The twentieth chapter of Chikitsasthana of Sushruta Samhita is called as Kșudraroga Cikitsitam Adhyaya. This chapter offers with Remedy of Remedy of Minor Ailments.
अथातःक्षुद्ररोगचिकित्सितंव्याख्यास्यामः।।१।।
यथोवाचभगवान्धन्वन्तरिः।।२।।
We’ll now expound Kșudraroga Cikitsā — remedy of Minor Ailments; as revealed by the venerable Dhañvañtari.
Ajagallika
तत्राजगल्लिकामामांजलौकोभिरुपाचरेत्।।
शुक्तिश्रुघ्नीयवक्षारकल्कैश्चालेपयेद्भिषक्।।३।।
श्यामालाङ्गलकिपाठाकल्कैर्वाऽपिविचक्षणः।।
पक्वांव्रणविधानेनयथोक्तेनप्रसाधयेत्।।४।।
Firstly the unripe Ajagallika needs to be handled by bloodletting remedy finished by making use of leeches. The leeches would suck the vitiated blood.
After bloodletting, paste of the beneath talked about elements needs to be utilized –
– sukti (sea shell / oyster), srughni (svarjika ksara) and yava ksara or
– syama, langalaki and patha
The ripe type of Ajagallika needs to be supplied with the remedy on the strains of remedy of Vrana (ulcer), as described already in chapter 1.
Añdhālaji and so forth.
अन्धालजीयवप्रख्यांपनसींकच्छपीतथा।।
पाषाणगर्दभंचैवपूर्वंस्वेदेनयोजयेत्।।५।।
मनःशिलातालकुष्ठदारुकल्कैःप्रलेपयेत्।।
परिपाकगतान्भित्त्वाव्रणवत्समुपाचरेत्।।६।।
Beneath talked about are the widespread therapies for Añdhalajī, Yavaprahkhyā, Panasī, Kacchapī and Pāṣāņagardabha –
– firstly they need to be given sudation (fomentation) after which
– paste of manaśśilā, tāla (haritāla), kuştha and devadāru needs to be utilized
As soon as these situations get ripened, they need to be reduce open and handled like vrana – wound.
Vivrta and so forth.
विवृतामिन्द्रवृद्धांचगर्दभीजालगर्दभम्।।
इरिवेल्लीगन्धनाम्नीकक्षाविस्फोटकांस्तथा।।७।।
पित्तजस्यविसर्पस्यक्रिययासाधयेद्भिषक्।।
रोपयेत्सर्पिषापक्वान्सिद्धेनमधुरौषधैः।।८।।
The beneath talked about situations needs to be handled on the strains of treating Pittaja Visarpa –
– Vivrta,
– Andhalaji,
– Gardabhi,
– Jalagardabha,
– Irivelli,
– Gandhanāma,
– Kaksa and
– Visphota
Ghee ready from madhura aushadhas i.e. herbs predominantly having candy style needs to be used to result in therapeutic of the injuries.
Cippa – Kunakha
चिप्पमुष्णाम्बुनासिक्तमुत्कृत्यस्रावयेद्भिषक्।।
चक्रतैलेनचाभ्यज्यसर्जचूणेनचूर्णयेत्।।९।।
बन्धेनोपचरेच्चैनमशक्यंचाग्निनादहेत्।।
मधुरौषधसिद्धेनततस्तैलेनरोपयेत्।।१०।।
कुनखेविधिरप्येषकार्योहिभिषजाभवेत्।।
उपाचरेदनुशयींश्लेष्मविद्रधिवद्भिषक्।।११।।
Beneath talked about are the steps during which Cippa needs to be handled –
– Cippa needs to be bathed with scorching water following which
– the unhealthy muscle tissues needs to be excised and the pus and different contaminants in it needs to be drained out after which
– it needs to be anointed with Cakra Taila after which
– the powder of Sarja Ksara is put into the wound and it’s bandaged, and
– cauterization (burning with fireplace) needs to be finished if the above talked about measures should not potential to do following which,
– it’s made to heal with the oil ready utilizing herbs having candy style
The identical therapies must also be used to deal with Kunakha additionally.
Kunakha additionally needs to be given the identical remedy.
The doctor ought to deal with Anusayi on the strains of treating Kaphaja Vidradhi.
