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→Complications and management
हृद्रोगो विद्रधिः प्लीहा गुल्मोऽतीसार एव च ||२३६||
हृद्रोगो विद्रधिः प्लीहा गुल्मोऽतीसार एव च ||२३६||
भवन्त्युपद्रवास्तेषामावृतानामुपेक्षणात् |
भवन्त्युपद्रवास्तेषामावृतानामुपेक्षणात् |
तस्मादावरणं वैद्यः पवनस्योपलक्षयेत् ||२३७||
तस्मादावरणं वैद्यः पवनस्योपलक्षयेत् ||२३७||
पञ्चात्मकस्य वातेन पित्तेन श्लेष्मणाऽपि वा |
पञ्चात्मकस्य वातेन पित्तेन श्लेष्मणाऽपि वा |
भिषग्जितमतः सम्यगुपलक्ष्य समाचरेत् ||२३८||
भिषग्जितमतः सम्यगुपलक्ष्य समाचरेत् ||२३८||
अनभिष्यन्दिभिः स्निग्धैः स्रोतसां शुद्धिकारकैः |
अनभिष्यन्दिभिः स्निग्धैः स्रोतसां शुद्धिकारकैः |
कफपित्ताविरुद्धं यद्यच्च वातानुलोमनम् ||२३९||
कफपित्ताविरुद्धं यद्यच्च वातानुलोमनम् ||२३९||
सर्वस्थानावृतेऽप्याशु तत् कार्यं मारुते हितम् |
सर्वस्थानावृतेऽप्याशु तत् कार्यं मारुते हितम् |
यापना बस्तयः प्रायो मधुराः सानुवासनाः ||२४०||
यापना बस्तयः प्रायो मधुराः सानुवासनाः ||२४०||
प्रसमीक्ष्य बलाधिक्यं मृदु वा स्रंसनं हितम् |
प्रसमीक्ष्य बलाधिक्यं मृदु वा स्रंसनं हितम् |
रसायनानां सर्वेषामुपयोगः प्रशस्यते ||२४१||
रसायनानां सर्वेषामुपयोगः प्रशस्यते ||२४१||
शैलस्य जतुनोऽत्यर्थं पयसा गुग्गुलोस्तथा |
शैलस्य जतुनोऽत्यर्थं पयसा गुग्गुलोस्तथा |
लेहं वा भार्गवप्रोक्तमभ्यसेत् क्षीरभुङ्नरः ||२४२||
लेहं वा भार्गवप्रोक्तमभ्यसेत् क्षीरभुङ्नरः ||२४२||
अभयामलकीयोक्तमेकादशसिताशतम् [१] |
अभयामलकीयोक्तमेकादशसिताशतम् [१] |
अपानेनावृते सर्वं दीपनं ग्राहि भेषजम् ||२४३||
अपानेनावृते सर्वं दीपनं ग्राहि भेषजम् ||२४३||
वातानुलोमनं यच्च पक्वाशयविशोधनम् |
वातानुलोमनं यच्च पक्वाशयविशोधनम् |
इति सङ्क्षेपतः प्रोक्तमावृतानां चिकित्सितम् ||२४४||
इति सङ्क्षेपतः प्रोक्तमावृतानां चिकित्सितम् ||२४४||
प्राणादीनां भिषक् कुर्याद्वितर्क्य स्वयमेव तत् |
प्राणादीनां भिषक् कुर्याद्वितर्क्य स्वयमेव तत् |
पित्तावृते तु पित्तघ्नैर्मारुतस्याविरोधिभिः |
पित्तावृते तु पित्तघ्नैर्मारुतस्याविरोधिभिः |
कफावृते कफघ्नैस्तु मारुतस्यानुलोमनैः ||२४५||
कफावृते कफघ्नैस्तु मारुतस्यानुलोमनैः ||२४५||
hRudrogo vidradhiH plIhA gulmo~a’tīsāra eva ca ||236||
hRudrogo vidradhiH plIhA gulmo~a’tīsāra eva ca ||236||
bhavantyupadravAsteShAmAvRutAnAmupekShaNAt |
bhavantyupadravAsteShAmAvRutAnAmupekShaNAt |
tasmAdĀvaranaM vaidyaH pavanasyopalakṣayaet ||237||
tasmAdĀvaranaM vaidyaH pavanasyopalakṣayaet ||237||
pa~jcAtmakasya vAtena pittena shleShmaNA~api vA |
pa~jcAtmakasya vAtena pittena shleShmaNA~api vA |
bhiShagjitamataH samyagupalakShya samAcaret ||238||
bhiShagjitamataH samyagupalakShya samAcaret ||238||
anabhiShyandibhiH snigdhaiH srotasAM shuddhikArakaiH |
anabhiShyandibhiH snigdhaiH srotasAM shuddhikArakaiH |
kaphapittAviruddhaM yadyacca vātanulomanam ||239||
kaphapittAviruddhaM yadyacca vātanulomanam ||239||
sarvasthānavRute~apyAshu tat kAryaM mArute hitam |
sarvasthānavRute~apyAshu tat kAryaM mArute hitam |
Yāpana bastayaH prAyo madhurAH sAnuvAsanAH ||240||
Yāpana bastayaH prAyo madhurAH sAnuvAsanAH ||240||
prasamIkShya balAdhikyaM mRudu vA sraMsanaM hitam |
prasamIkShya balAdhikyaM mRudu vA sraMsanaM hitam |
rasāyananAM sarveShAmupayogaH prashasyate ||241||
rasāyananAM sarveShAmupayogaH prashasyate ||241||
shailasya jatuno~atyarthaM payasA guggulostathA |
shailasya jatuno~atyarthaM payasA guggulostathA |
