The twenty first chapter of Chikitsasthana of Sushruta Samhita is called as Śūkadoșa Cikitsitam Adhyaya. This chapter offers with Therapy of Ailments of Penis.
अथातःशूकदोषचिकित्सितंव्याख्यास्यामः।।१।।
यथोवाचभगवान्धन्वन्तरिः।।२।।
We are going to now expound Sūkadosa Chikitsa-treatment of ailments of the penis(attributable to toxic bugs);as revealed by the venerable Dhañvañtari.
Sarsapi
संलिख्यसर्षपीसम्यक्कषायैरवचूर्णयेत्।।
कषायेष्वेवतैलंचकुर्वीतव्रणरोपणम्।।३।।
Lekhana – it ought to be correctly scraped with the assistance of a pointy instrument
Avachurnana – Later it ought to be dusted with powder of herbs having astringent style
Taila – The oil ready with herbs having an astringent style ought to be ready and utilized for therapeutic the wound.
Asthilika
अष्ठीलिकांजलौकोभिाहयेच्चपुनःपुनः।।
तथाचानुपशाम्यन्तींकफग्रन्थिवदुद्धरेत्।।४।।
Jalauka Avacharana – Leech utility ought to be carried out usually to take away the impure blood (bloodletting objective)
Uddharet – The Ashtilika which aren’t subsiding ought to be minimize and eliminated following the ideas of eradicating kapha granthi i.e. cysts or tumours attributable to predominant kapha aggravation.
Grathita
स्वेदयेद्ग्रथितंशश्वन्नाडीस्वेदेनबुद्धिमान्।।
सुखोष्णैरुपनाहैश्चसुस्निग्धैरुपनाहयेत्।।५।।
Swedana – Nadi Sweda methodology of sudation ought to be used to supply swedana to Grathita, daily.
Upanaha – After swedana, upanaha – poultices that are heat and unctuous ought to be utilized.
Kumbhīkā
कुम्भीकांपाकमापन्नांभिन्द्याच्छुद्धांतुरोपयेत्।।
तैलेनत्रिफलालोधतिन्दुकानातकेनतु।।६।।
Chedana – Ripened Kumbhika ought to be minimize open with a pointy instrument and cleansed completely.
Ropana – Oil boiled and ready with Triphala, Lodhra, Tinduka and Amrataka ought to be utilized in order to heal the injuries.
Alaji
ग्राहयित्वाजलौकोभिरलजीसेचयेत्ततः।।
कषायैस्तेषुसिद्धंचतैलंरोपणमिष्यते।।७।।
Jalauka Avacharana – Bloodletting ought to be performed over the Alaji utilizing the leeches and the contaminated blood eliminated.
Sechana – Subsequent, Alaji ought to be bathed with decoction ready with astringent tasting herbs.
Ropana Taila – Oil boiled and ready with the herbs talked about above (within the context of Kumbhika i.e. Triphala and many others) ought to be utilized to facilitate therapeutic.
Mrdita
बलातैलेनकोष्णेनमृदितंपरिषेचयेत्।।
मधुरैःसर्पिषास्निग्धैःसुखोष्णरुपनाहयेत्।।८।।
Parisecana – Bala Taila ought to be used to wash Mrdita.
Upanaha – A poultice ready with herbs of candy style added with ghee ought to be utilized over Mrdita for fomentation.
Sammūdhapidaka
संमूढपिडकांक्षिप्रंजलौकोभिरुपाचरेत्।।
भित्त्वापर्यागतांचापिलेपयेत्क्षौद्रसर्पिषा।।९।।
Jalauka – Leeches ought to be rapidly administered to Sammudhapidakas.
Bhedana – The ripe Pidakas ought to be minimize open.
Lepa – Combination of honey and ghee ought to be utilized after reducing open the pidakas.
Avamantha
अवमन्थेगतेपाकंभिन्नेतैलंविधीयते।।
धवाश्र्वकर्णपत्तङ्गशल्लकीकृतम्।।१०।।
Bhedana – Ripened Avamantha ought to be minimize open.
Taila – After reducing open, Avamantha ought to be utilized with the oil cooked and ready utilizing the beneath talked about herbs –
– Dhava,
– Asvakarna,
– Pattanga,
– Sallaki and
– Tinduka
Puşkarikā
क्रियांपुष्करिकायांतुशीतांसर्वांप्रयोजयेत्।।
जलौकोभिर्हरेच्चासृक्सर्पिषाचावसेचयेत्।।११।।
Shita Kriya – In Puskarika, all types of chilly therapies ought to be carried out.
