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Kasa Chikitsa (view source)

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{{#seo:

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|title=Kasa Chikitsa

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|titlemode=append

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|keywords=kasa, cough, treatment of cough, respiratory diseases, kshataja, kshayaja, Snehapana, vamana, virehna, vairechanika nasya (nasal catarrhal), dhumapana (medicated cigarettes)

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|description=Chikitsa Sthana Chapter 18. Management of Kasa (Cough of various origins)

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}}

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<big>'''[[Chikitsa Sthana]] Chapter 18. Management of Kasa (Cough of various origins) </big>'''

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=== Sanskrit Text, Transliteration and English Translation ===

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अथातः कासचिकित्सितं व्याख्यास्यामः ||१||

इति ह स्माह भगवानात्रेयः ||२||

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athātaḥ kāsacikitsitaṁ vyākhyāsyāmaḥ||1||

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iti ha smAha bhagavAnAtreyaH||2||

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</div></div>

Atreya said, we will now describe the chapter on the treatment of ''kasa''.[1]

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तपसा यशसा धृत्या धिया च परयाऽन्वितः |

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वातादिजास्त्रयो ये च क्षतजः क्षयजस्तथा |

पञ्चैते स्युर्नृणां कासा वर्धमानाः क्षयप्रदाः ||४||

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tapasā yaśasā dhr̥tyā dhiyā ca parayā'nvitaḥ|

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vAtAdijAstrayo ye ca kShatajaH kShayajastathA|

pa~jcaite syurnRuNAM kAsA vardhamAnAH kShayapradAH||4||

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</div></div>

Atreya, endowed with power of penance, fame and perseverance and super-intellect expounded the infallible therapies for the treatment of ''kasa''. There are five types of ''kasa''. If exacerbated they may cause ''kshaya''. These five types are ''vataja, pittaja, kaphaja, kshataja'' and ''kshayaja''. [3-4]

==== Premonitory signs ====

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पूर्वरूपं भवेत्तेषां शूकपूर्णगलास्यता |

कण्ठे कण्डूश्च भोज्यानामवरोधश्च जायते ||५||

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pūrvarūpaṁ bhavēttēṣāṁ śūkapūrṇagalāsyatā|

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pUrvarUpaM bhavetteShAM shUkapUrNagalAsyatA|

kaNThe kaNDUshca bhojyAnAmavarodhashca jAyate||5||

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</div></div>

Following are the premonitory signs and symptoms of ''kasa'':

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==== Pathophysiology of ''kasa'' ====

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अधःप्रतिहतो वायुरूर्ध्वस्रोतःसमाश्रितः |

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नेत्रे पृष्ठमुरःपार्श्वे निर्भुज्य स्तम्भयंस्ततः |

शुष्को वा सकफो वाऽपि कसनात्कास उच्यते ||८||

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adhaḥpratihatō vāyurūrdhvasrōtaḥsamāśritaḥ|

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netre pRuShThamuraHpArshve nirbhujya stambhayaMstataH|

shuShko vA sakapho vA~api kasanAtkAsa ucyate||8||

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</div></div>

''Vata'' being obstructed in the lower region of the body, moves upwards, afflicts the channels of circulation in the upper part of the body, takes over the function of ''udana vayu'' and gets localized in the throat and chest. Then entering all the cavities in the head, fills them up and causes hunching and convulsive movements of the body, jaws, sides of the neck and eyes. Thereafter this obstructed ''vata'' causes contraction and stiffness of the eyes, back, chest and sides of the chest, gives rise to ''kasa'' which may be dry or with phlegm because of which it is known as ''kasa''.[6-8]

==== Specific features of ''kasa'' ====

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प्रतिघातविशेषेण तस्य वायोः सरंहसः |

वेदनाशब्दवैशिष्ट्यं कासानामुपजायते ||९||

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pratighātaviśēṣēṇa tasya vāyōḥ saraṁhasaḥ|

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pratighAtavisheSheNa tasya vAyoH saraMhasaH|

vedanAshabdavaishiShTyaM kAsAnAmupajAyate||9||

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</div></div>

Specific variations in the pain and sound associated with different types of ''kasa'' are caused by the specific nature of the obstruction (by ''kapha'', etc.) to the force fully moving ''vayu''.[9]

==== Etiological factors, clinical features of ''vataja kasa'' ====

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रूक्षशीतकषायाल्पप्रमितानशनं स्त्रियः |

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स्निग्धाम्ललवणोष्णैश्च भुक्तपीतैः प्रशाम्यति |

ऊर्ध्ववातस्य जीर्णेऽन्ने वेगवान्मारुतो भवेत् ||१३||

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rūkṣaśītakaṣāyālpapramitānaśanaṁ striyaḥ|

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snigdhAmlalavaNoShNaishca bhuktapItaiH prashAmyati|

UrdhvavAtasya jIrNe~anne vegavAnmAruto bhavet||13||

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</div></div>

Following are the causative factors of ''vatika'' type of ''kasa'':

