Trimarmiya Chikitsa

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Chikitsa Sthana Chapter 26. Management of Trimarma (diseases of three vital organs)

Trimarmiya Chikitsa
Section/Chapter Chikitsa Sthana Chapter 26
Preceding Chapter Dwivraniya Chikitsa
Succeeding Chapter Urustambha Chikitsa
Other Sections Sutra Sthana, Nidana Sthana, Vimana Sthana, Sharira Sthana, Indriya Sthana, Kalpa Sthana, Siddhi Sthana
Translator and commentator Ojha S.N., Samant A.
Reviewer Dixit U.
Editors Ojha S.N., Deole Y.S., Basisht G.
Year of publication 2020
Publisher Charak Samhita Research, Training and Skill Development Centre
DOI 10.47468/CSNE.2020.e01.s06.027


This chapter highlights the importance of trimarma (three vital organs, viz, cardiovascular system, cerebrovascular system and renal system) and treatment of their diseases. There are one hundred seven vital points (marma) on the body which when injured cause disease, disability or death. Three of these marma are located in hridaya (heart), shira (head) and basti (urinary bladder). Impairment of these three marma can cause life threatening conditions in cardio-vascular system, cerebrovascular system and urinary system respectively. An internal relationship exists between these marma and respective body systems. Disease of one system affects the functioning of the other. The disease conditions caused by impairment of these three marma account for higher mortality and morbidity in society. The present chapter deals with etiology, signs and symptoms, classification, principles of treatment for the diseases pertaining to these three marma. The chapter also includes description of various categories of diseases like diseases of ear, nose, throat, eyes under the heading of diseases of head; diseases like urinary calculi under diseases of renal system.
Keywords: trimarma (three vital organs), prana (life force), uttarabasti,varti prayoga, udavarta, mutra kruchchra, hridroga, nasya karma, pratishyaya (rhinitis), dushta pratishyaya (persistent rhinitis), apinasa (chronic rhinitis), puya rakta (purulent and sanguinous rhinitis), nasa paka (suppurative rhinitis), nasa shotha (edematous rhinitis), kshavathu (sneezing), nasa shosha (dryness of nasal mucosal membrane), pratinaha (nasal obstruction), pratisrava (nasal discharge), puti nasya (ozena), nasa arbuda (nasal tumor), arumshi (furunculosis), nasa dipta (burnt nose), anaha (constipation), arochaka (anorexia)


Morbidity and mortality from cardiovascular, cerebrovascular, and renal diseases are leading among global burden to the society. According to the Center for Disease Control and Prevention (CDC), Cerebrovascular diseases are the fifth leading cause of death.

Cardiovascular diseases (CVDs), per the Media Center Fact Sheet of the World Health Organization (WHO), are the “number one cause of death globally” with an estimated 17.7 million people dying of it in 2015 (31% of global deaths). Last but not least, renal diseases (or chronic kidney diseases (CKDs) afflict 14% of the general population in the US and are one of the major causes of death worldwide .

Marma (vital points) are junctures of muscle, tendons, ligaments, bone tissue, joints, blood vessels and nerves, nervous tissue, which forms the seat of life and it is also said that they are the seat for tridosha, triguna and the atma, hence any injury can be life threatening leading to death.

The word marma is derived from the mru marane dhatu (Sanskrit) which states that any trauma to marma may lead to marana (death) or dysfunction of that particular site. The adhisthana (location) of diseases of marma can be assessed by changes in physiological functions in the body and through type of rogamarga (pathway of pathogenesis). Marma comes under madhyama (middle) rogamarga. Therefore understanding of the rogamarga is essential to analyze the characters of the diseases, related with dushti (pathogenesis).

Following are the sites of three most important marma:

  1. Shira marma relates with the brain with the spinal cord comprising the body's central nervous system. This controls all the body activities, conscious communication and automatic operation of organs such as breathing, maintaining blood pressure, and releasing hormones etc.
  2. Hridaya marma relates with heart and circulatory system, which supplies oxygen and nutrients to the tissues. The body tissues need constant nutrition supply to be active, if there is lack of blood supply to the organs, the tissues may die.
  3. Basti marma relates with the urinary bladder and renal system plays an important role in elimination of body wastes and regulate blood volume, help to regulate blood pressure, pH and maintains electrolyte balance in the body.

The loss of substance/ body (ashraya) leads to the loss of the substrate/ life (ashrayee) hence, these trimarma should be especially protected against external injury and vatadi dosha. The clinical features of diseases of head as per dosha dominance have already been described in Kiyanta Shiraseeya Adhyaya. In the present context, dosha dominant features observed in diseases of three marma, of eyes, nose, ears and oral cavity are described. The diseases of scalp and hair are also described.

Later, in Trimarmiya Siddhi, the importance of three marma, consequences of their injury and management with Panchakarma procedures is described in detail. In the present chapter, however, management of disorders with medicines only has been described.

Udavarta literally means upward and opposite frequent movement of vata dosha. The term itself suggests pathology of aggravation of vata either due to its own causes or due to obstruction to its movement due to other dosha. If the aggravated vata affects vital marma like heart, brain and urinary bladder, then it can cause serious disorders. The chapter details about the diseases of these three regions with etiological factors, clinical features and management.

There are thirteen types of udavarta based upon suppression of natural urges described in Naveganadharaniya Adhyaya. The diseases vary depending upon vitiation of vata due to respective urges and so is the management of udavarta. In the present chapter, the diseases due to apana vaigunaya (impairment of apana) in the pelvis region due to suppression of urge of flatus, defecation and urination are described. Though, udavarta is dealt in the initial part of the chapter and three marma in latter part, the name of the chapter is given as Trimarmiya Chikitsa, because it emphasizes the management of diseases of three marma. Udavarta can be considered as cause for the diseases of three marma.

Sanskrit Text, Transliteration and English Translation



athātastrimarmīyacikitsitamadhyāyaṁ vyākhyāsyāmaḥ||1||

iti ha smāha bhagavānātrēyaḥ||2||

athAtastrimarmIyacikitsitamadhyAyaM vyAkhyAsyAmaH ||1||

iti ha smAha bhagavAnAtreyaH ||2||

Now we shall expound the chapter on "Trimarmiya Chikitsitam" (Management of diseases of the three vital organs).Thus said Lord Atreya. [1-2]

Importance of marma



saptōttaraṁ marmaśataṁ yaduktaṁ śarīrasaṅkhyāmadhikr̥tya tēbhyaḥ|
marmāṇi bastiṁ hr̥dayaṁ śiraśca pradhānabhūtāni vadanti tajjñāḥ||3||

prāṇāśrayāt, tāni hi pīḍayantō vātādayō'sūnapi pīḍayanti|
tatsaṁśritānāmanupālanārthaṁ mahāgadānāṁ śr̥ṇu saumya rakṣām||4||

saptottaraM marmashataM yaduktaM sharIrasa~gkhyAmadhikRutya tebhyaH |
marmANi bastiM hr̥dayaM shirashca pradhAnabhUtAni vadanti tajj~jAH ||3||

prANAshrayAt, tAni hi pIDayanto vAtAdayo~asUnapi pIDayanti |
tatsaMshritAnAmanupAlanArthaM mahAgadAnAM shRuNu saumya rakShAm ||4||

The vital organs (marma) are mentioned as 107 in number while enumerating different body parts in Sankhya Sharira. As per the specialists of the subjects, three vital organs, viz, basti (urinary bladder), hridayam (heart) and shira (head) are considered supreme among themselves, because they possess life (prana) in them. Their suffering due to vata, etc. also troubles/ endangers life (prana). Hence to protect these vital organs, the method of protection from the attack of diseases, and their management will be discussed which you may listen (addressed to Agnivesha) [3-4]

Etiology and pathogenesis, signs and symptoms of udavarta (abnormal upward movement of vata)












चिकित्सितंचास्ययथावदूर्ध्वंप्रवक्ष्यतेतच्छृणुचाग्निवेश! ||१०||

kaṣāyatiktōṣaṇarūkṣabhōjyaiḥ sandhāraṇābhōjanamaithunaiśca

pakvāśayē kupyati cēdapānaḥ srōtāṁsyadhōgāni balī sa ruddhvā||5||

karōti viṇmārutamūtrasaṅgaṁ kramādudāvartamataḥ sughōram|

rugbastihr̥tkukṣyudarēṣvabhīkṣṇaṁ sapr̥ṣṭhapārśvēṣvatidāruṇā syāt||6||

ādhmānahr̥llāsavikartikāśca tōdō'vipākaśca sabastiśōthaḥ|

varcō'pravr̥ttirjaṭharē ca gaṇḍānyūrdhvaśca vāyurvihatō gudē syāt||7||

kr̥cchrēṇa śuṣkasya cirāt pravr̥ttiḥ syādvā tanuḥ syāt khararūkṣaśītā|

tataśca rōgā jwaramūtrakr̥cchrapravāhikāhr̥dgrahaṇīpradōṣāḥ||8||



anyē ca rōgā bahavō'nilōtthā bhavantyudāvartakr̥tāḥ sughōrāḥ|

cikitsitaṁ cāsya yathāvadūrdhvaṁ pravakṣyatē tacchr̥ṇu cāgnivēśa!||10||

kaShAyatiktoShaNarUkShabhojyaiH sandhAraNAbhojanamaithunaishca

pakvAshaye kupyati cedapAnaH srotAMsyadhogAni balI sa ruddhvA ||5||

karoti viNmArutamUtrasa~ggaM kramAdudAvartamataH sughoram |

rugbastihRutkukShyudareShvabhIkShNaM sapRuShThapArshveShvatidAruNA syAt ||6||

AdhmAnahRullAsavikartikAshca todo~avipAkashca sabastishothaH |

varco~apravRuttirjaThare ca gaNDAnyUrdhvashca vAyurvihato gude syAt ||7||

kRucchreNa shuShkasya cirAt pravRuttiH syAdvA tanuH syAt khararUkShashItA |

tatashca rogA jwaramUtrakRucchrapravAhikAhRudgrahaNIpradoShAH ||8||

vamyAndhyabAdhiryashiro~abhitApavAtodarAShThIlamanovikArAH |

tRuShNAsrapittArucigulmakAsashvAsapratishyArditapArshvarogAH ||9||

anye ca rogA bahavo~anilotthA bhavantyudAvartakRutAH sughorAH |

cikitsitaM cAsya yathAvadUrdhvaM pravakShyate tacchRuNu cAgnivesha! ||10||

Excessive consumption of astringent, bitter, pungent, dry/ ununctuous food, suppression of natural urges, starvation, and excess indulgence of sex excessively aggravates apana vata in the colon. This obstructs downward moving channels and gradually obstructs the movement of stool, urine and the flatus causing udavarta, the serious trouble. [5]

Signs and symptoms of udavarta

Intense and frequent pain in urinary bladder, cardiac region, pelvis, abdomen, and also severe pain in back and sides of chest; flatulence, nausea, cutting pain, piercing pain, indigestion, inflammation of urinary bladder; retention of stool, appearance of nodules in the abdomen, abnormal upward movement of vata, delayed and difficulty in evacuation of dry stool; body becomes rough, ununctuous, and cold and consequently disorders such as fever, dysuria, pravahika (spurious feeling of the need to evacuate stools with straining), cardiac disorders, grahani disorder (malabsorption syndrome), vomiting, blindness, deafness, burning sensation in head, vatodara (affliction of abdomen due to vata), asthila (stony hard tumours), psychological disorders, thirst, hemorrhagic disorders, anorexia, gulma (lump like feeling), cough, dyspnea, rhinitis, facial paralysis and chest pain arise. Many other severe vata disorders are caused by udavarta. Treatment of these ailments will be described hereafter you may listen Agnivesha.[5-10]

