The eleventh chapter of Uttaratantra of Sushruta Samhita is called as Slesmabhisyanda Pratisedha Adhyaya. This chapter offers with the therapy of Abhisyanda of Kapha Origin.

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

We’ll now expound Slesmbhisyanda pratisedha – therapy of Abhisyanda (conjunctivitis) produced by Kapha; as revealed by the venerable Dhanvantari.

Kaphaja Abhisyanda – Adhimantha cikitsa

स्यन्दाधिमन्थौ कफजौ प्रवृद्धौ जयेत् सिराणामथ मोक्षणेन |
स्वेदावपीडाञ्जनधूमसेकप्रलेपयोगैः कवलग्रहैश्च ||३||
रूक्षैस्तथाऽऽश्च्योतनसंविधानैस्तथैव रूक्षैः पुटपाकयोगैः |
त्र्यहात्त्र्यहाच्चाप्यपतर्पणान्ते प्रातस्तयोस्तिक्तघृतं प्रशस्तम् ||४||
तदन्नपानं च समाचरेद्धि यच्छ्लेष्मणो नैव करोति वृद्धिम् |५|

Extreme instances of Abhisyanda and Adhimantha produced by aggravated kapha must be handled with the under talked about remedies of their dry kind (devoid of fat) –

–        siravedha,

–        swedana,

–        avapida,

–        anjana,

–        dhuma,

–        pariseka,

–        lepa,

–        kavala graha,

–        ascyotana and

–        putapaka

Under talked about interventions are additionally finest suited within the above stated instances –

–        Apatarpana must be carried out after each third day,

–        Use of Tiktaka Ghrta within the morning and

–        Meals and drinks which don’t trigger enhance of Kapha

कुटन्नटास्फोटफणिज्झबिल्वपत्तूरपिल्वर्ककपित्थभङ्गैः ||५||
स्वेदं विदध्यात् अथवाऽनुलेपं बर्हिष्ठशुण्ठीसुरकाष्ठकुष्ठैः |

Items of leaves of the under talked about herbs must be used to offer Svedana to the attention –

–        Kutannata,

–        Asphota,

–        Phaninjja,

–        Bilva,

–        Pilu,

–        Arka and

–        Kapittha

Paste of the under talked about must be used for lepa (utility) –

–        Barhista (vaaka),

–        Sunthi,

–        Surakastha (Devadaru) and

–        Kustha

सिन्धूत्थहिङ्गुत्रिफलामधूकप्रपौण्डरीकाञ्जनतुत्थताम्रैः ||६||
पिष्टैर्जलेनाञ्जनवर्तयः स्युः पथ्याहरिद्रामधुकाञ्जनैर्वा |
त्रीण्यूषणानि त्रिफला हरिद्रा विडङ्गसारश्च समानि च स्युः ||७||
बर्हिष्ठकुष्ठामरकाष्ठशङ्खपाठामलव्योषमनःशिलाश्च |
पिष्ट्वाऽम्बुना वा कुसुमानि जातिकरञ्जशोभाञ्जनजानि युञ्ज्यात् ||८||
फलं प्रकीर्यादथवाऽपि शिग्रोः पुष्पं च तुल्यं बृहतीद्वयस्य |
रसाञ्जनं सैन्धवचन्दनं च मनःशिलाले लशुनं च तुल्यम् ||९||
पिष्ट्वाऽञ्जनार्थे कफजेषु धीमान् वर्तीर्विदध्यान्नयनामयेषु |१०|

Anjana must be carried out utilizing the under talked about issues macerated in water –

–        Saindhava,

–        Hingu,

–        Triphala,

–        Madhuka,

–        Prapaundarika,

–        Anjana (srotanjana),

–        Tuttha and

–        Tamra

Anjana also needs to be carried out with the under talked about group of herbs macerated in water –

–        Pathya, Haridra, Madhuka and Anjana (Srotanjana) or

–        Equal portions of Tryusana, Triphala, Haridra, Vidangasara or

–        Equal portions of Barhista (valaka), Kustha, Amarakastha, Devadaru, Sankha, Patha, Amalaka, Vyosha and Manassila or

–        Flowers of Jati, Karanja and Sobanjana

Wicks (capsules, dragee) are ready utilizing the under talked about herbs macerated in water and dried –

–        fruits of Prakirya (kantaki Karanja) and Sigru Puspa – equal in amount or

–        two sorts of Brhati, Rasanjana, Candana, Manassila, Ala and Lasuna – equal in amount

These must be used as Collyrium in all eye ailments produced by Kapha.

