Sushruta Samhita Chikitsasthana Chapter 5 Mahāvātavyādhi Cikitsitam (Therapy of Particular Nervous Ailments)

The fifth chapter of Chikitsasthana of Sushruta Samhita is known as as Mahāvātavyādhi Cikitsitam Adhyaya. This chapter offers with Therapy of Particular Nervous Ailments.

अथातोमहावातव्याधिचिकित्सितंव्याख्यास्यामः।।१।।
यथोवाचभगवान्धन्वन्तरिः।।२।|

We’ll now expound Mahāvātavyädhicikitsitam- therapy of particular nervous ailments; as revealed by the venerable Dhanvantari.

1. Vatasonita (vātarakta) – Gout

द्विविधंवातशोणितमुत्तानमवगाढंचेत्येकेभाषन्ते;तत्तुनसम्यक्,तद्धिकुष्ठवदुत्तानंभूत्वाकालान्तरेणावगाढीभवति,तस्मान्नद्विविधम्।।३।।

In accordance with some authorities, Vatasonita / Vatarakta is of two sorts –

1. Uttana Vatarakta – which is superficial
2. Gambhira Vatarakta – which is deep seated

However that is incorrect. Vatasonitha first develops as Uttana – superficially and sooner or later of time will get transformed into Gambhira i.e. deep seated, identical to Kustha – pores and skin ailments. Therefore, Vatasonita is just not of two sorts.

Nidāna samprāpti – trigger and pathogenesis

तत्रबलवद्विग्रहादिभिःप्रकुपितस्यवायोर्गुरूष्णाध्यशनशीलस्यप्रदुष्टंशोणितंमार्गमावृत्यवातेनसहैकीभूतंयुगपद्वातरक्तनिमित्तांवेदनांजनयतीतिवातरक्तम्।तत्तुपूर्वहस्तपादयोरवस्थानंकृत्वापश्चाद्देहंव्याप्नोति।तस्यपूर्वरूपाणितोददाहकण्डूशोफस्तम्भत्वक्पारुष्यसिरास्नायुधमनीस्पन्दनसक्थिदौर्बल्यानिश्यावारुणमण्डलोत्पत्तिश्चाकस्मात्पाणिपादतलाङ्गुलिगल्फमणिबन्धप्रभृतिषु,तत्राप्रतिकारिणोऽपचारिणश्चरोगोव्यक्ततरः,तस्यलक्षणमुक्तं;तत्राप्रतिकारिणोवैकल्यंभवति।।४।।

Etiological Elements –

Aggravation of Vata takes place when one indulges in fight – wrestling, restraining, combating, and many others. with individuals or animals stronger than him.

Aggravation of Rakta – blood takes place in individuals who’re indulged in –

–        Meals and drinks that are heavy to digest,

–        Meals and drinks that are scorching in efficiency,

–        Overeating

Pathogenesis –

In such individuals the blood causes blockage of vata. Later, the blood combines with the identical vata and causes pains and signs of each vata and rakta sorts concurrently, on the similar time.

Such a illness brought on by simultaneous vitiation of vata and rakta is known as Vatarakta. This illness vatarakta first seems (will get situated) within the arms and ft. Later it spreads to your complete physique.

Purvarüpa – premonitory signs

Beneath talked about are the premonitory signs of Vatasonita –

–        Pricking ache

–        Burning sensation

–        Itching

–        Rigidity

–        Roughness of the pores and skin

–        Throbbing of the veins, arteries and ligaments,

–        Debility within the thighs and legs

–        Bluish purple colored spherical patches develops within the palms, soles, fingers, ankle, wrist and many others with none trigger

The illness Vatasonita would turn out to be properly manifested if the premonitory signs should not handled or if the particular person indulges in improper and incompatible meals, actions and different regimens.

Signs of Vatasonita have already been described within the first chapter of Nidana Sthana part. If this situation is just not correctly / promptly handled, it produces distortions / deformities.

भवतिचात्र

One verse right here–

प्रायशःसुकुमाराणांमिथ्याहारविहारिणाम्।।
स्थूलानांसुखिनांचापिवातरक्तंप्रकुप्यति।।५।।

Vatarakta, typically turns into aggravated in individuals

–        of tender structure

–        who take pleasure in unhealthy meals and actions

–        who’re overweight and

–        who lead an opulent life with out indulging themselves in bodily and psychological actions

Cikitsā – therapy

तत्रप्राणमांसक्षयपिपासाज्वरमूश्विासकासस्तम्भारोचकाविपाकविसरणसंकोचनैरनुपपद्रुतंबलवन्तमात्मवन्तंमुपकरणवन्तंचोपक्रमेत्।।६।।

Beneath talked about are the issues of Vatasonita –

–        lack of energy,

–        lack of muscle tissue,

–        thirst,

–        fever,

–        fainting,

–        dyspnoea,

–        cough,

–        rigidity,

–        anorexia,

–        improper digestion,

–        dilation or contraction of fingers and many others.

Vatasonita ought to be handled in sufferers –

–        who do not need issues,

–        who’re sturdy,

–        observe self-discipline in relation to meals, actions and many others. and

–        who’s properly outfitted with all necessities for therapy i.e. attendants, cash, medicines and many others.

तत्र,आदावेवबहुवातरूक्षम्लानाङ्गादृतेमार्गावरणाहुष्टशोणितमसकृदल्पाल्पमवसिञ्चेद्वातकोपभयात्।ततोवमनादिभिरुपक्रमैरुपपाद्यप्रतिसंसृष्टभक्तंवातप्रबलेपुराणघृतंपाययेत्।अजाक्षीरंवाऽर्धतैलंमधुकाक्षययुक्तं,शृगालविन्नासिद्धंवाशर्करामधुमधुरं,शुण्ठीशृङ्गाटककशेरुकसिद्धंवा,श्यामारास्नासुषवीशृगालविन्नापीलुशतावरीश्वदंष्ट्राद्विपञ्चमूलीसिद्धंवा।द्विपञ्चमूलीक्वाथाष्टगुणसिद्धेनपयसामधुकमेषशृङ्गीश्वदंष्ट्रासरलभद्रदारुवचासुरभिकल्कप्रतीवापंतैलंपाचयित्वापानादिषूपयुञ्जीत,शतावरीमयूरककिणिजमोदामधुकक्षीरविदारीबलातिबलातृणपञ्चमूलीक्वाथसिद्धंवाकाकोल्यादिप्रतिवापंबलातैलंशतपाकंवेति।वातहरमूलसिद्धेनचपयसापरिषेचनमम्लैर्वाकुर्वीत।यवमधुकैरण्डतिलवर्षाभूभिर्वाप्रदेहःकार्यः।तत्रचूर्णितेषुयवगोधूमतिलमुद्गमाषेषुप्रत्येकशःकाकोलीक्षीरकाकोलीजीवकर्षभकबलातिबलाबिसमृणालशृगालविन्नामेषशृङ्गीप्रियालशर्कराकशेरुकसुरभिवचाकल्कमिश्रेषूपनाहार्थंसर्पिस्तैलवसामज्जदुग्धसिद्धाःपञ्चपायसाव्याख्याता:स्नैहिकफलसारोत्कारिकावा,चूर्णितेषुयवगोधूमतिलमुद्गमाषेषुमत्स्यपिशितवेशवारोवा,बिल्वपेशिकातगरदेवदारुसरलारास्नाहरेणुकुष्टशतपुष्पैलासुरादधिमस्तुयुक्तउपनाहः,मातुलुङ्गाम्लसैन्धवघृतमिश्रंमधुशिग्रुमूलमालेपस्तिलकल्कोवेतिवातप्रबले।।७।।