Treatment of udavarta













वातेऽधिकेऽम्लंलवणंसतैलं, क्षीरेणपित्तेतु, कफेसमूत्रम्|


taṁ tailaśītajwaranāśanāktaṁ svēdairyathōktaiḥ pravilīnadōṣam|


śyāmātrivr̥nmāgadhikāṁ sadantīṁ gōmūtrapiṣṭāṁ daśabhāgamāṣām|

sanīlikāṁ dvirlavaṇāṁ guḍēna vartiṁ karāṅguṣṭhanibhāṁ vidadhyāt||12||

piṇyākasauvarcalahiṅgubhirvā sasarṣapatryūṣaṇayāvaśūkaiḥ|

krimighnakampillakaśaṅkhinībhiḥ sudhārkajakṣīraguḍairyutābhiḥ||13||

syāt pippalīsarṣaparāḍhavēśmadhūmaiḥ sagōmūtraguḍaiśca vartiḥ|

śyāmāphalālābukapippalīnāṁ nāḍyā'thavā tat pradhamēttu cūrṇam||14||

rakṣōghnatumbīkarahāṭakr̥ṣṇācūrṇaṁ sajīmūtakasaindhavaṁ vā|

snigdhē gudē tānyanulōmayanti narasya varcō'nilamūtrasaṅgam||15||

tēṣāṁ vighātē tu bhiṣagvidadhyāt svabhyaktasusvinnatanōrnirūham|

ūrdhvānulōmauṣadhamūtratailakṣārāmlavātaghnayutaṁ sutīkṣṇam||16||

vātē'dhikē'mlaṁ lavaṇaṁ satailaṁ, kṣīrēṇa pittē tu, kaphē samūtram|

sa mūtravarcō'nilasaṅgamāśu gudaṁ sirāśca praguṇīkarōti||17||

taM tailashItajwaranAshanAkaM svedairyathoktaiH pravilInadoSham |

upAcaredvartinirUhabastisnehairvirekairanulomanAnnaiH ||11||

shyAmAtrivRunmAgadhikAM sadantIM gomUtrapiShTAM dashabhAgamAShAm |

sanIlikAM dvirlavaNAM guDena vartiM karA~gguShThanibhAM vidadhyAt ||12||

piNyAkasauvarcalahi~ggubhirvA sasarShapatryUShaNayAvashUkaiH |

krimighnakampillakasha~gkhinIbhiH sudhArkajakShIraguDairyutAbhiH ||13||

syAt pippalIsarShaparADhaveshmadhUmaiH sagomUtraguDaishca vartiH |

shyAmAphalAlAbukapippalInAM nADyA~athavA tat pradhamettu cUrNam ||14||

rakShoghnatumbIkarahATakRuShNAcUrNaM sajImUtakasaindhavaM vA |

snigdhe gude tAnyanulomayanti narasya varco~anilamUtrasa~ggam ||15||

teShAM vighAte tu bhiShagvidadhyAt svabhyaktasusvinnatanornirUham |

UrdhvAnulomauShadhamUtratailakShArAmlavAtaghnayutaM sutIkShNam ||16||

vAte~adhike~amlaM lavaNaM satailaM, kShIreNa pitte tu, kaphe samUtram |

sa mUtravarco~anilasa~ggamAshu gudaM sirAshca praguNIkaroti ||17||

The patient should be massaged with oil prepared with drugs alleviating sheeta jwara (fever with external cold touch) and then fomented so that the adhered dosha get detached. There after the patient should be managed with suppositories (varti), non-unctuous enema and unctuous purgatives and diet which regulates movement of vata in downward direction. [11]

Anal suppository (varti) method of preparation and the usage
  1. Ingredients: equal parts of- shyamatrivrita (Operculina turpethum (L.)), magadhikam (Piper longum (L)), danti (Baliospermum.(Blume)), nilika (Vitex Negundo (Linn)) and 1/10 part of masha(Vigna mungo(L.)).
    1. Method of preparation: Triturate the above plants/ powders in cow’s urine, then add 2 parts of salt and jaggery in sufficient quantity. Make a suppository of the size and shape of thumb. [12]
  2. Ingredients: oil cake (pinyaka), sauvarchala (a type of salt), hingu (Ferula asafoetida (L)), mustard (Brassica nigra (L)), trikatu (shunthi-Zingiber officinale (Roscoe), maricha- Piper nigrum (Linn), pippali- Piper Longum (Linn.)), yavakshara (Hordeum vulgare (L.)), jaggery. [13]
  3. Ingredients: vidanga (Embelia ribes (Burm.f.)), kampillaka (Mallotus philippensis (Lam.)Muell.Arg.), Shankhinī (Xanthium strumarium (L)), latex of- snuhi (Zingiber officinale (Roscoe)), arka (Calotropis Gigantea (Linn)), Jaggery [14]
Anal dusting treatment/ pradhamana (insufflation)

The powder of following herbs is to be blown up with a pipe/ tube into the oleated anal canal.

Drugs used are:

  1. Powder of shyama- Operculina turpethum (L.), madanaphala- Randia dumetorum (lam.), alabu- Cucurbita lagrenaria (Linn.) and pippali- Piper Longum (Linn). [15]
  2. Oleate the anus and through the tube, blow in the powder of rakshoghna (sarshapa)- Brassica nigra (L. Koch), tumbi- Cucurbita lagrenaria (Linn), karahata(madanaphala)-Randia dumetorum (lam.), krishna(pippali)-Piper Longum (Linn), jeemutaka(devadali)-Luffa echinata (Roxb).,and rock salt [15]

If the above said therapies fail to produce the desired results the physician should advise oleation and fomentation and administer niruha type of basti (ununctuous medicated enema) using a special combination of herbal decoctions which are sharp (tikshna) in nature and having emetic and purgative properties alongwith, cows urine, oil, alkali, drugs with drugs having sour taste and vata alleviating quality:

  1. In vata predominance: The enema should be sour, salty and oily.
  2. In pitta predominance: The enema should be with milk.
  3. In kapha predominance: The enema should be with urine.

Benefits of this enema: Relieves retention of urine, stool and flatus, it strengthens the anal region as well as the connected blood vessels. [16]

Diet in udavarta




anyaiśca sr̥ṣṭānilamūtraviḍbhiradyāt prasannāguḍasīdhupāyī||18||

trivRutsudhApatratilAdishAkagrAmyaudakAnUparasairyavAnnam |

anyaishca sRuShTAnilamUtravi~gbhiradyAt prasannAguDasIdhupAyI ||18||

The patient should be kept on diet of barley-made food, which is prepared with the following vegetables:

  1. Leaves of trivrita ( Operculina turpethum(L.)), and snuhi leaves, sesamum (Brassica nigra (L. Koch), etc. vegetables.
  2. Meat soup of domestic, aquatic and marshy animals (animals inhabiting in marshy land) or other ingredients which help in elimination of flatus, urine and stool.
  3. Followed by drink of prasanna (clear wine/top portion of alcohol) or gud sidhu (wine prepared out of jaggery). [18]

Treatment of chronic udavarta and other complications



bhūyō'nubandhē tu bhavēdvirēcyō mūtraprasannādadhimaṇḍaśuktaiḥ|

svasthaṁ tu paścādanuvāsayēttaṁ raukṣyāddhi saṅgō'nilavarcasōścēt||19||

bhUyo~anubandhe tu bhavedvirecyo mUtraprasannAdadhimaNDashuktaiH |

svasthaM tu pashcAdanuvAsayettaM raukShyAddhi sa~ggo~anilavarcasoshcet ||19||

If the udavarta continues in spite of the above treatment, then the patient should be purgated with cow’s urine, prasanna (clear top portion of alcohol), dadhimanda (upper liquid portion of curd/ curd-scum) and shukta (vinegar). If the patient is normalized but there is retention of flatus and stool due to ununctuousness, then patient should be given anuvasana type of medicated enema (unctuous enema). [19]

Churna preparations







dviruttaraṁ hiṅgu vacāgnikuṣṭhaṁ [1] suvarcikā caiva viḍaṅgacūrṇam|

sukhāmbunānāhavisūcikārtihr̥drōgagulmōrdhvasamīraṇaghnam ||20||

vacābhayācitrakayāvaśūkān sapippalīkātiviṣān sakuṣṭhān|

uṣṇāmbunānāhavimūḍhavātān pītvā jayēdāśu rasaudanāśī||21||


yathōttaraṁ bhāgavivr̥ddhamētat plīhōdarājīrṇavisūcikāsu||22||

dviruttaraM hi~ggu vacAgnikuShThaM [1] suvarcikA caiva viDa~ggacUrNam|

sukhAmbunA~a~anAhavisUcikArtihRudrogagulmordhvasamIraNaghnam ||20||

vacAbhayAcitrakayAvashUkAn sapippalIkAtiviShAn sakuShThAn|

uShNAmbunA~a~anAhavimUDhavAtAn pItvA jayedAshu rasaudanAshI||21||


yathottaraM bhAgavivRuddhametat plIhodarAjIrNavisUcikAsu||22||



  1. 1 part-hingu (Ferula asafoetida (L))
  2. 2 parts- vacha (Acorus calamus Linn)
  3. 4 parts- chitraka (Plumbago zeylanica Linn)
  4. 8 parts-kushtha (Saussurea lappa)
  5. 16 parts-swarjikshara
  6. 32 parts- vidanga (Embelia ribes Burm.)

Powder all the above together.

This preparation of powder should be taken with warm water, it alleviates, visuchika (diarrhea with pricking pain in abdomen), heart disease, gulma (lump like feeling in the abdomen) and urdhvasamirana (abnormal upward movement of vata) [20]

Vachadi- churna

Powders of vacha, haritaki, chitraka, yavakshara, pippali, ativisha, and kushtha taken with hot water alleviates anaha (abdominal tympanites), vimoodha vata (confounded vata).

Rice along with meat soup should be consumed while using this preparation. [21]

Hingvadi churna


  1. 1 part- hingu- Ferula assa-foetida (L)
  2. 2 parts- ugragandhi/ ajamoda-Trachyspermum ammiLinn. Sprague
  3. 3 parts- bida lavana
  4. 4 parts- sunthi- Zingiber officinale (Roscoe)
  5. 5 parts- ajaji/ jiraka-Cuminum cyminum Linn.
  6. 6 parts- haritaki- Terminalia chebula Linn
  7. 7 parts - puskaramula- Inula Racemosa Hook. F.
  8. 8 parts- kustha- Saussurea lappa C.B Clarke

Intake of this [powder] alleviates pleehodara (splenomegaly), indigestion and visuchika (diarrhea with pricking pain in abdomen).[22]

Sthiradi Ghrita preparation



sthirAdivargasya punarnavAyAH shampAkapUtIkakara~jjayoshca |

siddhaH kaShAye dvipalAMshikAnAM prastho ghRutAt syAt pratiruddhavAte ||23||


Decoction prepared out of two pala (80 grams) of each drugs of sthiradivarga (shalaparni-Desmodium gangeticum DC, Prishnaparni- Cyperus sp, brahati- Solanum indicum Linn./ anguivi Lam, kantakari- Garcinia morella Desr, gokshura- Tribulus terrestris Linn), punarnava- Boerhaavia diffusa Linn, champaka (aragvadha)-Cassia fistula Linn and putikarnja- Caesalpinia crista Linn cooked with one prasta (640 gms) of ghee.

