य चाध्यर्धा द्विगुणा रोपणस्य च ||५९||
रसाञ्जनस्य मात्रा तु यथावर्तिमिता मता ।।
द्वित्रिचतुःशलाकाश्च चूर्णस्याप्यनुपूर्वशः || ६० ।।
Varti / Gutika Anjana –
– for lekhana function (scarification) – needs to be utilized in one harenu amount (1-2 mg appr)
– for prasadana (strengthening) – one and half of harenu,
– for ropana (therapeutic) – double the amount i.e. two occasions of harenu
Rasakriya Anjana – The amount of collyrium from Rasakriya is identical as that indicated for Varti / Gutika Anjana (above).
Curna Anjana – The amount of collyrium in powder type needs to be such that it adheres to a metallic rod. Its amount needs to be two, three and 4 occasions for the aim of lekhana, ropana and prasadana respectively.
Anjana pātra – receptacle / fillet of collyrium
तेषां तुल्यगुणान्येव विदध्याद्भाजनान्यपि ।।
सौवर्ण राजतं शार्ङ्ग ताम्रं वैदूर्यकांस्यजम् ।। ६१ ।।
आयसानि च योज्यानि शलाकाश्च यथाक्रमम् ।।
The receptacle i.e. container which holds the anjana must also have related properties. It ought to have been ready from the under talked about –
– gold,
– silver,
– animal horn,
– copper,
– berly,
– bronze or
– iron
Equally, anjana salaka i.e. collyrium rod must also have related properties and needs to be created from the above mentioned supplies.
They need to be used in accordance with their qualities.
Anjana salāka – collyrium rod
वक्रयोर्मुकुलाकारा कलायपरिमण्डला ।। ६२ ।।
अष्टाङ्गुला तनुर्मध्ये सुकृता साधुनिग्रहा ।।
औदुम्बर्यश्मजा वाऽपि शारीरी वा हिता भवेत् ।। ६३ ।।
The form and dimensions of the anjana salaka i.e. rod chosen for serving collyrium needs to be as talked about under –
– form – ought to resemble that of a flower bud at its face (entrance tip),
– circumference (diameter, thickness) – needs to be equal to that of a kalaya (spherical pea),
– size – eight angula (16cm),
– center portion – needs to be skinny,
– it needs to be ready properly and needs to be common, even, clean and powerful and
– appropriate to be held with hand (of the doctor / surgeon),
– supplies used for getting ready the rod – copper, stone or horn of animals like goats, ram and so on.
Anjana vidhi – process of making use of collyrium
वामेनाक्षि विनिर्भुज्य हस्तेन सुसमाहितः ।।
शलाकया दक्षिणेन क्षिपेत् कानीनमञ्जनम् ।।६४ ।।n
आपाङ्ग्यं वा यथायोगं कुर्याच्चापि गतागतम् ।।
वर्मोपलेपि वा यत्तदङ्गुल्यैव प्रयोजयेत् ।। ६५ ।।
अक्षि नात्यन्तयोरञ्ज्याद्वाधमानोऽपि वा भिषक् ।।
The doctor ought to open the attention of the affected person together with his left hand. Holding the collyrium rod in his proper hand, the doctor ought to apply collyrium both on the interior canthus or outer canthus, as discovered handy. Alternatively, collyrium needs to be utilized to the interior facet of the eyelids utilizing the finger itself. Even when the eyes are painful, collyrium needs to be utilized barely at each the ends (interior and outer canthus) of the attention.
न चानिर्वान्तदोषेऽक्षिण धावनं संप्रयोजयेत् ।।६६ ।।
दोषः प्रतिनिवृत्तः सन् हन्याद् दृष्टेर्बलं तथा ।।
The collyrium shouldn’t be washed away earlier than the doshas have been expelled out correctly. If washed, the doshas will return again to their earlier state and destroy the energy of the imaginative and prescient.
Pratyanjana – counter collyrium
गतदोषमपेताश्रु पश्येद्यत् सम्यगम्भसा ।। ६७ ।।
प्रक्षाल्याक्षि यथादोषं कार्यं प्रत्यञ्जनं ततः ।।
The eyes needs to be washed in order to take away the collyrium –
– after the doshas and rears have been correctly expelled out and
– when the individual is ready to see the issues current beneath water
Following this, Pratyanjana – counter collyrium applicable to the dosha needs to be utilized.
