Sushruta Samhita Uttaratantra Chapter 6 Sarvagata Roga Vijnaniya (Ailments of the Entire Eye)

The sixth chapter of Uttaratantra of Sushruta Samhita is called as Sarvagata Roga Vijnaniya Adhyaya. This chapter offers with Ailments of the Entire Eye.

अथातः सर्वगतरोगविज्ञानीयमध्यायं व्याख्यास्यामः ।।१।।
यथोवाच भगवान् धन्वन्तरिः ।।२।।

We are going to now expound the chapter by identify Sarvagata roga vijñānīya – data of illnesses of the entire eye; as revealed by the venerable Dhanvantari.

स्यन्दास्तु चत्वार इहोपदिष्टास्तावन्त एवेह तथाऽधिमन्थाः ।।
शोफान्वितोऽशोफयुतश्च पाकावित्येवमेते दश संप्रदिष्टाः ।।३।।
हताधिमन्थोऽनिलपर्ययश्च शुष्काक्षिपाकोऽन्यत एव वातः ।।
दृष्टिस्तथाऽम्लाध्युषिता सिराणामुत्पातहर्षावपि सर्वभागाः ।।४।।

Beneath talked about are the seventeen sorts of illnesses which might have an effect on the entire eye and the identical will likely be described on this chapter –

–        4 sorts of syanda / abhisyanda

–        4 sorts of adhimantha,

–        two sorts of paka i.e. aksipaka / netrapaka

–        anila paryaya or vata paryaya – corresponding to sasopha and asopha

–        hatadhimantha,

–        suskakshipaka,

–        anyatovata,

–        amladyushita,

–        sirotpata and

–        siraharsa

1. Abhisyanda

प्रायेण सर्वे नयनामयास्तु भवन्त्यभिष्यन्दनिमित्तमूलाः ।।
तस्मादभिष्यन्दमुदीर्यमाणमुपाचरेदाशु हिताय धीमान् ।।५।।

Abhisyanda is the chief reason for all eye illnesses. Typically, all the attention illnesses begin with Abhisyanda as their chief trigger. Subsequently, a clever doctor ought to shortly be handled at its onset itself, for the well being and well-being of the attention.

Vataja Abhisyanda

 निस्तोदनं स्तम्भनरोमहर्षसङ्घर्षपारुष्यशिरोभितापाः ।।
विशुष्कभावः शिशिराश्रुता च वाताभिपन्ने नयने भवन्ति ।।६।।

Beneath talked about are the signs of Abhisyanda produced by Vata –

–        fixed pricking ache within the eyes,

–        lack of actions within the eye,

–        horripilation,

–        friction and roughness, particularly within the pores and skin,

–        headache,

–        dryness of the attention and

–        circulation of chilly tears from the eyes

Pittaja Abhisyanda

दाहप्रपाको शिशिराभिनन्दा धूमायनं बाष्पसमुच्छ्यश्च ।।
उष्णाश्नुता पीतकनेत्रता च पित्ताभिपन्ने नयने भवन्ति ।।७।।

Beneath talked about are the signs of Abhisyanda produced by aggravated pitta –

–        burning sensation within the eyes

–        fast ulceration within the eyes 

–        need for chilly comforts,

–        feeling of scorching fumes popping out,

–        elevated circulation of tears from the eyes,

–        circulation of heat tears from the eyes and

–        look of yellow color within the eyes

Kaphaja Abhisyanda

उष्णाभिनन्दा गुरुताऽक्षिशोफः कण्डूपदेही सितताऽतिशैत्यम् ।।
स्रावो मुहुः पिच्छिल एव चापि कफाभिपन्ने नयने भवन्ति ।।८।।

Beneath talked about are the signs of Abhisyanda produced by aggravated kapha –

–        need for heat comforts,

–        heaviness,

–        swelling of the attention,

–        itching and thickening,

–        look of white color within the eye,

–        feeling of extreme chilly and

–        frequent slimy exudations

Raktaja Abhisyanda

ताम्राश्श्रुता लोहितनेत्रता च राज्यः समन्तादतिलोहिताश्च ।।
पित्तस्य लिङ्गानि च यानि तानि रक्ताभिपन्ने नयने भवन्ति ।।९।।

Beneath talked about are the signs produced by aggravated rakta – blood –

–        coppery colored tears circulation from the eyes,

–        redness of the attention,

–        vivid pink traces throughout and

–        signs of aggravation of pitta within the physique

Adhimañtha

वृद्धैरेतैरभिष्यन्दैर्नराणामक्रियावताम् ।।
तावन्तस्त्वधिमन्थाः स्युनयने तीव्रवेदनाः ।।१०।।
उत्पाट्यत इवात्यर्थ नेत्रं निर्मथ्यते तथा ।।
शिरसोऽधं च तं विद्यादधिमन्यं स्वलक्षणैः ।।११।।

The 4 sorts of Adhimantha develop within the eye together with extreme ache when the 4 sorts of Abhisyanda usually are not handled shortly.

