Page:Sushruta Samhita Vol 3.djvu/259

Chap. XL] motions are attended with Śula (pain) in the Vátaja type of the disease, with burning sensation in the Pittaja one, with mucus in the Kaphaja one and with blood (blood-streaked mucus) in the Raktaja (blood-origined type). Excessive use of dry (Ruksha) or of fatty articles of food may be regarded as the exciting factor of these cases. The specific indications of Praváhiká as well as its Áma or acute and Pakva or mature stage are respectively identical with those of the several types of Atisára. 82-83.

Treatment: — In the event of fasting and other digestive (Páchana) compounds (of Praváhiká) producing no beneficial effect in serious cases they are found to readily yield to the use of boiled milk, oil, Tila (sesamum) or Pichchhila Vasti. The green stems of Śálmali well covered with green Kuśa-blades, should be scorched in the fire in the manner of Puta-páka. The juice should be squeezed out thereof and mixed with boiled milk, oil, clarified butter and powdered Yashti-madhu, and should be carefully injected into the rectum in the manner of Vasti application in cases of Praváhiká marked with the retention of stool and urine. Similar injections of a decoction of Daśa-muladuly cooked in milk and mixed with honey and applied in the manner of an Ásthápana- Vasti as well as the application of oil in the manner of an Anuvásana Vasti would prove highly efficacious in cases marked with painful tenesmus. 84 — 86.

Diet: — Oil duly cooked with the drugs of the Váyu-subduing (Vidári-gandhádi) group and with (the five officinal kinds of) salt should be used in (the preparation of) food and drink. A compound consisting of Lodhra, Bit-salt and dried unripe Vilva-fruit pasted with oil and mixed with Tri-katu should be