Anjana anarha – contraindications
श्रमोदावर्तरुदितमद्यक्रोधभयज्वरैः ।।६८ ।।
वेगाघातशिरोदोषैश्चार्तानां नेष्यतेऽञ्जनम् ।।
रागरुक्तिमिरास्त्रावशूलसंरम्भसंभवात् ।। ६ ९ ।।
Individuals affected by the under talked about circumstances aren’t appropriate for anjana remedy –
– fatigue,
– upward motion of vata (upward peristalsis),
– crying from sorrow,
– consuming or hooked on wine,
– anger,
– concern,
– fever,
– suppression of urges,
– accumulation of doshas within the head or illnesses of the pinnacle,
If carried out, there are probabilities that redness, ache, blindness, exudation, and swelling happens within the eyes.
निद्राक्षये क्रियाशक्तिं , प्रवाते दृग्बलक्षयम् ।।
रजोधूमहते रागस्त्रावाधीमन्थसंभवम् ।।७० ।।
संरम्भशूलौ नस्यान्ते , शिरोरुजि शिरोरुजम् ।।
शिरः स्नातेऽतिशीते च रवावनुदितेऽपि च ।। ७१ ।।
दोषस्थैर्यादपार्थं स्याद्दोषोत्क्लेशं क रोति च ।।
अजीर्णेऽप्येवमेव स्यात् स्त्रोतोमार्गावरोधनात् ।। ७२ ।।
दोषवेगोदये दत्तं कुर्यात्तांस्तानुपद्रवान् ।
तस्मात् परिहरन् दोषानञ्जनं साधु योजयेत् ।।७३ ।।
लेखनस्य विशेषेण काल एष प्रकीर्तितः ।।
| Scenario when collyrium is utilized | Impact |
| When there may be lack of sleep | Issue in motion of eyelids (eyelids lose incapacity to work / perform) |
| Throughout publicity to heavy breeze | Lack of energy of imaginative and prescient |
| When eyes are troubled by mud and smoke | Reddish discolouration of eyes,
Exudation / Lacrimation and Adhimantha |
| Utilized at shut of nasal medicine | Swelling and ache |
| Throughout illnesses of the pinnacle | Complications |
| After head bathtub, throughout very chilly occasions or earlier than dawn | Elimination of doshas turns into tough
Aggravation of doshas |
| Throughout indigestion | Identical results as above, as a consequence of obstruction of channels of doshas |
| Throughout excitation of doshas | Extra excitation of doshas
Problems attributable to these doshas |
Therefore, collyrium needs to be utilized in applicable method, avoiding the above mentioned conditions.
The occasions talked about above are primarily relevant to lekhana anjana.
व्यापदश्च जयेदेताः सेकाश्योतनलेपनैः ।।७४ ।।
यथास्वं धूमकवलैर्नस्यैश्चापि समुत्थिताः ।।
Beneath talked about therapies needs to be administered to deal with these issues –
– Seka – pouring / streaming medicinal liquids
– Ascyotana – eye drops / bathing the attention
– Lepa – exterior software of medicinal pastes
– Dhuma – inhalation of medicated smoke
– Kavala – mouth gargles and
– Nasya – nasal drops
Lekhana samyagādi yoga – options of correct remedy and so on
विशदं लघ्वनास्त्रावि क्रियापटु सुनिर्मलम् ।।७५ ।।
सशान्तोपद्रवं नेत्रं विरिक्तं सम्यगादिशेत् ।।
जिह्यं दारुणदुर्वर्णं स्त्रस्तं रूक्षमतीव च ।।७६ ।।
नेत्रं विरेकातियोगे स्यन्दते चातिमात्रशः ।।
तत्र संतर्पणं कार्यं विधानं चानिलापहम् ।।७७ ।।
अक्षि मन्दविरिक्तं स्यादुदप्रतरदोषवत् ।।
धूमनस्याञ्जनैस्तत्र हितं दोषावसेचनम् ।। ७८ ।।
Beneath talked about are the options of samyak yoga of lekhana – scarification of eyes –
– eyes turn into clear and light-weight,
– absence of exudations,
– keenness of actions of eyes,
– issues get subsided
Options of Atiyoga – extra remedy –
– irregularity of eyes,
– dreadful look of eyes,
– discolouration of eyes,
– drooping of eyelids,
– extreme dryness within the eyes,
– extra circulation of tears
Therapy – Tarpana needs to be carried out to the attention. Vata mitigating therapies must also be carried out.