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==== ''Pittaja kasa'' ====

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कटुकोष्णविदाह्यम्लक्षाराणामतिसेवनम् |

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प्रततं कासमानश्च ज्योतींषीव च पश्यति |

श्लेष्माणं पित्तसंसृष्टं निष्ठीवति च पैत्तिके ||१६||

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kaṭukōṣṇavidāhyamlakṣārāṇāmatisēvanam|

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pratataM kAsamAnashca jyotIMShIva ca pashyati|

shleShmANaM pittasaMsRuShTaM niShThIvati ca paittike||16||

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</div></div>

Excessive intake of ''ushna, katu, vidahi, amla'' and ''kshara'' type of ''ahara; krodha, santapa'' , exposure to the heat of the fire and sun are the causative factors of ''pittaja kasa''.

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==== ''Kaphaja kasa'' ====

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गुर्वभिष्यन्दिमधुरस्निग्धस्वप्नाविचेष्टनैः |

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बहुलं मधुरं स्निग्धं निष्ठीवति घनं कफम् |

कासमानो ह्यरुग् वक्षः सम्पूर्णमिव मन्यते ||१९||

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gurvabhiṣyandimadhurasnigdhasvapnāvicēṣṭanaiḥ|

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bahulaM madhuraM snigdhaM niShThIvati ghanaM kapham|

kAsamAno hyarug vakShaH sampUrNamiva manyate||19||

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</div></div>

Intake of heavy to digest, slimy, excessive sweets and oily foods ; excessive sleep and habitual inertia leads to aggravation of ''kapha'' and thereby obstructs the movement of ''vata'' which gives rise to ''kaphaja'' type of ''kasa''.

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==== ''Kshataja kasa'' ====

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अतिव्यवायभाराध्वयुद्धाश्वगजविग्रहैः |

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पर्वभेदज्वरश्वासतृष्णावैस्वर्यपीडितः |

पारावत इवाकूजन् कासवेगात्क्षतोद्भवात् ||२३||

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ativyavāyabhārādhvayuddhāśvagajavigrahaiḥ|

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parvabhedajvarashvAsatRuShNAvaisvaryapIDitaH|

pArAvata ivAkUjan kAsavegAtkShatodbhavAt||23||

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</div></div>

Excessive indulgence in ''vyavaya'', carrying excessive heavy load, walking excessively long distance, indulgence in fighting, excessive indulgence in restraining the movement of horses and elephants etc factors cause injury to the chest and bring about ''rukshata'' in the body and in turn causes aggravation of ''vata'' there by results in the manifestation of ''kshataja kasa''.

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==== ''Kshayaja kasa'' ====

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विषमासात्म्यभोज्यातिव्यवायाद्वेगनिग्रहात् |

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नवौ कदाचित् सिध्येतामेतौ पादगुणान्वितौ |

स्थविराणां जराकासः सर्वो याप्यः प्रकीर्तितः ||३०||

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viṣamāsātmyabhōjyātivyavāyādvēganigrahāt|

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navau kadAcit sidhyetAmetau pAdaguNAnvitau|

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</div></div>

Intake of ''vishamashana'' and ''asatmya ahara'', indulgence in ''vyavaya'', suppression of ''vega, ghrina'' and ''shoka'' etc factors leads to vitiation of ''agni'' thereby aggravation of ''tridosha'' giving rise to ''kshayaja kasa''.

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''Kshataja kasa'' is palliable if the patient is strong. If these two diseases(''kshataja'' and ''kshayaja'') are in their initial stage and if all four ''chikitsa chatushpada'' are endowed with efficiency, then both of these are curable. All types of ''kasa'' are however palliable if the patient is old. [24-30]

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त्रीन्साध्यान्साधयेत्पूर्वान् पथ्यैर्याप्यांश्च यापयेत् |

चिकित्सामत ऊर्ध्वं तु शृणु कासनिबर्हिणीम् ||३१||

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trīnsādhyānsādhayētpūrvān pathyairyāpyāṁśca yāpayēt|

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trInsAdhyAnsAdhayetpUrvAn pathyairyApyAMshca yApayet|

cikitsAmata UrdhvaM tu shRuNu kAsanibarhiNIm||31||

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</div></div>

The first three types of ''kasa'' (''vataja, pittaja, kaphaja'') should be treated as these are ''sadhya vyadhi''. Whereas other two types (''khataja'' and ''kshayaja'') should be palliated with appropriate drugs and diet.

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==== Treatment ====

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रूक्षस्यानिलजं कासमादौ स्नेहैरुपाचरेत् |

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बस्तिभिर्बद्धविड्वातं शुष्कोर्ध्वं चोर्ध्वभक्तिकैः |

घृतैः सपित्तं सकफं जयेत् स्नेहविरेचनैः ||३४||

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rūkṣasyānilajaṁ kāsamādau snēhairupācarēt|

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bastibhirbaddhaviDvAtaM shuShkordhvaM cordhvabhaktikaiH|

ghRutaiH sapittaM sakaphaM jayet snehavirecanaiH||34||

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</div></div>

As ''rukshata'' will be more prominent in ''vataja'' type of ''kasa'' it should be treated with ''snehika upacharas. Ghrita pana,'' ''basti, peya , yusha, ksheera, mamsa rasa'' etc should be prepared with ''vataghna dravyas'' and is to be administered properly.