lehaM vA bhArgavaproktamabhyaset kShIrabhu~gnaraH ||242||
lehaM vA bhArgavaproktamabhyaset kShIrabhu~gnaraH ||242||
abhayAmalakIyoktamekAdashaśītāshatam [1] |
abhayAmalakIyoktamekAdashaśītāshatam [1] |
apānaenAvRute sarvaM dIpanaM grAhi bheShajam ||243||
apānaenAvRute sarvaM dIpanaM grAhi bheShajam ||243||
vātanulomanaM yacca pakvAshayavishodhanam |
vātanulomanaM yacca pakvAshayavishodhanam |
iti sa~gkShepataH proktamAvRutAnAM cikitśītām ||244||
iti sa~gkShepataH proktamAvRutAnAM cikitśītām ||244||
prānadInAM bhiShak kuryAdvitarkya svayameva tat |
prānadInAM bhiShak kuryAdvitarkya svayameva tat |
pittAvRute tu pittaghnairmArutasyAvirodhibhiH |
pittAvRute tu pittaghnairmArutasyAvirodhibhiH |
kaphAvRute kaphaghnaistu mArutasyAnulomanaiH ||245||
kaphAvRute kaphaghnaistu mArutasyAnulomanaiH ||245||
hr̥drōgō vidradhiḥ plīhā gulmō'tīsāra ēva ca||236||
hr̥drōgō vidradhiḥ plīhā gulmō'tīsāra ēva ca||236||
bhavantyupadravāstēṣāmāvr̥tānāmupēkṣaṇāt|
bhavantyupadravāstēṣāmāvr̥tānāmupēkṣaṇāt|
tasmādāvaraṇaṁ vaidyaḥ pavanasyōpalakṣayēt||237||
tasmādāvaraṇaṁ vaidyaḥ pavanasyōpalakṣayēt||237||
pañcātmakasya vātēna pittēna ślēṣmaṇā'pi vā|
pañcātmakasya vātēna pittēna ślēṣmaṇā'pi vā|
bhiṣagjitamataḥ samyagupalakṣya samācarēt||238||
bhiṣagjitamataḥ samyagupalakṣya samācarēt||238||
anabhiṣyandibhiḥ snigdhaiḥ srōtasāṁ śuddhikārakaiḥ|
anabhiṣyandibhiḥ snigdhaiḥ srōtasāṁ śuddhikārakaiḥ|
kaphapittāviruddhaṁ yadyacca vātānulōmanam||239||
kaphapittāviruddhaṁ yadyacca vātānulōmanam||239||
sarvasthānāvr̥tē'pyāśu tat kāryaṁ mārutē hitam|
sarvasthānāvr̥tē'pyāśu tat kāryaṁ mārutē hitam|
yāpanā bastayaḥ prāyō madhurāḥ sānuvāsanāḥ||240||
yāpanā bastayaḥ prāyō madhurāḥ sānuvāsanāḥ||240||
prasamīkṣya balādhikyaṁ mr̥du vā sraṁsanaṁ hitam|
prasamīkṣya balādhikyaṁ mr̥du vā sraṁsanaṁ hitam|
rasāyanānāṁ sarvēṣāmupayōgaḥ praśasyatē||241||
rasāyanānāṁ sarvēṣāmupayōgaḥ praśasyatē||241||
śailasya jatunō'tyarthaṁ payasā guggulōstathā|
śailasya jatunō'tyarthaṁ payasā guggulōstathā|
lēhaṁ vā bhārgavaprōktamabhyasēt kṣīrabhuṅnaraḥ||242||
lēhaṁ vā bhārgavaprōktamabhyasēt kṣīrabhuṅnaraḥ||242||
abhayāmalakīyōktamēkādaśasitāśatam [14] |
abhayāmalakīyōktamēkādaśasitāśatam [14] |
apānēnāvr̥tē sarvaṁ dīpanaṁ grāhi bhēṣajam||243||
apānēnāvr̥tē sarvaṁ dīpanaṁ grāhi bhēṣajam||243||
vātānulōmanaṁ yacca pakvāśayaviśōdhanam|
vātānulōmanaṁ yacca pakvāśayaviśōdhanam|
iti saṅkṣēpataḥ prōktamāvr̥tānāṁ cikitśītām||244||
iti saṅkṣēpataḥ prōktamāvr̥tānāṁ cikitśītām||244||
prāṇādīnāṁ bhiṣak kuryādvitarkya svayamēva tat|
prāṇādīnāṁ bhiṣak kuryādvitarkya svayamēva tat|
pittāvr̥tē tu pittaghnairmārutasyāvirōdhibhiḥ|
pittāvr̥tē tu pittaghnairmārutasyāvirōdhibhiḥ|
kaphāvr̥tē kaphaghnaistu mārutasyānulōmanaiḥ||245||
kaphāvr̥tē kaphaghnaistu mārutasyānulōmanaiḥ||245||
As a result of neglecting these conditions of occlusions, there occur complications such as cardiac disorders, abscesses, splenic disorders, gulma and diarrhoea. (236-236½)
As a result of neglecting these conditions of occlusions, there occur complications such as cardiac disorders, abscesses, splenic disorders, gulma and diarrhoea. (236-236½)
