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Vatarakta Chikitsa (view source)

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Alkalies, oil, urine, pungent herbs and water in equal quantity and decocted. ''Parisheka'' (sprinkling) of this decoction is beneficial in ''kapha'' predominant ''vatarakta'' and this is well praised. [147]

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लेपः सर्षपनिम्बार्कहिंस्राक्षीरतिलैर्हितः | <br />

श्रेष्ठः सिद्धः [६] कपित्थत्वग्घृतक्षीरैः ससक्तुभिः ||१४८|| <br />

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lēpaḥ sarṣapanimbārkahiṁsrākṣīratilairhitaḥ| <br />

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lepaH sarShapanimbArkahiMsrAkShIratilairhitaH | <br />

shreShThaH siddhaH [6] kapitthatvagghRutakShIraiH sasaktubhiH ||148||<br />

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Paste prepared from ''sarshapa, nimba, arka, himsra, tila'' and bark of ''kapittha'', milk and ghee with ''saktu'' (flour of roasted grains) is effective. [148]

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गृहधूमो वचा कुष्ठं शताह्वा रजनीद्वयम् | <br />

प्रलेपः शूलनुद्वातरक्ते वातकफोत्तरे ||१४९|| <br />

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gr̥hadhūmō vacā kuṣṭhaṁ śatāhvā rajanīdvayam| <br />

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gRuhadhUmo vacA kuShThaM shatAhvA rajanIdvayam | <br />

pralepaH shUlanudvātarakte vātakaphottare ||149|| <br />

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Paste preparation from ''grihadhumo'' (soot), ''vacha, kushtha, shatahva, haridra'' and ''daru haridra'' alleviates pain of ''vata kapha'' predominant ''vatarakta''. [149]

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तगरं त्वक् शताह्वैला कुष्ठं मुस्तं हरेणुका | <br />

दारु व्याघ्रनखं चाम्लपिष्टं वातकफास्रनुत् ||१५०|| <br />

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tagaraṁ tvak śatāhvailā kuṣṭhaṁ mustaṁ harēṇukā| <br />

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tagaraM tvak shatAhvailA kuShThaM mustaM hareNukA | <br />

dAru vyAghranakhaM cAmlapiShTaM vātakaphAsranut ||150|| <br />

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''

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Tagara, tvak, satahva, ela, kushtha, mushta, harenuka, devadaru, vyaghranakha'' (Capparis sepiaria), all these are pounded with sour liquid and applied as a paste, alleviates ''vata kapha'' predominant ''vatarakta''. [150]

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''Tagara, tvak, satahva, ela, kushtha, mushta, harenuka, devadaru, vyaghranakha'' (Capparis sepiaria), all these are pounded with sour liquid and applied as a paste, alleviates ''vata kapha'' predominant ''vatarakta''. [150]

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मधुशिग्रोर्हितं तद्वद्बीजं धान्याम्लसंयुतम् | <br />

मुहूर्तं लिप्तमम्लैश्च सिञ्चेद्वातकफोत्तरम् ||१५१|| <br />

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madhuśigrōrhitaṁ tadvadbījaṁ dhānyāmlasaṁyutam| <br />

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madhushigrorhitaM tadvadbIjaM dhAnyAmlasaMyutam | <br />

muhUrtaM liptamamlaishca si~jcedvātakaphottaram ||151|| <br />

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Seeds of sweet ''shigru'' triturated with ''dhanyamla'' (sour gruel) and paste applied on the part of the body for a while and then washed with sour liquid in ''vata kapha'' predominant ''vatarakta'' (to alleviate pain). [151]

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त्रिफलाव्योषपत्रैलात्वक्क्षीरीचित्रकं वचाम् | <br />

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वर्जयेद्दधिशुक्तानि क्षारं वैरोधिकानि च | <br />

वातास्रे सर्वदोषेऽपि हितं शूलार्दिते परम् ||१५४||<br />

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triphalāvyōṣapatrailātvakkṣīrīcitrakaṁ vacām| <br />

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varjayeddadhishuktAni kShAraM vairodhikAni ca | <br />

vātasre sarvadoShe~api hitaM shUlArdite param ||154|| <br />

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''Triphala, vyosha'' (''trikatu''), ''patra'' (Cinnamomum lamella), ''ela, tvakkshiri'' (Bambusa arundinacia), ''chitraka, vacha'', ''vidanga, pippalimula, romasha'' (''kasheesa''), bark of ''adulsa'' (Adhatoda vasica), ''riddhi, tamalaki'' and ''chavya'', take all in equal quantity and crushed. The powder of all herbs is pasted on the iron utensil in early morning and be eaten in the noon. During this treatment one should avoid curd, vinegar, alkalies and incompatible food items. It is very efficacious in removing pain of ''vatarakta'' caused by all ''dosha''. [152–154]

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बुद्ध्वा स्थानविशेषांश्च दोषाणां च बलाबलम् | <br />

चिकित्सितमिदं कुर्यादूहापोहविकल्पवित् ||१५५||<br />

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buddhvā sthānaviśēṣāṁśca dōṣāṇāṁ ca balābalam|<br />