Bloodletting – The vitiated and obstructed blood ought to be set free many instances to start with of the therapy itself. Bloodletting ought to be finished in small portions from the physique. It shouldn’t be finished from the areas of the physique having extreme signs of vata and that are dry / tough and shrivelled. It’s because; if bloodletting is finished in these circumstances there’s concern of additional aggravation of vata. Vata will get aggravated if extra blood is eliminated by bloodletting all of a sudden.

Vamana and many others. therapies – Subsequent, the affected person ought to be administered with Vamana and different purificatory therapies. After this, meals ought to be progressively given in a stipulated and graduated method i.e. samsarjana krama ought to be finished commencing with peya, vilepi, yusa and many others.

Ghee and milk recipes – Later, the affected person is given with outdated ghee or goat’s milk added with half its amount of oil and 1 aksa – 10 grams of Madhuka.

Alternatively, he ought to be given with milk boiled and ready with

–        Sunthi, Srngataka and Kaseruka or

–        with Syama, Rasna, Susavi, Srgalavinna, Pilu, Satavari, Svadamstra and two Pancamulas

Dwipancamuladi Taila – Medicated oil ought to be ready with the beneath talked about elements and be administered together with meals and drinks –

–        Each Pancamulas – Brihat and Laghu Pancamula – the ten roots which represent Dasamula

–        Eight elements of milk and

–        Paste of – Madhuka, Mesasringi, Svadamstra, Sarala, Bhadradaru, Vaca and Surabhi

Satavaryadi Taila – Oil ready with the beneath talked about herbs ought to be used internally –

1. Decoction of the beneath talked about –

–        Satavari,

–        Mayuraka / Apamarga,

–        Kinihi

–        Ajamoda

–        Madhuka

–        Ksiravidari

–        Bala

–        Atibala and

–        Herbs belonging to Trina Pancamula group of herbs

1. Paste of herbs of Kakolyadi Gana group of herbs.

Satapaka Bala Taila – Alternatively, Satapaka Bala Taila ought to be used internally.

Parisecana (pouring / showering medicated liquids on the physique) ought to be finished with –

–        milk boiled with roots of vata mitigating herbs or

–        milk boiled with bitter liquids like fermented gruel and many others.

Pradeha (software of medicinal pastes or heat poultices with medicinal pastes)

1. Yavadi Pradeha – is ready from –

–        Yava,

–        Madhuka,

–        Eranda,

–        Tila and

–        Varsabhu

1. Yava Godhumadi Pradeha – is ready from

–        Separate flours of Yava, Godhuma, Tila, Mudga and Masa added with

–        Paste of – Kakoli, Ksirakakoli, Jivaka, Rshabhaka, Bala, Atibala, Bisa, Mrnala, Srgalavinna, Mesasringi, Priyala, Sarkara, Kaseruka, Surabhi and Vaca added with

–        Ghee, oil, muscle-fat, bone marrow and milk

These 5 Payasa (preparations of milk or milk puddings) could also be used.

Different Pradehas – Pradeha may be finished with one of many beneath talked about recipes when vata is predominant –

–        Utkarika (pan cake) ready from Tila, Eranda, Atasi and many others oil yielding seeds

–        Flour of Yava, Godhuma, Tila, Mudga and Masa added with Vesavara (meat broth) of fish

–        Bilvapesika (tender fruits of Aegle marmelos), Tagara, Devadaru, Sarala, Rasna, Harenu, Kustha, Satapushpa, Ela, Sura and Dadhimastu (whey of curd) or

–        Mastulungamla, Saindhava, Ghrta and paste of root of Sigru or

–        Paste of Tila – sesame seeds

पित्तप्र्बलेद्राक्षारेवतकदूफलपस्यामधुकचन्दनकाश्मर्यकषयंशर्करामधुमधुरंपाययेत्,शतावरीमधुकपटोलत्रिफालाकटुरोहिणीकषायं,गुडूचीकषायं वा,पित्तज्वरहरंवा  चन्दनादिकषायंशर्करामधुमधुरं,मधुरतिक्तकषायसिद्धंवा;सर्पिःबिसमृणालभद्रश्रियपाककषायेणार्धक्षीरेणपरिषेकः,क्षीरेक्षुरसैर्मधुकशर्करातण्डुलोदकैर्वाद्राक्षेक्षुकषायमित्रैर्वामस्तुमद्यधान्याम्लैः;जीवनीयसिद्धेनवासर्पिषाऽभ्यङ्गः,शतधौतघृतेनवा,काकोल्यादिकल्ककषायविपक्वेनवासर्पिषा;शालिषष्टिकनलवझूलतालीसशृङ्गाटकगलोड्यगौरीगैरिकशैवलपद्मकपद्मपत्रप्रभृतिर्धान्याम्लपिष्टैःप्रदेहोघृतमिश्रः,वातप्रबलेऽप्येषसुखोष्णःप्रदेहकार्यः।।८।।

Beneath talked about measures ought to be adopted when pitta is predominant –

Drakshadi Kwatha – Decoction of the beneath talked about herbs ought to be served after including sugar, honey and different candy substances for ingesting –

–        Draksha

–        Arevata

–        Katphala

–        Payasya

–        Madhuka

–        Candana and

–        Kasmarya

Satavaryadi Kwatha – Decoction of the beneath talked about herbs shall be given –

–        Satavari

–        Madhuka

–        Patola

–        Triphala and

–        Katurohini

Beneath talked about Kashaya / decoctions too shall be given –

–        Decoction of Guduchi or

–        Decoctions which remedy fever of pitta origin Ex. Candanadi Kashaya

Ghrta – Medicated ghee ready with herbs belonging to the beneath talked about teams ought to be taken internally –

–        Madhura – candy tasting herbs

–        Tikta – bitter tasting herbs and

–        Kashaya – astringent tasting herbs

Pariseka – pouring of medicated liquids on the physique or elements of the physique

1. Bisadi Kwatha – Pariseka ought to be finished with the decoction of the beneath talked about herbs –

–        Bisa

–        Mrnala

–        Bhadrasriya (Candana)

–        Padmaka

Earlier than pouring, ghee – half the amount of decoction ought to be added to the decoction.