Vidārikā
विदारिकांसमभ्यज्यस्विन्नांविम्लाप्यलेपयेत्।।
नगवृत्तिकवर्षाभूबिल्वमूलैःसुपेषितैः।।१२।।
व्रणभावगतायांवाकृत्वासंशोधनक्रियाम्।।
रोपणार्थहितंतैलंकषायमधुरैःशृतम्।।१३।।
प्रच्छानैर्वाजलौकोभिःस्राव्याऽपक्वाविदारिका।।
अजकर्णैःसपालाशमूलकल्कैःप्रलेपयेत्।।१४।।
पक्वांविदार्यशस्त्रेणपटोलपिचुमर्दयोः।।
कल्केनतिलयुक्तेनसर्पिमिश्रेणलेपयेत्।।१५।।
बद्ध्वाचक्षीरवृक्षस्यकषायैःखदिरस्यच।।
व्रणंप्रक्षालयेच्छुद्धांततस्तारोपयेत्पुनः।।१६।।
Whereas treating Vidarika, it ought to first be anointed (snehana) adopted by administration of fomentation (swedana).
Later it needs to be kneaded effectively and utilized with the paste of the beneath talked about elements macerated effectively –
– nāgavrttika (jiñginī or vrșcikäli),
– varsabhu and
– root of bilva
As soon as Vidarika turns into a wound, it needs to be cleaned. For cleansing the wound, oil ready with herbs predominantly has astringent and candy tastes.
Incision technique or software of leeches needs to be used for taking out the blood (bloodletting) in case of unripe Vidarika.
Later, paste of Ajakarna and root of Palasa needs to be utilized on it.
If the Vidarika is ripened, it needs to be reduce open with a pointy instrument. After opening it, the paste of Patola, Picumarda and Tila combined with ghee needs to be utilized and bandaged.
Decoction of Ksiri Vrksa (Pancavalkala – timber yielding milky sap) and Khadira needs to be used to wash the wound after which the wound is made to heal.
Sarkarārbuda and so forth.
मेदोऽर्बुदविधानेनसाधयेच्छर्करार्बुदम्।।
कच्छूविचर्चिकांपामांकुष्ठवत्समुपाचरेत्।।१७।।
लेपश्चशस्यतेसिक्थशताह्वागौरसर्षपैः।।
वचादासिर्षपैर्वातैलंवानक्तमालजम्।।१८।।
सारतैलमथाभ्यङ्गेकुर्वीतकटुकैःशृतम्।।
Śarkarārbuda needs to be handled on the strains of treating Medoja Arbuda (as defined in chapter 11).
Kacchu, Vicarcika and Pama needs to be handled on the strains of treating Kustha (as defined in chapter 5).
Paste of the beneath talked about needs to be used for software –
– Siktha (bee wax), Satahva and Gaura Sarsapa or
– Vaca, Darvi and Sarsapa
For anointing, oil of Nakramala needs to be used. Alternatively oil of Sala boiled with Katuka shall be used for a similar function.
Pādadārī
पाददार्यांसिरांविद्ध्वास्वेदाभ्यङ्गौप्रयोजयेत्।।१९।।
मधूच्छिष्टवसामज्जसचूर्णघृतैःकृतः।।
यवाह्वगैरिकोन्मित्रैःपादलेपःप्रशस्यते।।२०।।
In Pādadāri, fomentation and anointing with oil (therapeutic massage, exterior oleation) needs to be finished at first adopted by venepuncture.
Paste of the beneath talked about elements added with ghee needs to be utilized to the ft –
– madhūcista,
– vasā,
– majja,
– powder of sarjakşāra,
– yavāhva (yavaksāra) and
– gairika
That is thought of as one of the best recipe for Padadari.
Alasa
पादौसिक्त्वाऽऽरनालेनलेपनंह्यलसेहितम्।।
कल्कीकृतैर्निम्बतिलकासीसालैःससैन्धवैः।।२१।।
लाक्षारसोऽभयावाऽपिकार्यस्याद्रक्तमोक्षणम्।।
सिद्धंरसेकण्टकार्यास्तैलंवासार्षपंहितम्।।२२।।
कासीसरोचनशिलाचूर्णैर्वाप्रतिसारणम्।।
Beneath talked about measures needs to be finished within the remedy of Alasa,
– Ft of the affected person is washed with aranala i.e. fermented rice wash following which
– paste of nimba, tila, kāsīsa, āla, and saindhava or paste of läksärasa and abhayā is utilized
– bloodletting needs to be finished and
– oil ready from Kantakari and Sarsapa is used and
– for filling the wound, powder of Kasisa, Gorocana and Sila (Manasila) is used
Kadara
उत्कृत्यदग्ध्वास्नेहेनजयेत्कदरसंज्ञकम्।।२३।।
Kadara needs to be eliminated utilizing a pointy instrument (surgical elimination). After its elimination, the positioning needs to be burnt with scorching oil.