Options of Hinayoga – insufficient remedy – The indicators are just like these of nice aggravation of doshas.
Therapy – Doshas needs to be expelled by administration of smoke inhalation and software of collyrium.
Prasādana samyagādi yoga – options of prasadana remedy
स्नेहवर्णबलोपेतं प्रसन्नं दोषवर्जितम् ।।
ज्ञेयं प्रसादने सम्यगुपयुक्तेऽक्षि निर्वृतम् ।। ७ ९ ।।
किञ्चिद्धीनविकारं स्यात्तर्पणाद्धि कृतादति ।।
तत्र दोषहरं रूक्षं भेषजं शस्यते मृदु ।।८० ।।
Beneath talked about are the options obtained as a consequence of samyak yoga i.e. correctly utilized Prasadana Anjana –
– unctuousness of eyes,
– color and energy of the eyes have turn into regular,
– eyes are pleasing to take a look at and
– absence of indicators of aggravation of doshas
Options of hinayoga (insufficient remedy) -are similar as these produced by tarpana remedy.
Therapy – Dosha mitigating measures in dry (with out fat) and delicate type needs to be adopted.
Ropana añjana samyagyogādi
साधारणमपि ज्ञेयमेवं रोपणलक्षणम् ।।
प्रसादनवदाचष्टे तस्मिन् युक्तेऽतिभेषजम् ।। ८१ ।।
Options of ropaṇa anjana correctly utilized – The options of correct software of therapeutic collyrium needs to be usually understood by indicators of therapeutic of ulcers.
Options of excessively carried out ropana anjana – are similar because the options of excessively carried out prasadana anjana remedy.
स्नेहनं रोपणं वाऽपि हीनयुक्तमपार्थकम् ।।
कर्तव्यं मात्रया तस्मादञ्जनं सिद्धिमिच्छता ।। ८२ । ।
Snehana or Ropana Anjana therapies administered inadequately will turn into ineffective. Subsequently, a doctor who’s desirous of success ought to administer collyrium therapies in correct measures.
पुटपाकक्रियाद्यासु क्रियास्वेषैव कल्पना ।।
सहस्रशश्चाञ्जनेषु बीजेनोक्तेन पूजिताः ।।८३ ।।
A whole lot of recipes may be ready and used primarily based on and deriving concepts from the seed (essence) of the therapies like putapaka, anjana and so on. which have been described up to now.
दृष्टेर्बलविवृद्ध्यर्थं याप्यरोगक्षयाय च ।।
राजार्हान्यञ्जनाग्र्याणि निबोधेमान्यतः परम् ।।८४ ।।
After this, many necessary recipes of collyrium appropriate for use by kings, for growing energy of imaginative and prescient and for mitigation of persistent illnesses can be described by me.