Therefore, the physician should diagnose the condition of occlusion of the five types of vāta, by vāta, pitta, or kapha. (237-237½)
Therefore, the physician should diagnose the condition of occlusion of the five types of vāta, by vāta, pitta, or kapha. (237-237½)
After having well thought about the proper medications, the physician should treat the patient by measures which are non-abhiṣyandi, unctuous and depurative of body channels. (238-238½)
After having well thought about the proper medications, the physician should treat the patient by measures which are non-abhiṣyandi, unctuous and depurative of body channels. (238-238½)
In condition of occlusion of vāta in all its habitats, taking prompt measures which are vāta anulomana and at the same time not antagonistic to kapha and pitta is beneficial. (239-239½)
In condition of occlusion of vāta in all its habitats, taking prompt measures which are vāta anulomana and at the same time not antagonistic to kapha and pitta is beneficial. (239-239½)
The yāpana enema as well as the sweet unctuous enema is generally beneficial, and if the patient found to be sufficiently strong mild laxatives may be used. (240-240½)
The yāpana enema as well as the sweet unctuous enema is generally beneficial, and if the patient found to be sufficiently strong mild laxatives may be used. (240-240½)
The use of all kinds of rasāyana is highly recommended. A course of shilājatu and a course of guggulu with milk are especially beneficial. (241-241½)
The use of all kinds of rasāyana is highly recommended. A course of shilājatu and a course of guggulu with milk are especially beneficial. (241-241½)
The patient living on milk diet, may take a course of rasāyana told by Bhārgava explained in ‘abhayāmalakī pāda’ containing 4400 tolas (52.8 kg) of sugar. (242-242½)
The patient living on milk diet, may take a course of rasāyana told by Bhārgava explained in ‘abhayāmalakī pāda’ containing 4400 tolas (52.8 kg) of sugar. (242-242½)
In condition of occlusion by apāna, all measures that are dīpana, grāhi, vāta anuloman and which cleanse pakvāśaya constitute the treatment. (243-243½)
In condition of occlusion by apāna, all measures that are dīpana, grāhi, vāta anuloman and which cleanse pakvāśaya constitute the treatment. (243-243½)
Thus has been described in brief the line of treatment in conditions of occlusion of prāna and other types of vāta; the physician should use his own discretion and give the proper treatment. (244-244½)
Thus has been described in brief the line of treatment in conditions of occlusion of prāna and other types of vāta; the physician should use his own discretion and give the proper treatment. (244-244½)
In a condition of occlusion of vāta by pitta, the physician should administer medications curative of pitta and not antagonistic to vāta.
In a condition of occlusion of vāta by pitta, the physician should administer medications curative of pitta and not antagonistic to vāta.
In a condition of occlusion of vāta by kapha, medications curative of kapha and vāta anulomana should be given. (245)
In a condition of occlusion of vāta by kapha, medications curative of kapha and vāta anulomana should be given. (245)