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==== ''Kantakari ghrita'' ====

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कण्टकारीगुडूचीभ्यां पृथक् त्रिंशत्पलाद्रसे |

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इति कण्टकारीघृतम् |

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kaṇṭakārīguḍūcībhyāṁ pr̥thak triṁśatpalādrasē|

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iti kaNTakArIghRutam|

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</div></div>

Thirty ''pala'' of ''kantakari'' and ''guduchi kashaya'' each is to be boiled with ''ghrita'' to prepare 1 ''Prastha'' of ''ghrita''. This particular ''ghrita'' is beneficial in ''vatika kasa''. It promotes the power of digestion. Thus ends the description of ''kantakari ghrita''.[35]

==== ''Pippalyadi ghrita'' ====

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पिप्पलीपिप्पलीमूलचव्यचित्रकनागरैः |

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इति पिप्पल्यादिघृतम् |

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pippalīpippalīmūlacavyacitrakanāgaraiḥ|

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iti pippalyAdighRutam|

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</div></div>

One ''prastha'' of ''ghrita'' is to be cooked by adding one ''adhaka'' of the decoction of ''dashamoola'' and the paste of one ''kola'' of each ''pippali, pippali-moola, chavya, chitraka, nagara, dhanyaka, patha, vacha, rasna, yashtimadhu, kshara'', and ''hingu''. Intake of one ''chaturthika'' (''pala'') of this ''ghrita'' along with ''peya, manda'' is beneficial in ''shwasa, kasa, hridroga, parshwashoola, grahani'' and ''gulma''. This particular formulation is known as ''pipplyaadi ghrita'' and is propounded by Atreya.

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==== ''Tryushanadi ghrita'' ====

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त्र्यूषणं त्रिफलां द्राक्षां काश्मर्याणि परूषकम् |

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इति त्र्यूषणाद्यं घृतम् |

−

+

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tryūṣaṇaṁ triphalāṁ drākṣāṁ kāśmaryāṇi parūṣakam|

dvē pāṭhē dēvadārvr̥ddhiṁ svaguptāṁ citrakaṁ śaṭīm||39||

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iti tryUShaNAdyaM ghRutam|

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</div></div>

One ''prastha'' of ''ghrita'' should be cooked by adding four ''prasthas'' of milk and the paste of one ''karsha'' each of ''tryushana, triphala, draksha, kashmari, parushaka, dve patha'' (''patha, raja patha''), ''devadaru, rddhi, swagupta, chitraka, shati, brahmi, tamalaki, meda, kakanasa, shatavari, trikantaka, vidari''. This is an effective ''kasahara'' formulation. It also cures ''jwara, gulma, aruchi, pleeha, shirah shoola, hrit shoola, parshwa shoola, kamala, arshas, ashtheela, kshata, shosha, kshaya''. This well known formulation is named as ''tryushanadi ghrita''.

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==== ''Rasna ghritam'' ====

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द्रोणेऽपां साधयेद्रास्नां दशमूलीं शतावरीम् |

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इति रास्नाघृतम् |

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drōṇē'pāṁ sādhayēdrāsnāṁ daśamūlīṁ śatāvarīm|

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iti rAsnAghRutam|

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</div></div>

In one ''drona'' of water, one ''pala'' of each of ''rasna, dashamoolas,'' one ''manika'' of each of ''kulattha, badara, yava'' and half ''tula'' of ''ajamamsa'' should be added and boiled till one fourth of water remains. To this decoction, one ''adhaka'' of each of ''ghrita, ksheera'' and one ''pala'' of each of ten drugs belonging to ''jivaneeya'' (''dashemani'') should be added and cooked. This prepared ''ghrita'' should be used in the form of ''nasya, pana'' and ''anuvasana'', after proper assessment of the stages of ''vataroga''. This cures five types of ''kasa, shirahshoola, kamparoga, vankshna'' and ''yoni roga'', diseases afflicting whole body or only one limb of the body, ''pleeha roga, urdhwa vata''.

Thus ends the description of ''rasna- ghrita''.[43-46]

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विडङ्गं नागरं रास्ना पिप्पली हिङ्गु सैन्धवम् |

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विडङ्गं सैन्धवं कुष्ठं व्योषं हिङ्गु मनःशिलाम् |

मधुसर्पिर्युतं कासहिक्काश्वासं जयेल्लिहन् ||५२||

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viḍaṅgaṁ nāgaraṁ rāsnā pippalī hiṅgu saindhavam|

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viDa~ggaM saindhavaM kuShThaM vyoShaM hi~ggu manaHshilAm|

madhusarpiryutaM [1] kAsahikkAshvAsaM jayellihan||52||

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</div></div>

Intake of the powder prepared out of ''vidanga, nagara, rasna, pippali, hingu, saindhava lavana, bharangi'' and ''kshara'' along with appropriate quantity of ''ghrita'' is beneficial in ''vataja kasa, kaphaja kasa, shwasa, hikka'' and suppression of digestion power.