Intake of this medicated ghee cures pratiruddha vata (obstructed flatus) [23]






phalaṁ ca mūlaṁ ca virēcanōktaṁ hiṅgvarkamūlaṁ daśamūlamagryam|

snuk citrakaścaiva punarnavā ca tulyāni sarvairlavaṇāni pañca||24||

snēhaiḥ samūtraiḥ saha jarjarāṇi śarāvasandhau vipacēt suliptē|

pakvaṁ supiṣṭaṁ lavaṇaṁ tadannaiḥ pānaistathānāharujāghnamadyāt||25||

phalaM ca mUlaM ca virecanoktaM hi~ggvarkamUlaM dashamUlamagryam |

snuk citrakashcaiva punarnavA ca tulyAni sarvairlavaNAni pa~jca ||24||

snehaiH samUtraiH saha jarjarANi sharAvasandhau vipacet sulipte |

pakvaM supiShTaM lavaNaM tadannaiH pAnaistathA~a~anAharujAghnamadyAt ||25||

Fruits and roots mentioned under purgatives (Sutra.1:77-85) alongwith hingu- Ferula asafetida (L), arka- Calotropis Gigantea (Linn) roots, dashamula (bilva, syonaka, gambhari, patala, ghanikarnika, salaparni, prishnaparni, brahati, kantakari, gokshura), snuhi, chitraka and punarnava to be taken in equal quantity. To this five types of salt in equal quantity is to be added and made in to coarse powder, this mixture is further triturated with cows urine and fat and cooked within closed earthen saucer with well-closed joints with clay smeared cloth, and then placed over fire, when cooked, the salt should be powdered and there after used with food and drinks. This eliminates anaha (bloating in the upper abdomen) and pain (abdominal pain).[24-25]

Diagnosis associated symptoms and treatment of anaha (bloating in upper abdomen) and use of castor oil











मृदुकोष्ठाल्पबलानांसहभोज्यंतत्प्रयोज्यंस्यत्) ||३१||


hr̥tstambhamūrdhāmayagauravābhyāmudgārasaṅgēna sapīnasēna|

ānāhamāmaprabhavaṁ jayēttu pracchardanairlaṅghanapācanaiśca||26||

(gulmōdarabradhnārśaḥplīhōdāvartayōniśukragadē |

mēdaḥkaphasaṁsr̥ṣṭē mārutaraktē'vagāḍhē ca||27||

gr̥dhrasipakṣavadhādiṣu virēcanārhēṣu vātarōgēṣu|

vātē vibaddhamārgē mēdaḥkaphapittaraktēna||28||

payasā māṁsarasairvā triphalārasayūṣamūtramadirābhiḥ|

dōṣānubandhayōgāt praśastamēraṇḍajaṁ tailam||29||

tadvātanutsvabhāvāt saṁyōgavaśādvirēcanācca jayēt|


balakōṣṭhavyādhivaśādāpañcapalā bhavēnmātrā ||31||

hRutstambhamUrdhAmayagauravAbhyAmudgArasa~ggena sapInasena |

AnAhamAmaprabhavaM jayettu pracchardanairla~gghanapAcanaishca ||26||

(gulmodarabradhnArshaHplIhodAvartayonishukragade |

medaHkaphasaMsRuShTe mArutarakte~avagADhe ca ||27||

gRudhrasipakShavadhAdiShu virecanArheShu vAtarogeShu |

vAte vibaddhamArge medaHkaphapittaraktena ||28||

payasA mAMsarasairvA triphalArasayUShamUtramadirAbhiH |

doShAnubandhayogAt prashastameraNDajaM tailam ||29||

tadvAtanutsvabhAvAt saMyogavashAdvirecanAcca jayet |

medosRukpittakaphonmishrAnilarogajittasmAt ||30||

balakoShThavyAdhivashAdApa~jcapalA bhavenmAtrA |

mRudukoShThAlpabalAnAM saha bhojyaM tatprayojyaM syat) ||31||

ityudAvartacikitsA |

Anaha (bloating in upper abdomen) as caused by ama (improperly digested food/product of improper digestion), associated with stiffness in cardiac region, diseases of head and heaviness, retention of belching, common cold should be treated with emesis therapy, langhana (fasting therapy) and pachana (carminatives). [26]

(If the vata is obstructed by fat, kapha, pitta or rakta (vitiated blood) in the disease like gulma (lump like feeling in abdomen), udara (abdominal diseases includes ascites), bradhna (inguinal swelling), piles, splenic enlargement, udavarta (abnormal upward movement of vata), yoni-roga (gynecological diseases), seminal disorders, disorders of fat by the vitiation of kapha, deep-seated vatarakta (gout), sciatica, hemiplegia etc and in such vatika disorders wherein purgation therapy is recommended for cure, Castor oil is an excellent remedy, which should be added with other such ingredients which pacifies aggravated vata and administered along with milk, meat soup, juice or triphala decoction, vegetable soup, cows urine, alcoholic drink etc.

Due to its vata pacifying nature, due to addition of other drugs, and because of its purgative effects, it cures vatika disorders associated with vitiated fat, blood, pitta and kapha. [29-30]

Castor oil should be administered up to the dose of five pala depending on the strength of the person, nature of disease, and the koshta. If the person is weak and is of mridu kosta (laxed bowel) then, castor oil should be given along with food. [31]

Thus ends the treatment of udavarta[26-31]

Etiology, types, pathogenesis, signs and symptoms of mutrakrichchra (dysuria)










ānūpamatsyādhyaśanādajīrṇāt syurmūtrakr̥cchrāṇi nr̥ṇāmihāṣṭau||32||

pr̥thaṅmalāḥ svaiḥ kupitā nidānaiḥ sarvē'thavā kōpamupētya bastau|

mūtrasya mārgaṁ paripīḍayanti yadā tadā mūtrayatīha kr̥cchrāt||33||

tīvrā rujō vaṅkṣaṇabastimēḍhrē svalpaṁ muhurmūtrayatīha vātāt|

pītaṁ saraktaṁ sarujaṁ sadāhaṁ kr̥cchrānmuhurmūtrayatīha pittāt||34||

bastēḥ saliṅgasya gurutvaśōthau mūtraṁ sapicchaṁ kaphamūtrakr̥cchrē|

sarvāṇi rūpāṇi tu sannipātādbhavanti tat kr̥cchratamaṁ hi kr̥cchram||35||

vyAyAmatIkShNauShadharUkShamadyaprasa~gganityadrutapRuShThayAnAt |

AnUpamatsyAdhyashanAdajIrNAt syurmUtrakRucchrANi nRuNAmihAShTau ||32||

pRutha~gmalAH svaiH kupitA nidAnaiH sarve~athavA kopamupetya bastau |

mUtrasya mArgaM paripIDayanti yadA tadA mUtrayatIha kRucchrAt ||33||

tIvrA rujo va~gkShaNabastimeDhre svalpaM muhurmUtrayatIha vAtAt |

pItaM saraktaM sarujaM sadAhaM kRucchrAnmuhurmUtrayatIha pittAt ||34||

basteH sali~ggasya gurutvashothau mUtraM sapicchaM kaphamUtrakRucchre |

sarvANi rUpANi tu sannipAtAdbhavanti tat kRucchratamaM hi kRucchram ||35||

Etiology of dysuria

Excessive physical exertion, intake of drugs having tikshna (sharp) quality and ununctous food intake, habitual intake of alcohol, riding on a fast-moving vehicle, overeating meat of marshy animals and fish, Intake of food before the previous meal is digested and chronic indigestion leads to eight type of mutrakricchra (dysuria). [32]


Dosha aggravated separately or all together when being provoked by their vitiating factors which get located in kidney or urinary bladder and distress the urinary passage, leads to mutrakricchra(dysuria).[33]

Signs of vataja dysuria

Severe pain in groins, urinary bladder and genitals and the patient frequently passes urine in small quantity.

Signs of pittaja dysuria

The patient passes yellow or bloody urine with pain and burning sensation frequently and with difficulty. [34]

Signs of kaphaja dysuria

Heaviness and oedema in urinary bladder and phallus and the urine is associated with slimy materials.

Signs of sannipata dysuria

All the signs and symptoms described above are manifested as all the dosha are aggravated which is the cause for sannipatika type of dysuria which is most difficult type of dysuria for cure. [35]

Dysuria caused by ashmari (urinary calculus)



viśōṣayēdbastigataṁ saśukraṁ mūtraṁ sapittaṁ pavanaḥ kaphaṁ vā|

yadā tadā'śmaryupajāyatē tu kramēṇa pittēṣviva rōcanā gōḥ||36||

vishoShayedbastigataM sashukraM mUtraM sapittaM pavanaH kaphaM vA |

yadA tadA~ashmaryupajAyate tu krameNa pitteShviva rocanA goH ||36||


When the aggravated vata dries up semen and urine along with pitta and kapha which is located in urinary bladder the calculus is formed gradually like gallstone in cow. [36]

Signs and symptoms of urinary calculus






kadambapuṣpākr̥tiraśmatulyā ślakṣṇā tripuṭyapyathavā'pi mr̥dvī|

mūtrasya cēnmārgamupaiti ruddhvā mūtraṁ rujaṁ tasya karōti bastau||37||

sasēvanīmēhanabastiśūlaṁ viśīrṇadhāraṁ ca karōti mūtram|

mr̥dnāti mēḍhraṁ sa tu vēdanārtō muhuḥ śakr̥nmuñcati mēhatē ca||38||

kṣōbhāt kṣatē mūtrayatīha sāsr̥k tasyāḥ sukhaṁ mēhati ca vyapāyāt|39|

kadambapuShpAkRutirashmatulyA shlakShNA tripuTyapyathavA~api mRudvI |

mUtrasya cenmArgamupaiti ruddhvA mUtraM rujaM tasya karoti bastau ||37||

sasevanImehanabastishUlaM vishIrNadhAraM ca karoti mUtram |

mRudnAti meDhraM sa tu vedanArto muhuH shakRunmu~jcati mehate ca ||38||

kShobhAt kShate mUtrayatIha sAsRuk tasyAH sukhaM mehati ca vyapAyAt |39|

When the calculus resembles kadamba flower, stony, smooth, prismatic (having three layers) or soft and when it comes in the urinary passage, it obstructs the flow of urine and results in pain in urinary bladder and perineum-sevani (suture below the pudendum and between two testicles), phallus and hypogastric region (region over urinary bladder). Urine is passed in divided streams and because of pain; the patient squeezes the phallus and frequently voids stool and urine. [35-38]

If the passage or bladder is injured by calculus, then the urine is passed with blood (hematuria). When calculus shifts from the passage, the patient passes urine with ease. [39]

Dysuria caused by sharkara (graveluria)/semen






ēṣā'śmarī mārutabhinnamūrtiḥ syāccharkarā mūtrapathāt kṣarantī||39||

(rētō'bhighātābhihatasya puṁsaḥ pravartatē yasya tu mūtrakr̥cchram|

syādvēdanā vaṅkṣaṇabastimēḍhrē tasyātiśūlaṁ vr̥ṣaṇātivr̥ttē||40||

śukrēṇa saṁruddhagatipravāhō mūtraṁ sa kr̥cchrēṇa vimuñcatīha|

tamaṇḍayōḥ stabdhamiti bruvanti rētō'bhighātāt pravadanti kr̥cchram ||41||

eShA~ashmarI mArutabhinnamUrtiH syAccharkarA mUtrapathAt kSharantI ||39||

(reto~abhighAtAbhihatasya puMsaH pravartate yasya tu mUtrakRucchram |

syAdvedanA va~gkShaNabastimeDhre tasyAtishUlaM vRuShaNAtivRutte ||40||

shukreNa saMruddhagatipravAho mUtraM sa kRucchreNa vimu~jcatIha |

tamaNDayoH stabdhamiti bruvanti reto~abhighAtAt pravadanti kRucchram||41||

When the calculus is broken into smaller particles due to vata aggravation, then such particles which comes out of the urinary passage along with urine is called as sharkara.[39]

