Page:Sushruta Samhita Vol 3.djvu/245

Chap. XL.] and to pass in broken jets (D. R. — to be slimy). A contrariety of the preceding symptoms and a sense of lightness of the body and in the affected cavity would indicate that the disease has passed the acute stage and it is then called Pakva (chronic) Atisára. 11. Prognosis:— If the colour of the stool (in a case of Atisára) resembles that of clarified butter, fat, the washings of Veśavára, oil, goat's milk, honey, Manjishthâ, brain-matter, or Rasánjana, or if the stool is cold or hot to the touch, or if it is charged with a fleshy or fetid smell, or marked with lines or specks of variegated colours, or if it looks like pus or clay, or if just the opposite or reverse symptoms or other distressing symptoms would be exhibited, the case is likely to end fatally in case the patient be weak. A patient suffering from an attack of Atisára would be given up (as incurable) if he be weak, if the orifice of his anus become suppurated and cannot- be closed, if there be distension of the abdomen (D. R. — if the patient be not self-restrained), if there be distressing symptoms and if the patient be found destitute of thermal heat. 12-13.

An attack of Atisára ushered in by whatsoever cause, is sure to be marked by the specific symptoms of the deranged bodily Dosha or Doshas complicated with it. All cases of Atisára whether due to the indigestion of any oleaginous food or drink (Ghrita, oil, etc.), whether with (or without) the symptoms of Praváhiká and the accompanying colic, as well as those due to Visuchiká or any other kind of indigestion as also those due to the effect of any poison (affecting the digestive system), hœmorrhoids (Arśas), or worms in the intestines, — all of them are marked by the symptoms of the specific Dosha involved therein. The treatment of Atisára varies according to its acute or matured