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==== ''Chitrakadi leha'' ====

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चित्रकं पिप्पलीमूलं व्योषं हिङ्गु दुरालभाम् |

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इति चित्रकादिलेहः |

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citrakaṁ pippalīmūlaṁ vyōṣaṁ hiṅgu durālabhām|

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iti citrakAdilehaH|

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</div></div>

In half ''tula'' of the decoction of ''nidigdhika''(Solanum xanthocarpum), the powder or paste of one ''karsha'' of each of ''chitraka, pippalimula, vyosha, hingu, duralabha, shati, pushkaramoola, shreyasi, surasa, vacha, bharangi, chinnaruha, rasna, shringi, draksha'' should be added. To this twenty ''palas'' of ''matsyandika'' and one ''kudava'' of ''ghrita'' should be added and cooked, There after when it becomes cool, one ''kudava'' of each of ''madhu, pippali'' powder, four ''palas'' of the powder of ''tugakshiri'' should be added. This ''leha'' will cure ''kasa, hridroga, shwasa, gulma''.

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==== ''Agastya haritaki'' ====

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दशमूलीं स्वयङ्गुप्तां शङ्खपुष्पीं शटीं बलाम् |

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इत्यगस्त्यहरीतकी |

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daśamūlīṁ svayaṅguptāṁ śaṅkhapuṣpīṁ śaṭīṁ balām|

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agastyavihitaM shreShThaM rasAyanamidaM shubham||62||

ityagastyaharItakI|

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</div></div>

Two palas of each among ''dashamoola, swayamgupta, shankahpushpi, shati, bala, hasti pippali, apamarga, pippalimoola, chitraka, bharangi, pushkaramoola'' should be added with one ''adhaka'' of water, these drugs should be cooked till the grains of ''yava'' becomes soft. And then decoction should be strained out. These hundred fruits of ''abhaya'' should be added with above mentioned decoction, one ''tula'' of ''guda'', one ''kudava'' of ''ghrita, taila'' and powder of ''pippali''. This is to be cooked and after attaining coldness one ''kudava'' of ''makshika'' is to be added.

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==== Other formulations ====

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सैन्धवं पिप्पलीं भार्गीं शृङ्गवेरं दुरालभाम् |

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पिबेत् खदिरसारं वा मदिरादधिमस्तुभिः |

अथवा पिप्पलीकल्कं घृतभृष्टं ससैन्धवम् ||६४||

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saindhavaṁ pippalīṁ bhārgīṁ śr̥ṅgavēraṁ durālabhām|

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pibet khadirasAraM [1] vA madirAdadhimastubhiH|

athavA pippalIkalkaM ghRutabhRuShTaM sasaindhavam||64||

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</div></div>

Intake of the powder of ''saindhava, pippali, bharangi, shringavera'' and ''duralabha'' along with lukewarm juice of sour ''dadima'' or the decoction of ''nagara'' cures ''vataja kasa''.

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==== ''Dhuma'' (medicated smoking) formulations ====

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शिरसः पीडने स्रावे नासाया हृदि ताम्यति |

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स ह्यस्य तैक्ष्ण्याद्विच्छिद्य श्लेष्माणमुरसि स्थितम् |

निष्कृष्य शमयेत् कासं वातश्लेष्मसमुद्भवम् ||६८||

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śirasaḥ pīḍanē srāvē nāsāyā hr̥di tāmyati|

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sa hyasya taikShNyAdvicchidya shleShmANamurasi sthitam|

niShkRuShya shamayet kAsaM vAtashleShmasamudbhavam||68||

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</div></div>

If there is pain in the ''shiras, nasa srava, arrhythmia'' of ''hridaya'' and ''pratishyaya'' in ''kasa'' then the physician should administer ''dhuma''. A wise physician should keep the ingredients of the recipe which cause elimination of ''doshas'' from the head inside two earthen plates with their brims sealed with mud-smeared cloth. In the upper plate there should be a hole to which a tube, ten or eight ''angulas'' in length, should be inserted in slightly curved form. The patient suffering from ''kasa'' should smoke the fume emanating from this tube through his mouth. After the smoke pervades the entire chest, it should be smoked out through the mouth. Because of the sharpness of the ingredients used in this recipe, the phlegm located in the chest gets detached and forcibly thrown out as a result of which ''kasa'' caused by ''vayu'' and ''kapha'' gets alleviated. [65-68]

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मनःशिलालमधुकमांसीमुस्तेङ्गुदैः पिबेत् |

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त्वगैङ्गुदी बृहत्यौ द्वे तालमूली मनःशिला |

कार्पासास्थ्यश्वगन्धा च धूमः कासविनाशनः ||७५||

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manaḥśilālamadhukamāṁsīmustēṅgudaiḥ pibēt|

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tvagai~ggudI bRuhatyau dve tAlamUlI manaHshilA|

kArpAsAsthyashvagandhA ca dhUmaH kAsavinAshanaH||75||

+

</div></div>

Intake of lukewarm milk along with guda after the ''dhumapana'' using ''manahshila, ala''(''haritala''), ''madhuka, jatamansi, ingudi'' cures ''kasa'' of ''prthakdosha'' (three ''doshas'' individually) or ''sannipatika''. This can cure such ailments which were not cured even after the treatment with hundred other recipes.