Jalauka Avacharana – Bloodletting ought to be carried out by leech utility.
Avasecana – Later, the lesion ought to be bathed / anointed with ghee.
Sparsahāni
स्पर्शहान्यांहरेद्रक्तंप्रदिह्यान्मधुरैरपि।।
क्षीरेक्षुरससर्पिर्भिःसेचयेच्चसुशीतलैः।।१२।।
Raktamokshana – In sparsahani, at first, bloodletting ought to be carried out to take away impure blood.
Pradeha – Later, paste ready utilizing candy tasting herbs ought to be utilized heat on the lesion.
Seka – Following this, the lesion shall be bathed with milk, sugarcane juice and ghee combined collectively. The combination ought to be chilly when used for bathing.
Uttamāpidaka
पिडकामुत्तमाख्यांचबडिशेनोद्धरेद्धिषक्।।
उद्धृत्यमधुसंयुक्तैःकषायैरवचूर्णयेत्।।१३।।
Badisa – An instrument referred to as Badisa i.e. sharp hook ought to be used to take away Uttama Pidaka.
Avachurnana – After removing of the Uttama Pidaka, the world ought to be sprinkled with powder ready from astringent tasting herbs combined with honey.
Sataponaka
रसक्रियाविधातव्यालिखितेशतपोनके।।
पृथक्पण्यादिसिद्धंचदेयंतैलमनन्तरम्।।१४।।
Lekhana – Firstly, the surgeon ought to scrape the Sataponaka.
Rasakriya – i.e. thickened medicinal decoction shall be utilized after scraping.
Taila – Later, oil ready with Prthakparni and many others herbs ought to be utilized in order to facilitate therapeutic.
Tvakpäka
क्रियांकुर्याद्भिषक्प्राज्ञस्त्वक्पाकस्यविसर्पवत्।।
Twakpaka ought to be handled by an clever doctor on the strains and ideas of treating Visarpa – herpes / erysipelas.
Sonitarbuda
रक्तविद्रधिवच्चापिक्रियाशोणितजेऽर्बुदे।।१५।।
कषायकल्कसपीषितैलंचूर्णरसक्रियाम्।।
शोधनंरोपणंचैववीक्ष्यवीक्ष्यावचारयेत्।।१६।।
हितंचसर्पिषःपानंपथ्यंचापिविरेचनम्।।
हितःशोणितमोक्षश्चयच्चापिलघुभोजनम।।१७।।
Raktavidradhi Chikitsa – Sonitarbuda shall be handled on the strains of treating abscess attributable to aggravation / vitiation of blood aas defined in chapter 16.
After having thought of the situation fastidiously, the beneath talked about measures ought to be introduced into use by the expert surgeon / doctor –
– Kashaya – decoctions
– Kalka – medicinal pastes
– Sarpi – medicated ghee
– Taila – medicated oil,
– Churna – medicinal powders,
– Rasakriya – thickened medicinal decoctions,
– Shodhana – purification / cleaning therapies
– Ropana – therapeutic of wound
Under talked about are thought of as best therapies –
– Sarpi pana – ingesting of medicated ghee
– Virechana – therapeutic purgation
– Shonita moksha / Raktamokshana – bloodletting
– Laghu bhojana – consumption of sunshine meals (meals that are simple to digest)
अर्बुदंमांसपाकंचविद्रधिंतिलकालकम्।।
प्रत्याख्यायप्रकुर्वीतभिषक्सम्यक्प्रतिक्रियाम्।।१८।।
Incurability – Firstly, the doctor / surgeon ought to inform in regards to the incurability of the beneath talked about circumstances to the affected person and his caretakers, take their consent after which start therapy for a similar –
– Arbuda,
– Mamsapaka,
– Vidradhi and
– Tilakalaka
इतिश्रीसुश्रुतसंहितायांचिकित्सास्थानेशूकरोगचिकित्सितंनामैकविंशोऽध्यायः।।२१।।
Thus ends the twenty-first chapter by title Sükaroga Chikitsa in Cikitsāsthāna of Susruta Samhita.
