A History of Indian Medical Literature v2.c35.39

Language: English

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152 A.h.U.6.53cd–54ab = Ca.Ci.9.85. 153 A.h.U.6.54cd–55ab = Ca.Ci.9.86. Cf. Su.U.62.35ab. 154 See A.h.U.5. 155 Cf. Ca.Ci.9.88–94; Su.U.62.33cd. 156 A.h.U.6.59 = Ca.Ci.9.96. 157 A.h.U.6.60 = Ca.Ci.9.97. 158 Cf. Ca.Ni.8 and Ci.10. See for the Tibetan version of this chapter and its English translation: R.E. Emmerick (1987). 159 Cf. Ca.Ni.8.5 and Ci.10.3; Su.U.61.3. 160 Cf. Ca.Ni.8.4 and Ci.10.4–6; Su.U.61.4–6 and 8. The mythical origin of apasmāra (see Ca.Ni.7.11) is skipped; absent too is Suśruta's plea (U.61.17cd–21) in favour of the purely doṣic origin of apasmāra. 161 Cf. Ca.Ci.10.7–8ab; Su.U.61.9–10 and 16. 162 Cf. Ca.Ni.8.3 and Ci.10.8cd; Su.U.61.10d–11ab. 163 Cf. Ca.Ni.8.6; Su.U.61.7. 164 Cf. Ca.Ni.8.8 and Ci.10.9; Su.U.61.11cd–12. 165 Cf. Ca.Ni.8.8 and Ci.10.10; Su.U.61.13–14ab. 166 Cf. Ca.Ni.8.8 and Ci.10.11; Su.U.61.14cd–15. 167 Cf. Ca.Ni.8.8 and Ci.10.12a–c; Su.U.61.17ab. 168 Cf. Ca.Ni.8.10, 13 and Ci.10.14; Su.U.61.22–23a–d and 25cd. 169 A.h.U.7.16cd–17ab = Ca.Ci.10.15. This verse is very close to Su.U.61.26cd–27ab. Suśruta (U.61.27cd–30) adds specific preparations against apasmāra due to vāta, pitta and kapha. 170 A.h.U.7.17cd–18ab = Ca.Ci.10.16. 171 This is the pañcagavyaghṛta of Caraka (Ci.10.16–17). 172 Cf. Ca.Ci.10.18–24 (mahāpañcagavyaghṛta); Su.U.61.34–37 (pañcagavyaghṛta). 173 Cf. Ca.Ci.10.25. 174 A.h.U.7.25cd–26ab = Ca.Ci.10.28. 175 A.h.U.7.26cd–27 = Ca.Ci.10.29–30ab. Types of apasmāra due to a combination of two doṣas are not described.

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The commentators therefore explain that the two types caused by vāta and pitta respectively are meant. 176 A.h.U.7.28ab = Ca.Ci.10.30cd. 177 A.h.U.7.29cd–30ab = Ca.Ci.10.41. 178 This verse is very close to Su.U.61.24cd–25ab. 179 A.h.U.7.33 = Ca.Ci.10.51. 180 A.h.U.7.34 = Ca.Ci.10.64. The Hṛdaya omits the bloodletting mentioned by Suśruta (U.61.41cd). 181 Cf. Ca.Ci.10.65. 182 Cf. Ca.Ci.10.66. 183 This is a new disease, absent from Caraka and Suśruta; the commentators are silent on this fact. The description of the Hṛdaya is quoted in the Madhukośa (ad Mādhavanidāna 59.99), but the disease is not accepted as one of the vartmarogas in Mādhava's nosological system. This explains its absence in many later texts, for example, Vangasena's treatise and the Bhāvaprakāśa. J. Jolly (1901) omits to mention it. Kṛcchronmīla heads the list of vartmarogas in the Śārṅgadharasaṃhitā (I.7.153cd–157ab); Ādhamalla regards it as identical with kuñcana, described in some other treatise (Mādhavanidāna 59.96 is quoted). Anantakumāra's Yogaratnasamuccaya (prose between 24.55 and 56) reproduces the list of twenty-four vartmarogas of the Hṛdaya, but has not exactly the same text, being, moreover, in prose; it quotes this list from Vāhaṭa and a Pāṭha-. Kṛcchronmīla is, as its name implies, characterized by difficulties in opening the eyes on awakening; one of its features is vartmastambha, which makes R.C. Choudhury (1992: 345) interpret it as blepharospasm. K.R.