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==== Diet recipes ====

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ग्राम्यानूपौदकैः शालियवगोधूमषष्टिकान् |

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इति वातकासचिकित्सा |

+

grāmyānūpaudakaiḥ śāliyavagōdhūmaṣaṣṭikān|

Line 979: Line 1,054:

iti vAtakAsacikitsA|

+

</div></div>

Intake of ''shashtikashali, shali, yava, godhuma'' along with the ''mamsa rasa'' or ''yusha'' prepared out of ''masha'' or ''Atmagupta'' is beneficial in ''vataja kasa. Peya'' prepared out of ''yavani, pippali, bilwa, nagara, chitraka, rasna, ajaji, prithakparni, palasha, shati'' and ''pushkaramoola'' by adding ''snigdha, amla'' and ''lavana dravyas'' is beneficial in ''vataja kasa''. This particular ''peya'' is helpful in curing ''vataja kasa'' associated with ''shoola'' in ''kati, parshwa, koshta, hikka'' and ''shwasa''.

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==== Management of ''pittaja kasa'' ====

+

पैत्तिके सकफे कासे वमनं सर्पिषा हितम् |

Line 1,064: Line 1,141:

इति पित्तकासचिकित्सा |

+

paittikē sakaphē kāsē vamanaṁ sarpiṣā hitam|

Line 1,217: Line 1,295:

sarpiH siddhaM pibedyuktyA pittakAsanibarhaNam||107||

iti pittakAsacikitsA|

+

</div></div>

If ''pittaja kasa'' is associated with the aggravation of ''kapha'', then ''vamanakarma'' is to be advised with ''ghrita'' or using the ''kashaya'' prepared out of ''madana, kashmari, madhuka''. ''Vamana'' can also be induced by using the ''klaka'' of ''madanaphal'' and ''madhuyashti'' along with ''vidari'' and ''ikshurasa''. Once after the elimination of aggravated ''doshas'' he should be treated with ''sheeta'' and ''madhura aharas''.

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==== Management of ''kaphaja kasa'' ====

+

बलिनं वमनैरादौ शोधितं कफकासिनम् |

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पौष्करारग्वधं मूलं पटोलं तैर्निशास्थितम् |

जलं मधुयुतं पेयं कालेष्वन्नस्य वा त्रिषु ||१११||

+

balinaṁ vamanairādau śōdhitaṁ kaphakāsinam|

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pauShkarAragvadhaM mUlaM paTolaM tairnishAsthitam|

jalaM madhuyutaM peyaM kAleShvannasya vA triShu||111||

+

</div></div>

If the person suffering from ''kaphaja kasa'' is strong, then he should follow ''shodhana'' procedure by means of ''vamana''. There after he should be given with ''yava'' and such other ''kaphaghna'' food which are ''katu, ruksha'' and ''ushna'' in nature.

Line 1,294: Line 1,376:

Drinks such as ''madhu, amala rasa,'' warm water, butter milk or harmless ''madya'' are preferred in ''kaphaja kasa''. Roots of ''pushkaramoola, argwadha, patola, tinisha'' should be kept in water for whole night. Next morning water should be strained out and added with ''madhu''. This should be taken before, during and after food. [108-111]

+

कट्फलं कत्तृणं भार्गीं मुस्तं धान्यं वचाभये |

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दशमूलाढके प्रस्थं घृतस्याक्षसमैः पचेत् |

+

kaṭphalaṁ kattr̥ṇaṁ bhārgīṁ mustaṁ dhānyaṁ vacābhayē|

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sauvarcalAbhayAdhAtrIpippalIkShAranAgaram|

cUrNitaM sarpiShA vAtakaphakAsaharaM pibet||122||

+

</div></div>

Decoction prepared by boiling drugs such as ''katphala, kuttrana, bharangi, musta, dhanyaka, vacha, abhaya, shunthi, parpata, shrungi'' and ''surahva'' is to be used in ''kasa'' associated with ''vata'' and ''kapha'' along with ''madhu'' and ''hingu''. This is also beneficial in ''kantharoga, mukha roga, shoola, shwasa, hikka'' and ''jwara''.