Iñdralupta
इन्द्रलुप्तेसिरांमूलिस्निग्धस्विन्नस्यमोक्षयेत्।।
कल्कैःसमरिचैर्दिह्याच्छिलाकासीसतुत्थकैः।।२४।।
कुटन्नटदारुकल्कैर्लेपनंवाप्रशस्यते।।
प्रच्छयित्वाऽवगाढंवागुञ्जाकल्कैर्मुहुर्मुहुः।।२५।।
लेपयेदुपशान्त्यर्थंकुर्याद्वाऽपिरसायनम्।।
मालतीकरवीराग्निनक्तमालविपाचितम्।।२६।।
तैलमभ्यञ्जनेशस्तमिन्द्रलुप्तापहंपरम्।।
In Indralupta i.e. Alopacea areta, after anointing and offering fomentation, the vein of the scalp needs to be punctured.
After this, the pores and skin needs to be mildly incised following which one of many beneath talked about pastes needs to be utilized –
– paste ready from Marica, Manassila and Tutthaka or
– paste ready from Kutannata and Devadaru
After doing a deep incision, the paste of Gunja can also be utilized.
This situation must also be handled by adopting Rasayana.
Oil ready with the beneath talked about elements is one of the best one for anointing for the treatment of indralupta –
– Malati,
– Karavira,
– Agni and
– Naktamala
Arūmşikā
अरूषिकांहृतेरक्तेसेचयेन्निम्बवारिणा।।२७।।
दिह्यात्सैन्धवयुक्तेनवाजिविष्ठारसेनतु।।
हरितालनिशानिम्बकल्कैर्वासपटोलजैः।।२८।।
यष्टीनीलोत्पलैरण्डमार्कवैर्वाप्रलेपयेत्।।
इन्द्रलुप्तापहंतैलमभ्यङ्गेचप्रशस्यते।।
In Arumsika, bloodletting needs to be finished. Following this, the lesion needs to be washed with decoction of Nimbi.
Following this, contemporary horse dung is collected and its juice extracted. The world of the lesion is smeared with this juice added with Saindhava, paste of Haritala, Nisa, Nimba and Patola.
Alternatively, paste of Yasti, Nilotpala, Eranda and Markava is utilized
The oil talked about above for the treatment of Indralupta can also be one of the best one for anointing in Arumsika too.
Darunaka
सिरांदारूणकेविद्धवास्निग्धस्विन्नस्यमूर्धनि।।२९।।
अवपीडंशिरोबस्तिमभ्यङ्गंचप्रयोजयेत्।।
क्षालनेकोद्रवतृणक्षारतोयंप्रशस्यते।।३०।।
In Dāruņaka, after anointing and offering fomentation to the top, the vein therein needs to be punctured.
After this, the beneath talked about therapies needs to be finished –
– avapida nasya – nasal drops,
– sirobasti – oil pooling over the top and
– abhyanga – therapeutic massage with medicated oil
Decoction of the beneath talked about needs to be used for laundry the top –
– ash of kodrava,
– trna and
– ksara toya – resolution of alkali / ash
Palita
उपरिष्टात्प्रवक्ष्यामिविधिपलितनाशनम्।।
Remedy of palita will probably be described later (in chapter 25).
Masurika
मसूरिकायांकुष्ठघ्नलेपनादिक्रियाहिता।।३१।।
पित्तश्लेष्मविसर्पोक्तिाक्रियावासंप्रशस्यते।।
Within the remedy of Masurika, pastes that are defined to treatment kustha (chapter 5) needs to be used.
Alternatively, therapies indicated for Slesma-Pitta Visarpa i.e. Erysipelas brought on by mixed aggravation of kapha and pitta (vide chapter 17) is taken into account to be one of the best for treating Masurika and therefore needs to be used.