2. Ksiradi Pariseka – Pariseka ought to be finished with combination of –

–        Ksira,

–        Iksurasa

–        Madhuka

–        Sarkara and

–        Tandulodaka

3. Draksadi Pariseka – Pariseka shall even be finished with combination of the beneath talked about –

–        Decoction of Draksa and Iksu

–        Mastu – whey

–        Madya – wine and

–        Dhanyamla – bitter gruel

Abhyanga – therapeutic massage or anointing with oil or ghee

Abhyanga ought to be finished with one of many beneath talked about medicated ghee –

–        Ghee ready with herbs of Jivaniya Gana group or

–        Satadhauta Ghrta or

–        Ghee ready with herbs of Kakolyadi Gana group

Pradeha – making use of medicinal pastes / heat poultice

Pradeha ought to be ready with the beneath talked about herbs macerated with dhanyamla and added with ghee –

–        Sali

–        Swastika

–        Nala

–        Vanjula

–        Talisa

–        Srngataka

–        Galodya

–        Gauri

–        Gairika

–        Saivala

–        Padmaka

–        Padmapatra

–        and such different herbs

These pradeha shall be used comfortably heat, even in predominance of vata.

रक्तप्रबलेऽप्येवं,बहुशश्चशोणितमवसेचयेत्,शीततमाश्चप्रदेहाःकार्याइति।।९।।

The identical therapy can be relevant in case of predominance of Rakta (blood). Bloodletting ought to be finished many instances. Chilly poultices ought to be utilized.

श्लेष्मप्रबलेत्वामलकहरिद्राकषायंमधुमधुरंपाययेत्,त्रिफलाकषायंवा;मधुकथङ्गवेरहरीतकीतिक्तरोहिणीकल्कंवासक्षौद्रं,मूत्रतोययोरन्यतरेणगुडहरीतकीवाभक्षयेत्;तैलमूत्रक्षारोदकसुराशुक्तकफघ्नौषधनिःक्वाथैश्चपरिषेकः,आरग्वधादिकषायैर्वोष्णैः;मस्तुमूत्रसुराशुक्तमधुकसारिवापाकसिद्धवाघृतमभ्यङ्गः;तिलसर्षपातसीयवचूर्णानिश्लेष्मातककपित्थमधुशिमिश्राणिक्षारमूत्रपिष्टानिप्रदेहः;श्वेतसर्षपकल्कः,तिलाश्वगन्धाकल्कःप्रियालसेलुकपित्थकल्कः,मधुशिग्रुपुनर्नवालकल्कः,व्योषतिक्तापृथपर्णीवहतीकल्कइत्येतेषांपक्षप्रदेहाःसुखोष्णा:क्षारोदकपिष्टाः,शालिपर्णीपृश्निपर्णीबृहत्यौवाक्षीरपिष्टास्तर्पणमिश्राः।।१०।।

Beneath talked about recipes are helpful in case of kapha predominance –

Amalakyadi Kashaya – Decoction of Amalaka – Emblica officinalis and Haridra – Curcuma longa ought to be honey or different sweets and ought to be served for ingesting

Triphala Kashaya could also be given after including honey to it.

Paste of the beneath talked about shall be given, combined in honey –

–        Madhuka

–        Srngavera

–        Haritaki and

–        Tiktarohini

Guda Haritaki ought to be administered with any one of many beneath talked about –

–        Cow’s urine

–        Water or

–        Another liquids

Pariseka – The beneath talked about liquids ought to be poured / showered

–        Oil

–        Cow urine

–        Alkali resolution

–        Beer

–        Vinegar

–        Decoction ready with kapha mitigating herbs,

–        Heat decoction of Aragwadhadi Gana

Abhyanga – Therapeutic massage ought to be finished with one of many beneath talked about –

–        Mastu

–        Matra

–        Sura

–        Sukta or

–        Ghee processed with Madhuka, Sariva and Padmaka

Pradeha – software of medicinal paste or poultice

Tiladi Pradeha – Pradeha ready with beneath talked about herbs macerated with alkali resolution and urine –

–        Tila

–        Sarsapa

–        Atasi

–        Flour of Yava

–        Sleshmataka

–        Kapittha and

–        Madhusigru

Different Pradehas

Beneath talked about 5 sorts of poultices ought to be utilized by macerating with alkali resolution –

–        Sveta Sarsapa Pradeha – Paste ready with Sveta Sarsapa – black mustard

–        Tiladi Pradeha – Paste of Tila – sesame and Asvagandha – Withania somnifera

–        Priyalvadi Pradeha – Paste of Priyala, Selu and Kapittha

–        Madhusigrvadi Pradeha – Paste of Madhusigru and Punarnava

–        Vyoshadi Pradeha – Paste of Vyosa, Tikta, Prthakparni and Brhati

Saliparnyadi Pradeha – Paste of the beneath talked about macerated with milk and added with Tarpana (flour of Yava) ought to be utilized heat –

–        Saliparni

–        Prsniparni and

–        Two kinds of Brhati

संसर्गेसन्निपातेचक्रियापथमुक्तंमिश्रंकुर्यात्।।११।।

The remedies described to date for particular person dosha predominance / aggravation could also be administered combined collectively appropriately in circumstances whereby there’s predominance of mixture of two or three doshas.

Vardhamānapippalī yoga

सर्वेषुचगुडहरीतकीमासेवेत;पिप्पलीक्षीरपिष्टावारिपिष्टावापञ्चाभिवृद्ध्यादशाभिवृद्ध्यावापिबेत्क्षीरौदनाहारोदशरात्रं,भूयश्चापकर्षयेत्,एवंयावत्पञ्चदशवेति;तदेतत्पिप्पलीवर्धमानकंवातशोणितविषमज्वरारोचकपाण्डुरोगप्लीहोदरार्श:कासश्वासशोफशोषाग्निसादहृदोगोदराण्यपहन्ति;जीवनीयप्रतीवापंसर्पिःपयसापाचयित्वाऽभ्यज्यात्;सहासहदेवाचन्दनमूर्वामुस्ताप्रियालशतावरीकशेरुपाकमधुकशतपुष्पाविदारीकुष्ठानिक्षीरपिष्टःप्रदेहोघृतमण्डयुक्तः,सैरेयकाटरूषकबलातिबलाजीवन्तीसुषवीकल्कोवाच्छागक्षीरपिष्टः,गोक्षीरपिष्टःकाश्मर्यमधुकतर्पणकल्कोवा;मधूच्छिष्टमञ्जिष्ठासर्जरसारिवाक्षीरसिद्धंपिण्डतैलमभ्यङ्गः;सर्वेषुचपुराणघृतमामलकरसविपक्वंवापानार्थे;जीवनीयसिद्धंपरिषेकार्थे,काकोल्यादिक्वाथकल्कसिद्धंवा;सुषवीक्वाथकल्कसिद्धंवा,कारवेल्लकक्वाथमात्रसिद्धंवा;बलातैलंवापरिषेकावगाहबस्तिभोजनेषु;शालिषष्टिकयवगोधूमान्नमनवंभुञ्जीतपयसाजाङ्गलरसेनवामुद्गयूषेणवाऽनम्लेन;शोणितमोक्षंचाभीक्ष्णंकुर्वीत;उच्छ्रितदोषेचवमनविरेचनास्थापनानुवासनकर्मकर्तव्यम्।।१२।।

Gudaharitaki ought to be commonly consumed in all kinds of this illness. Or pippali macerated with both milk or water could also be used rising both by 5 or ten pippali each succeeding day. One ought to take a eating regimen predominant in milk and rice whereas consuming this recipe. After taking pippali in ascending dose for a time period of ten days, the variety of pippali ought to be progressively decreased by 5 or ten pippalis every day (in the identical method). The variety of Pippali ought to be elevated till it reaches fifty (in quantity). This recipe is popularly recognized by the identify Vardhamana Pippali Yoga.