Beneath talked about are the overall signs of Adhimantha –

–        feeling as if the attention is being pulled or plucked out of its socket,

–        feeling as if the attention is being churned or twisted and

–        feeling of churning or twisting ache in half of the pinnacle

Vataja Adhimantha

नेत्रमुत्पाट्यत इव मथ्यतेऽरणिवच्च यत् ।।
सङ्घर्षतोदनिर्भेदमांससंरब्धमाविलम् ।।१२।।
कुञ्छनास्फोटनाध्मानवेपथुव्यथनैर्युतम् ।।
शिरसोऽधं च येन स्यादधिमन्थः स मारुतात् ।।१३।।

Beneath talked about are the signs of Adhimañtha produced by vāta –

–        feeling as if the attention is being pulled out or plucked out of its socket,

–        feeling as if the attention is being churned just like the arani – picket faggot used for producing fireplace by churning,

–        friction,

–        pricking ache,

–        splitting ache,

–        swelling of muscular tissues,

–        turbidity of eye i.e. presence of extreme secretions within the eye,

–        contraction,

–        cracks on the physique elements,

–        flatulence,

–        shivering,

–        discomfort in half of the pinnacle, on the facet of the affected eye

Pittaja Adhimantha

रक्तराजिचितं स्रावि वह्निनेवावदह्यते ।।
यकृत्पिण्डोपमं दाहि क्षारेणाक्तमिव क्षतम् ।।१४।।
प्रपत्कोच्छूनवान्तं सस्वेदं पीतदर्शनम् ।।
मूर्च्छाशिरोदाहयुतं पित्तेनाक्ष्यधिमन्थितम् ।।१५।।

Beneath talked about are the signs of Adhimantha produced by pitta –

–        eye full of pink traces,

–        feeling as if the attention is being burnt by fireplace

–        eye seems brownish in color resembling a bit of liver,

–        extreme burning sensation and

–        ulceration (harm) as if smeared or utilized with caustic alkalies,

–        extreme ulceration and swelling of edges of eyelids,

–        extreme sweating of the physique,

–        yellow imaginative and prescient (look of yellow color within the eyes),

–        fainting and

–        burning sensation within the head

Kaphaja Adhimantha

शोफवन्नातिसंरब्धं स्रावकण्डूसमन्वितम् ।।
शैत्यगौरवपैच्छिल्यदूषिकाहर्षणान्वितम् ।।१६।।
रूपं पश्यति दुःखेन पांशुपूर्णमिवाविलम् ।।
नासाध्यानशिरोदुःखयुतं श्लेष्माधिमन्थितम् ।।१७।।

Beneath talked about are the signs of Adhimantha produced by aggravated kapha –

–        eye is swollen however not vastly,

–        exudation (discharges from the attention),

–        itching,

–        feeling chilly,

–        heaviness,

–        sliminess,

–        extreme excretions and

–        tingling sensation

–        seeing turns into tough,

–        surrounding objects seem as if full of sand and having turbid (unclear) look,

–        nostril swelling

–        headache

Raktaja Adhimantha

बन्धुजीवप्रतीकाशं ताम्यति स्पर्शनाक्षमम् |
रक्तास्त्रावं सनिस्तोदं पश्यत्यग्निनिभा दिशः ।।१८।।
रक्तमग्नारिष्टवच्च कृष्णभागश्च लक्ष्यते ।।
यद्दीप्तं रक्तपर्यन्तं तद्रक्तेनाधिमन्थितम् ।।१९।।

Beneath talked about are the signs of Adhimantha produced by Rakta – blood –

–        eyes are pink in color, resembling the pink flowers of bandhujiva,

–        is inactive,

–        tenderness – doesn’t tolerate contact,

–        bleeding accompanied with ache,

–        the environment are seen as if overlaying with fireplace or flame,

–        the black portion of the attention i.e. cornea is pink like flames or arista – spherical cleaning soap nut, vivid and pink on the edges

हन्यादृष्टिं सप्तरात्रात् कफोत्योऽधीमन्थोऽसृक्संभवः पञ्चरात्रात् ।।
बड़ानाद्वै मारुतोत्यो निहन्यान्मिथ्याचारात् पैत्तिकः सद्य एव ।।२०।।

With improper actions, adhimañtha destroys the imaginative and prescient within the beneath talked about approach –

Saśopha netrapāka

कण्डूपदेहा´ÉÑयुतः पक्कोदुम्बरसन्निभः ।।
दाहसंहर्षताम्रत्वशोफनिस्तोदगौरवैः ।। २१।।
जुष्टो मुहुः स्रवेच्चास्त्रमुष्णशीताम्बु पिच्छिलम् ।।
संरम्भी पच्यते यश्च नेत्रपाकः सशोफजः ।।२२।।