Jatumaņi, Maşaka and Tilakālaka
जतुमणिंसमुत्कृत्यमषकंतिलकालकम्।।३२।।
क्षारेणप्रदहेद्युक्त्यावह्निनावाशनैःशनैः।।
Remedy of Jatumani, Masaka and Tilakalaka consists of excising and eradicating them. Later, the realm needs to be typically burnt both with ksara – caustic alkali or agni – fireplace.
Nyacca, Vyanga and Nilika
न्यच्छेव्यङ्गेसिरामोक्षोनीलिकायांचशस्यते।।३३।।
यथान्यायंयथाभ्यासंलालाट्यादिसिराव्यधः।।
घृष्टवादिह्यात्त्वचंपिष्टवाक्षीरिणांक्षीरसंयुताम्।।३४।।
बलातिबलयष्टयाह्वरजनीर्वाप्रलेपनम्।।
पयस्यागुरुकालीयलेपनंवासगैरिकम्।।२५।।
क्षौद्राज्ययुक्तयालिम्पेइंष्ट्रयाशूकरस्यच।।
कपित्थराजादनयोःकल्कंवाहितमुच्यते।।३६।।
In Nyaccha, Vyañga and Nīlika, the beneath talked about therapies needs to be finished –
It’s best to conduct puncturing of vein within the brow and so forth. as discovered appropriate and handy, after which
After vein puncture, the pores and skin needs to be roughly rubbed.
Now pastes of the beneath talked about could also be utilized over the lesion as discovered handy and out there –
- Paste of bark of timber yielding milk sap added with their very own milk sap needs to be utilized or
- Paste of the beneath talked about needs to be utilized –
– bala,
– atibala,
– yastyahva and
– rajani or
- Paste of the beneath talked about elements needs to be utilized –
– payasyā,
– aguru,
– kālīyaka and
– gairika
- Paste of a boar tusk (canine tooth) combined with honey and ghee could be utilized or
- Paste of kapittha and rājādana added with ghee and honey is helpful
Yuvānapidaka
यौवनेपिडकास्वेषविशेषाच्छर्दनंहितम्।।
लेपनंचवचारोधसैन्धवैःसर्षपान्वितैः।।३७।।
कुस्तुम्बुरुवचालोध्रकुष्ठैर्वालेपनंहितम्।।
The identical therapies are appropriate for treating Yuvanapidaka. Primarily inducing vomiting will probably be wanted.
Making use of the paste ready by the beneath talked about elements is helpful in remedy of Yuvanapidaka –
– Vaca,
– Rodhra,
– Saindhava and
– Sarsapa
Applicaiton of the paste of the beneath talked about too is beneficial –
– Kustumburu,
– Vaca,
– Lodhra and
– Kustha
Padminikanțaka
पद्मिनीकण्टकेरोगेछर्दयेन्निम्बवारिणा।।३८।।
तेनैवसिद्धंसक्षौद्रंसर्पि:पानंप्रदापयेत्।।
निम्बारग्वधयोःकल्कोहितउत्सादनेभवेत्।।३९।।
Padminīkantaka needs to be handled within the beneath talked about strategies –
– Decoction of Nimba needs to be used to induce vomiting.
– For consuming functions, ghee ready with Nimba added with honey is one of the best.
– For therapeutic massage, paste of Nimba and Aragvadha needs to be used.
Parivartika
परिवृत्तिंघृताभ्यक्तांसुस्विन्नामुपनाहयेत्।।
ततोऽभ्यज्यशनैश्चर्मचानयेत्पीडयेन्मणिम्।।४०।।
प्रविष्टेचमणौचर्मस्वेदयेदुपनाहनैः।।
त्रिरात्रंपञ्चरात्रंवावातघ्नःसाल्वणादिभिः।।४१।।
दद्याद्वातहरान्बस्तीन्स्निग्धान्यन्नानिभोजयेत्।।
Ghee needs to be used for anointing in Parivartika. After this, heat poultice needs to be tied.
Subsequent, Parivartika needs to be as soon as once more anointed. The pores and skin of the prepuce of penis needs to be pulled ahead slowly and the glans penis is pushed in.
Heat poultice needs to be tied for 3 or 5 days after the glans penis has gone into the pores and skin. Vata mitigating herbs or Salvana Upanaha needs to be used to arrange the poultice.
Enemas which mitigate Vata needs to be administered.
The affected person is suggested to devour meals that are unctuous.
