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<big>'''Abstract'''</big>
 
<big>'''Abstract'''</big>
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<div style="text-align:justify;">In continuation with the earlier chapter, the main courses of treatment for the morbidly obese and the extremely thin/skinny/emaciated persons are described in this chapter. Ayurvedic therapeutics are categorized broadly under two categories like reducing (Apatarpana) or nourishing (Santarpana); It is further classified into six types: Langhana (Fasting, reducing), Brimhana (nourishing), Rukshana (drying), Stambhana (astringent/styptic), Snehana (oleation), and Swedana (sudation). Besides providing insights into these therapeutic measures, this chapter also describes specific advantages of these therapeutic procedures, pharmacological actions of properties and their indications in detail. The features of optimally administered techniques while understanding the consequences of their over and under-application are also narrated. </div>
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<div style="text-align:justify;">In continuation with the earlier chapter, the main course of treatments for the morbidly obese and the extremely thin/skinny/emaciated persons are described in this chapter. Ayurvedic therapeutics are categorized broadly under two categories like reducing (Apatarpana) or nourishing (Santarpana); It is further classified into six types: Langhana (Fasting, reducing), Brimhana (nourishing), Rukshana (drying), Stambhana (astringent/styptic), Snehana (oleation), and Swedana (sudation). Besides providing insights into these therapeutic measures, this chapter also describes specific advantages of these therapeutic procedures, pharmacological actions of properties and their indications in detail. The features of optimally administered techniques while understanding the consequences of their over and under-application are also included. </div>
    
'''Keywords''': Ayurvedic therapeutics, ''Santarpana''(nourishing), ''Apatarpana''(reducing), ''Langhana'' (fasting/reducing), ''Brimhana''(nourishing), ''Snehana''(oleation), ''Swedana''(sudation), ''Stambhana''(astringent/styptic), ''Rukshana''(drying).
 
'''Keywords''': Ayurvedic therapeutics, ''Santarpana''(nourishing), ''Apatarpana''(reducing), ''Langhana'' (fasting/reducing), ''Brimhana''(nourishing), ''Snehana''(oleation), ''Swedana''(sudation), ''Stambhana''(astringent/styptic), ''Rukshana''(drying).
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=== Introduction ===
 
=== Introduction ===
 
<div style="text-align:justify;">
 
<div style="text-align:justify;">
In the earlier chapter on eight undesirable bodily features, the focus of the study was on two of the most undesirable kinds - ''sthula'' (obesity) and ''krisha'' (too thin/skinny/emaciated). The present chapter deals with types of treatments suitable for both conditions as well as other similar pathologies. There are four types of pathologies described in Ayurveda: ''atipravritti'' (excessive elimination), ''sanga'' (obstruction), ''sira granthi'' (tumor/varicosity), and ''vimarga gamana'' (improperly directed circulation). A disease could be of any of these four pathology types, but its affliction could manifest in different forms depending upon the unique body constitution of the patient and combination of ''doshas, dhatus, mala,'' etc., explained in prior chapters. To tackle such afflictions, Ayurveda describes six types of therapeutic measures: ''Langhana'' (reduction), ''Brimhana'' (nourishing), ''Rukshana'' (drying), ''Stambhana'' (astringent/styptic), ''Snehana'' (oleation), and ''Swedana'' (sudation). In the case of excessive discharge of anything from the body, ''Stambhana'' (a procedure that slows or stops the discharge) is advised. While in the case of obstructions, ''Langhana, Swedana,'' or ''Rukshana'' are advised. In cases of excessively vitiated ''dosha, Langhana'' (reducing therapy) is indicated to bring the elevated ''dosha'' to a state of equilibrium, whereas in a case of degeneration, ''Brimhana'' (nourishing therapy) and ''Snehana'' (oleation) are prescribed. The ''Snehana'' and ''Swedana'' therapies are described in detail in thirteenth and fourteenth chapters of this section respectively. This chapter describes remaining four therapies , i.e.,''Langhana, Brimhana, Stambhana,'' and ''Rukshana.''
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In the earlier chapter on eight undesirable body features, the focus of the study was on two of the most undesirable kinds - ''sthula'' (obesity) and ''krisha'' (too thin/skinny/emaciated). The present chapter deals with types of treatments suitable for both conditions as well as other similar pathologies. There are four types of pathologies described in Ayurveda: ''atipravritti'' (excessive elimination), ''sanga'' (obstruction), ''sira granthi'' (tumor/varicosity), and ''vimarga gamana'' (improperly directed circulation). A disease could be of any of these four pathology types, but its affliction could manifest in different forms depending upon the unique body constitution of the patient and combination of ''doshas, dhatus, mala,'' etc., explained in prior chapters. To tackle such afflictions, Ayurveda describes six types of therapeutic measures: ''Langhana'' (reduction), ''Brimhana'' (nourishing), ''Rukshana'' (drying), ''Stambhana'' (astringent/styptic), ''Snehana'' (oleation), and ''Swedana'' (sudation). In the case of excessive discharge of anything from the body, ''Stambhana'' (a procedure that slows or stops the discharge) is advised. While in the case of obstructions, ''Langhana, Swedana,'' or ''Rukshana'' are advised. In cases of excessively vitiated ''dosha, Langhana'' (reducing therapy) is indicated to bring the elevated ''dosha'' to a state of equilibrium, whereas in a case of degeneration, ''Brimhana'' (nourishing therapy) and ''Snehana'' (oleation) are prescribed. The ''Snehana'' and ''Swedana'' therapies are described in detail in thirteenth and fourteenth chapters of this section respectively. This chapter describes remaining four therapies , i.e.,''Langhana, Brimhana, Stambhana,'' and ''Rukshana.''
 
</div>
 
</div>
 
===Sanskrit text, Transliteration and English Translation===
 
===Sanskrit text, Transliteration and English Translation===
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*The group of six treatments (''shadupakramas'') includes ''Langhana, Rukshana, Swedana, Brimhana, Snehana,'' and ''Stambhana''. The first three of these are reducing in nature, while the latter three are nourishing.  
 
*The group of six treatments (''shadupakramas'') includes ''Langhana, Rukshana, Swedana, Brimhana, Snehana,'' and ''Stambhana''. The first three of these are reducing in nature, while the latter three are nourishing.  
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=== ''Vidhi Vimarsha'' /Applied Inferences ===
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=== ''Vidhi Vimarsha'' /Applied Inferences ===
    
Above described six therapies are grouped into ''Apatarpana'' (''Langhana'', or reducing) and ''Santarpana'' (''Brimhana'', or nourishing). In ''Apatarpana'' – lightening, dryness, and sudation therapies, and in ''Santarpana'' – nourishing, unctuousness, and astringent therapies have been mentioned. (3-8)
 
Above described six therapies are grouped into ''Apatarpana'' (''Langhana'', or reducing) and ''Santarpana'' (''Brimhana'', or nourishing). In ''Apatarpana'' – lightening, dryness, and sudation therapies, and in ''Santarpana'' – nourishing, unctuousness, and astringent therapies have been mentioned. (3-8)

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