The patient should be treated with old and matured clarified butter, both in a case of (Vátaja) Abhishyanda (Ophthalmia) and (Vátaja) Adhimantha (Conjunctivites). The diseased organ should be then duly * fomented and local venesection resorted to. Then after having effected full purging with the help of a Sneha-vasti (oleaginous enema), such measures as Tarpana, Puta-paka, fumigation, sprinklings (Ás'chyotana) †, snuffing (Nasya), oily washings, Śiro-vasti (errhines) or washing the organ with Kânjika (Amla) or with any decoction prepared with the drugs of the Váyu-subduing group or with that of the flesh of any aquatic (Jalaja) animal, or of one frequenting the marshy places (Ánupa), should be resorted to. A compound consisting of clarified butter, curd, fat and marrow should be applied lukewarm to the affected organ, which should also be covered with a compress or linen soaked with the preced-ing lardacious compound. Milk, Veśavára, Śâlvana Poultice, Porridges (Páyasa), etc., should be used by a physician in poulticing the affected organ. A portion of clarified butter cooked with the decoction of Trip/ia/d, or simply old and matured clarified butter, or milk duly cooked with the drugs of the Vayu-subduing group, or of the first group (viz., Vidári-Gandhádi Gana) should be taken after the meal. 2. A.
* It should be noted that the part of the forehead adjoining the eye and not the eye itself - should be fomented, since fomentation should not be applied directly over the eye.
† Ás'chyotana (Eye-drop) - Consists in dropping into the eye with the two fingers, honey, A'sava, drug-decoction or any oleaginous substance. Its doses are eight drops for scarifying purposes, ten drops for lubricating the part with any oleaginous substance (Snehana), twelve drops for the healing of any local ulcer (Ropana). They should be dropped lukewarm in winter and cold in summer into the eyes. In diseases of Vátaja origin they should be of a bitter taste ; oleaginous in diseases due to the Pitta ; and bitter, - warm and parching in diseases due to Kapha. - Vaidyaka Nighantu as quoted in the Vaidyaka-S'abda-Sindhu. Cf. also Chapter XVIII (Medical Treatment Of Glandular Swellings, Etc. (Granthi), Scurvy (Apachi), Tumour, Etc. (Arvuda) And Goitre (Gala-Ganda)), Uttara-Tantra.
The application of any lardacious substance other than oil cooked with the admixture of the Váyu-subduing drugs will prove beneficial for Tarpana purposes in such cases. The use of medicated Sneha in the shape of Putapáka, Dhuma (fumigation) and Nasya (snuffs) is likewise recommended. Oil (duly) cooked with Sthirá, milk and the drugs of the Madhura group should be employed as a snuff (in such cases). The milk of a she-goat duly cooked with the admixture of the leaves, roots or barks of Eranda plants, or with the roots of Kantakári, should be employed lukewarm in washing (Sechana) the affected organ. A liquid compound containing half milk and half water, and boiled together with Saindkava, Válá, Yasliti-madliu and Pippali, should be used in washing the eye as well as an Aschyotana (eye-drop). A liquid compound consisting of the milk of a she-goat diluted with the addition of water, boiled with the admixture of Hriveta, Chakra (Tagara), Man-jishthd, and Udumbara-barks is considered to be the best eye-drop in cases of there being any pain (Śula) in the eye. 2. B.
A thin plaster compound of Yasthi-madhu, Rajani, Pathyá and Devadáru, pasted together with the milk of a she-goat should be used as an Anjana (collyrium) in a case of acute Ophthalmia (Abhishyanda), and it proves very effective. Gazrika-earth, Saindhava, Krishná, (Pippali) and S'unthi - the quantity of each subsequent one being double of that of the one preceding it in the order of enumeration, should be pasted together with water, made into Gutiká (a large pill) and be likewise applied (to the eye) in the manner of the application of an Aujana. The use of Snaihika (lardacious) Anjana (Collyrium) is beneficial in such cases. These will be duly dealt with later on. 2.
Physicians should likewise adopt this method in treating cases of Anyato-vá'ta and Váta-paryaya. Draughts of (medicated) clarified butter and of milk before the meal, are highly efficacious. Clarified butter duly cooked with (two parts of) Vrikshádani, Kapittha and major Pancha-mula, (one part of) the expressed juice (or decoction) of Karkata and (one part of) milk should be taken in such cases *. In the alternative, Ghrita duly cooked with (the decoction of) Pattura, Agnika (Ajamodá) and Ártagala and with milk, or clarified butter duly cooked with milk and (the decoction of) Mesha-s'ringi, or of Viratara should be similarly taken. 3.