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==== ''Dashamuladi ghritam'' ====

+

पुष्कराह्वशटीबिल्वसुरसव्योषहिङ्गुभिः ||१२३||

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इति दशमूलादिघृतम् |

+

daśamūlāḍhakē prasthaṁ ghr̥tasyākṣasamaiḥ pacēt|

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iti dashamUlAdighRutam|

+

</div></div>

One ''prastha'' of ''dashamoola'' should be cooked by adding one ''adhaka'' of the decoction of ''dashamoola'' and the paste of one ''aksha'' each of ''pushkar-moola, shati, bilva, surasa, shunthi, pippali, maricha'' and ''hingu''. Administration of this ghee followed by ''peya'' as ''anupana'' cure ''vatakaphaja kasa, shwasa roga''.

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==== ''Kantakari ghritam'' ====

+

समूलफलपत्रायाः कण्टकार्या रसाढके |

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इति कण्टकारीघृतम् |

+

samūlaphalapatrāyāḥ kaṇṭakāryā rasāḍhakē|

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iti kaNTakArIghRutam|

+

</div></div>

One ''adhaka'' of ''kantakari kashaya'' should be prepared using its root, fruit and leaves. This is to be processed with one ''prastha'' of ''ghrita'' by adding the paste of ''bala, shunthi, pippali, maricha, vidanga, shati, chitraka, sauvarchala, yavakshara, pippalimula, pushkarmoola, vrischira, brihati, pathya, yavani, dadima, riddhi, draksha, punaranava, chavya, duralabha, amlavetasa, shringi, tamalaki, bharangi, rasna'' and ''gokshuara''. This is beneficial in all types of ''kasa, hikka'' and ''shwasa''. This is known as ''kantakari ghrita'' and it cures all types of ''kaphaja'' diseases.

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==== ''Kulatthadi ghritam'' ====

+

कुलत्थरसयुक्तं वा पञ्चकोलशृतं घृतम् |

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इति कुलत्थादिघृतम् |

+

kulattharasayuktaṁ vā pañcakōlaśr̥taṁ ghr̥tam|

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iti kulatthAdighRutam|

+

</div></div>

''Ghrita'' cooked with the decoction of ''kulattha'' or with that of ''panchakola'' is useful in ''kaphajakasa, hikka'' and ''shwasa''.

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==== ''Dhuma formulations'' ====

+

धूमांस्तानेव दद्याच्च ये प्रोक्ता वातकासिनाम् |

कोशातकीफलान्मध्यं पिबेद्वा समनःशिलम् ||१३०||

+

dhūmāṁstānēva dadyācca yē prōktā vātakāsinām|

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dhUmAMstAneva dadyAcca ye proktA vAtakAsinAm|

koshAtakIphalAnmadhyaM pibedvA samanaHshilam||130||

+

</div></div>

''Dhuma yogas'' which have been mentioned at the context of ''vatajakasa'' can also be administered in ''pittaja kasa''. Specifically ''manshilla'' kept inside the ''koshataki phala majja'' is useful in the form of ''dhupana'' in ''kaphaja-kasa''. [130]

==== Principles of treatment in various states of ''dosha'' ====

+

तमकः कफकासे तु स्याच्चेत् पित्तानुबन्धजः |

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इति कफजकासचिकित्सा |

+

tamakaḥ kaphakāsē tu syāccēt pittānubandhajaḥ|

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iti kaphajakAsacikitsA|

+

</div></div>

If ''kaphajakasa'' is associated with ''tamaka''(a type of ''shwasa'') then at this stage of ''kasa'', therapies prescribed for ''pittaja kasa'' should be administered.

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==== Management of ''kshataja kasa'' ====

+

कासमात्ययिकं मत्वा क्षतजं त्वरया जयेत् |

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पचेल्लेहं घृतक्षौद्रयुक्तः स क्षतकासहा |

श्वासहृद्रोगकार्श्येषु हितो वृद्धेऽल्परेतसि ||१३७||

+

kāsamātyayikaṁ matvā kṣatajaṁ tvarayā jayēt|

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pacellehaM ghRutakShaudrayuktaH sa kShatakAsahA|

shvAsahRudrogakArshyeShu hito vRuddhe~alparetasi||137||

+

</div></div>

''Kshatajakasa'' is a serious ailment. Keeping this in view the treatment of the patient should be initiated instantaneously with ''madhura'' and ''jivaniya dravyas'', which are promoters of ''bala'' and ''mamsa''.

The paste of one ''karsha'' of each of ''pippali, madhuka,'' one ''karsha'' of ''sitopala'', one ''prastha'' of each of cows milk, goats milk and ''ikshurasa'', one ''prastha'' of the powder of ''yava, godhuma, draksha'' and one ''prastha'' of each of the juice of ''amalaka'' and ''tilataila'' should be cooked over ''mridu agni''. Intake of this ''leha'' along with ''ghrita'' and ''madhu'' cures ''kshataja kasa, shwasa, hridroga'' and ''kshata''. It is also useful for old persons and those who have less semen.[134-137]

+

क्षतकासाभिभूतानां वृत्तिः स्यात् पित्तकासिकी |

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इति क्षतजकासचिकित्सा |

+

kṣatakāsābhibhūtānāṁ vr̥ttiḥ syāt pittakāsikī|

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iti kShatajakAsacikitsA|

+

</div></div>

The medicaments prescribed for the ''pittajakasa'' are also useful for ''kshatajakasa''. Generally milk, ghee and honey should be given to such patients. If two ''doshas'' are involved in the pathogenesis of this ailment then special therapies are required.