Cūrnāñjana
अष्टौ भागानञ्जनस्य नीलोत्पलसमत्विषः ।।
औदुम्बरं शातकुम्भं राजतं च समासतः || ८५ ।।
एकादशैतान् भागांस्तु योजयेत् कुशलो भिषक् ।।
मूषाक्षिप्तं तदाध्मातमावृतं जातवेदसि ।।८६ ।।
खदिराश्मन्तकाङ्गारैर्गोशकृद्धिरथापि वा ।।
गवां शकृद्रसे मूत्रे दध्नि सर्पिषि माक्षिके ।। ८७ ।।
तैलमद्यवसामज्जसर्वगन्धोदकेषु च ।।
द्राक्षारसेक्षुत्रिफलारसेषु सुहिमेषु च || ८८ ||
सारिवादिकषाये च कषाये चोत्पलादिके ।।
निषेचयेत् पृथक् चैनं ध्मातं ध्मातं पुनः पुनः ।। ८ ९ ।।
ततोऽन्तरीक्षे सप्ताहं प्लोतबद्धं स्थितं जले ।।
विशोष्य चूर्णयेन्मुक्तां स्फटिकं विद्रुमं तथा ।। ९ ० ।।
कालानुसारिवां चापि शुचिरावाप्य योगतः ।।
एतच्चूर्णाञ्जनं श्रेष्ठं निहितं भाजने शुभे ।। ९ १ ।।
दन्तस्फटिकवैदूर्यशङ्खशैलासनोद्भवे ।।
शातकुम्भेऽथ शार्ङ्ग वा राजते वा सुसंस्कृते ।।
सहस्रपाकवत् पूजां कृत्वा राज्ञः प्रयोजयेत् ।। ९ २ ।।
तेनाञ्जिताक्षो नृपतिर्भवेत् सर्वजनप्रियः ।।
अधृष्यः सर्वभूतानां दृष्टिरोगविवर्जितः ।। ९ ३ ।।
Eight elements of – Anjana – sauviranjana or srotonjana resembling a blue lily flower in color needs to be taken.
One half every of – Audumbara – copper, Satakumbha – gold and Rajata – silver needs to be taken.
All collectively it could be eleven elements of the above mentioned components.
They need to all be put right into a crucible, cooked and melted by the expert doctor. The crucible needs to be heated on the hearth of one of many under talked about fuels –
– wooden of khadira or asmantaka or
– heaps of dry cow dung
Afterwards, the components are taken out and soaked within the under talked about liquids –
– juice of contemporary cow dung,
– cow’s urine,
– curd,
– ghee,
– honey,
– oil,
– wine,
– muscle-fat,
– bone marrow,
– resolution of sarvagandha – aromatic herbs like ela, karpura, candana and so on.
– juice of draksa or iksu,
– triphala decoction,
– decoction of herbs belonging to sarivadi gana or utpaladi gana group
Cooking (melting) them repeatedly, these components needs to be soaked within the above mentioned liquids one after the opposite. The liquids needs to be in a chilly state.
After this, it’s tied in a chunk of fabric and stored immersed in a pot of rain water for a interval of seven days. Afterwards, it’s taken out and dried.
Later it’s added with the under talked about components and made into good powder –
– mukta,
– sphatika,
– vidruma and
– kalanusariva
This good powder is stuffed right into a container created from elephant tusk, rock crystal, berly, conch shell, stone, wooden of asana, satakumbha i.e. gold, srnga i.e. horn of animals and rajata i.e. silver.
Then, it’s worshipped as described in Sahasrapaka Bala Taila (Chikitsa Sthana – Chapter 4). It’s later administered to the king.
When this finest Curnanjana is utilized to the king, he turns into beloved by all of the individuals, conquers all of the residing beings and would turn into freed from all of the illnesses of the attention.
Bhadrodaya añjana curṇa
कुष्ठं चन्दनमेलाश्च पत्रं मधुकमञ्जनम् ।।
मेषशृङ्गस्य पुष्पाणि वक्रं रत्नानि सप्त च । । ९ ४ । ।
उत्पलस्य बृहत्योश्च पद्मस्यापि च केशरम् ।।
नागपुष्पमुशीराणि पिप्पली तुत्यमुत्तमम् ।। ९ ५ ।।
कुक्कुटाण्डकपालानि दाव पथ्यां सरोचनाम् ।।
मरिचान्यक्षमज्जानं तुल्यां च गृहगोपिकाम् ।। ९ ६ ।।
कृत्वा सूक्ष्मं ततश्चर्णं न्यसेदभ्यर्च्य पूर्ववत् ।।
एतद्भद्रोदयं नाम सदैवार्हति भूमिपः ।। ९ ७ ।।
Equal elements of the under talked about components are taken and powdered into good powder –
– Kustha,
– Candana,
– Ela,
– Patra,
– Madhuka,
– Anjana,
– Flowers of Mesasrnga,
– Vakra – Tagara,
– Seven Ratnas – valuable stones,
– Utpala Brhati and Padma Kesara,
– Nagakesara,
– Usira,
– Pippali,
– Very best quality Tuttha,
– Kukkutanda Kapala – shells of hen’s eggs
– Darvi,
– Pathya,
– Gorocana,
– Marica,
– Aksa Majja and
– Grha Gopika – home lizard
This powder is preserved after providing worship as defined earlier.