It cures the beneath talked about ailments –

–        Vatarakta – gout, peripheral vascular ailments

–        Visama Jwara – irregular fevers

–        Arochaka – tastelessness, anorexia

–        Pandu Roga – anaemia, liver problems

–        Plihodara – enlargement of spleen / Splenomegaly

–        Arshas – piles

–        Kasa – cough

–        Sopha – swelling, oedema

–        Sosha – consumption, emaciation resulting from tissue destruction

–        Agnisada – weak digestive hearth and weak digestion capability

–        Hrdroga – Coronary heart ailments and

–        Udara – Stomach ailments

For Abhyanga – ghee ready with herbs belonging to the Jivaniya Gana group of herbs and milk ought to be used.

For Pradeha (heat poultices) – Beneath talked about herbs macerated with milk and added with ghee scum shall be used –

–        Saha,

–        Sahadevā,

–        Cañdana,

–        Mūrvā,

–        Mustā, Priyāla,

–        Satāvarī,

–        Kaseru,

–        Padmaka,

–        Madhuka,

–        Satapuspa,

–        Vidārī,and

–        Kuştha

Different Pradeha

Saireyakadi Pradeha – Pradeha ready by macerating the beneath talked about herbs with goat’s milk –

–        Saireyaka,

–        Ațarūşaka,

–        Balā,

–        Atibalā,

–        Jīvañtī and

–        Suşavī

Kasmaryadi Lepa – Paste of the beneath talked about macerated with cow’s milk is used for making use of pradeha – poultice –

–        Kāşmarya,

–        Madhuka and

–        Tarpaņa (flour of yava)

For Abhyanga (therapeutic massage), Pinda Taila is used. This oil is ready with the beneath talked about elements –

–        Madhūcehişta,

–        Manjista,

–        Sarjarasa and

–        Sariva and

–        Milk

Recipes for all sorts of Vatarakta –

For ingesting functions – outdated ghee ready with juice or decoction of Amalaka ought to be used.

For Parisheka (pouring or showering on the physique elements) –

–        outdated ghee ready with Jivaniya Gana group of herbs ought to be used or

–        outdated ghee ready with decoction of Kakolyadi Gana group of herbs

–        outdated ghee ready with decoction and paste of Susavi or

–        outdated ghee ready with decoction of Karavellaka

–        Bala Taila

Bala Taila – Other than Parisheka, Bala Taila is used for Avagaha – tub tub, Basti – administering enema and Bhojana – for use together with meals.

For getting ready meals – outdated sali rice, swastika rice, yava – barley and godhuma – wheat ought to be used. The ready meals ought to be taken together with any one of many beneath talked about –

–        milk

–        soup of meat of animals dwelling in arid lands with out including bitter substances or

–        soup of mudga – inexperienced gram, with out including bitter substances

Bloodletting – is the very best therapy for Vatarakta and ought to be finished usually.

Therapies for extreme aggravation of doshas – If there’s extreme aggravation of doshas within the illness, the beneath talked about therapies ought to be administered as and when required –

–        vamana – emesis

–        virechana – purgation

–        asthapana – decoction enema and

–        anuvasana – oil enema

पटोलत्रिफलाभीरुगुडूचीकटुकाकृतम्।।
क्वाथंपीत्वाजयत्याशुवातशोणितजांरुजम्।।१३।।

Patoladi Kashayam – The decoction of the beneath talked about herbs, when consumed, cures ache related to vatarakta –

–        Patola

–        Triphala

–        Abhiru

–        Guduchi and

–        Katuka

भवन्तिचात्र

Some verses right here

एवमाद्यैःक्रियायोगैरचिरोत्पतितंसुखम्।।
वातासृक्साध्यतेवैद्यैर्याप्यतेतुचिरोत्थितम्।।१४।।

Vatarakta of current origin / onset may be cured by the doctor by administering these therapies talked about above. Continual circumstances of Vatarakta can’t be cured however can solely be managed by administering these therapies.

Pathyāpathya — do and don’ts

उपनाहपरीषेकप्रदेहाभ्यञ्जनानिच।।
शरणान्यप्रवातानिमनोज्ञानिमहान्तिच।।१५।।
मृदुगण्डोपधानानिशयनानिसुखानिच।।
वातरक्तेप्रशस्यन्तेमृदुसंवाहनानिच।।१६।।
व्यायाममैथुनंकोपमुष्णाम्ललवणाशनम्।।
दिवास्वप्नमभिष्यन्दिगुरुचान्नंविवर्जयेत्।।१७।।

The beneath talked about kinds of therapies are extremely helpful within the therapy of Vatarakta –

–        Upanaha – software of heat poultices

–        Parisheka – pouring or showering medicinal liquids over the physique or physique elements

–        Pradeha – heat software of medicinal pastes over the physique or affected physique elements

–        Abhyanjana – therapeutic massage with medicated oils 

–        Sharanani – apravatani manojnani mahantani – staying in room / chamber which is devoid of heavy breeze, pleasing to the thoughts and can be giant

–        Mrdu gandopadhanani shayanani sukhani cha – use of soppy pillows and cozy bedding

–        Mrdu Samvahanani – gentle massaging / kneading

Vatarakta affected person ought to keep away from the beneath talked about –

–        Vyayyama – extreme train

–        Maithuna – extreme intercourse / copulation

–        Kopa – anger

–        Ushna, Amla Lavana Ashana – meals that are scorching in potence and predominant in bitter and salt tastes

–        Divaswapna – sleeping throughout day time

–        Abhishyandi anna – consumption of meals which create extra moisture contained in the physique