Balasagrathita Cikitsa

रोगे बलासग्रथितेऽञ्जनं ज्ञैः कर्तव्यमेतत् सुविशुद्धकाये ||१०||
नीलान् यवान् गव्यपयोऽनुपीतान् शलाकिनः शुष्कतनून् विदह्य |
तथाऽर्जकास्फोतकपित्थबिल्वनिर्गुण्डिजातीकुसुमानि चैव ||११||
तत्क्षारवत्सैन्धवतुत्थरोचनं पक्वं विदध्यादथ लोहनाड्याम् |
एतद्बलासग्रथितेऽञ्जनं स्यादेषोऽनुकल्पस्तु फणिज्झकादौ ||१२||

The affected person affected by Balasagrathita ought to first be given physique purification via administration of virechana and vamana. Following this, the under talked about Anjana – collyrium must be utilized.

Firstly, Nila Yava i.e. unripe barley must be soaked in cow’s milk. Later it must be dried in daylight and burnt in order to acquire its ash.

This ash must be macerated along with the under talked about components and made into good powder –

–        flowers of Arjaka, Asphota, Kapittha, Bilva, Nirgundi, Jati and

–        Saindhava lavana,

–        Tuttha and

–        Rochana / gorochana

With the assistance of an iron rod, this must be positioned on the swelling of Balasagrathita. The powder of Phanijjaka and so forth. can also be utilized in an analogous method.

Pistaka Cikitsa

महौषधं मागधिकां च मुस्तां ससैन्धवं यन्मरिचं च शुक्लम् |
तन्मातुलुङ्गस्वरसेन पिष्टं नेत्राञ्जनं पिष्टकमाशु हन्यात् ||१३||

The under talked about anjana preparation, when utilized rapidly cures Pistaka.

Substances –

–        Mahaushadha – shuthi,

–        Magadhika – pippali,

–        Musta,

–        Saindhava and

–        Sukla Marica – seeds of Sobhanjana / Shigru

The above stated are macerated within the juice of Matulunga and used as collyrium.

फले बृहत्या मगधोद्भवानां निधाय कल्कं फलपाककाले |
स्रोतोजयुक्तं च तदुद्धृतं स्यात्तद्वत्तु पिष्टे विधिरेष चापि ||१४||
वार्ताकशिग्र्विन्द्रसुरापटोलकिराततिक्तामलकीफलेषु |१५|

The fruits of Brhati that are nonetheless within the stage of ripening must be collected. Their seeds must be eliminated. To this, powder of Pippali and Srotonjana is added and their paste is ready. This paste cures Pistaka when utilized

Equally, the paste of (fruits of) the under talked about components too shall be used –

–        Vartaka,

–        Sigru,

–        Indrasura / Indravaruni,

–        Patola,

–        Kiratatikta and

–        Amalaki

Praklinna vartma cikitsa

कासीससामुद्ररसाञ्जनानि जात्यास्तथा क्षा(को)रकमेव चापि ||१५||
प्रक्लिन्नवर्त्मन्युपदिश्यते तु योगाञ्जनं तन्मधुनाऽवघृष्टम् |

In Praklinna Vartma illness, the collyrium ready by macerating the under talked about components with honey must be utilized –

–        Kasisa,

–        Samudraphena,

–        Rasanjana and

–        Jati flower buds

This recipe would treatment Praklinna Vartma.

नादेयमग्र्यं मरिचं च शुक्लं नेपालजाता च समप्रमाणा ||१६||
समातुलुङ्गद्रव एष योगः कण्डूं निहन्यात् सकृदञ्जनेन |

For fast reduction of itching within the eyes, equal components of the under talked about components must be macerated within the juice of Matulunga and utilized to the eyes as collyrium –

–        Nadeya – Srotonjana,

–        Sukla Marica – seeds of Sigru,

–        Nepala Jata – Manassila

सशृङ्गवेरं सुरदारु मुस्तं सिन्धुप्रभू(सू)तं मुकुलानि जात्याः ||१७||
सुराप्रपिष्टं त्विदमञ्जनं हि कण्ड्वां च शोफे च हितं वदन्ति |

Equally, the under talked about collyrium is useful in curing itching and swelling.

Substances –

–        Srngavera,

–        Suradaru,

–        Musta,

–        Sindhuprabhuta – Saindhava,

–        Jatimukula – buds of Jati

These are macerated along with Sura (beer) and utilized as collyrium.

स्यन्दाधिमन्थक्रममाचरेच्च सर्वेषु चैतेषु सदाऽप्रमत्तः ||१८||
(विशेषतो नावनमेव कार्यं संसर्जनं चापि यथोपदिष्टम् ) ||१९||

The doctor ought to administer all of the remedies talked about and adopted within the contexts of Abhisyanda and Adhimantha in all these ailments with none hesitation. Amongst all, Navana – errhines and Samsarjana – routine of weight loss program talked about to be administered after Sodhana must be adopted in these ailments.

इति सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते शालाक्यतन्त्रे कफाभिष्यन्दप्रतिषेधो नामैकादशोऽध्यायः ||११||

 Thus ends the eleventh chapter by title Kaphabhisyanda Pratisedha in Uttara Sthana of Susruta Samhita.