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buddhvA sthAnavisheShAMshca dośaNAM ca balAbalam | <br />

cikitsitamidaM kuryAdUhApohavikalpavit ||155||<br />

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After considering specific position and strength of vitiated ''dosha'', the physician who is well conversant in reasoning and variation should apply aforesaid treatment. [155]

==== Treatment of obstruction by excess ''meda'' and ''kapha'' ====

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कुपिते मार्गसंरोधान्मेदसो वा कफस्य वा | <br />

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व्यायामशोधनारिष्टमूत्रपानैर्विरेचनैः | <br />

तक्राभयाप्रयोगैश्च क्षपयेत् कफमेदसी ||१५७|| <br />

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kupitē mārgasaṁrōdhānmēdasō vā kaphasya vā| <br />

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vyAyAmashodhanAriShTamUtrapAnairvirecanaiH | <br />

takrAbhayAprayogaishca kShapayet kaphamedasI ||157||<br />

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If ''vata'' is vitiated due to obstruction either by excessive aggravated ''meda'' or ''kapha'', one should not apply unctuous and stouting drugs in the beginning. Instead ''kapha'' and ''meda'' subjugate with physical exercises, ''shodhana'' (purification), ''virechana'' (purgation), and intake of ''arishta'' (fermentated preparation of medicinal herbs etc.) and butter milk with ''abhaya''.[156-157]

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बोधिवृक्षकषायं तु प्रपिबेन्मधुना सह | <br />

वातरक्तं जयत्याशु त्रिदोषमपि दारुणम् ||१५८|| <br />

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bōdhivr̥kṣakaṣāyaṁ tu prapibēnmadhunā saha| <br />

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bodhivRukShakaShAyaM tu prapibenmadhunA saha | <br />

vātaraktaM jayatyAshu tridośamapi dAruNam ||158|| <br />

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One should take decoction of ''bodhivriksa'' with honey. It vanquishes severe ''vatarakta'' even caused by all three ''dosha''. [158]

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पुराणयवगोधूमसीध्वरिष्टसुरासवैः | <br />

शिलाजतुप्रयोगैश्च गुग्गुलोर्माक्षिकस्य च ||१५९||<br />

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purāṇayavagōdhūmasīdhvariṣṭasurāsavaiḥ| <br />

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purANayavagodhUmasIdhvariShTasurAsavaiH | <br />

shilAjatuprayogaishca guggulormAkShikasya ca ||159||<br />

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One should use old wheat and barley to eat and ''sidhu, arishtha, sura, asava'' (medicated beverages) to drink and ''shilajatu'' (black bitumen), ''guggulu'' (commiphora mukul) and ''makshika'' as well. [159]

==== Treatment of severe vitiation of ''rakta'' ====

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गम्भीरे रक्तमाक्रान्तं स्याच्चेत्तद्वातवज्जयेत् | <br />

पश्चाद्वाते क्रियां कुर्याद्वातरक्तप्रसादनीम् ||१६०||<br />

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gambhīrē raktamākrāntaṁ syāccēttadvātavajjayēt| <br />

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gambhIre raktamAkrAntaM syAccettadvātavajjayet | <br />

pashcAdvAte kriyAM kuryAdvātaraktaprasAdanIm ||160||<br />

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In ''gambhira vatarakta'' if blood is vitiated severely, it should be treated like vāta first and there after steps should be taken to pacify ''vatarakta''. [160]

==== Treatment of complications ====

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रक्तपित्तातिवृद्ध्या तु पाकमाशु नियच्छति | <br />

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तयोः क्रिया विधातव्या भेदशोधनरोपणैः [१] | <br />

कुर्यादुपद्रवाणां च क्रियां स्वां स्वाच्चिकित्सितात् ||१६२||<br />

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raktapittātivr̥ddhyā tu pākamāśu niyacchati| <br />

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tayoH kriyA vidhAtavyA bhedashodhanaropaNaiH [1] | <br />

kuryAdupadravANAM ca kriyAM svAM svAccikitsitAt ||162||<br />

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The disordered part due to excessive aggravation of ''rakta'' and ''pitta'' get inflammed or torn and discharging blood or pus with property of burning sensation should be treated with incision, cleansing and healing applications. Complications should be managed according to their respective treatment (mentioned earlier). [161–162]

==== Summary ====

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तत्र श्लोकाः-

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वातरक्तस्य निर्दिष्टा समासव्यासतस्तथा | <br />

महर्षिणाऽग्निवेशाय तथैवावस्थिकी क्रिया ||१६५||<br />

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tatra ślōkāḥ-

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vātaraktasya nirdiShTA samAsavyAsatastathA | <br />

maharShiNA~agniveshAya tathaivAvasthikI kriyA ||165||<br />

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In this chapter of ''vatarakta'' the etiological factors, location and root, reason for its prevalence of aggravation in general in joints, prodromal symptoms, clinical features, symptoms of both types (''uttana'' and ''gambhira''), different symptom produced by the ''doshic'' predominance and complications, prognostic description of different stages of the disease (''sadhya, yapya'' and ''asadhya''), management of ''sadhya vatarakta'' (curable ''vatarakta'') and symptomatic treatment of all stages as well has been described in brief and details by the great sage Atreya for Agnivesha.

Agnivesha

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