–        Guru anna – meals that are heavy and tough to digest

2. Apatānaka – Tetanus

अपतानकिनमस्रस्ताक्षमवक्रभुवमस्तब्धमेढ़मस्वेदनमवेपनमप्रलापिनमखट्वापातिनमबहिरायामिनंचोपक्रमेत्।तत्रप्रागेवस्नेहाभ्यक्तंस्विन्नशरीरमवपीडनेनतीक्ष्णेनोपक्रमेतशिरःशुद्ध्यर्थं;अनन्तरंविदारिगन्धादिक्वाथमांसरसक्षीरदधिपक्वंसर्पिरच्छंपाययेत्,तथाहिनातिमात्रंवायुःप्रसरति;ततोभद्रदादिवातघ्नगणमाहृत्यसयवकोलकुलत्थंसानूपौदकमांसंपञ्चवर्गमेकतःप्रक्वाथ्यतमादायकषायमम्लक्षीरैःसहोन्मियसर्पिस्तैलवसामज्जभिःसहविपचेन्मधुरकप्रीतवापं,तदेतत्रैवृतमपतानकिनांपरिषेकावगाहाभ्यङ्गपानभोजनानुवासननस्येषुविदध्यात्;यथोक्तैश्चस्वेदविधानैःस्वेदयेत्,बलीयसिवातेसुखोष्णतुषबुसकरीषपूर्णेकूपेनिदध्यादामुखात्,तप्तायांवारथकारचुल्ल्यांतप्तायांवाशिलायांसुरापरिषिक्तायांपलाशदलच्छन्नायांवाशिलायांसुरापरिषिक्तायांपलाशदलच्छन्नायांकृशरावेशवारपायसैस्वेदयेत्।मूलकोरुबूस्फूर्जार्जकार्कसप्तलाशङ्खिनीस्वरससिद्धंतैलमपतानकिनांपरिषेकादिषूपयोज्यम्।अभुक्तवतापीतमम्लंदधिमरिचवचायुक्तमपतानकंहन्ति;तैलसर्पिर्वसाक्षौद्राणिवा।एतच्छुद्धवातापतानकविधानमुक्तं,संसृष्टेसंसृष्टंकर्तव्यम्।वेगान्तरेषुचावपीडंदद्यात्;ताम्रचूडकर्कटकृष्णमत्स्यशिशुमारवराहवसाश्चासेवेत,क्षीराणिवावातहरसिद्धानि,यवकोलकुलत्थमूलकदधिघृततैलसिद्धायवागूः;स्नेहविरेचनास्थापनानुवासनैश्चैनंदशरात्राहृतवेगमुपकमेत;वातव्याधिचिकित्सितंचावेक्षेत;रक्षाकर्मचकुर्यादिति।।१८।।

Beneath talked about are the circumstances favorable for treating the affected person of Apatanaka (i.e. the affected person of Apatanaka – tetanus shall be handled solely within the presence of the beneath talked about options / circumstances) –

–        eyes of the affected person mustn’t have been dropped down an excessive amount of,

–        his eyebrows shouldn’t be irregular,

–        his penis shouldn’t be inflexible,

–        he shouldn’t be closely sweating,

–        his physique shouldn’t be bent an excessive amount of,

–        he shouldn’t be speaking irrelevantly,

–        he shouldn’t be falling down from his cot and

–        he shouldn’t be having bahirayama i.e. his physique shouldn’t be bending backwards (not be having opisthotonus)

Cikitsă – therapy

Beneath talked about therapies ought to be finished on the graduation of therapy itself in order to purify / cleanse the top of its doshas –

–        Sneha Abhyanga – anointing the physique with oil,

–        Swedana – sudation

–        Tikshna Avapidana Nasya – sturdy nasal drops

After this, Achchapana i.e. ingesting ghee in a single larger dose ought to be administered with ghee ready from decoction of Vidarigandhadi Gana group of herbs, meat juice, milk and curds. By doing so, the aggravated doshas don’t unfold drastically and wouldn’t have an effect on many elements of the physique.

Traivrta sñeha

Subsequent, decoction is ready utilizing the beneath talked about elements –

–        herbs belonging to the Bhadradarvadi Gana group of herbs,

–        Yava – barley

–        kola – jujube

–        kulattha – horse gram and

–        meat of animals dwelling in marshy areas and water and likewise

–        meat of different 5 teams (külacara, plava, kośastha, pādina and matsya)

This decoction is added with sours and milk and the ghee, oil, muscle fats and marrow and cooked by including the paste of herbs belonging to Madhuraka group of herbs i.e. candy tasting herbs resembling Kakolyadi Gana group of herbs and sneha i.e. medicated fats ready. This formulation is known as Traivrta Sneha.

This Traivrta Sneha is utilized in treating Apatanaka sufferers in beneath talked about types / for beneath talked about functions –

–        pouring on the physique

–        tub tub

–        anointing the physique

–        ingesting

–        mixing with meals

–        unctuous enema and

–        nasal drops

Swedana i.e. ‘sudation remedy’ can be administered as indicated.

Beneath talked about remedies ought to be given to the affected person having extreme aggravation of vata –

–        he ought to be buried in heat heap of ash or husk, muck and many others. neck deep

–        he ought to be made to lie close to a fireplace of a metalsmith,

–        he ought to be made to lie on a stone slab which has been heated after which sprinkled with sura – beer and later unfold over with palasha leaves or

–        he ought to be supplied with sudation by utilizing krśara (boiled rice), palāśa (milk pudding) or vesavāra (mutton broth)

For pouring or showering over the physique and for different functions, the medicated oil ready from recent juice of the beneath talked about herbs ought to be used –

–        Mulaka

–        Urubaka

–        Sphurja

–        Arjaka

–        Arka

–        Saptala and

–        Sankhini

The beneath talked about recipes consumed on empty abdomen cures Apatanaka (tetanus) –

–        bitter curds combined with powder of Marica – black pepper and Vaca – Acorus calamus or

–        combination of oil, ghee, muscle fats and honey combined with powder of pepper and Acorus calamus

Thus, the therapy of Apatanaka produced by Vata not related to different aggravated doshas i.e. Shuddha Vata has been defined above. The therapies for various doshas ought to be mixed and administered in circumstances of Apatanaka whereby different doshas are related or mixed with Vata.

Measures to be finished in between the bouts of convulsions of Apatanaka –

–        Avapida Nasya – sturdy nasal medicinal drops ought to be administered

–        Consumption of muscle fats of cock, crab, black fish, dolphin or boar or

–        Consumption of milk boiled with herbs which mitigate vata or

–        Consumption of yavagu i.e. thick gruel ready with yava – barley, kola – jujube fruit, kulattha – horse gram and mulaka – radish added with curds, ghee and oil

The affected person ought to be administered with the beneath talked about therapies for ten days or until the bouts of convulsions of apatanaka get diminished or cease –

–        oil purgatives

–        decoction enema and

–        oil enema

The opposite remedies described within the context of chapter on Vatavyadhi i.e. earlier chapter of the identical part must also be thought-about. Raksha Karma i.e. protecting rites must also be carried out.

3. Paksāghāta — Hemiplegia

पक्षाघातोपद्रुतमम्लानगात्रंसरुजमात्मवन्तमुपकरणवन्तंचोपक्रमेत्।तत्रप्रागेवस्नेहस्वेदोपपन्नमृदुनाशोधनेनसंशोध्यानुवास्यास्थाप्यचयथाकालमाक्षेपकविधानेनोपचरेत्;वैशेषिकश्चामस्तिष्क्यःशिरोबस्तिः,अणुतैलमभ्यङ्गार्थे,साल्वणमुपनाहार्थे,बलातैलमनुवासनार्थे;एवमतन्दितस्त्रींश्चतुरोवामासान्क्रियापथमुपसेवेत।।१९।।

Beneath talked about are the circumstances for treating the affected person of Pakshaghata –

–        the physique of the affected person shouldn’t be emaciated

–        he ought to be having ache (pakshaghata ought to be related to ache)

–        the affected person ought to be self managed and

–        he ought to be properly outfitted with important herbs, cash for therapy, attendants and caretakers and many others

Solely snehana – oleation and swedana – sudation ought to be administered to start with. Following this, gentle purificatory therapies i.e. emesis and purgation ought to be administered. Later, oil enema and decoction enema shall be administered at correct time. Then, the remedies prescribed for Akshepaka i.e. convulsions ought to be administered.

