atonic condition of the anus results from a long-standing attack of Atisára which should, therefore, be remedied by rubbing the part with oil. 64-65.
Diet:— The diet of the patient suffering from Atisára should be prepared with the admixture of Kapittha, Śálmali, Phanji (a kind of Páthá), Vana-Kárpâsi (D. R. Vata and Kárpási), Dádima, Yuthiká, Kachchhurd, Śelu, Śana, Chuchchu, Dadhi (curd), Śála-parni, Priśniparni, Vrihati, Kanta-káriká, Valá, S'vadamstrá, Vilva, Páthá, Nágara and Dhanyáka and may also consists of the pastes of sesamum and Mudga pulse or of Mudga soup. 66.
Causes and Symptoms of Raktátisára: — The bodily Pitta of a person already suffering from an attack of Pittaja-Atisdra is further deranged and aggravated, if Pitta-generating eatables are taken, and ushers in the discharge of blood with stool accompanied by fever, burning sensation, thirst, gripings (Śula) and excessive suppuration (inflamation) of the anus (Guda). The above are the characteristies of the Raktáti-sára. 67.
Treatment:— Draughts of milk duly boiled and cooked with the leaves of Vata, etc. (those included within the Nyagrodhádi group) should be given with clarified butter, or with sugar and honey in a case marked by a discharge of blood before or after motions; or the butter prepared by stirring the preceding preparation of milk should be taken; and draught of the Takra (thus prepared) should be taken as an after-potion. The discharge of blood (in a case of Atisára) may be stopped by a potion consisting of the barks of Piyála, Śálmali, Plaksha, Śallaki, and of Tiniśa pasted together with milk and mixed with honey. The same result is obtained by administering the milk of a she-