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Srikantha Murthy also regards this disorder as blepharospasm. 184 Cf. Su.U.3.25. 185 K.R. Srikantha Murthy: ptosis of the lids. Cf. Su.U.3.23. 186 K.R. Srikantha Murthy: follicular conjunctivitis. Cf. Su.U.3.10cd–11ab; this disease is caused by the three doṣas according to Ḍalhaṇa. 187 K.R. Srikantha Murthy: exudative lids. This disease has no equivalent among Suśruta's kliṣṭa types. It is absent from the Mādhavanidāna, but present in the list of the Śārṅgadharasaṃhitā (I.7.155); Ādhamalla says that it is identical with pakṣma(pra)kopa, described by him in a quotation from an unknown source; this description differs from Suśruta's characterization of pakṣmakopa (U.3.29–30). 188 Pakṣmaśāta is a new disease, a fact passed over in silence by the commentators. Mādhava accepted this disorder and described it in a way closely resembling A.h.U.8.8cd–9ab (see Mādhavanidāna 59.99). The Śārṅgadharasaṃhitā (I.7.154) calls it pakṣmapāta (see Ādhamalla's comments; the Mādhavanidāna is quoted). The eyelashes itch, burn and fall off in this disease. 189 K.R. Srikantha Murthy: trachoma. Cf. Su.U.3.11c–f. Pothakī is also mentioned at A.h.U. 2.27 and 3.24. 190 K.R. Srikantha Murthy: exudative lids. This disease resembles Suśruta's (pra)klinnavartman (U.3.21). Kaphotkliṣṭa forms part of Śārṅgadhara's list (I.7.154); Ādhamalla regards it as identical with praklinnavartman and quotes Cakṣuṣyeṇa, which refers to it as praklinnavartman or pilla (compare Ḍalhaṇa's remarks ad Su.U.3.21);

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Cakṣuṣyeṇa considered the disease to be caused by all three doṣas. Ḍalhaṇa agrees with the Hṛdaya in stating that it is caused by kapha. 191 K.R. Srikantha Murthy: chalazion. Cf. Su.U.3.27. 192 K.R. Srikantha Murthy: conjunctival cyst. Cf. Su.U.3.9cd–10ab (utsaṅginī); Ḍalhaṇa (see his comments), Gaḍādhara and Videha (see Ādhamalla's comments ad Śārṅgadharasaṃhitā I.7.155) regard it as arising from all three doṣas. 193 K.R. Srikantha Murthy: bleeding lids. It is not very clear which of Suśruta's diseases of the eyelids resembles utkliṣṭa. Anantakumāra's Yogaratnasamuccaya (prose between 24. 55 and 56) calls it raktotkliṣṭa, which is probably right, because this name agrees with its causation; the term asrotkliṣṭa (= raktotkliṣṭa) is found at Su.U.9.16cd. Ādhamalla (ad Śārṅgadharasaṃhitā I.7.154) regards raktotkliṣṭa as identical with raktārśas (= śoṇitārśas). 194 K.R. Srikantha Murthy: a polyp of the eyelid. Cf. Su.U.3.26 (śoṇitārśas). 195 K.R. Srikantha Murthy: hordeolum, stye. Cf. Su.U.3.15. 196 K.R. Srikantha Murthy: conjunctivitis. Cf. Su.U.3.28. 197 K.R. Srikantha Murthy: purulent eyelids. This disease resembles Suśruta's kliṣṭavartman (U.3.18). Ādhamalla (ad Śārṅgadharasaṃhitā I.7.157) regards it as identical with vātahavatartman, which cannot be correct. 198 K.R. Srikantha Murthy: a black discoloration of the eyelids. Cf. Su.U.3.20. 199 K.R. Srikantha Murthy: adhering eyelids. This disease may be related to Suśruta's vartmabandha (U.3.17). 200 K.R.

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Srikantha Murthy: granular conjunctivitis. This disease is probably related to Suśruta's vartmaśarkarā (U.3.12).