Shiro Basti is useful for the top and is a particular therapy for this illness.

Beneath talked about are particular indications –

–        Anutaila – for anointing and bathing function

–        Salvana Upanaha – for fomentation

–        Bala Taila – for oil enema

With none laxity, these remedies ought to be continued for 3 or 4 months.

4. Mañyāsthambha – Wry neck

मन्यास्तम्भेऽप्येतदेवविधानं,विशेषतोवातश्लेष्महरैर्नस्यैरूक्षस्वेदैश्चोपचरेत्।।२०।।

The identical remedies are additionally helpful in treating Manyastambha – stiff neck. Beneath talked about are particular remedies for this situation –

–        Nasya – nasal drops which mitigate vata and kapha and

–        Ruksha Sweda – dry sudation

5. Apatañtraka – Tetanus

अपतन्त्रकातुरंनापतर्पयेत्,वमनानुवासनास्थापनानिननिषेवेत,वातश्लेष्मोपरुद्धोच्छ्वासंतीक्ष्णैःप्रध्यापनैर्मोक्षयेत्,तुम्बुरुपुष्कराह्वहिङ्ग्वम्लवेतसपथ्यालवणत्रयंयवक्वाथेनपातुंप्रयच्छेत्,पथ्याशतार्धेसौवर्चलद्विपलेचतुर्गुणेपयसिसर्पिःप्रस्थंसिद्धं;वातश्लेष्मापनुच्चकर्मकुर्यात्।।२१।।

The affected person of Apatantraka shouldn’t be allowed to turn out to be malnourished and weak.

Beneath talked about therapies shouldn’t be administered –

–        emesis

–        oil enema

–        decoction enema

Tikshna Pradhamana – Robust nasal insufflations ought to be administered to alleviate obstruction of respiration brought on by aggravated vata and kapha.

Powder of the beneath talked about elements ought to be combined in decoction of Yava – barley and given to the affected person for ingesting –

–        tumburu,

–        puskarāhvaya,

–        hingu,

–        amlavetasa,

–        pathyā and

–        lavanatraya – three salts – saindhava, sauvaracala and bida

Medicated ghee ready with beneath talked about elements ought to be given for ingesting –

–        decoction of pathyā – Terminalia chebula – fifty in quantity,

–        sauvarcala salt – two pala i.e. 80 grams in amount,

–        milk – 4 instances the amount and

–        ghrta – one prastha i.e. 640 ml

Different remedies which are supposed to mitigate väta and kapha must also be administered. 

6. Ardita – Facial paralysis

अर्दितातुरंबलवन्तमात्मवन्तमुपकरणवन्तंचवातव्याधिविधानेनोपचरेत्,वैशेषिकैश्चमस्तिष्क्यशिरोबस्तिनस्यधूमोपनाहस्नेहनाडीस्वेदादिभिः;ततःसतृणंमहापञ्चमूलंअर्दितातुरंबलवन्तमात्मवन्तमुपकरणवन्तंचवातव्याधिविधानेनोपचरेत्,काकोल्यादिविदारिगन्धादिमौदकानूमांसंतथैवौदककन्दांश्चाहृत्यद्विगुणोदकेक्षीरद्रोणेनिःक्वाथ्यशीतीभूतमभिमशीयात्,तत्रयःस्नेहउत्तिष्ठेत्तमादायमधुरौषधसहाक्षीरयुक्तंविपचेत्,एतत्क्षीरावशिष्टमवतार्यपरिस्राव्यतैलप्रस्थेनोन्मियपुनरग्नावधिश्रयेत्,ततस्तैलंक्षीरानुगतमवतार्यक्षीरतैलमर्दितातुराणांपानाभ्यङ्गादिषूपयोज्यं;तैलहीनंवाक्षीरसर्पिरक्षितर्पणमिति।।२२।।

The affected person of Ardita shall be handled with the identical therapies indicated for treating Vatavyadhi (normal line of therapy of Vatavyadhi). Beneath talked about are the circumstances for treating Ardita –

–        the affected person ought to be sturdy

–        he ought to be self managed

–        he ought to be properly outfitted (have all equipments wanted for therapy)

Beneath talked about are the particular remedies for Ardita –

–        Shirobasti – oil pooling over the top

–        Nasya – nasal remedy

–        Dhuma – smoke inhalation

–        Upanaha – heat poultice

–        Snehana – oleation

–        Nadi Sweda – tube fomentation / sudation

Kșīra taila

Elements –

–        Herbs belonging to Trnapancamula, Mahatpancamula, Kakolyadi gana and Vidarigandhadi gana group of herbs

–        Meat of animals dwelling in water

–        Meat of animals dwelling in marshy areas

–        Water – double the amount of the above elements

–        Milk – 1 drona i.e. 10.24 kg roughly in amount

Methodology of preparation – All of the above talked about elements are boiled collectively till solely milk stays after which filtered. To this, Taila – sesame oil is added in 1 prastha (640gm) amount and cooked on hearth till the oil will get completely combined with the milk. When this occurs, it’s faraway from the fireplace. After it cools, it ought to be churned properly.

The resultant oil is taken out individually and cooked as soon as once more together with herbs having a candy style (Kakolyadi Gana group of herbs) and milk. This preparation is known as Kshira Taila.

Advantages – Kshira Taila ought to be used for treating sufferers affected by Ardita and shall be administered for functions of ingesting, anointing and many others.

Similar to Kshira Taila, Kshira Sarpi shall be ready utilizing ghee as an alternative of oil and used for Netra Tarpana – pooling the ghee across the eyes.

