Sushruta Samhita Uttaratantra Chapter 23 Nasaroga Pratiṣedha (Remedy of Illnesses of the Nostril)

The twenty third chapter of Uttaratantra of Sushruta Samhita is known as as Nasaroga Pratiṣedha Adhyaya. This chapter offers with the Remedy of Illnesses of the Nostril.

अथातो नासागतरोगप्रतिषेधं व्याख्यास्यामः ।।१।।
यथोवाच भगवान् धन्वन्तरि ||२||

We are going to now expound the chapter by title Näsă roga pratiședha -treatment of illnesses of the nostril; as revealed by the venerable Dhanvantari.

Putinasya Cikitsā

Remedy Ideas

पूर्वोद्दिष्टे पूतिनस्ये च जन्तोः स्नेहस्वेदौ छर्दनं स्वंसनं च ।।
युक्तं भक्तं तीक्ष्णमल्पं लघु स्यादुष्णं तोयं धूमपानं च काले ||३||

Helpful therapies – The illness putinasya has been described earlier. On this illness, the under talked about therapies are extremely helpful –

–        Snehana – oleation

–        Swedana – sudation

–        Chardanam – therapeutic ememsis

–        Sramsana – therapeutic purgation

Weight loss program – The meals given to the affected person needs to be Tikshna – having penetrating propertly, alpa – much less in amount and laghu – gentle and simply digestible.

Different helpful issues – These affected by Putinasya ought to drink heat or sizzling water and inhale medicated smoke at appropriate occasions, as and when wanted.

Avapida, Nasya

हिङ्गु व्योषं वत्सकाख्यं शिवाटी लाक्षा बीजं सौरभं कट्फलं च ।।
उम्रा कुष्ठं तीक्ष्णगन्धा विडङ्गं श्रेष्ठं नित्यं चावपीडे करञ्जम् ।।४।।
एतैद्रव्यैः सार्षपं मूत्रयुक्तं तैलं धीमान्नस्यहेतोः पचेत ।।

Under talked about herbs are the most effective for administering Avapida Nasya – nasal drops, every day –

–        Hiñgu,

–        Vyosa

–        Vatsaka

–        Sveta (Punarnava)

–        Laksa

–        Seeds of Surabhi

–        Katphala

–        Ugra

–        Kustha

–        Tiksnagandha

–        Vidanga

Methodology – The clever doctor ought to cook dinner and course of Sarsapa Taila – mustard oil with the above-mentioned herbs together with cow’s urine. This oil, when ready shall be saved and used for nasya – as nasal drops.

Nāsāpāka cikitsā

नासापाके पित्तहत्संविधानं कार्य सर्व बाह्यमाभ्यन्तरं च ॥ ५॥
हृत्वा रक्तं क्षीरवृक्षत्वचश्च साज्याः सेका योजनीयाश्च लेपाः ।।

Ideas of Treatmemnt

–        Pittahara Vidhana – Nasapaka needs to be handled comprehensively by administration of exterior and inside therapies which might mitigate pitta.

–        Raktamokshana – bloodlettingn

–        Seka – pouring medicated liquids in streams over the face

–        Lepa – Barks of Ksiri Vrksas – timber yielding milky sap and ghee are blended collectively to kind a paste and that is used for exterior software.

Remedy of Nasagata Raktapitta and Puyarakta

नासापाके पित्तहृत्संविधानं कार्यं सर्वं बाह्ममाभ्यन्तरं च ||५||
हृत्वा रक्तं क्षीरवृक्षत्वचश्च साज्याः सेका योजनीयाश्च लेपाः ||
वक्ष्याम्यूर्ध्वं रक्तपित्तोपशान्तिं नाडीवत्स्यात् पूयरक्ते चिकित्सा ||६||

Acharya says that he would clarify the completely different therapy strategies and measures to remedy Nasagata Raktapitta – bleeding problems expressing via the nostril – nasal bleeding within the forthcoming chapter (45th chapter of the identical part, Uttara Tantra).

He additional states that Nasagata Puyarakta – a situation during which blood contaminated with pus (contaminated blood) is discharged from the nostril) shall be handled on the strains of treating Nadivrana – sinuses.