This recipe is called Bhadrodaya Anjana. It’s at all times appropriate to be used by the kings.
वक्रं समरिचं चैव मांसीं शैलेयमेव च |
तुल्यांशानि समानैस्तैः समग्रैश्च मनःशिला ||९८||
पत्रस्य भागाश्चत्वारो द्विगुणं सर्वतोऽञ्जनम् |
तावच्च यष्टीमधुकं पूर्ववच्चैतदञ्जनम् ||९९||
Equal elements of Vakra – Tagara, Marica, Mamsi and Saileya are taken. To that is added with Manassila, in a amount equal to all the opposite components. Additionally, Patra – 4 elements and Anjana i.e. Sauviranjana – double the amount of all and Yastimadhuka – equal amount are taken. All these are made into good powder and used as described earlier.
मनःशिलां देवकाष्ठं रजन्यौ त्रिफलोषणम् |
लाक्षालशुनमञ्जिष्ठासैन्धवैलाः समाक्षिकाः ||१००||
रोध्रं सावरकं चूर्णमायसं ताम्रमेव च |
कालानुसारिवां चैव कुक्कुटाण्डदलानि च ||१०१||
तुल्यानि पयसा पिष्ट्वा गुटिकां कारयेद्बुधः |
कण्डूतिमिरशुक्लार्मरक्तराज्युपशान्तये ||१०२||
Equal elements of the under talked about components are taken –
– Manassila,
– Devakastha,
– Two sorts of Rajani,
– Triphala,
– Usana,
– Lasuna,
– Manjistha,
– Saindhava,
– Ela,
– Maksika,
– Sabara,
– Rodhra,
– Powder of iron and copper,
– Kalanusariva,
– Shell of the hens egg
These components are macerated in milk and made into tablets (dragees).
When that is used as collyrium, it mitigates itching, blindness, suklarma – white pterygium and pink striae of the eyes.
कांस्यापमार्जनमसी मधुकं सैन्धवं तथा |
एरण्डमूलं च समं बृहत्यंशद्वयान्वितम् ||१०३||
आजेन पयसा पिष्ट्वा ताम्रपात्रं प्रलेपयेत् |
सप्तकृत्वस्तु ता वर्त्यश्छायाशुष्का रुजापहाः ||१०४||
Equal elements of Ash of grime (washings) of bronze, Madhuka, Saindhava and roots of Eranda are taken. It’s added with Brhati in a amount, double the amount of all different components. They’re all macerated with goat’s milk and pasted on a copper vessel. This course of is finished seven occasions. Then it’s dried in shade and made into wicks (sticks / dragees). When that is utilized as collyrium, it relieves ache within the eyes.
पथ्यातुत्थकयष्ट्याह्रैस्तुल्यैर्मरिचषोडशा ।।
पथ्या सर्वविकारेषु वर्तिः शीताम्बुपेषिता ।। १०५ ।।
Equal portions of Pathya, Tutthaka and Yastyahva are added with sixteen elements of Marica. All these are macerated with chilly water and made into wicks (dragees). This recipe used as collyrium is the very best within the remedy of all eye illnesses.
रसक्रियाविधानेन यथोक्तविधिकोविदः ।।
पिण्डाञ्जनानि कुर्वीत यथायोगमतन्द्रितः ।। १०६ ।।
Following and adopting the process of getting ready Rasakriya, a discovered doctor can put together many Pindanjana – strong collyrium, as appropriate to the wants, with none issue.
इति श्रीसुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते शालाक्यतन्त्रे क्रियाकल्पो नामाष्टादशोऽध्यायः ।। १८ ।।
Thus ends the eighteenth chapter by title Kriyakalpa in Uttara Sthāna of Suśruta Samhita .