गृध्रसीविश्वाचीक्रोष्ट्रकशिरःखञ्जपङ्गुलवातकण्टकपाददाहपादर्षावबाहुकबाधिर्यधमनीगतवातरोगेषुयथोक्तंयथोद्देशंचसिराव्यधंकुर्यात्,अन्यत्रावबाहुकात्;वातव्याधिचिकित्सितंचावेक्षेत।।२३।।

Siravedha / Siravyadha i.e. bloodletting by venipuncture ought to be finished as indicated within the beneath talked about circumstances / ailments apart from Avabahuka. Different remedies prescribed for vātavyadhi generally must also be adopted –

–        Grdhrasi – sciatica

–        Visvaci – painful situation of the arm together with lack of features

–        Krostukasirsa – inflammatory swelling of the knee joint

–        Khanja – limp

–        Pangu – lameness

–        Vatakantaka – ankle sprain

–        Padadaha – burning ft

–        Padaharsa – tingling or tender ft

–        Avabahuka – painful arm

–        Badhirya – deafness

–        Dhamanigata Vata – problems brought on by vata getting lodged in blood vessels / arteries and

–        Such different circumstances

7. Karņaśüla – Earaches

कर्णशूलेतुशृङ्गवेररसंतैलमधुसंसृष्टंसैन्धवोपहितंसुखोष्णंकर्णेदद्यात्,अजामूत्रमधुतैलानिवा,मातुलुङ्गदाडिमतिन्तिडीकस्वरसमूत्रसिद्धंतैलं,शुक्तसुरातक्रमूत्रलवणसिद्धंवा;नाडीस्वेदैश्चस्वेदयेत्,वातव्याधिचिकित्सांचावेक्षेत;भूयश्चोत्तरेवक्ष्यामः।।२४।।

Beneath talked about recipes are extremely helpful for these affected by Karna Sula (earache) –

–        Recent juice of Srngavera (ginger) combined with oil, honey and rock salt ought to be instilled into the ear, made comfortably heat or

–        Goat’s urine and honey can be utilized in related technique or

–        Oil cooked with Matulunga, Dadima and Tintidika and goat’s urine could also be used for a similar function in related technique

–        Likewise, oil ready by processing with sukta – vinegar, sura – beer, takra – buttermilk, mutra – urine and lavana – rock salt could also be used

Fomentation to the ears ought to be given by Nadi Sweda – tubular sudation technique. Therapies prescribed for Vata Vyadhi might also be administered. Additional particulars shall be furnished within the Uttara Sthana part of the textual content (Sushruta Samhita).

8. Tuni-Pratituni – Ache of bladder

तूनीप्रतून्योःस्नेहलवणमुष्णोदकेनपाययेत्,पिप्पल्यादिचूर्णवा,हिङ्गुयवक्षारप्रगाढंवासर्पिः,बस्तिभिश्चैनमुपक्रमेत्।

Tūnī and pratituni are circumstances which current with ache within the urinary bladder or area of urinary bladder. On this situation, heat water added with oil and rock salt shall be given for ingesting. Alternatively, heat water combined with powder of Pippalyadi Gana group of herbs could also be given for ingesting.

Ghee combined with extra amount of Hingu – asafoetida and Yava Kshara – alkali ready from barley plant ought to be given for a similar function.

Enema therapies will even be useful on this situation.

9. Adhmāna – Flatulence

आध्मानेत्वपतर्पणपाणितापदीपनचूर्णफलवर्तिक्रियापाचनीयदीपनीयबस्तिभिरुपाचरेत्;लङ्घनानन्तरंचान्नकालेधान्यकजीरकादिदीपनसिद्धान्यन्नानि।प्रत्याध्मानेछर्दनापतर्पणदीपनानिकुर्यात्।।२६।।

Beneath talked about measures / remedies shall be adopted for treating Adhmana (flatulence) –

–        Apatarpana – fasting

–        Panitapa – offering warmth / fomentation with palm

–        Dipana Churna – carminative powders / natural powders which improve digestive capability

–        Phalavarti – suppositories

–        Pachana, Deepana Kriya – digestive and carminative therapies

–        Vasti – enemas

Meals ready with carminative herbs like Dhanyaka – coriandrum, Jiraka – cumin seeds and many others ought to be consumed after observing a interval of fasting.

Chardana – emesis, Apatarpana – fasting and Dipana – carminatives ought to be administered for treating Pratyadhmana.

10. Asthila and pratyasthila: Enlargement of prostate

अष्ठीलाप्रत्यष्ठीलयोर्गुल्माभ्यन्तरविद्रधिवत्क्रियाविभागइति।।२७।।

The remedies described for Gulma – belly tumors and Abhyantara Vidradhi – inner abscess ought to be adopted for treating Asthila and Pratyasthila (prostate enlargement).

Hingvādi guţika-

हिङ्गत्रिकटुवचाजमोदाघान्याजगन्धादाडिमतिन्तिडीकपाठाचित्रकयवक्षारसैन्धवबिडसौर्वचलस्वर्जिकापिप्पलीमूलाम्लवेतसशटीपुष्करमूलहपुषाचव्याजाजीपथ्याचूर्णयित्वामातुलङ्गामोनबहुश:परिभाव्याक्षमात्रागुटिका:कारयेत्,ततःप्रातरेकैकांवातविकारीभक्षयेत्,एषयोगकासश्वासगुल्मोदरारोचकहद्रोगाध्मानपार्थोदरबस्तिशूलानाहमूत्रकृच्छ्प्लीहार्शस्तूनीपतूनीरपहन्ति।।२८॥

Powder of the beneath talked about elements taken in equal proportions is ready –

–        Hingu,

–        Trikatu,

–        Vaca,

–        Ajamoda,

–        Dhānyaka,

–        Ajagandha,

–        Dadima,

–        Tintidika,

–        Patha,

–        Citraka,

–        Yava ksāra,

–        Saindhava,

–        Bida,

–        Sauvarcala,

–        Svarjikā,

–        Pippalīmüla,

–        Amlavetasa,

–        Sati,

–        Puskaramula,

–        Hapusa,

–        Cavya,

–        Ajaji and

–        Pathya

This powder is soaked in Matulunga juice many instances. Later, tablets of 1 aksa i.e. 10 grams every is ready with the paste obtained by soaking the above talked about powder in juice of Matulunga.

Sufferers affected by Vata ailments ought to eat one ready tablet each morning.

Different advantages – Other than curing vata ailments, this tablet additionally cures the beneath talked about circumstances –

–        cough

–        dyspnoea,

–        belly tumour

–        belly enlargement

–        anorexia

–        coronary heart illness

–        flatulence,

–        ache in flanks, stomach and urinary bladder,

–        tympanitis,

–        dysuria,

–        spleen enlargement,

–        haemorrhoids and

–        bladder ache

भवन्तिचात्र

Some verses right here

केवलोदोषयुक्तोवाधातुभिर्वाऽऽवृतोऽनिलः।।
विज्ञेयोलक्षणोहाभ्यांचिकित्स्यश्चाविरोधतः।।२९।।

One ought to perceive Kevala Dosha / aggravated Vata or Avruta Vata i.e. Vata being enveloped and blocked by different dhatus on the idea of the signs produced by these circumstances. They can be understood by inference. After diagnosing these circumstances, remedies which aren’t mutually opposing in nature shall be adopted.

रुजावन्तंघनंशीतंशोफंमेदोयुतोऽनिलः।।
करोतियस्यतंवैद्यःशोथवत्समुपाचरेत्।।३०।।

The doctor ought to deal with the sopha i.e. swelling which is painful, onerous and chilly produced by vata and medas (fats) collectively on the traces of treating sotha (edema).