Beneath talked about are the options (signs) of Sasopha Netrapaka –

–        itching within the eyes,

–        thickening of eyes,

–        extreme tears reddish-brown in color, resembling a ripe fruit of Udumbara,

–        burning sensation,

–        tingling,

–        coppery color,

–        swelling,

–        fixed ache,

–        heaviness,

–        exudes heat blood which is skinny, clear and slimy and resembles chilly water,

–        extreme swelling and

–        shortly undergoes suppuration (kinds ulcers shortly)

Asopha netrapāka

शोफहीनानि लिङ्गानि नेत्रपाके त्वशोफजे ।।

The principle function of Asopha Netrapaka is netra paka i.e. ulceration of the attention occurring with out swelling.

Hatādhimañtha

उपेक्षणादक्षि यदाऽधिमन्यो वातात्मकः सादयति प्रसाहा ।।
रुजाभिरुग्राभिरसाध्य एष हताधिमन्थः खलु नाम रोगः ।।२३।।
अन्तःसिराणां श्वसनः स्थितो दृष्टिं प्रतिक्षिपन् ।।
हताधिमन्यं जनयेत्तमसाध्यं विदु धाः ।।२४।।

When Adhimantha attributable to Vata is uncared for and correct or well timed remedy just isn’t executed, it turns into excessively exacerbated and produces one other situation (illness) known as Hatadhimantha. This situation presents with extreme ache and is incurable.

The aggravated vata getting localized contained in the sira i.e. blood vessels provides rise to Hatadhimantha. This situation destroys imaginative and prescient and is an incurable situation.

Vātaparyaya

पक्ष्मद्वयाक्षिध्रुवमाश्रितस्तु यत्रानिलः संचरति प्रदुष्टः ।।
पर्यायशश्चापि रुजः करोति तं वातपर्यायमुदाहरन्ति ।।२५।।

Vata which is aggravated begins shifting within the space of eyelashes and brows. Doing so, it produces ache within the space of eyelashes typically. Alternatively, it might produce ache within the eyebrows typically. This illness known as Vataparyaya.

Suşkākşipāka

यत् कूणितं दारुणरूक्षवद्म विलोकने चाविलदर्शनं यत् ।।
सुदारुणं यत् प्रतिबोधने च शुष्काक्षिपाकोपहतं तदक्षि ।।२६।।

Eyes and eyelashes getting constricted and dry and onerous on contact and the imaginative and prescient turning into turbid (hay, unclear) together with extreme issue in opening the eyes – are thought of because the options (signs) of Suskaksipaka.

Anyatovata

यस्यावटूकर्णशिरोहनुस्थो मन्यागतो वाऽप्यनिलोऽन्यतो वा |
कुर्याद्रुजोऽति भ्रुवि लोचने वा तमन्यतोवातमुदाहरन्ति ||२७||

Anyatovata is a situation wherein the vata getting aggravated produces extreme ache within the beneath talked about areas –

–        avatu – root of the pinnacle and the again,

–        ears,

–        head,

–        decrease jaw,

–        nape of the neck,

–        eyebrows and

–        the eyes

Amladhyusita

अम्लेन भुक्तेन विदाहिना च सञ्छाद्यते सर्वत एव नेत्रम् |
शोफान्वितं लोहितकैः सनीलैरेतादृगम्लाध्युषितं वदन्ति ||२८||

By consuming meals that are bitter and which trigger burning sensation inside (throughout digestion) for a very long time, the pitta getting aggravated makes the complete eye of such individuals pink or blue colored. Swelling of the eyes additionally happens. This illness known as Amladyusita.

Sirotpata

अवेदना वाऽपि सवेदना वा यस्याक्षिराज्यो हि भवन्ति ताम्राः |
मुहुर्विरज्यन्ति च ताः समन्ताद् व्याधिः सिरोत्पात इति प्रदिष्टः ||२९||

Sirotpata is a illness which presents with the beneath talked about options –

–        look of coppery colored traces within the eye,

–        presence or absence of ache,

–        eye typically turns into pink with outstanding blood vessels throughout

Siraharsa

मोहात् सिरोत्पात उपेक्षितस्तु जायेत रोगस्तु सिराप्रहर्षः |
ताम्राच्छमस्रं स्रवति प्रगाढं तथा न शक्नोत्यभिवीक्षितुं च ||३०||

When sirotpata is uncared for by ignorance and never promptly handled, one other illness known as Siraharsa develops. On this situation, the eyes change into coppery pink in color and exude giant quantities of blood. It additionally causes incapacity to see issues.

इति श्रीसुक्षुतमाहेलाचामुत्तरतचे सर्वपतरोगविज्ञानीयो नाम शष्ठोऽध्यायः ॥६॥

Thus ends the sixth chapter by identify Sarvagata roga vijinaniya Uttara sthana of Susruta samhita.