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==== Management of ''kshayaja kasa'' ====

+

सम्पूर्णरूपं क्षयजं दुर्बलस्य विवर्जयेत् |

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औष्ण्यात् प्रमाथिभावाच्च स्रोतोभ्यश्च्यावयन्ति ते |

कफं, शुद्धैश्च तैः पुष्टिं कुर्यात्सम्यग्वहन्रसः ||१५७||

+

sampūrṇarūpaṁ kṣayajaṁ durbalasya vivarjayēt|

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auShNyAt pramAthibhAvAcca srotobhyashcyAvayanti te|

kaphaM, shuddhaishca taiH puShTiM kuryAtsamyagvahanrasaH||157||

+

</div></div>

If ''kshayaja kasa'' is manifested with all the signs and symptoms, and if the patient is weak, then he should not be treated. However if the disease has recently occurred and if the patient is strong enough, then he may be treated even though the disease is incurable. In the beginning the person should be given ''brihmana'' therapy along with ''agni deepana''. If ''dosha'' aggravation is more, then he can be given mild purgation therapy along with ''snigdha dravyas''.

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==== ''Dvi-panchamuladi ghritam'' ====

+

द्विपञ्चमूलीत्रिफलाचविकाभार्गिचित्रकैः |

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इति द्विपञ्चमूलादिघृतम् |

+

dvipañcamūlītriphalācavikābhārgicitrakaiḥ|

Line 1,873: Line 1,984:

iti dvipa~jcamUlAdighRutam|

+

</div></div>

Decoction should be prepared out of ''bilva, shyonaka, gambhari, patala, ganikarika, shalaparni, prashanaparni, brihati, kantakari, gokshuara, haritaki, bibhitaka, amalaki, chavika, bharangi, chitraka, kulattha, pippali moola, patha, kola'' and ''yava''. To this decoction ghee and the paste prepared out of ''nagara, dusparsha, pippali, shati, karkatashringi'' and ''pushkara'' should be added and ''ghritapachana'' should be done. After proper ''paka'' powder prepared out of ''yavakshara, sarjakshara, saindhava-lavana, samudra-lavana, sauvarchala-lavana, vida-lavana'' and ''audbhida-lavana'' is to be added. Intake of this cures ''kshayajakasa''.

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==== ''Guduchyadi ghritam'' ====

+

गुडूचीं पिप्पलीं मूर्वां हरिद्रां श्रेयसीं वचाम् |

Line 1,887: Line 2,000:

इति गुडूच्यादिघृतम् |

+

guḍūcīṁ pippalīṁ mūrvāṁ haridrāṁ śrēyasīṁ vacām|

Line 1,903: Line 2,017:

iti guDUcyAdighRutam|

+

</div></div>

''Guduchi, pippali, murva, haridra, shreyasi, vacha, nidigdhika, kasmarda, patha, chitraka'' and ''nagara'' are to be boiled with four times of water, till the quantity of water reduces to one-fourth. To this decoction equal quantity of ''ghrita'' should be added and cooked. Intake of this cures ''gulma, shwasa'' and ''kshayajakasa''.

Thus ends the description of ''guduchyaadi-ghrita''.[161-162]

+

कासमर्दाभयामुस्तपाठाकट्फलनागरैः |

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एतान्यग्निविवृद्ध्यर्थं सर्पींषि क्षयकासिनाम् |

स्युर्दोषबद्धकोष्ठोरःस्रोतसां च विशुद्धये ||१६७||

+

kāsamardābhayāmustapāṭhākaṭphalanāgaraiḥ|

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etAnyagnivivRuddhyarthaM sarpIMShi kShayakAsinAm|

syurdoShabaddhakoShThoraHsrotasAM ca vishuddhaye||167||

+

</div></div>

One ''prastha'' of ''ghrita'' should be cooked by adding the paste of one ''aksha'' of each of ''kasamarda, abhaya, musta, patha, katphala, nagara, pippali, katuka, draksha, kashmarya'' and ''surasa''; one ''adhaka'' of milk and one ''adhaka'' of grape juice. Thus prepared ''ghrita'' is considered as auspicious, and cures ''shosha, jwara, pleeha'' and ''kasa''.

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==== ''Haritaki leha'' ====

+

हरीतकीर्यवक्वाथद्व्याढके विंशतिं पचेत् |

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इति हरीतकीलेहः |

+

harītakīryavakvāthadvyāḍhakē viṁśatiṁ pacēt|

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iti harItakIlehaH|

+

</div></div>

Twenty fruits of ''haritaki'' should be boiled with one ''adhaka'' of ''yava kashaya''. These boiled and soft fruits of ''haritaki'' are to be smashed. To this paste, six ''palas'' of ''purana gud'', one ''karsha'' of ''rasanjana'', half ''kudava'' of ''pippali'' should be added and cooked. This particular ''leha'' cures ''shwasa'' and ''kasa''.