Blocked discharge of semen/dysuria caused by semen

If the dysuria caused in a person is due to the obstruction of semen or injury of semen tract, then the patient suffers from pain in the groin, urinary bladder, and phallus. His testicles become swollen and intensely painful. [40]

Since the urinary flow is obstructed by semen, urine is passed with difficulty and there is stiffness of the testicles known as anda stabdham. The dysuria, thus, manifested is considered to be caused by seminal obstruction. [41]

Dysuria caused by vitiated semen




śukraṁ malāścaiva pr̥thak pr̥thagvā mūtrāśayasthāḥ prativārayanti|

tadvyāhataṁ mēhanabastiśūlaṁ mūtraṁ saśukraṁ kurutē vibaddham||42||

stabdhaśca śūnō bhr̥śavēdanaśca tudyēta bastirvr̥ṣaṇau ca tasya|43|

shukraM malAshcaiva pRuthak pRuthagvA mUtrAshayasthAH prativArayanti |

tadvyAhataM mehanabastishUlaM mUtraM sashukraM kurute vibaddham ||42||

stabdhashca shUno bhRushavedanashca tudyeta bastirvRuShaNau ca tasya |43|

Mala (aggravated tridosha) located in the urinary bladder obstructs the flow of semen individually because of this seminal obstruction there is pain in the phallus and urinary bladder along with obstruction to the voiding of urine and ejaculation of semen which leads to stiffness, swelling, excessive pain and pricking pain in the urinary bladder and testicles. [42-43]

Dysuria caused by kshata(trauma)






kṣatābhighātāt kṣatajaṁ kṣayādvā prakōpitaṁ bastigataṁ vibaddham||43||

tīvrārti mūtrēṇa sahāśmarītvamāyāti tasminnatisañcitē ca|

ādhmātatāṁ vindati gauravaṁ ca bastērlaghutvaṁ ca viniḥsr̥tē'smin||44||

kShatAbhighAtAt kShatajaM kShayAdvA prakopitaM bastigataM vibaddham ||43||

tIvrArti mUtreNa sahAshmarItvamAyAti tasminnatisa~jcite ca |

AdhmAtatAM vindati gauravaM ca basterlaghutvaM ca viniHsRute~asmin ||44||

iti mUtrakRucchranidAnam |

abhya~jjanasnehanirUhabastisnehopanAhottarabastisekAn |

If the vitiated blood due to kshata (trauma) or kshaya (emaciation caused by excessive discharge of semen) when accumulated in urinary bladder, it causes obstruction and severe pain in the bladder. Vitiated blood when associate with urine forms the calculus, which causes the distention of abdomen and heaviness in the region of urinary bladder however the patient feels lightness when the calculus passes out. Thus, ends the diagnosis of dysuria (mootra krucchrara). [43-44]

Treatment of vataja dsyuria








sthirādibhirvātaharaiśca siddhān dadyādrasāṁścānilamūtrakr̥cchrē||45||

punarnavairaṇḍaśatāvarībhiḥ pattūravr̥ścīrabalāśmabhidbhiḥ|

dvipañcamūlēna kulatthakōlayavaiśca tōyōtkvathitē kaṣāyē||46||

tailaṁ varāharkṣavasā ghr̥taṁ ca tairēva kalkairlavaṇaiśca sādhyam|

tanmātrayāśu pratihanti pītaṁ śūlānvitaṁ mārutamūtrakr̥cchram||47||

ētāni cānyāni varauṣadhāni piṣṭāni śastānyapi cōpanāhē|

syurlābhatastailaphalāni caiva snēhāmlayuktāni sukhōṣṇavanti||48||

sthirAdibhirvAtaharaishca siddhAn dadyAdrasAMshcAnilamUtrakRucchre ||45||

punarnavairaNDashatAvarIbhiH pattUravRushcIrabalAshmabhidbhiH |

dvipa~jcamUlena kulatthakolayavaishca toyotkvathite kaShAye ||46||

tailaM varAharkShavasA ghRutaM ca taireva kalkairlavaNaishca sAdhyam |

tanmAtrayA~a~ashu pratihanti pItaM shUlAnvitaM mArutamUtrakRucchram ||47||

etAni cAnyAni varauShadhAni piShTAni shastAnyapi copanAhe |

syurlAbhatastailaphalAni caiva snehAmlayuktAni sukhoShNavanti ||48||


Massage, unctuous and non-unctuous medicated enema, unctuous poultice, uttarabasti (urethral douche) and sekam (affusion) as well as the diet of soup prepared with sthiradi (laghupanchamula drugs-salaparni, prishna parni,brahati,kantakari,and gokshura) and other vata- alleviating drugs to be administered. [45]

The following formula used in right dose quickly alleviates the painful vataja dysuria:

Oil, fat of pig and bear and ghee cooked with the decoction and paste of- punarnava, eranda, shatavari, pattura, vrishchira, bala, pasanabheda, dashamula (bilva, shonaka, gambhari, patala, ganikarnika, salaparni, prishnaparni, brahati, kantakari and gokshura), kulattha, kola, yava, with five types of salt which is useful in pain associated in vataja type of dysuria. [46-47]

Above said drugs and such other drugs having similar quality other good drugs may also be used in the form of upanaha. Oily seeds, as available pounded with unctuous substance and sour substance may be applied warm as a poultice.

Intake of oil seeds along with sour things in lukewarm form is also useful. [48]

Treatment of pittaja dysuria







sēkāvagāhāḥ śiśirāḥ pradēhā graiṣmō vidhirbastipayōvirēkāḥ|

drākṣāvidārīkṣurasairghr̥taiśca kr̥cchrēṣu pittaprabhavēṣu kāryāḥ||49||


kvāthaṁ suśītaṁ madhuśarkarābhyāṁ yuktaṁ pibēt paittikamūtrakr̥cchrī||50||

pibēt kaṣāyaṁ kamalōtpalānāṁ śr̥ṅgāṭakānāmathavā vidāryāḥ|

daṇḍairakāṇāmathavā'pi mūlaṁ pūrvēṇa kalpēna tathā'mbu śītam||51||

sekAvagAhAH shishirAH pradehA graiShmo vidhirbastipayovirekAH |

drAkShAvidArIkShurasairghRutaishca kRucchreShu pittaprabhaveShu kAryAH ||49||

shatAvarIkAshakushashvadaMShTrAvidArishAlIkShukasherukANAm |

kvAthaM sushItaM madhusharkarAbhyAM yuktaM pibet paittikamUtrakRucchrI ||50||

pibet kaShAyaM kamalotpalAnAM shRu~ggATakAnAmathavA vidAryAH |

daNDairakANAmathavA~api mUlaM pUrveNa kalpena tathA~ambu shItam ||51||

In pittaja dysuria:

Cold affusion, bath, anointings, following regimen prescribed during summer season, medicated enema, milk and purgatives prepared from the juice of draksha (grapes), vidari and sugarcane juice and ghee to be administered.[49]

The following cold decoction reduces pittaja dysuria: Shatavari, kasa, kusha, svadamstra vidari, sali, ikshu, kaseruka mixed with water, honey, and sugar.[50]

The decoction of kamala and utpala (water lily) or shringhataka or vidari or the root of danairaka with honey and sugar is useful in pittaja type of dysuria. Simple cold water mixed with water, honey, and sugar is also helpful in paittika type of dysuria. [51]

Remedies for pittaja dysuria





ērvārubījaṁ trapuṣāt kusumbhāt sakuṅkumaḥ syādvr̥ṣakaśca pēyaḥ|

drākṣārasēnāśmariśarkarāsu sarvēṣu kr̥cchrēṣu praśasta ēṣaḥ||52||

ērvārubījaṁ madhukaṁ sadāru paittē pibēttaṇḍuladhāvanēna|

dārvīṁ tathaivāmalakīrasēna samākṣikāṁ pittakr̥tē tu kr̥cchrē||53||

ervArubIjaM trapuShAt kusumbhAt saku~gkumaH syAdvRuShakashca peyaH |

drAkShArasenAshmarisharkarAsu sarveShu kRucchreShu prashasta eShaH ||52||

ervArubIjaM madhukaM sadAru paitte pibettaNDuladhAvanena |

dArvIM tathaivAmalakIrasena samAkShikAM pittakRute tu kRucchre ||53||

  1. The seeds of ervaruka- utilissimus (Roxb.), trapusha- Cucumis sativus Linn and kusumbha along with kumkuma- Carthamus tinctorius Linn and vasa- adhatoda vasaka Nees mixed with grape juice(drasha rasa)- Vitis vinifera Linn drink is prepared out of these ingredients which is extremely beneficial in ashmari (urinary calculus), sharkara (graveluria) and all types of dysuria. [52]
  2. Drink prepared out of seeds of ervaruka- utilissimus (Roxb.), madhuka- Madhuca indica, devadaru- Cedrus deodara Loud should be taken along with tandulodaka (rice washed water)
  3. Drink prepared out of daruharidra-Berberis vulgaris L, juice of amalaki-Emblica officinalis Gaertn mixed with honey is helpful in pittaja mutra krucchra.[53]

Treatment of kaphaja type of dysuria









kṣārōṣṇatīkṣṇauṣadhamannapānaṁ svēdō yavānnaṁ vamanaṁ nirūhāḥ|

takraṁ satiktauṣadhasiddhatailamabhyaṅgapānaṁ kaphamūtrakr̥cchrē||54||

vyōṣaṁ śvadaṁṣṭrātruṭisārasāsthi kōlapramāṇaṁ madhumūtrayuktam|

pibēttruṭiṁ kṣaudrayutāṁ kadalyā rasēna kaiḍaryarasēna vā'pi||55||

takrēṇa yuktaṁ śitivārakasya bījaṁ pibēt kr̥cchravināśahētōḥ|

pibēttathā taṇḍuladhāvanēna pravālacūrṇaṁ kaphamūtrakr̥cchrē||56||

saptacchadāragvadhakēbukailādhavaṁ karañjaṁ kuṭajaṁ guḍūcīm|

paktvā jalē tēna pibēdyavāgūṁ siddhaṁ kaṣāyaṁ madhusaṁyutaṁ vā||57||

kShAroShNatIkShNauShadhamannapAnaM svedo yavAnnaM vamanaM nirUhAH |

takraM satiktauShadhasiddhatailamabhya~ggapAnaM kaphamUtrakRucchre ||54||

vyoShaM shvadaMShTrAtruTisArasAsthi kolapramANaM madhumUtrayuktam |

pibettruTiM kShaudrayutAM kadalyA rasena kaiDaryarasena vA~api ||55||

takreNa yuktaM shitivArakasya bIjaM pibet kRucchravinAshahetoH |

pibettathA taNDuladhAvanena pravAlacUrNaM kaphamUtrakRucchre ||56||

saptacchadAragvadhakebukailAdhavaM kara~jjaM kuTajaM guDUcIm |

paktvA jale tena pibedyavAgUM siddhaM kaShAyaM madhusaMyutaM vA ||57||

In kaphaja dysuria the following remedies are useful:

  1. Alkaline, hot and sharp medicine and diet
  2. Sudation (Hot fomentation therapies)
  3. Barley
  4. Medicated emesis
  5. Niruha type of medicated enema (non-unctuous enema)
  6. Buttermilk
  7. Medicated oil prepared by bitter drugs is used for both massages as well as oral intake. [54]

The following recipes are useful in kaphaja type of dysuria:

  1. Trikatu (sunthi, maricha- Piper nigrum Linn, pippali- Piper longum Linn), gokshura- Tribulus terrestris Linn, truti (smaller cardamom)- Elettaria cardamomum Maton and bone of cranes(sarasa) to be taken in kola pramana along with honey and cows urine.
  2. Smaller cardamom- Elettaria cardamomum Maton and honey along with the juice of kadali- Acacia catechu Willd or kaidarya-(mahanimba)- Ailantus malabarica DC is helpful in dysuria. [55]
  3. Drink prepared out of seeds of shitivara-Celosia argentea along with butter milk
  4. Drink prepared out of powder of pravala (coral) along with tandulodaka (rice washed water) [56]
  5. Decoction or the gruel prepared out of Sapatchchada-Alstonia scholars L. R. Br,Aragvada-Cassia fistula Linn,kebuka- Costus speciosus (Koeing) Sm.,ela-Elettaria cardamomum(L.) Maton, dhava- Anogeissus latifolia Wall.,karanja- Pongamia glabra Linn.,kutaja- Holarrhena antidysenterica (white) Wall,and guduchi- Tinospora cordifolia Miers, are consumed along with honey. [57]

Treatment of sannipataja dysuria




sarvaṁ tridōṣaprabhavē tu vāyōḥ sthānānupūrvyā prasamīkṣya kāryam|

tribhyō'dhikē prāgvamanaṁ kaphē syāt pittē virēkaḥ pavanē tu bastiḥ||58||

iti mūtrakr̥cchracikitsā|

sarvaM tridoṣhaprabhave tu vAyoH sthAnAnupUrvyA prasamIkShya kAryam |

tribhyo~adhike prAgvamanaM kaphe syAt pitte virekaH pavane tu bastiH ||58||

iti mUtrakRucchracikitsA |

If the dysuria is caused due to the aggravation of all the tridosha simultaneously and equally, then the physician, should administer the therapies/ remedies to correct the aggravated vāta and there after the remaining dosha after proper examination.

In case if the kapha is aggravated in excess then medicated emesis, if pitta the therapeutic purgation and if the vata is aggravated in excess the medicated enema therapy should be administered. [58]

Treatment of dysuria caused by calculus and gravel





























kriyā hitā sā'śmariśarkarābhyāṁ kr̥cchrē yathaivēha kaphānilābhyām|

kāryā'śmarībhēdanapātanāya viśēṣayuktaṁ śr̥ṇu karma siddham||59||

pāṣāṇabhēdaṁ vr̥ṣakaṁ śvadaṁṣṭrāpāṭhābhayāvyōṣaśaṭīnikumbhāḥ|

hiṁsrākharāśvāśitivārakāṇāmērvārukāṇāṁ [1] trapuṣasya bījam||60||

utkuñcikā hiṅgu savētasāmlaṁ syāddvē br̥hatyau hapuṣā vacā ca|

cūrṇaṁ pibēdaśmaribhēdapakvaṁ sarpiśca gōmūtracaturguṇaṁ taiḥ||61||

mūlaṁ śvadaṁṣṭrēkṣurakōrubūkāt kṣīrēṇa piṣṭaṁ br̥hatīdvayācca|

ālōḍya dadhnā madhurēṇa pēyaṁ dināni saptāśmaribhēdanāya||62||

punarnavāyōrajanīśvadaṁṣṭrāphalgupravālāśca sadarbhapuṣpāḥ|

kṣīrāmbumadyēkṣurasaiḥ supiṣṭaṁ pēyaṁ bhavēdaśmariśarkarāsu||63||

truṭiṁ surāhvaṁ lavaṇāni pañca yavāgrajaṁ kundurukāśmabhēdau|

kampillakaṁ gōkṣurakasya bījamērvārubījaṁ trapuṣasya bījam||64||

cūrṇīkr̥taṁ citrakahiṅgumāsīyavānitulyaṁ triphalādvibhāgam|

amlairaśuktai rasamadyayuṣaiḥ pēyaṁ hi gulmāśmaribhēdanārtham||65||

bilvapramāṇō ghr̥tatailabhr̥ṣṭō yūṣaḥ kr̥taḥ śigrukamūlakalkāt|

śītō'śmabhit syāddadhimaṇḍayuktaḥ pēyaḥ prakāmaṁ lavaṇēna yuktaḥ||66||

jalēna śōbhāñjanamūlakalkaḥ śītō hitaścāśmariśarkarāsu|

sitōpalā vā samayāvaśūkā kr̥cchrēṣu sarvēṣvapi bhēṣajaṁ syāt||67||

pītvā'tha madyaṁ nigadaṁ rathēna hayēna vā śīghrajavēna yāyāt|

taiḥ śarkarā pracyavatē'śmarī tu śamyēnna cēcchalyaviduddharēttām||68||

rētōbhighātaprabhavē tu kr̥cchrē samīkṣya dōṣaṁ pratikarma kuryāt|

kārpāsamūlaṁ vr̥ṣakāśmabhēdau balā sthirādīni gavēdhukā ca||69||

vr̥ścīra aindrī ca punarnavā ca śatāvarī madhvasanākhyaparṇyau|

tatkvāthasiddhaḥ pavanē rasaḥ syāt pittē'dhikē kṣīramathāpi sarpiḥ||70||

kaphē ca yūṣādikamannapānaṁ saṁsargajē sarvahitaḥ kramaḥ syāt|

ēvaṁ na cēcchāmyati tasya yuñjyāt surāṁ purāṇāṁ madhukāsavaṁ vā||71||

vihaṅgamāṁsāni ca br̥ṁhaṇāya bastīṁśca śukrāśayaśōdhanārtham|

śuddhasya tr̥ptasya ca vr̥ṣyayōgaiḥ priyānukūlāḥ pramadā vidhēyāḥ||72||

kriyA hitA sA~ashmarisharkarAbhyAM kRucchre yathaiveha kaphAnilAbhyAm |

kAryA~ashmarIbhedanapAtanAya visheShayuktaM shRuNu karma siddham ||59||

pAShANabhedaM vRuShakaM shvadaMShTrApAThAbhayAvyoShashaTInikumbhAH |

hiMsrAkharAshvAshitivArakANAmervArukANAM [1] trapuShasya bIjam ||60||

utku~jcikA hi~ggu savetasAmlaM syAddve bRuhatyau hapuShA vacA ca |

cUrNaM pibedashmaribhedapakvaM sarpishca gomUtracaturguNaM taiH ||61||

mUlaM shvadaMShTrekShurakorubUkAt kShIreNa piShTaM bRuhatIdvayAcca |

AloDya dadhnA madhureNa peyaM dinAni saptAshmaribhedanAya ||62||

punarnavAyorajanIshvadaMShTrAphalgupravAlAshca sadarbhapuShpAH |

kShIrAmbumadyekShurasaiH supiShTaM peyaM bhavedashmarisharkarAsu ||63||

truTiM surAhvaM lavaNAni pa~jca yavAgrajaM kundurukAshmabhedau |

kampillakaM gokShurakasya bIjamervArubIjaM trapuShasya bIjam ||64||

cUrNIkRutaM citrakahi~ggumAsIyavAnitulyaM triphalAdvibhAgam |

amlairashuktai rasamadyayuShaiH peyaM hi gulmAshmaribhedanArtham ||65||

bilvapramANo ghRutatailabhRuShTo yUShaH kRutaH shigrukamUlakalkAt |

shIto~ashmabhit syAddadhimaNDayuktaH peyaH prakAmaM lavaNena yuktaH ||66||

jalena shobhA~jjanamUlakalkaH shIto hitashcAshmarisharkarAsu |

sitopalA vA samayAvashUkA kRucchreShu sarveShvapi bheShajaM syAt ||67||

pItvA~atha madyaM nigadaM rathena hayena vA shIghrajavena yAyAt |

taiH sharkarA pracyavate~ashmarI tu shamyenna cecchalyaviduddharettAm ||68||

retobhighAtaprabhave tu kRucchre samIkShya doShaM pratikarma kuryAt |

kArpAsamUlaM vRuShakAshmabhedau balA sthirAdIni gavedhukA ca ||69||

vRushcIra aindrI ca punarnavA ca shatAvarI madhvasanAkhyaparNyau |

tatkvAthasiddhaH pavane rasaH syAt pitte~adhike kShIramathApi sarpiH ||70||

kaphe ca yUShAdikamannapAnaM saMsargaje sarvahitaH kramaH syAt |

evaM na cecchAmyati tasya yu~jjyAt surAM purANAM madhukAsavaM vA ||71||

viha~ggamAMsAni ca bRuMhaNAya bastIMshca shukrAshayashodhanArtham |

shuddhasya tRuptasya ca vRuShyayogaiH priyAnukUlAH pramadA vidheyAH ||72||

General treatment

If the dysuria is caused due to the ashmari (calculus) or the sharkara (gravel) then the therapies suggested for kaphaja and vataja type should be applied for physiological benefit.

For breaking and flushing out of calculus the effective therapies are explained hereafter and listen to the tested remedy. [59]

  1. Pashanbhedadi kvatha churna

Powder of pashanabheda- Cyclea peltata (Lam) Hook.f.& Thomas, vasa- Adhatoda vasaka Nees, gokshura- Tribulus terrestris Linn., patha- Securinega leucopyrus (Willd.) Muell-Arg., haritaki- Terminalia chebula Retz, trikatu (shunthi, marica, pippali),sati- Asparagus racemosus Willd., nikumbha(danti) Baliospermum montanum Muell. Arg, seeds of himsra- Capparis Sepiaria Linn., kharasva (ajamoda)- Apium dulceMill, sitivaraka- Celosia argentea, ervaruka-- utilissimus (Roxb.), and trapusa- Cucumis sativus Linn, utkunchika(Krishna jiraka)- Carum carvi Linn., hingu- asafoetida Linn, amlavetasa-Garcinia pedunculata Roxb., brhati- Solanum indicum Linn, kantakari- Garcinia morella Desr., hapusa- Juniperus communis Linn.and vacha- Acorus calamus Linn consuming this powder dissolves the calculus in the urinary tract.[60]

Pashanabhedadi ghritaGhee prepared out of above mentioned drugs (four parts of ghee cooked with one part of paste of above mentioned drugs) and four parts of cows urine also helps in calculus in urinary tract. [61]

Roots of shvadamshtra-Tribulus terrestris Linn, ikshuraka (kokilaksha)- Asteracantha longifiolia Nees, eranda- Ricinus communis Linn, brhati- Solanum indicum Linn and kantakari-Garcinia morella Desr. Mixed with sweet curd and taken for 7 days helps in breaking /dissolving the calculus.[62]

PunarnavaBoerhaavia diffusa Linn, rajani (haridra)- Curcuma longa Linn., gokshura- Tribulus terrestris Linn, tender leaves of phalgu (kastodumbara)-Ficus hispida L.Fand darbha flowers-Briza bipinnata L. are to be triturated and made paste with milk, water, alcohol, or sugarcane juice and the recipe is to be taken in calculus and gravels. [63]

Trityadi churna

One parts of each drugs –triti (smaller cardamom)- Elettaria cardamomum Maton, devadaru-Cedrus deodara Loud., kunduru- Boswellia serrata Roxb, pasanabheda- Cyclea peltata (Lam),Kampillaka- Mallotus philippinensis Muell., five salts, yavaksara, seeds of gokshura- Tribulus terrestris Linn, ervaru(cucumber)- utilissimus (Roxb.), trapusa- Cucumis sativus Linn, chitraka- Plumbago zeylanica Linn., hingu-, Ferula assafoetidaL. mamsi- Nardostachys jatamansi DC, yavani- Trachispermum amami Linn. Two part of triphala (haritaki, amalaki,vibhitaki).