Avapāțika
अवपाटिकांजयेदेवंयथादोषंचिकित्सकः।।४२।।
Equally, the doctor ought to deal with Avapatika additionally in accordance with the aggravated dosha.
Niruddhaprakaśa
निरुद्धप्रकशेनाडीलौहीमुभयतोमुखीम्।।
दारवींवाजतुकृतांघृताभ्यक्तांप्रवेशयेत्।।४३।।
परिषेकेवसामज्जशिशुमारवराहयोः।।
चक्रतैलंतथायोज्यंवातघ्नद्रव्यसंयुतम्।।४४।।
त्र्यहाज्यहात्स्थूलतरांसम्यगाडीप्रवेशयेत्।।
स्रोतोविवर्धयेदेवंस्निग्धमन्नंचभोजयेत्।।४५।।
भित्त्वावासेवनींमुक्त्वासद्यःक्षतवदाचरेत्।।
In Niruddhaprakaśa a tube with opening at each ends needs to be taken. This tube ought to have been produced from iron, wooden or lac. This tube needs to be smeared with ghee after which launched into the urethra.
The penis needs to be bathed with one of many beneath talked about –
– fats or marrow of dolphin or boar or
– cakra taila boiled and ready with vata mitigating herbs
To widen the urethral passage, a thicker tube needs to be inserted after each three days.
The affected person is suggested to take unctuous meals.
Alternatively, the raphae below the penis needs to be reduce open after which handled like a wound.
Sanniruddhaguda, Valmīka and Agnirohiņī
सन्निरुद्धगुदंरोगंवल्मीकंवह्निरोहिणीम्।।४६।।
प्रत्याख्याययथायोगंचिकित्सितमथाचरेत्।।
विसर्पोक्तेनविधिनासाधयेदग्निरोहिणीम्।।४७।।
सन्निरुद्धगुदेयोज्यानिरुद्धप्रकशक्रिया।।
If the affected person is affected by illnesses like sanniruddha guda, valmika and agnirohini, the incurability of those situations needs to be intimated to the affected person and his / her attendants after which handled.
Agnirohini needs to be handled on the strains of treating Visarpa (ch.17).
Likewise, Sanniruddha Guda needs to be handled on the strains of treating Niruddhaprakasha.
Valmika
शस्त्रेणोत्कृत्यवल्मीकंक्षाराग्निभ्यांप्रसाधयेत्।।४८।।
विधानेनार्बुदोक्तेनशोधयित्वाचरोपयेत्।।
वल्मीकंतुभवेद्यस्यनातिवृद्धममर्मजम्।।४९।।
तत्रसंशोधनंकृत्वाशोणितंमोक्षयेद्भिषक्।।
कुलत्थिकायामूलैश्चगुडूच्यालवणेनच।।५।।
आरेवतस्यमूलैश्चदन्तीमूलैस्तथैवच।।
श्यामामूलैःसपललैःसक्तुमित्रैःप्रलेपयेत्।।५१।।
सुस्निग्धैश्चसुखोष्णैश्चभिषक्तमुपनाहयेत्।।
पक्वंवातद्विजानीयाद्गतीःसर्वायथाक्रमम्।।५२।।
अभिज्ञायततश्छित्त्वाप्रदहेन्मतिमान्भिषक्।।
संशोध्यदुष्टमांसानिक्षारेणप्रतिसारयेत्।।५३।।
व्रणंविशुद्धंविज्ञायरोपयेन्मतिमान्भिषक्।।
सुमनाग्रन्थयश्चैवभल्लातकमनःशिले।।५४।।
कालानुसारीसूक्ष्मैलाचन्दनागुरुणीतथा।।
एतैःसिद्धंनिम्बतैलंवल्मीकेरोपणंहितम्।।५५।।
पाणिपादोपरिष्टात्तुछिद्रैर्बहुभिरावृतम्।।
वल्मीकंयत्सशोफंस्याद्वयंतत्तुविजानता।।५६।।
Valmīka needs to be excised (reduce) with the assistance of a pointy instrument. Later, it needs to be cleared by making use of ksara – caustic alkali or agni – fireplace. It needs to be finished in the identical method as described within the remedy of arbuda in 18th chapter. Later it’s made to heal.