Other than this, the under talked about therapies / cures too shall be administered for the good thing about the affected person –

–        Vamana – therapeutic emesis, adopted by

–        Avapidana Nasya, together with

–        Tiksna Dhuma – robust medicated smoking,

–        Sodhana – cleaning therapies, and

–        Nasya – nasal treatment / nasal drops / errhines

Remedy of Ksavathu and Bramsathu

वान्ते सम्यक् चावपीडं वदन्ति तीक्ष्णं घूमं शोधनं चात्र नस्यम् |
क्षेप्यं नस्यं मूर्धवैरेचनीयैर्नाड्या चूर्णं क्षवथौ भ्रंशथौ च ||७||
कुर्यात् स्वेदान् मूर्ध्नि वातामयघ्नान् स्निग्धान् धूमान् यद्यदन्यद्वितं च |

The therapy ideas of Ksavathu and Bramsathu embody –

–        Sirovirecana (head purging) – with the powder of head purging herbs crammed in nadis (tubes)

–        Swedana – sudation

–        Sirovasti – oil pooling executed on the top

–        Snigdha dhumapana – unctuous smoking with vata mitigating herbs

Another measures helpful for the remedy of the illness too shall be adopted.

Remedy of Dipta Roga

क्षेप्यं नस्यं मूर्धवैरेचनीयैर्नाड्या चूर्णं क्षवथौ भ्रंशथौ च ||७||
कुर्यात् स्वेदान् मूर्ध्नि वातामयघ्नान् स्निग्धान् धूमान् यद्यदन्यद्वितं च |८|
दीप्ते रोगे पैत्तिकं संविधानं कुर्यात् सर्वं स्वादु यच्छीतलं च ||८||

In Dipta Roga, pitta mitigating (balancing) therapies shall be executed. All (exterior or inside) measures, meals and actions shall be executed utilizing candy and chilly issues (having candy style and chilly high quality).

Remedy of Nasanaha

नासानाहे स्नेहपानं प्रधानं स्निग्धा धूमा मूर्धबस्तिश्च नित्यम् |
बलातैलं सर्वथैवोपयोज्यं वातव्याधावन्यदुक्तं च यद्यत् ||९||Snehapana (oleation) is the principle therapy of Nasanaha. Other than this, snigdha dhuma (unctuous smoking) and Murdabasti (oil pooling over the top) shall be executed every day. Balataila shall be utilized in all methods (consuming, therapeutic massage, unctuous enema, oil pooling / oil therapies over the top and many others). The opposite oils (anutaila and many others) defined within the context of Vatavyadhi must also be introduced into use.

Treatment of Nasasrava

नासास्रावे घ्राणतश्चूर्णमुक्तं नाड्या देयं योऽवपीडश्च तीक्ष्णः |
तीक्ष्णं धूमं देवदार्वग्निकाभ्यां मांसं वाऽऽजं युक्तमत्रादिशन्ति ||१०||

In Nasasrava, Avapidana Nasya needs to be administered with robust medication crammed in nadi (tubular gear) as Pradhamana. Other than this, tiksna dhuma (robust smoking) with Devadaru and Citraka needs to be executed. Meals needs to be taken together with meat or meat juice (soup) of goat.

Remedy of Nāsāśoşa 

नासाशोषे क्षीरसर्पिः प्रधानं सिद्धं तैलं चाणुकल्पेन नस्यम् ||
सर्पि: पानं भोजनं जाङ्गलैश्च स्नेहः स्वेदः स्नैहिकश्चापि धूमः ।।११।।

Nasya in Nasasosa – Under talked about medicaments / recipes are an important ones for use as nasal drops in Nasasosa –

–        Ksira Sarpi – ghee extracted from butter obtained by churning of milk

–        Anu Taila

Different helpful measures –

–        Sarpi pana – consuming of medicated ghee

–        Jangala mamsa – meals, primarily meat of animals which stay in desert like areas

–        Sneha – oleation

–        Swedana – sudation and

–        Snaihika dhuma – inhalation of unctuous smoke (lubrication smoke)

शेषान् रोगान् प्राणजान् सन्नियच्छेदुक्तं तेषां यद्यथा संविधानम् ।।१२।।

Remedy of different illnesses of the nostril needs to be executed in accordance with the stipulated process (associated to doshās and many others).

 इति श्रीसुश्रुतसंहितायामुत्तरतन्त्रान्तर्गत शालाक्यतन्त्रे नासागतरोगप्रतिषेधो नाम त्रयोविंशोऽध्यायः ।।२३।।

Thus ends the twenty third chapter by title Näsaroga Pratişedha in

Uttara Sthana of Suśruta Samhita.