The ninth chapter of Uttaratantra of Sushruta Samhita is called as Vatabhisyanda Pratisedha Adhyaya. This chapter offers with the therapy of Abhisyanda of Vata Origin.
अथातो वाताभिष्यन्दप्रतिषेधं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
We are going to now expound Vatabhisyanda pratisedha – therapy of Abhisyanda (conjunctivitis) produced by Vata; as revealed by the venerable Dhanvantari.
Basic line of therapy of Abhisyanda and Adhimantha
पुराणसर्पिषा स्निग्धौ स्यन्दाधीमन्थपीडितौ |
स्वेदयित्वा यथान्यायं सिरामोक्षेण योजयेत् ||३||
सम्पादयेद्बस्तिभिस्तु सम्यक् स्नेहविरेचितौ |
तर्पणैः पुटपाकैश्च धूमैराश्च्योतनैस्तथा ||४||
नस्यस्नेहपरीषेकैः शिरोबस्तिभिरेव च |
Individuals affected by Abhisyanda and adhimantha attributable to Vata ought to be given oleation utilizing outdated ghee, adopted by sudation. Then venepuncture shall be finished in accordance with applicable process (and bloodletting finished). Following this, the affected person ought to be administered oily purgatives (or oleation adopted by purgation). Enema ought to be given to these administered with purgation. Tarpana, putapaka, dhuma and ascyotana therapies ought to be finished. Nasya, Pariseka and Sirobasti therapies must also be administered.
वातघ्नानूपजलजमांसाम्लक्वाथसेचनैः ||५||
स्नेहैश्चतुर्भिरुष्णैश्च तत्पीताम्बरधारणैः |
पयोभिर्वेसवारैश्च साल्वणैः पायसैस्तथा ||६||
भिषक् सम्पादयेदेतावुपनाहैश्च पूजितैः |
Pariseka (pouring liquids on the attention) ought to be finished with decoctions ready with vata mitigating medicine, juice (broth) of meat of animals of lands (marshy areas) and water and decoction ready with bitter medicine. 4 fat (ghee, oil, fats and bone marrow) ought to be made lukewarm. On this sterile material pads (gauze) ought to be soaked and these pads ought to be positioned on the eyes. Doing upanaha (fomentation) by the doctor utilizing milk, minced meat, salvana or payasa (milk pudding) is praised (helpful).
ग्राम्यानूपौदकरसैः स्निग्धैः फलरसान्वितैः ||७||
सुसंस्कृतैः पयोभिश्च तयोराहार इष्यते |
Meals of the under talked about variety ought to be consumed –
– soup of meat of home, marshy and aquatic animals,
– made unctuous (utilizing oil and ghee),
– ought to be added with juices of fruits and milk and
– ought to be processed effectively by boiling them with applicable herbs and consumed
तथा चोपरि भक्तस्य सर्पिःपानं(ने)प्रशस्यते ||८||
त्रिफलाक्वाथसंसिद्धं केवलं जीर्णमेव वा |
सिद्धं वातहरैः क्षीरं प्रथमेन गणेन वा ||९||
स्नेहास्तैलाद्विना सिद्धा वातघ्नैस्तर्पणे हिताः |
After taking the meals, the particular person ought to drink –
– ghee boiled and ready with Triphala Kashaya (decoction of Triphala) or
– plain outdated ghee
For Tarpana, milk boiled and ready with vata mitigating herbs or herbs belonging to Vidaryadi Gana group of herbs ready with out including fat and oil is helpful and therefore shall be used.
स्नैहिकः पुटपाकश्च धूमो नस्यं च तद्विधम् ||१०||
नस्यादिषु स्थिराक्षीरमधुरैस्तैलमिष्यते |
Lubricating sorts of putapaka, dhuma and nasya ought to be introduced into use. For this objective, oil boiled with Sthira, Ksira (milk) and Madhura Gana – herbs belonging to the candy group (herbs predominantly having a candy style) ought to be used.
एरण्डपल्लवे मूले त्वचि वाऽऽजं पयः शृतम् ||११||
कण्टकार्याश्च मूलेषु सुखोष्णं सेचने हितम् |
For Pariseka – showering / irrigating and Ascyotana – eye drops – goat’s milk boiled and processed with tender leaves, roots and bark of Eranda – Ricinis communis ought to be used.
For Secana i.e. sprinkling or showering – milk boiled and ready with paste of the roots of Kantakari ought to be used.
सैन्धवोदीच्ययष्ट्याह्वपिप्पलीभिः शृतं पयः ||१२||
हितमर्धोदकं सेके तथाऽऽश्च्योतनमेव च |
Under talked about recipe can be helpful for Pariseka and Ascyotana –
Milk boiled with the under talked about substances added with half its amount of water –
– Saindhava,
– Udicya,
– Yastyahva and
– Pippali
हीबेरवक्रमञ्जिष्ठोदुम्बरत्वक्षु साधितम् ||१३||
साम्भश्छागं पयो वाऽपि शूलाश्च्योतनमुत्तमम् |
Under talked about recipe is one of the best one for Ascyotana to alleviate ache –
Goat’s milk ought to be boiled and processed with –
– Hribera,
– Vakra,
– Manjistha and
– Udumbara bark
This milk is added with water and used for Ascyotana.
