Page:Sushruta Samhita Vol 3.djvu/246

2l6 stage, the characteristic symptoms of those therefore are to be carefully observed and noted in each case under treatment. 14-15.

The patient should be kept without food as soon as the premonitory symptoms of Atisára would appear, and then the dietic gruels (Yavágu) prepared with the admixture of digestive drugs should be given in their proper order. In a case marked by colic and flatulent distension of the abdomen, fasting should be first advised. And then vomiting should be induced with draughts of water mixed with powdered Pippali and Saindhava salt. A light diet in the shape of a Khada-yusha, Yavágu, etc., prepared with the admixture of the drugs of the Pippalyádi group, should then be prescribed after the cessation of vomiting. A decoction of the drugs of the Haridrádi, or Vachádi group, should be be taken in the morning where the preceding remedies would fail to relieve mucous accumulations in the intestines (Ámáitisára). No astringent or costive medicine in the acute or immature (Áma) stage of the disease should be administered in as much as by obstructing the passage of the Doshas it might bring on an attack of enlarged spleen, chlorosis, distension of the abdomen with suppression of stool and urine, Meha (urinary complaints), Kushtha (cutaneous affections), ascites, fever, œdematous swellings of the limbs, Gulma (abdominal gland, etc.,) diarrhœa, piles, colic, Alasaka and catching pain at the heart. 16-17.

Purging should be induced with Haritaki in a case marked by constant and scanty motions (of mucus and) attended with griping and pain (Śula) or by an incarceration of the deranged bodily Doshas (in the intestines). Emetics should be first exhibited and followed by fastings and digestive or assimilative (Páchana) remedies