Sushruta Samhita Uttaratantra Chapter 5 Krsnagata Roga Vijnaniya (Illnesses of the Cornea)

The fifth chapter of Uttaratantra of Sushruta Samhita is known as as Krsnagata Roga Vijnaniya Adhyaya. This chapter offers with Illnesses of the Cornea.

अथातः कृष्णगतरोगविज्ञानीयमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||

We’ll; now expound the chapter by identify Krsnagata roga Vijnaniya data of ailments of the cornea; as stated by venerable Dhanvantari.

Roganama Sankhya – names and variety of ailments

यत् सव्रणं शुक्र(क्ल)मथाव्रणं वा पाकात्ययश्चाप्यजका तथैव |
चत्वार एतेऽभिहिता विकाराः कृष्णाश्रयाः सङ्ग्रहतः पुरस्तात् ||३||

In short, the 4 ailments arising within the Krsna Mandala (black portion of the attention) are –

1.   Savrana Sukra
2.   Avrana sukra
3.   Pakatyaya and

4.   Ajaka
   1. Savrana sukra

निमग्नरूपं हि भवेत्तु कृष्णे सूच्येव विद्धं प्रतिभाति यद्वै |
स्रावं स्रवेदुष्णमतीव रुक् च तत् सव्रणं शुक्र(क्ल)मुदाहरन्ति ||४||
दृष्टेः समीपे न भवेत्तु यच्च न चावगाढं न च संस्रवेद्धि |
अवेदनावन्न च युग्मशुक्रं तत्सिद्धिमाप्नोति कदाचिदेव ||५||
विच्छिन्नमध्यं पिशितावृतं वा चलं सिरासक्तमदृष्टिकृच्च |
द्वित्वग्गतं लोहितमन्ततश्च चिरोत्थितं चापि विवर्जनीयम् ||६||
उष्णाश्रुपातः पिडका च कृष्णे यस्मिन् भवेन्मुद्गनिभं च शुक्रम् |
तदप्यसाध्यं प्रवदन्ति केचिदन्यच्च यत्तित्तिरिपक्षतुल्यम् ||७||

Savrana Shukla (black of the attention with ulcer in it) presents with beneath talked about options –

–        Nimnagra rupam – the black portion of the attention i.e. cornea seems as if depressed and has gone deep into the attention

–        Suchyeva viddham – seems as if punctured by needles

–        Sravam sraved ushnam ativa – discharge of loads of heat fluids from the attention

–        Ruk cha – related to extreme ache

Prognosis –

1. Savrana Shukra will get cured typically when –

–        the vrana or ulcer isn’t situated nearer to the Drishti i.e. pupil

–        the vrana isn’t discharging fluids

–        the vrana isn’t related to ache

–        and never having yugma shukra – double cornea i.e. one cornea showing as two

1. Savrana Shukra shall be thought of incurable and must be refused within the beneath talked about situations –

–        when the black of the attention seems to be cut up on the centre

–        when the black of the attention seems as if coated by the muscle tissue

–        when the black of the attention seems unsteady

–        when the black of the attention is surrounded by veins obstructing the imaginative and prescient

–        when the ulcer invades two layers

–        when the ulcer has purple colored edges

–        when the ulcer endured for lengthy length

1. Different opinions on prognosis

Under talked about are some extra indicators of dangerous prognosis and therefore incurable in accordance with some authorities –

–        situation whereby there may be stream of heat teats

–        growth of eruptions resembling mudga i.e. inexperienced gram on the black of the attention

–        black of the attention resembling the feather of tittiri chook i.e. very white in color

2. Avrana Sukra

सितं यदा भात्यसितप्रदेशे स्यन्दात्मकं नातिरुगश्रुयुक्तम् |
विहायसीवाच्छघनानुकारि [३] तदव्रणं साध्यतमं वदन्ति ||८||
गम्भीरजातं बहलं च शुक्रं चिरोत्थितं चापि वदन्ति कृच्छ्रम् |९|

Avrana Sukra (black of the attention, not having an ulcer on it) presents with the beneath talked about options –

–        Sitam yada bhavati asitam syandatmakam – a situation whereby the black of the attention i.e. cornea seems white in color as a result of impact of different illness of the attention i.e. abisyanda – conjunctivitis

–        Nati ruk ashru yuktam – not related to a lot of ache and stream of tears

–        Vihayasiva achcha ghananukari – the whiteness on the black of the attention resembles the sky enveloped with clear clouds

Prognosis –

Sadhya – Avrana Sukra presenting with above stated options is alleged to be simply curable.

Krichra Sadhya – Avrana Sukra presenting with beneath talked about options is alleged to be curable with problem –

–        that which is situated deep inside i.e. situated within the second and third layers of the attention

–        that which is thick

–        that which has turn out to be persistent i.e. persisting for a protracted length

3. Pakatyaya

सञ्च्छाद्यते श्वेतनिभेन सर्वं दोषेण यस्यासितमण्डलं तु ||९||
तमक्षिपाकात्ययमक्षिकोपसमुत्थितं तीव्ररुजं वदन्ति |

Pakatyaya presents with the beneath talked about options –

Samchadhyate shwetanibena sarvam – illness by which the black of the attention is completely coated by a white layer, brought on by doshas or is taken into account to be the dosha of the black of the attention i.e. cornea known as as Akshipakatyaya.

Akshi kopa samuttham – it’s brought on because of aksi kopa or abhisyanda – conjunctivitis, irritation of eyes

Tivra rujam – it’s related to extreme ache

4. Ajakajata

अजापुरीषप्रतिमो रुजावान् सलोहितो लोहितपिच्छिलाश्रुः |
विदार्य कृष्णं प्रचयोऽभ्युपैति तं चाजकाजातमिति व्यवस्येत् ||१०||

Ajakajata presents with beneath talked about options –

–        ajapurisha pratimo – a situation of the black of the attention whereby a brand new cyst like progress seems which resembles the goat excreta i.e. within the type of spherical pellets

–        rujavan – related to ache

–        salohito – related to redness

–        pichchila ashru srava – related to discharge of sticky / slimy and purple colored tears

–        vidarya krshnam – which splits the black of the attention

इति सुश्रुतसंहितायामुत्तरतन्त्रे कृष्णगतरोगविज्ञानीयो नाम पञ्चमोऽध्यायः ||५||

Thus ends the fifth chapter by identify Krsnagata roga Vijnaniya in Uttara-sthana of Susruta samhita.