An Atyauanda yoni knows no satisfaction in matters of sexual pleasures. Hemorrhoid growths or polypii due to the aggravation of Kapha and vitiated blood appear on the living membrane of the organ in a Karnini yoni. In an Acharaua yoni a greater quantity of ovum is secreted before the completion of sexual act, and in the other i. e, in an Aticharana yoni the semen is not retained in consequence of over-indulgence. A Sleshmala yoni is very cold and slimy and has a local itching sensation. The first four kinds of this series of vaginal disease (lit. diseased vagina) are also characterised by the actions of the deranged and aggravated Kapha in the locality. 7
The yoni of a woman marked by the nonappearance of the menses, non-development of her breasts and the roughness of the vagina (vaginal canal) which is felt at the time of coition is called a Shandhi. A woman of tender years, who has just passed her girlhood, when ravished by a man with an abnormally developed genital organ, offers the illustration of a Phalini yoni. An extremely dilated vagina is called Mahayoni, while an extremely constricted one is called a Suchivaktra (lit. a vagina with a needle-eyed vulva). The yoni marked with the symptoms of the aggravation of all the three Doshas is said to be a Sarvaja yoni. The four preceding kinds of vaginal malformations or diseases are also due to the concerted action of the three deranged Doshas in the locality and these last (five) kinds of Tridoshaja vaginal diseases are incurable. 8.
The medical treatment of the curable types of vaginal diseases should begin with the administration of a Sneha according to the Dosha involved in each case and applications of properly charged vaginal enemas (Uttara-vasti) should be particularly resorted to. In cases where the yoni (vagina) would feel cold, rough, numbed and be marked by diminished sensibility of its mucous membrane during sexual action it should be fomented, in the manner of Kumbhi-sveda, with the flesh of aquatic and A'nupa animals ; and drugs of the Madhura group mixed with Ves'avara (all described before) should be applied (in the form of poultice) to the part, and plugs of oil-soaked cotton should be constantly retained in the yoni (vagina). Proper vaginal lotions and washes as well as the measures of Purana i.e. medical injection (prepared with the Vayu-subduing drugs) should also be employed ; cooling measures should be adopted in the cases marked by dryness and sucking pain (Osha and Chosa) in the affected locality. The vagina should be filled up with the powders of the five officinal kinds of drug (Pancha-kashaya) in a case, marked by fetour and slimy mucous secretion, and the decoction of the drugs of Rajavrikshadi group should be used in wash-ing. Pindas (balls) of disinfectant (Sodhona, lit. purifying) drugs pasted with cow's urine and saturated with salt, should be inserted into the vagina marked by the discharge of pus. 9 - 12.
A yoni (vagina) marked by an itch and impaired sensibility should be fumigated with the vapour of Vrihati and the two kinds of Haridra taken together, which should be as well inserted and retained in the vagina (in the shape of a plug) . A plug or stick com-posed of a paste of disinfectant (or Sodhana) drugs should be inserted into and retained in a Karnini yoni; and a prolapsing (Prasramsini) yoni should be fomented with hot milk and rubbed with clarified butter. It should then be restored to its proper place and, being pasted with Ves'avara, should be duly bandaged. 13 - 14.
Diet. - Sura, Asava, Arishta, (wines of medicinal drugs) should be prescribed according to the Dosha involved in each case and the patient should be made to take the expressed juice of garlic (Lashuna) every morning and her diet should consist mainly of milk, meat-soup, etc. 15.
We have already described the nature of the medical treatment and the remedial agents to be respectively pursued in and prescribed for diseases of the semen, menstrual complaints, affections of the mammae, impotency, cases of false presentation of child and diseases during the period of pregnancy and motherhood, and all those may be employed with equal benefit in these diseases peculiar to the female sex. Other diseases (such as fever etc.) which may arise from immature delivery should be treated in the manner described in the respective treatment of those diseases in the Uttara Tantra. 16,
Thus ends the thirty-eighth chapter of the Uttara Tantra in the Sus'ruta Samhita which deals with the therapeutics of the female organ of generation.
Here ends the Kaumarabhritya Tantra.