मधुकं रजनीं पथ्यां देवदारुं च पेषयेत् ||१४||
आजेन पयसा श्रेष्ठमभिष्यन्दे तदञ्जनम् |
Under talked about recipe is used as Anjana – collyrium within the therapy of Abhisyanda –
Components
– Madhuka,
– Rajani,
– Pathya and
– Devadaru
These herbs are macerated with goat’s milk and used as Anjana.
गैरिकं सैन्धवं कृष्णां नागरं च यथोत्तरम् ||१५||
द्विगुणं पिष्टमद्भिस्तु गुटिकाञ्जनमिष्यते |
The under talked about substances are successively macerated in water –
– Gairika,
– Saindhava,
– Krsna and
– Nagara – double in amount
After that, they’re made into gutika – tablets.
This tablet ought to be used as Anjana – collyrium.
स्नेहाञ्जनं हितं चात्र वक्ष्यते तद्यथाविधि ||१६||
Utilizing Snehanjana following the process is helpful on this illness.
Anyato vata – Vata paryaya cikitsa
रोगो यश्चान्यतोवातो यश्च मारुतपर्ययः |
अनेनैव विधानेन भिषक् तावपि साधयेत् ||१७||
and Vataparyaya additionally ought to be handled by these strategies solely by the doctor.
पूर्वभक्तं हितं सर्पिः क्षीरं वाऽप्यथ भोजने |
वृक्षादन्यां कपित्थे च पञ्चमूले महत्यपि ||१८||
सक्षीरं कर्कटरसे सिद्धं चात्र घृतं पिबेत् |
सिद्धं वा हितमत्राहुः पत्तूरार्तगलग्निकैः ||१९||
सक्षीरं मेषशृङ्ग्या वा सर्पिर्वीरतरेण वा |२०|
One ought to both drink ghee earlier than consuming meals or drink milk together with meals.
Additionally, paste and decoction of Vrksadani, Kapittha and herbs belonging to the Mahat / Brhat Pancamula group of herbs.
Ghee ought to be ready with
– this paste and decoction
– milk and
– meat soup of Karkata – crab
This recipe ought to be consumed by the affected person.
Alternatively ghee boiled and ready with Puttura, Artagala and Agnika (Ajamoda) and milk is beneficial. Equally, ghee processed with milk and Mesasringi can be helpful.
Additionally, ghee ready (processed) with medicine of
Suskasipaka Cikitsa
सैन्धवं दारु शुण्ठी च मातुलुङ्गरसो घृतम् ||२०||
स्तन्योदकाभ्यां कर्तव्यं शुष्कपाके तदञ्जनम् |
पूजितं सर्पिषश्चात्र पानमक्ष्णोश्च तर्पणम् ||२१||
घृतेन जीवनीयेन नस्यं तैलेन चाणुना |
परिषेके हितं चात्र पयः शीतं ससैन्धवम् ||२२||
रजनीदारुसिद्धं वा सैन्धवेन समायुतम् |
सर्पिर्युतं स्तन्यघृष्टमञ्जनं वा महौषधम् ||२३||
वसा वाऽऽनूपजलजा सैन्धवेन समायुता |
नागरोन्मिश्रिता किञ्चिच्छुष्कपाके तदञ्जनम् ||२४||
Saindhava, Devadaru, Sunthi, juice of Matulunga boiled with ghee and added with breast milk and water ought to be used as Anjana (collyrium). Ghee used for consuming and doing Tarpana to the eyes are ideally suited. Nasya ought to be finished with both Jivaniya Ghrta or Anu Taila.
Under talked about therapies are useful for these affected by Suskaksipaka –
Pariseka – Chilly water added with rock salt is used for Pariseka.
Anjana – Under talked about recipes are helpful for collyrium –
– Anjana ready from Rajani, Devadaru and Saindhava Lavana added with ghee and breast milk,
– Anjana ready with Mahaushadha and breast milk or
– Anjana ready from Vasa – muscle fats of animals……and water added with rock salt and little amount of Nagara
पवनप्रभवा रोगा ये केचिद्दृष्टि नाशनाः।
बीजोनानेन मतिमान् तेषु कर्म प्रयोजयेत्।।
The clever doctor ought to deal with all these illnesses produced by vata, which destroy imaginative and prescient, maintaining in thoughts this talked about sequence (essence) of therapies.
इति सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते शालाक्यतन्त्रे वाताभिष्यन्दप्रतिषेधो नाम नवमोऽध्यायः ||९||
Thus ends the Ninth chapter by identify Vatabhisyanda Pratisedha in Uttara Sthana of Susruta Samhita.