Page:Sushruta Samhita Vol 3.djvu/350

320 abates only when the cough subsides and is aggravated when the patient sleeps. If a case of Tamaka-Śvása be attended with fever and fainting fits, it is then called Pratamaka. 6 — 9. The case wherein the patient pants for breath and has tympanites and a burning sensation in the bladder, and wherein the breaths are painful, detached and intermittent, is known as Chhinna-Śvása. The case wherein the patient breathes heavily lying unconscious and with a loud rattling sound in his throat and with cramps at his sides, the lips and the throat being parched and the eyes riveted in a fixed gaze or stare, is known as Mahá-Śvása. The case wherein a patient breathes hurriedly, lies unconscious with choked voice and upturned eyes and with his Marmans stretching out fully with each stroke of breath is called Urddhva-Śvása. 10—12.

Prognosis:— Of these (five) types the one known a Kshudra-Śvása is easily curable, while the one known as Tamaka-Śvása is hard to cure, and the three remaining ones, as well as Tamaka, ocurring in a weak or enfeebled patient are regarded as incurable. 13.

General Treatment:— Several authorities aver that mild emetics and purgatives (lit. upward and downward cleansing — Śodhana — of the system) with the exception of the application of Sneha-vasti would be the chief remedies in cases of asthma, if the patient possesses sufficient vitality. Old and matured clarified butter duly cooked with Abhayá, Vit-salt and Hingu or with Souvarchala, Abhayá and Vilva would be beneficial in cases of cough, asthma, hiccough and heart-disease. Similarly old and matured clarified butter duly cooked with the pulverised drugs of the Pippalyádigroup as Kalka and with (the decoction of) the drugs of the first i.e., the Vidárigandhádi group and with the