The roots of Sapta-parna, Karanja, Arka, Málati, Karavira, Suuhi, S'irisha, Chitraka and Asphotá as well as of Visha (aconite root), Lángala, Vajrákhya (mica), sulphate of iron, Haritála, Manah-s ilá Karanja-seeds, Trikatu, Triphalá, the two kinds of Haridrá, white mustard-seeds, Vidanga and Prapunnáda should be pasted together with the urine of a cow. The paste thus prepared should be cooked in an adequate quantity of oil.* This oil known as the Vajraka-Taila, used as uguents, proves remedial to Kushtha etc., sinus and malignant ulcers in general. 34.
Thed stances known as white mustard-seeds (Siddhárthaka), the two kinds of Karanja, the two kinds of Haridrá, Rasánjana, Kutaja, Prapunnáda, Sapta-parna, Mrigádani Lákshá, Sarja-rasa, Arka, Asphotá, Aragvadha, Snuhi, S'irisha, Tuvara, Kutaja, Arushkara, Vacha, Kushtha, Vidanga, Manjishthá, Lángali, Chitraka, Málati, Katu-tumbi, Gandháhá, Mulaka, Saindhava, Karavira, Griha-dhuma, Visha (aconite), Kampillaka, Sindura (mercuric oxide), Tejokvá and sulphate of copper should be taken in equal parts and made into a paste. This paste (Kalka) should be cooked with either Karanja-oil or mustard-oil †, both of which have great curative potency, with double the quantity of cow's urine. It may also be prepared with sesamum-oil, but in this case four times as much of cow's urine should be taken. As an anointment it is undoubtedly efficacious in a case of Kushtha of whatsoever type as well as in cases of scrofula, fistula-in-ano, sinus and malignant ulcers. This oil is known by the name of Mahá-Vajraka oil and is possessed of supreme and unquestionable efficacy. 35.
* S'ivadása, the commentator on chakradatta, asserts, on the authority of Vágbhata, that the oil should be sesamum-oil and it should be boiled with cow's urine.
† According to Gayadása mustard-oil should be used.
The drugs which constitute the Lákshádi group should be pasted with an adequate quantity of cow's urine and cooked * with scsamum-oil and mixed with Pitta cow's bile). The oil, thus prepared, should be preserved for a week inside the body of a Katukálávu. The oil should be taken out (after this period) and the patient should use it both internally and externally (in an adequate quantity). After doing this, he should expose himself to the heat of the sun whereby all the Doshas would be eliminated from his organism. After the complete elimination of the Doshas from the system, the patient should be removed from the sun and bathed with a decoction † of Khadira, and a gruel, prepared with the decoction of Khadira, should be given him as diet. Similarly, oil or clarified butter boiled and prepared with the drugs constituting the Sams'odhana group (mentioned in chap, xxxix, Sutra.) or with the drugs possessing anti-Kushtha properties should be used as hot plasters and rubbings (in the diseased localities) Purgatives should be administered every morning with good results. The preceding remedies should be taken and continued for five, six, seven, or eight days, or till the Doshas of the system producing the disease are not perfectly eliminated. As an alternative, camel's urine and after its full digestion, camel's milk should be taken. Even parasitic types of Kushtha are sure to disappear within six months (under the course of this treatment). 36.
* In cooking the oil, cow's urine weighing four times of oil should be taken. - Dallana.
A Kushtha-patient desirous of being perfectly cured should constantly use preparations of Khadira in his drinks, food, bath, etc. Khadira, if properly used, is potent enough to curb the virulence of the disease in the same proportion as the latter is in invading the successive strata of the human organism and ultimately in bringing on the death of the patient. 37.
The paring of the nails and shaving the hair off, light physical exercise, the use of wholesome food, regularity in using medicines, abstinence from wine, women and meat-diet are the rules of conduct which should be strictly observed by a patient affected with Kushtha. With the strict observance of the above rules a Kushtha-patient may be expected to recover. 38.
Thus ends the ninth Chapter of the Chikitsita Sthánam in the Sus'ruta Samhitá which deals with the medical treatment of Kushtha.