Page:Sushruta Samhita Vol 1.djvu/241

Chap.XV.] Hence all things or conditions which foster the growth of abnormal fat should be carefully avoided.

Accordingly medicated compositions, consisting of such drugs and substances as Shilajatu, Guggulu, Go-Mutram, Triphalá, Loharaja, Rasánjanam, Madhu, Yava, Mudga, Koradusha, Shyámaka and Uddálaka which are anti-fat in their properties, or of remedial agents possessing the efficacy of cleansing the internal channels, as well as enematas of liquefacient solutions technically known as Lekhana Vastis and physical exercise should be prescribed.

Etiology of Kárshyam:—Loss of flesh or a gradual emaciation of the body should be ascribed to the partaking of food in the composition of which, matter which aggravates the bodily Váyu largely or excessively enters, to over-fatiguing physical exercise, sexual excesses, over study, fright, grief or anxiety, to the keeping up of late hours, to unsatisfied hunger, insufficient food, and to astringent food which tends to dry up the lymph chyle. The chyle, thus parched up, moves about in the organism, but fails to impart to it the necessary nutritive element owing to its being insufficiently charged with it, thus causing the body to grow extremely emaciated.

A patient suffering from extreme emaciation of the body fails to bear the inclemencies of weather and the variations of terrestrial heat, and becomes apathetic to all movements and does but imperfectly perform the