Now we shall describe the mode of using Bhallátaka in cases of haemorrhoids.
* Some are of opinion that the Rishis do not read this line. But as Gayadása explains it, so Dallana, he tells us, also does the same.
† A physician should apply this medicine after a due consideration and according to the physical condition of the patient,
A ripe and fresh Bhallátaka should be cut into two, three or four pieces and a decoction should be made of them in the usual way. The patient should be made to drink four Tola weight of this cold every morning after lubricating or anointing his tongue, palate and lips with clarified butter, and should take his chief meal with milk and clarified butter in the afternoon. The number of Bhallátakas in preparing the decoction should be increased by one ever)' day till the fifth day, (and the quantity of the decoction to be drunk by the patient should be similarly increased). After that, the number of Bhallátakas (and consequently the quantity of the decoction to be taken) should be increased by five every day. This method should be followed till the number of the Bhallátakas reaches seventy, after which it should be decreased every day by five until it is reduced to five Bhallátakas only (and five Sukti measures of the decoction). Subsequently the number of Bhallátaka (and the dose) should be diminished by one (and one Sukti measure respectively) every day,until it is reduced to the original one (and one Sukti measure). By taking a thousand Bhallátakas in this manner, one may get rid of an attack of any kind of Kushtha and Ars'as, and, having become strong and healthy, may live for one hundred years. 16.
The oil extracted from or pressed out of Bhallátakas, in the manner laid down in the chapter on Dvi-vrana, should be taken in a dose of one Sukti (four Tolás) every morning. The patient, as in the preceding case, should take his meal (of boiled rice, milk and clarified butter) after the digestion of the oil with a similar good effect. As an alternative, oil should be extracted from the marrow of Bhallátakas and the patient, after cleansing his system with emetics and purgatives, etc., and regulating his diet in the order of Peyá, etc. should enter into a spacious chamber, protected from the blasts of the winds and take two Palas, or one Pala weight of the oil according to his strength A meal of boiled rice, milk and clarified butter, etc. should be taken after the oil had been fully digested. The oil should be continued, in this way, for a month, the regimen of diet should be strictly observed for a period of three months and the patient should abstain from anger, etc. during this period. The use of this oil, in the above mentioned way, not only ensures a radical cure of the disease with all its complications, but would increase the duration of life to a hundred years with the glow of youth and health and with an increment in the powers of memory, retention and wisdom. The application of this oil for every one month will extend one's life for a period of one hundred years. In the same way a continuous use for ten months would enable him to live for a thousand years. 17.
Vrikshaka (Kutaja) and Bhallátaka * prove as much curative in cases of all kinds of haemorrhoids, as Kshadira and Vijaka are effective in cases of cutaneous affections (Kushtha). Cauterization with fire, or with an alkali, proves as much palliative in cases of external haemorrhoids as turmeric proves soothing in those of Prameha. 18-19.
Medicated Ghritas, appetising drugs, electuaries, medicinal wines, Ayaskriti and Asava should be prescribed in cases of haemorrhoids, according to the nature and intensity of the Doshas involved therein. Voluntary suppression of any natural urgings of the body, sexual intercourse, riding on horse-back, etc., sitting on the legs and such diets as would aggravate the Doshas, should be avoided in cases of haemorrhoids. 20-21.
* Boiled with sixteen times of water in the event of the Bhallátaka being dry, otherwise with eight times of water only.
Thus ends the sixth Chapter in the Chikitsita Sthánam of the Sus'ruta Samhitá which deals with the medical treatment of Ars'as.