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==== ''Padmakadi leha'' ====

+

श्वाविधः सूचयो दग्धाः सघृतक्षौद्रशर्कराः |

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इति पद्मकादिलेहः |

+

śvāvidhaḥ sūcayō dagdhāḥ saghr̥takṣaudraśarkarāḥ|

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iti padmakAdilehaH|

+

</div></div>

Quills of ''svavit'' should be burnt. Intake of these ashes along with ghee, honey and ''ikshurasa'' cure ''kasa'' and ''shwasa''.

Line 2,103: Line 2,227:

''Jivanti, madhuka, patha, tavaksheeri, triphala, shati, musta, ela, padmaka, draksha, brihati, kantakari, vitunnaka, sariva, pushkara, karkatashringi, rasanjana, punaranava, loha, rajatha, trayamana, yavanika, bharangi, tamalaki, riddhi, vidanga, dhanvayaasa, kshara, chitraka, chavya, amlavetasa, vyosha'', and ''devadaru'' should be taken in equal quantity and a fine powder should be prepared. Intake of this powder in one ''panitala matra'' along with ''madhu'' and ''ghrita'' cures all five types of ''kasa''.[170-179]

+

लिह्यान्मरिचचूर्णं वा सघृतक्षौद्रशर्करम् |

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क्षतकासे च ये धूमाः सानुपाना निदर्शिताः |

क्षयकासेऽपि तानेव यथावस्थं प्रयोजयेत् ||१८६||

+

lihyānmaricacūrṇaṁ vā saghr̥takṣaudraśarkaram|

Line 2,169: Line 2,295:

kShatakAse ca ye dhUmAH sAnupAnA nidarshitAH|

kShayakAse~api tAneva yathAvasthaM prayojayet||186||

+

</div></div>

The powder of ''maricha'' should be given with ''ghrita, madhu'' and ''sharkara''. ''Badara'' leaves should be fried with ghee and this given with ''saindhava lavana''. Both these formulations are beneficial in ''kasa'' and ''swarabheda''.

Line 2,181: Line 2,308:

''Dhumapana'' formulations mentioned in reference to ''kshatajakasa'' can also be administered to the patients suffering from ''kshayajakasa''.[180-186]

+

दीपनं बृंहणं चैव स्रोतसां च विशोधनम् |

Line 2,193: Line 2,321:

भोज्यं पानानि सर्पींषि लेहाश्च सह पानकैः |

क्षीरं सर्पिर्गुडा धूमाः कासभैषज्यसङ्ग्रहः ||१९०||

+

dīpanaṁ br̥ṁhaṇaṁ caiva srōtasāṁ ca viśōdhanam|

Line 2,217: Line 2,346:

bhojyaM pAnAni sarpIMShi lehAshca [1] saha pAnakaiH|

kShIraM sarpirguDA dhUmAH kAsabhaiShajyasa~ggrahaH||190||

+

</div></div>

''Dipana, brihmana'' and ''srotoshodhana'' therapies should be followed alternatively in the patient suffering from ''kshyajakaasa''. All such therapies which are ''balya'' are preferred in this condition.

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==== Summary ====

+

तत्र श्लोकः-

Line 2,235: Line 2,366:

सङ्ख्या निमित्तं रूपाणि साध्यासाध्यत्वमेव च |

कासानां भेषजं प्रोक्तं गरीयस्त्वं च कासिनः ||१९१||

+

tatra ślōkaḥ-

Line 2,245: Line 2,377:

sa~gkhyA nimittaM rUpANi sAdhyAsAdhyatvameva ca|

kAsAnAM bheShajaM proktaM garIyastvaM ca kAsinaH||191||

+

</div></div>

''Sankhya'' (types of ''kasa''), ''nimitta'' (etiological factors), ''rupa'' (signs and symptoms), ''sadhya-asadhyata'' (curability and incurability), ''kasa bheshaja'' (medicinal formulations), ''gariyastva'' (comparative seriousness of the disease) – have been discussed under this chapter. [191]

+

इत्यग्निवेशकृते तन्त्रे चरकप्रतिसंस्कृतेऽप्राप्ते दृढबलसम्पूरिते

चिकित्सास्थाने कासचिकित्सितं नामाष्टादशोऽध्यायः ||१८||

+

ityagnivēśakr̥tē tantrē carakapratisaṁskr̥tē'prāptē dr̥ḍhabalasampūritē

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cikitsAsthAne kAsacikitsitaM nAmAShTAdasho~adhyAyaH||18||

+

</div></div>

Thus ends the eighteenth chapter in [[Chikitsa Sthana]] dealing with treatment of ''kasa'' in the work of Agnivesha which was redacted by Charak and because of non-availability supplemented by Dridhabala.

Agnivesha

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