Powder of all the above taken with sours (except saktu- vinegar), meat soup, wine and vegetable soups helps in gulma (phantom tumor) and breaking /dissolving the calculus in the tract. [64-65]

The paste of shigruMoringa oleifera Lam root which is fried in ghee or oil measuring one bilva, prepared into soup and cooled. Intake of this cold soup along with dadhi manda (whey) and salt helps in dissolving / breaking the calculus. [66]

Paste prepared out of root of shobhanjanaMoringa oleifera Lam. Consumed along with water is good in calculus (ashmari) and gravels (sharkara). [67]

Seetopala taken along with equal quantity of yava-ksara is the remedy for all types of dysuria.[67]

Method of extraction of the calculus

After drinking non contaminated wine, the patient should travel on a fast chariot or a horse. Thus, gravels fall out and calculus subsides. Otherwise it should be extracted by surgeon. [68]

Treatment for dysuria caused by obstruction of semen

If the cause of obstruction is due to the vitiated semen, then the remedies should be decided depending on the dosha predominant for obstruction (vitiation of semen). [69]

  1. Meat soup prepared with the decoction prepared out of karpasa- Gossypium herbaceum Linn root, vasa- Adhatoda vasaka Nees, pashanabheda- Cyclea peltata (Lam) Hook.f.& Thomas, bala-Sida cordifolia Linn., laghupanchamula(salaparna-Desmodium gangeticum(L.)DC prishnaparni-Cyperus,brahati- Solanum indicum Linn, kantakari- Garcinia morella Desr.,Gokshura - Tribulus terrestris Linn.), gavedhuka- Coix lacryma-jobi Linn.,Vrshchira(svetha –white punarnava)- Trianthema portulacastrum Linn, aindri (red punarnava)- Boerhavia diffusa Linn, satavari-Asparagus rigidulusNakai, madhuparni(guduchi)-Tinospora cordifolia(Thunb.) Miers, asanaparni (aparajita)- Clitoria ternatea Linn decoction may be used in case of obstructed semen which is predominated by vata.[70]
  2. The above mentioned decoction if taken along with milk or ghee is useful in case of pitta predominance. [70]
  3. Food and drinks such as soup etc. should be prepared with this decoction in case of kapha predominance. [71]
  4. In case of combined dosha (sannipatika), measures beneficial for all dosha (combined form) should be used. [71]

If the problem does not subside by the above mentioned therapies, then one needs be given:

  1. Old wine or madhukasava and meat of birds to nourish /increase the body weight.
  2. Urethral douches (uttara basti) for cleaning the seat of semen (seminal vesicle).
  3. When the patient is cleansed and refreshed with aphrodisiacs he should be offered loving and favorite women for inducing intercourse. [72]

Treatment of dysuria caused by rakta (vitiated blood)







raktōdbhavē tūtpalanālatālakāsēkṣubālēkṣukaśērukāṇi|

pibēt sitākṣaudrayutāni khādēdikṣuṁ vidārīṁ trapuṣāṇi caiva||73||

ghr̥taṁ śvadaṁṣṭrāsvarasēna siddhaṁ kṣīrēṇa caivāṣṭaguṇēna pēyam|

sthirādikānāṁ kanakādikānāmēkaikaśō vā vidhinaiva tēna||74||

kṣīrēṇa bastirmadhurauṣadhaiḥ syāttailēna vā svāduphalōtthitēna|

yanmūtrakr̥cchrē vihitaṁ tu paittē kāryaṁ tu tacchōṇitamūtrakr̥cchrē||75||

raktodbhave tUtpalanAlatAlakAsekShubAlekShukasherukANi |

pibet sitAkShaudrayutAni khAdedikShuM vidArIM trapuShANi caiva ||73||

ghRutaM shvadaMShTrAsvarasena siddhaM kShIreNa caivAShTaguNena peyam |

sthirAdikAnAM kanakAdikAnAmekaikasho vA vidhinaiva tena ||74||

kShIreNa bastirmadhurauShadhaiH syAttailena vA svAduphalotthitena |

yanmUtrakRucchre vihitaM tu paitte kAryaM tu tacchoNitamUtrakRucchre ||75||

  1. Drink prepared out of stalk of lily (utpala), tala, kasa, iksubala, iksu, kaseruka juice along with sugar, honey.
  2. One should chew sugarcane, vidari and trapusha. [73]
  3. Ghrita (medicated ghee) prepared out of juice of gokshura by adding eight times milk
  4. Decoction prepared out of drugs of sthiradi (salaparni-Desmodium gangeticum (L.) DC prishnaparni- Cyperus, brahati- Solanum indicum Linn, kantakari- Garcinia morella Desr.Gokshura- Tribulus terrestris Linn.) and kanakadi group taken as single drug or together [74]
  5. Urethral douche
    1. Medicated milk prepared with sweet drugs/ drugs having sweet taste, or
    2. Milk prepared with oil of sweet fruits (seeds)

Therapeutic measures prescribed for paittika dysuria should be applied in raktaja dysuria as well. [75]

Unsuitable diet and lifestyle in dysuria





kharjūraśālūkakapitthajambūbisaṁ kaṣāyaṁ na rasaṁ bhajēta||76||


vyAyAmasandhAraNashuShkarUkShapiShTAnnavAtArkakaravyavAyAn |

kharjUrashAlUkakapitthajambUbisaM kaShAyaM na rasaM bhajeta ||76||

ityashmarIcikitsA |

Person suffering from mutrakricchra should avoid exercise, suppression of natural urges, dry and ununctuous food, pastries, exposure to strong wind, strong rays of sun, sexual intercourse, drugs like kharjura, kapittha, jambu, bisa and food with astringent taste. Thus ends the description of treatment of mutrakricchra (dysuria). [76]

Heart diseases

Etiology and specific features of different types of hridroga










chardyāmasandhāraṇakarśanāni hr̥drōgakartr̥̄ṇi tathā'bhighātaḥ||77||


chardiḥ kaphōtklēśarujō'ruciśca hr̥drōgajāḥ syurvividhāstathā'nyē||78||

hr̥cchūnyabhāvadravaśōṣabhēdastambhāḥ samōhāḥ pavanādviśēṣaḥ|

pittāttamōdūyanadāhamōhāḥ santrāsatāpajwarapītabhāvāḥ||79||

stabdhaṁ guru syāt stimitaṁ ca marma kaphāt prasēkajwarakāsatandrāḥ|

vidyāttridōṣaṁ tvapi sarvaliṅgaṁ tīvrārtitōdaṁ kr̥mijaṁ sakaṇḍūm||80||

vyAyAmatIkShNAtivirekabasticintAbhayatrAsagadAticArAH |

chardyAmasandhAraNakarshanAni hRudrogakartRUNi tathA~abhighAtaH ||77||

vaivarNyamUrcchAjwarakAsahikkAshvAsAsyavairasyatRuShApramohAH |

chardiH kaphotklesharujo~arucishca hRudrogajAH syurvividhAstathA~anye ||78||

hRucchUnyabhAvadravashoShabhedastambhAH samohAH pavanAdvisheShaH |

pittAttamodUyanadAhamohAH santrAsatApajwarapItabhAvAH ||79||

stabdhaM guru syAt stimitaM ca marma kaphAt prasekajwarakAsatandrAH |

vidyAttridoṣhaM tvapi sarvali~ggaM tIvrArtitodaM kRumijaM sakaNDUm ||80||

Etiology /causative factors

Excessive physical exertion, drastic and excessive administration of purgation and enema therapies, excessive anxiety/worry, fear, stress; and faulty management of diseases, suppression of vomiting and ama (products improperly digested), emaciation and trauma (physical and mental). [77]


Discoloration in skin complexion, fainting, fever, cough, hiccup, dyspnea, unpleasant taste in mouth, excess thirst, confusion/unconsciousness, vomiting, nausea and distress/ pain, anorexia and such other various symptoms manifest in patient suffering from heart disease. [78]

Specific features of different types of hridrogas
In predominance of vata (vataja heart disease)

Feeling of emptiness in the cardiac region, palpitation/ tachycardia, dryness of cardiac muscles (wasting/ atrophy), pricking pain, obstructed movement and mental confusion (unconsciousness) are the specific features of vatika type of heart disease. [79]

In predominance of pitta (pittaja heart disease)

Darkness of vision/ blackout, giddiness, distress, burning sensation, confusion/unconsciousness, heat sensation, pyrexia and yellowishness are the specific features of paittika hridroga [80]

In predominance of kapha (kaphaja heart disease)

Bradycardia, heaviness, timidity of heart/ dullness associated with salivation, fever, cough and drowsiness are the specific features of kaphaja hridroga.

In predominance of all three dosha (sannipata)

All of the above symptoms are manifested together. [80]

In heart disease caused by krimi (organisms):

There is intense discomfort/acute pain and piercing pain with itching. [80]