Valmika with the beneath talked about options needs to be cleansed effectively adopted by bloodletting –
– that which has grown to very massive dimension and
– that which isn’t located on any marma – deadly spot
Paste of one of many beneath talked about needs to be utilized unctuous on the Valmika and heat poultice needs to be tied –
– root of kulathika and guduci added with saindhava lavana or
– root of arevata, root of danti and syama added with palala i.e. sesame paste and saktu (corn flour)
The clever doctor ought to examine the sinuses after it turns into ripe i.e. as soon as pus is shaped. Later he ought to reduce them open with the assistance of a pointy instrument. He ought to cauterize it effectively many instances, take away the vitiated muscle tissues and clear it by making use of ksara – alkalies.
The smart doctor ought to make the wound heal after having famous that it has develop into clear.
Nimba Taila cooked and processed with the beneath talked about elements is helpful to heal Valmika –
– sumanā,
– grañthiparņi,
– bhallātaka,
– manaśśilā,
– kālānusāri,
– sūksmaila,
– candana and
– aguru
Valmika needs to be rejected when –
– it’s located on arms and ft,
– it has many sinuses of pus and
– it’s related to swelling / oedema
Ahipūtanā
धात्र्याःस्तन्यंशोधयित्वाबालेसाध्याऽहिपूतना।।
पटोलपत्रत्रिफलारसाञ्जनविपाचितम्।।
पीतंघृतंनाशयतिकृच्छ्रामप्यहिपूतनाम्।।
त्रिफलाकोलखदिरकषायंव्रणरोपणम्।।५८।।
कासीसरोचनातुत्थहरितालरसाञ्जनैः।।
लेपोऽम्लपिष्टोबदरीत्वग्वासैन्धवसंयुता।।५९।।
कपालतुत्थजंचूर्णंचूर्णकालेप्रयोजयेत्।।
Ahiputana is a situation which happens in kids. It needs to be handled after purifying the breast milk of the mom.
Ghee cooked with the beneath talked about elements would treatment even these instances of Ahiputana that are troublesome to treatment, when consumed –
– patolapatra,
– triphalā and
– rasāñjana
Decoction ready with the beneath talked about herbs would heal the injuries –
– triphala,
– kola and
– khadira
For software, beneath talked about recipes needs to be used –
– Kāsīsa, gorocana, tuttha, haritāla and rasāñjana or
– Bark of badari added with saiñdhava – rock salt, macerated with any bitter juice
On the stipulated time, powder of Kapala – potsherd and Tuttha needs to be sprinkled.
Muşka Kacchū
चिकित्सेन्मुष्ककच्छूचाप्यहिपूतनपामवत्।।६०।।
Muskak kacchū needs to be handled on the strains of treating ahipūtana and pāmā.
Gudabhramsa
गुदभ्रंशेगुदंस्विन्नंस्नेहाभ्यक्तंप्रवेशयेत्।।
कारयेद्गोफणाबन्धंमध्यच्छिद्रेणचर्मणा।।६१।।
विनिर्गमार्थंवायोश्चस्वेदयेच्चमुहुर्मुहुः।।
क्षीरेमहत्पञ्चमूलंमूषिकांचान्त्रवर्जिताम्।।६२।।
पक्त्वातस्मिन्पचेत्तैलंवातघ्नौषधसंयुतम्।।
गुदभ्रंशमिदंकृच्छूपानाभ्यङ्गात्प्रसाधयेत्।।६३।।
Gudabhramsa needs to be handled within the beneath talked about methods –
– the prolapsed portion of rectum needs to be anointed with oils, fomentation administrated and slowly pushed in after which
– Gophana sort of bandage needs to be tied, the bandage having gap in its middle for expulsion of flatus and
– fomentation needs to be ceaselessly given
– and Musika Taila needs to be used for consuming and anointing
Musika Taila – Musika means mice. The beneath talked about elements needs to be boiled collectively and medicated oil is ready utilizing milk and decoction of vata mitigating herbs –
– Milk,
– herbs belonging to Mahat Pancamula group and
– Musika – mice, whose intestines have been eliminated
Advantages – This Musika Taila needs to be used for consuming and exterior software i.e. anointing. When finished, it cures even these instances of Gudabhramsa that are troublesome to treatment.
इतिसुश्रुतसंहितायांचिकित्सास्थानेक्षुद्ररोगचिकित्सितंनामविंशोऽध्यायः।।२०।।
Thus ends the 20th chapter by title Kșudraroga Chikitsa in Cikitsā Sthāna of Suśruta Samhita.
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