11. Urusthambha: Rigidity of the leg

कफमेदोवृतोवायुर्यदोरूप्रतिपद्यते।।
तटाऽङ्गमर्दस्तैमित्यरोमहर्षरुजाज्वरैः।।३१।।
निद्रयाचार्दितौस्तब्धौशीतलावप्रचेतनौ।।
गुरुकावस्थिरावूरूनस्वाविवचमन्यते।।३।।
तमूरुस्तम्भमित्याहुराढ्यवातपथापरे।।

Pathogenesis – Kapha and Medas (fats) trigger Avarana (envelope or obstructs) of Vata. Such Vata obstructed by kapha and fats will get localized within the thigh and causes the beneath talked about signs.

Signs –

–        physique aches

–        feeling of the leg / thigh lined with a moist material / lack of actions,

–        horripilations,

–        ache,

–        fever,

–        the particular person feels as if his thigh is asleep (not having actions), painful, inflexible, chilly and unconscious and immovable

–        the particular person feels as if the leg is heavy, unsteady and doesn’t belong to him i.e. a sense as if his leg / thigh has been changed by another person’s leg

The illness presenting with the above stated signs is known as Urusthambha. Others additionally name it Adhyavata.

स्नेहवर्जंपिबेत्तत्रचूर्णंषड्धरणंनरः।।३३ ||
हितमुष्णाम्बुनातद्वत्पिप्पल्यादिगणैःकृतम्।।
लिह्याद्वात्रैफलंचूर्णंक्षौद्रेणकटुकान्चितम्।।३४11
मूत्रैर्वागुग्गुलंश्रेष्ठंपिबेद्वाऽपिशिलाजतु।।
ततोहन्तिकफाक्रान्तंसमेदस्कंप्रभञ्जनम्।।३५।।
हृद्रोगमरुचिंगुल्मंतथाऽभ्यन्तरविद्रथिम्।।

On this situation, ShadDharana Churna ought to be given combined with heat water with out including fat like ghee or oil, to the affected person.

Likewise, the beneath talked about formulations can be given –

–        Pippalyadi Gana – powder of Pippalyadi Gana group of herbs or

–        Triphala powder and Katuka combined with honey ought to be given for licking or

–        Guggulu – good high quality Commiphora mukul with cow’s urine

–        Shilajatu – with cow’s urine

Advantages – The above talked about recipes remedy Vata combined with or obstructed by kapha and medas, as in Urustambha. Additionally it is used to remedy coronary heart ailments, anorexia, belly tumour and inner abscess.

सक्षारमूत्रस्वेदांश्चरूक्षाण्युत्सादनानिच।।३६।।
कुर्याद्दिह्याच्चमूत्राढ्यैःकरञ्जफलसर्षपैः।।
भोज्या:पुराणश्यामाककोद्रवोद्दालशालयः।।३७।।
शुष्कमूलकयूषेणपटोलस्यरसेनवा।।
जाङ्गलैरघृतैर्मासैःशाकैश्चालवणैर्हितैः।।३८।।
यदास्यातांपरिक्षीणेभूयिष्ठेकफमेदसी।।
तदास्नेहादिकंकर्मपुनरत्रावचारयेत्।।३९।।

Beneath talked about recipes are additionally helpful –

–        Cow’s urine added and combined with Yava Kshara

–        Dry sudation / fomentation and therapeutic massage and

–        Utility of paste of Karanja – Pongamia pinnata fruits and Sarsapa – mustard – combined with extra of cow’s urine

Weight-reduction plan – Meals ought to be ready utilizing outdated syamaka, kodrava, uddala and sali rice. It ought to be consumed together with soup of dry mulaka – radish or patola – pointed gourd.

Meat of animals dwelling in desert-like lands ought to be consumed with out including fat and greens shall be consumed with out including salt.

Oleation and different therapies shall be administered after observing that kapha and medas have been considerably decreased.

Guggulu Prayoga

सुगन्धिःसुलघुःसूक्ष्मस्तीक्ष्णोष्णःकटुकोरसे।।
कटुपाकःसरोहृद्योगुग्गुल:स्निग्धपिच्छिलः।।४0।।
सनवोबृहणोवृष्यपुराणस्त्वपकर्षणः।।
तैक्ष्ण्यौष्ण्यात्कफवातघ्नःसरत्वान्मलपित्तनुत्।।४१।।
सौगन्ध्यात्पूतिकोष्ठनःसौम्याच्चानलदीपनः।।
तंप्रातस्त्रिफलादापिटोलकुशवारिभिः।।४२।।
पिबेदावाप्यवामूत्रैःक्षारैरुष्णोदकेनवा।।
जीर्णेयूषरसैःक्षीरैर्भुञ्जानोहन्तिमासतः।।४३।।
गुल्मंमेहमुदावर्तमुदरंसभगन्दरम्।।
कृमिकण्ड्वरुचिश्वित्राण्यर्बुदग्रन्थिमेवच।।४४।।
नाड्यान्यवातश्वयथून्कुष्ठदुष्टव्रणांश्चसः।।
कोष्ठसन्ध्यस्थिगंवायुंवृक्षमिन्द्राशनिर्यथा।।४५।।

Properties / qualities of Guggulu – Commiphora mukul –

–        has nice odour,

–        very gentle,

–        delicate,

–        penetrating,

–        scorching in efficiency,

–        pungent / bitter in style,

–        pungent after digestion,

–        laxative,

–        good for the center,

–        unctuous and

–        slimy

Recent Guggulu is stoutening and aphrodisiac.

Outdated Guggulu causes thinning of the physique.

Guggulu mitigates kapha and vata owing to its penetrating high quality and scorching efficiency.

It eliminates faeces and mitigates pitta resulting from its laxative property.

It relieves the unhealthy scent of the visceral areas / stomach resulting from its nice odor.

It kindles the digestive hearth by its delicate high quality.

Methodology of consumption of Guggulu – Guggulu ought to be consumed within the morning. It ought to be taken combined with decoction of Triphala, Darvi – Berberis aristata, Patola – pointed gourd or Kusa grass. Alternatively it shall be taken properly soaked in cow’s urine, added with alkalis or together with heat water. The affected person ought to take meals with corn soup, meat soup or milk as soon as Guggulu will get digested.

Advantages – If Guggulu is consumed within the above stated method for a interval of 1 month, it cures the beneath talked about ailments –

–        belly tumour,

–        diabetes,

–        upward motion of vata / upward peristalsis

–        belly enlargement

–        fistula-in-ano

–        intestinal worms,

–        itching

–        ulcers

–        leukoderma

–        malignant tumors

–        benign ulcers

–        rigidity within the thighs

–        swellings

–        leprosy / pores and skin problems

–        septic ulcers

–        vata localized within the belly viscera, bones and joints

Analogy – Guggulu destroys the above stated ailments identical to the  thunderbolt destroys a tree.

इतिश्रीसुश्रुतसंहितायांचिकित्सास्थानेमहावातव्याधिचिकित्सितंनामपञ्चमोऽध्यायः।।५।।

Thus ends the fifth chapter by identify Mahāvātavyādhi Cikitsita in Cikitsa Sthāna of Suśruta Samhita.