Treatment of vataja hridroga



















tailaṁ sasauvīrakamastutakraṁ vātē prapēyaṁ lavaṇaṁ sukhōṣṇam|

mūtrāmbusiddhaṁ lavaṇaiśca tailamānāhagulmārtihr̥dāmayaghnam||81||

punarnavāṁ dāru sapañcamūlaṁ rāsnāṁ yavān bilvakulatthakōlam|

paktvā jalē tēna vipācya tailamabhyaṅgapānē'nilahr̥dgadadhnam||82||

harītakīnāgarapuṣkarāhvairvayaḥkayasthālavaṇaiśca kalkaiḥ|

sahiṅgubhiḥ sādhitamagryasarpirgulmē sahr̥tpārśvagadē'nilōtthē||83||

sapuṣkarāhvaṁ phalapūramūlaṁ mahauṣadhaṁ śaṭyabhayā ca kalkāḥ|

kṣārāmbusarpirlavaṇairvimiśrāḥ syurvātahr̥drōgavikartikāghnāḥ||84||

kvāthaḥ kr̥taḥ pauṣkaramātuluṅgapalāśabhūtīkaśaṭīsurāhvaiḥ|

sanāgarājājivacāyavānīkṣāraḥ sukhōṣṇō lavaṇaśca pēyaḥ||85||

pathyāśaṭīpauṣkarapañcakōlāt samātuluṅgādyamakēna kalkaḥ|

guḍaprasannālavaṇaiśca bhr̥ṣṭō hr̥tpārśvapr̥ṣṭhōdarayōniśūlē||86||

syāttryūṣaṇaṁ dvē triphalē sapāṭhē nidigdhikāgōkṣurakau balē dvē|

r̥ddhistruṭistāmalakī svaguptā mēdē madhūkaṁ madhukaṁ sthirā ca||87||

śatāvarī jīvakapr̥śniparṇyau dravyairimairakṣasamaiḥ supiṣṭaiḥ|

prasthaṁ ghr̥tasyēha pacēdvidhijñaḥ prasthēna dadhnā tvatha māhiṣēṇa||88||

mātrāṁ palaṁ cārdhapalaṁ picuṁ vā prayōjayēnmākṣikasamprayuktām|

śvāsē sakāsē tvatha pāṇḍurōgē halīmakē hr̥dgrahaṇīpradōṣē||89||

tailaM sasauvIrakamastutakraM vAte prapeyaM lavaNaM sukhoShNam |

mUtrAmbusiddhaM lavaNaishca tailamAnAhagulmArtihRudAmayaghnam ||81||

punarnavAM dAru sapa~jcamUlaM rAsnAM yavAn bilvakulatthakolam |

paktvA jale tena vipAcya tailamabhya~ggapAne~anilahRudgadadhnam ||82||

harItakInAgarapuShkarAhvairvayaHkayasthAlavaNaishca kalkaiH |

sahi~ggubhiH sAdhitamagryasarpirgulme sahRutpArshvagade~anilotthe ||83||

sapuShkarAhvaM phalapUramUlaM mahauShadhaM shaTyabhayA ca kalkAH |

kShArAmbusarpirlavaNairvimishrAH syurvAtahRudrogavikartikAghnAH ||84||

kvAthaH kRutaH pauShkaramAtulu~ggapalAshabhUtIkashaTIsurAhvaiH |

sanAgarAjAjivacAyavAnIkShAraH sukhoShNo lavaNashca peyaH ||85||

pathyAshaTIpauShkarapa~jcakolAt samAtulu~ggAdyamakena kalkaH |

guDaprasannAlavaNaishca bhRuShTo hRutpArshvapRuShThodarayonishUle ||86||

syAttryUShaNaM dve triphale sapAThe nidigdhikAgokShurakau bale dve |

RuddhistruTistAmalakI svaguptA mede madhUkaM madhukaM sthirA ca ||87||

shatAvarI jIvakapRushniparNyau dravyairimairakShasamaiH supiShTaiH |

prasthaM ghRutasyeha pacedvidhij~jaH prasthena dadhnA tvatha mAhiSheNa ||88||

mAtrAM palaM cArdhapalaM picuM vA prayojayenmAkShikasamprayuktAm |

shvAse sakAse tvatha pANDuroge halImake hRudgrahaNIpradoShe ||89||

  1. Oil, sauviraka, mastu (curd water/whey), buttermilk, along with salt to be consumed in lukewarm form.
  2. Medicated oil prepared out of cow’s urine, water and salt cures flatulence, gulma (lump like feeling in abdomen), abdominal pain and heart disease. [81]
  3. Decoction prepared out of punarnava, devadaru, panchamula (roots of bilva, syonaka, gambhari, patala, ganikarnika), rasna, barley grains, bilva (fruit), kulattha, kola. Medicated oil is prepared with above mentioned decoction and used for internally as well as externally (for massage) helps in vataja type of hridroga. [82]
  4. Medicated ghee prepared with paste of haritaki, sunthi, puskaramula, vayastha (guduchi), kayastha (amalaki), salt and hingu is useful in gulma (lump like feeling in abdomen), chest pain and pain in flanks caused due to aggravated vata. [83]
  5. Paste of puskaramula, sunthi, sati and haritaki mixed with alkali, water, ghrita and salt cures vatika type of heart disease and vikartika (angina pain) [84]
  6. Decoction of puskaramula, matulunga, palasa, bhutika, sati, and devadaru sprinkled with the powders of sunthi, jiraka, vacha, yavani, yavaksara, and salt. It should be taken in warm water.[85]
  7. Paste of haritaki, sati, puskaramula, panchakola (pippali, pippalimula, chavya, chitraka, sunthi), matulunga fried with oil and ghee and to be consumed with jaggery and prasanna (scum of alcohol) and salt cures chest pain, and pain in flanks, back, abdomen, and vagina [85]
  8. One aksa each of trikatu (shunti, maricha, pippali), triphala. (Haritaki, bibhitaki, amalaki), draksa,kasmarya,kharjura,parusaka,patha,kantakari,goksura,bala,mahabala,truti(smaller cardamom), tamalaki, kapikacchu, meda, mahameda, madhuka, madhuka, salaparni, satavari, jivaka, prsniparni. All the above should be well-pounded and made into paste.

One prasta of ghee and buffalo’s curd to be added and cook all the above together and taken in dose of one pala, mixed with half pala of honey. It useful in dyspnea, cough, anemia, halimaka (type of jaundice), heart disease and disorders of grahani (malabsorption syndrome) [86-89]

Treatment of pittaja hridroga













śītāḥ pradēhāḥ pariṣēcanāni tathā virēkō hr̥di pittaduṣṭē|

drākṣāsitākṣaudraparūṣakaiḥ syācchuddhē tu pittāpahamannapānam||90||

yaṣṭyāhvikātiktakarōhiṇībhyāṁ kalkaṁ pibēccāpi sitājalēna|

kṣatē ca sarpīṁṣi hitāni sarpirguḍāśca yē tān prasamīkṣya samyak||91||

dadyādbhiṣagdhanvarasāṁśca gavyakṣīrāśināṁ pittahr̥dāmayēṣu|

tairēva sarvē praśamaṁ prayānti pittāmayāḥ śōṇitasaṁśrayā yē||92||

drākṣābalāśrēyasiśarkarābhiḥ kharjūravīrarṣabhakōtpalaiśca|

kākōlimēdāyugajīvakaiśca kṣīrēṇa siddhaṁ mahiṣīghr̥taṁ syāt||93||

kaśērukāśaivalaśr̥ṅgavēraprapauṇḍarīkaṁ madhukaṁ bisasya|

granthiśca sarpiḥ payasā pacēttaiḥ kṣaudrānvitaṁ pittahr̥dāmayaghnam||94||

sthirādikalkaiḥ payasā ca siddhaṁ drākṣārasēnēkṣurasēna vā'pi|

sarpirhitaṁ svāduphalēkṣujāśca rasāḥ suśītā hr̥di pittaduṣṭē||95||

shItAH pradehAH pariShecanAni tathA vireko hRudi pittaduShTe |

drAkShAsitAkShaudraparUShakaiH syAcchuddhe tu pittApahamannapAnam ||90||

yaShTyAhvikAtiktakarohiNIbhyAM kalkaM pibeccApi sitAjalena |

kShate ca sarpIMShi hitAni sarpirguDAshca ye tAn prasamIkShya samyak ||91||

dadyAdbhiShagdhanvarasAMshca gavyakShIrAshinAM pittahRudAmayeShu |

taireva sarve prashamaM prayAnti pittAmayAH shoNitasaMshrayA ye ||92||

drAkShAbalAshreyasisharkarAbhiH kharjUravIrarShabhakotpalaishca |

kAkolimedAyugajIvakaishca kShIreNa siddhaM mahiShIghRutaM syAt ||93||

kasherukAshaivalashRu~ggaveraprapauNDarIkaM madhukaM bisasya |

granthishca sarpiH payasA pacettaiH kShaudrAnvitaM pittahRudAmayaghnam ||94||

sthirAdikalkaiH payasA ca siddhaM drAkShArasenekShurasena vA~api |

sarpirhitaM svAduphalekShujAshca rasAH sushItA hRudi pittaduShTe ||95||

In case of aggravated pitta dosha:

  1. Cold anointings, affusion and purgation therapy is indicated. After purgation the patient is advised, pitta -alleviating diet combined with draksha, sugar,honey and parusaka. [90]
  2. Patient can also consume the paste of yastimadhu and katu rohini along with sugar water.
  3. In case of chest wound after proper examination the medicated ghrita and the recipes of sarpirguda are used [91]
  4. In pittaja hridroga, the patient should be kept on diet of soup of wild animals prepared out of cow’s milk.By this all pittaja disorders located blood (diseases pertaining to the bloodstream) get pacified.[92]
  5. Formulas useful in pittaja heart disease: medicated ghee prepared by buffalo’s ghee and milk
  6. Buffalo’s ghee along with milk and Paste of draksha, bala, sreyasi (rasna) and sarkara
  7. Buffalo’s ghee along with milk, kharjura, vira, rishabhaka and utpala
  8. Buffalo’s ghee, milk, kakoli, meda, mahameda and jivaka [93]
  9. Paste of kaseruka, saivala, sringavera (sunthi), prapaundarika, madhuka, tuber of lotus stem, ghee and milk. Cooking all the above together added with honey (one fourth in quantity of ghee) alleviates paittika hridroga. [94]
  10. Ghee and paste of laghu panchamula. Cook the above togetherand taken with milk, grape juice or sugar cane juice is helpful in paittika hridroga.
  11. Cold juice of sweet fruits or sugar cane is useful in paittika hridroga.[95]
Treatment of kaphaja hridroga








प्राशं तथाऽऽगस्त्यमथापि लेहं रसायनं ब्राह्ममथामलक्याः||९९||

svinnasya vāntasya vilaṅghitasya kriyā kaphaghnī kaphamarmarōgē|

kaulatthadhānyaiśca rasairvavānnaṁ pānāni tīkṣṇāni ca [1] śaṅkarāṇi||96||

mūtrē śr̥tāḥ kaṭphalaśr̥ṅgavērapītadrupathyātiviṣāḥ pradēyāḥ|

kr̥ṣṇāśaṭīpuṣkaramūlarāsnāvacābhayānāgaracūrṇakaṁ [2] ca||97||

udumbarāśvatthavaṭārjunākhyē pālāśarauhītakakhādirē ca|

kvāthē trivr̥ttryūṣaṇacūrṇasiddhō lēhaḥ kaphaghnō'śiśirāmbuyuktaḥ||98||

śilāhvayaṁ vā bhiṣagapramattaḥ prayōjayēt kalpavidhānadiṣṭam|

prāśaṁ tathāgastyamathāpi lēhaṁ rasāyanaṁ brāhmamathāmalakyāḥ||99||

svinnasya vAntasya vila~gghitasya kriyA kaphaghnI kaphamarmaroge |

kaulatthadhAnyaishca rasairvavAnnaM pAnAni tIkShNAni ca [1] sha~gkarANi ||96||

mUtre shRutAH kaTphalashRu~ggaverapItadrupathyAtiviShAH pradeyAH |

kRuShNAshaTIpuShkaramUlarAsnAvacAbhayAnAgaracUrNakaM [2] ca ||97||

udumbarAshvatthavaTArjunAkhye pAlAsharauhItakakhAdire ca |

kvAthe trivRuttryUShaNacUrNasiddho lehaH kaphaghno~ashishirAmbuyuktaH ||98||

shilAhvayaM vA bhiShagapramattaH prayojayet kalpavidhAnadiShTam |

prAshaM tathA~a~agastyamathApi lehaM rasAyanaM brAhmamathAmalakyAH ||99||

Treatment should be done after the administration of fomentation/ sudation, therapeutic emesis and fasting therapies.

Diet: Barley is to be taken as food along with the juice of kulattha and dhanyaka.

Drinks with sharp (tikshna) attribute are wholesome. [96]

Formulas useful in kaphaja heart disease:

  1. Boil together katphala, sunthi, daruharidra, haritaki, ativisha and cow’s urine.
  2. Powder of pippali, sati, puskaramula, rasna, vacha, haritaki, sunthi [97]
  3. Decoction (three part) of udumbara, asvattha, vata, arjuna, palasa, rohitaka, khadira and powder of trivrita, trikatu(shunti ,maricha, pippali) and made into a linctus (lehya).Taken with warm water cures kaphaja hridroga. [98]
Rasayanas for kaphaja hridroga

An expert physician may also administer silajatu according to the method prescribed in rasayana section to get its rejuvenating effect. Chyavanaprasha, agastyaharitaki, brahma rasayana or amalaki rasayana may also be used for the patient suffering from kaphaja type of hridroga. [99]

Treatment of tridoshaja/sannipatika hridroga



tridōṣajē laṅghanamāditaḥ syādannaṁ ca sarvēṣu hitaṁ vidhēyam|

hīnātimadhyatvamavēkṣya caiva kāryaṁ trayāṇāmapi karma śastam||100||

tridoṣhaje la~gghanamAditaH syAdannaM ca sarveShu hitaM vidheyam |

hInAtimadhyatvamavekShya caiva kAryaM trayANAmapi karma shastam ||100||

  1. Firstly langhana (fasting therapy)
  2. Diet which alleviates all the three dosha to be advised.
  3. Treatment of the three dosha should be done after determining their relative degree (mild, moderate or severe aggravation) and appropriate therapeutic measures should be adopted depending on predominance to eliminate them. [100]
Treatment of non-cardiac chest pain






कार्यंतथालङ्घनपाचनंच..... |१०३|

bhuktē'dhikaṁ jīryati śūlamalpaṁ jīrṇē sthitaṁ cēt suradārukuṣṭham|

satilvakaṁ dvē lavaṇē viḍaṅgamuṣṇāmbunā sātiviṣaṁ pibēt saḥ||101||

jīrṇē'dhikē snēhavirēcanaṁ syāt phalairvirēcyō yadi jīryati syāt|

triṣvēva kālēṣvadhikē tu śūlē tīkṣṇaṁ hitaṁ mūlavirēcanaṁ syāt||102||

prāyō'nilō ruddhagatiḥ prakupyatyāmāśayē śōdhanamēva tasmāt|

kāryaṁ tathā laṅghanapācanaṁ ca ...|103|

bhukte~adhikaM jIryati shUlamalpaM jIrNe sthitaM cet suradArukuShTham |

satilvakaM dve lavaNe viDa~ggamuShNAmbunA sAtiviShaM pibet saH ||101||

jIrNe~adhike snehavirecanaM syAt phalairvirecyo yadi jIryati syAt |

triShveva kAleShvadhike tu shUle tIkShNaM hitaM mUlavirecanaM syAt ||102||

prAyo~anilo ruddhagatiH prakupyatyAmAshaye shodhanameva tasmAt |

kAryaM tathA la~gghanapAcanaM ca..... |103|

If pain (in the cardiac region) aggravates on consumption of food, demises during digestion and relieved on empty stomach, the patient should be given (powder of) devadaru, kustha, tilvaka, two salts (saindhava, sauvarchala), vidanga and ativisha along with hot water. [101]

If pain aggravates on empty stomach (on digestion of food) unctuous purgative therapy should be administered. If pain aggravates during digestion then patient should be purgated with fruits. If the pain is intense and appears in all the periods (before, during and after digestion) then, the patient should be given strong (tiksna) purgation/drastic purgation therapy containing roots [102]

Often vata gets aggravated due to the obstruction in its movement in the amashaya (stomach including small intestine). Hence purgative measures should be adopted along with langhana (fasting therapy) and pachana (carminative therapy). [103]

Treatment of krimija hridroga

... सर्वंकृमिघ्नंकृमिहृद्गदेच||१०३||


... sarvaM kRumighnaM kRumihRudgade ca ||103||

iti hRudrogacikitsA |

... sarvaṁ kr̥mighnaṁ kr̥mihr̥dgadē ca||103||

iti hr̥drōgacikitsā|

General Treatment for krimi hridroga (heart disease caused by micro organisms): all anthelmintic measures (all measures of destruction of these micro-organisms) should be applied.

Thus ends the description of treatment of hridroga (heart disease) [103]

Diseases of Head and neck

Diseases of nose










prajāgarātisvapanāmbuśītairavaśyayā maithunabāṣpadhūmaiḥ||104||

saṁstyānadōṣē śirasi pravr̥ddhō vāyuḥ pratiśyāyamudīrayēttu|

ghrāṇārtitōdau kṣavathurjalābhaḥ srāvō'nilāt sasvaramūrdharōgaḥ||105||

nāsāgrapākajwaravaktraśōṣatr̥ṣṇōṣṇapītasravaṇāni pittāt|

kāsārucisrāvaghanaprasēkāḥ kaphādguruḥ srōtasi cāpi kaṇḍūḥ||106||

sarvāṇi rūpāṇi tu sannipātāt syuḥ pīnasē tīvrarujē'tiduḥkhē |107|

sandhAraNAjIrNarajotibhAShyakrodhartuvaiShamyashirobhitApaiH |

prajAgarAtisvapanAmbushItairavashyayA maithunabAShpadhUmaiH ||104||

saMstyAnadoShe shirasi pravRuddho vAyuH pratishyAyamudIrayettu |

ghrANArtitodau kShavathurjalAbhaH srAvo~anilAt sasvaramUrdharogaH ||105||

nAsAgrapAkajwaravaktrashoShatRuShNoShNapItasravaNAni pittAt |

kAsArucisrAvaghanaprasekAH kaphAdguruH srotasi cApi kaNDUH ||106||

sarvANi rUpANi tu sannipAtAt syuH pInase tIvraruje~atiduHkhe |107|

Etiology and pathogenesis of Pratishyaya (coryza/Rhinitis)

Suppression of natural urges, indigestion, exposure to dust, excessive speech, anger, seasonal irregularity, excessive exposure of head to the heat, awakening at night, excessive day sleep, and exposure to cold water and frost, excessive coitus, excessive weeping, exposure to smoky atmosphere. These factors lead to the manifestation of dosha in the head by aggravating vata, gives rise to pratishyaya. [104]

Classification and signs and symptoms of pratishyaya

Signs of vataja-type pratishyaya:

Severe piercing pain in nostrils, sneezing, watery discharge, hoarseness of voice and murdharoga (manifestation of various disease related to head and brain).[105]

Signs of pittaja-type pratishyaya:

Inflammation of the tip of nose, fever, dryness of mouth, thirst, hot and yellow discharge.[106]

Signs of kaphaja-type pratishyaya:

Cough anorexia, thick discharge, excessive salivation, heaviness and itching in nasal passage. [106]

Signs of sannipatika pratishyaya (caused by aggregation of three dosha):

All the above symptoms along with intense pain and distress. [107]

Dushtapratishyaya (persistent rhinitis)





sarvō'tivr̥ddhō'hitabhōjanāttu duṣṭapratiśyāya upēkṣitaḥ syāt||107||

tatastu rōgāḥ kṣavathuśca nāsāśōṣaḥ pratīnāhaparisravau ca|

ghrāṇasya pūtitvamapīnasaśca sapākaśōthārbudapūyaraktāḥ||108||

arūṁṣi śīrṣaśravaṇākṣirōgakhālityaharyarjunalōmabhāvāḥ|

tr̥ṭśvāsakāsajwararaktapittavaisvaryaśōṣāśca tatō bhavanti||109||

sarvo~ativRuddho~ahitabhojanAttu duShTapratishyAya upekShitaH syAt ||107||

tatastu rogAH kShavathushca nAsAshoShaH pratInAhaparisravau ca |

ghrANasya pUtitvamapInasashca sapAkashothArbudapUyaraktAH ||108||

arUMShi shIrShashravaNAkShirogakhAlityaharyarjunalomabhAvAH |

tRuTshvAsakAsajwararaktapittavaisvaryashoShAshca tato bhavanti ||109||

Each of the above types will turn into dushtapratishyaya if the patient neglect appropriate treatment and continues unwholesome diet, all the dosha get excessively aggravated and as a result this disease is caused.

Signs of dushtapratishyaya:

Sneezing, dryness of nasal mucosa, pratinaha (nasal obstruction), parisrava (excessive discharge from nose), foul smell in nostrils (ozena), apinasa (chronic rhinitis), inflammation (suppurative rhinitis), swelling (edematous rhinitis), nasarbuda (growth/nasal tumor), puya rakta (purulent and sanguineous rhinitis), arumsi (furunculosis), disorders of head, ear and eye, baldness, graying of hair or whitening of body hairs, thirst, dyspnea, cough, fever, internal hemorrhage, hoarseness of voice and cachexia. [107-109]

Etiopathogenesis and clinical features of other disorders of nose


















rōdhābhighātasravaśōṣapākairghrāṇaṁ yutaṁ yaśca na vētti gandham|

durgandhi cāsyaṁ bahuśaḥprakōpi duṣṭapratiśyāyamudāharēttam||110||

saṁspr̥śya marmāṇyanilastu mūrdhni viṣvakpathasthaḥ kṣavathuṁ karōti|

kruddhaḥ sa saṁśōṣya kaphaṁ tu nāsāśr̥ṅgāṭakaghrāṇaviśōṣaṇaṁ ca||111||

ucchvāsamārgaṁ tu kaphaḥ savātō rundhyāt pratīnāhamudāharēttam|

yō mastuluṅgādghanapītapakvaḥ kaphaḥ sravēdēṣa parisravastu||112||

vaivarṇyadaurgandhyamupēkṣayā tu syāt pūtinasyaṁ śvayathurbhramaśca|

ānahyatē yasya viśuṣyatē ca praklidyatē dhūpyati cāpi nāsā||113||

na vētti yō gandharasāṁśca janturjuṣṭaṁ vyavasyēttamapīnasēna|

taṁ cānilaślēṣmabhavaṁ vikāraṁ brūyāt pratiśyāyasamānaliṅgam||114||

sadāharāgaḥ śvayathuḥ sapākaḥ syād ghrāṇapākō'pi ca raktapittāt|

ghrāṇāśritāsr̥kprabhr̥tīn pradūṣya kurvanti nāsāśvayathuṁ malāśca||115||

ghrāṇē tathōcchvāsagatiṁ nirudhya māṁsāsradōṣādapi cārbudāni|

ghrāṇāt sravēdvā śravaṇānmukhādvā pittāktamasraṁ tvapi pūyaraktam||116||

kuryāt sapittaḥ pavanastvagādīn sandūṣya cārūṁṣi sapākavanti|

nāsā pradīptēva narasya yasya dīptaṁ tu taṁ rōgamudāharanti||117||

iti nāsārōganidānam|

rodhAbhighAtasravashoShapAkairghrANaM yutaM yashca na vetti gandham |

durgandhi cAsyaM bahushaHprakopi duShTapratishyAyamudAharettam ||110||

saMspRushya marmANyanilastu mUrdhni viShvakpathasthaH kShavathuM karoti |

kruddhaH sa saMshoShya kaphaM tu nAsAshRu~ggATakaghrANavishoShaNaM ca ||111||

ucchvAsamArgaM tu kaphaH savAto rundhyAt pratInAhamudAharettam |

yo mastulu~ggAdghanapItapakvaH kaphaH sravedeSha parisravastu ||112||

vaivarNyadaurgandhyamupekShayA tu syAt pUtinasyaM shvayathurbhramashca |

Anahyate yasya vishuShyate ca praklidyate dhUpyati cApi nAsA ||113||

na vetti yo gandharasAMshca janturjuShTaM vyavasyettamapInasena |

taM cAnilashleShmabhavaM vikAraM brUyAt pratishyAyasamAnali~ggam ||114||

sadAharAgaH shvayathuH sapAkaH syAd ghrANapAko~api ca raktapittAt |

ghrANAshritAsRukprabhRutIn pradUShya kurvanti nAsAshvayathuM malAshca ||115||

ghrANe tathocchvAsagatiM nirudhya mAMsAsradoShAdapi cArbudAni |

ghrANAt sravedvA shravaNAnmukhAdvA pittAktamasraM tvapi pUyaraktam ||116||

kuryAt sapittaH pavanastvagAdIn sandUShya cArUMShi sapAkavanti |

nAsA pradIpteva narasya yasya dIptaM tu taM rogamudAharanti ||117||

iti nAsAroganidAnam |

Definition of dushtapratishyaya:

When the nostril are effected with obstruction, injury, discharge, dryness and suppuration, the patient does not perceive smell. Mouth emits foul smell and aggravates frequently. This is known as dushtapratishyaya (persisitent rhinitis).[110]

Pathogenesis of sneezing (ksavathu):

Vata afflicting the vital organs and moving in random directions causes sneezing.[111]

Pathogenesis of dryness of nasal mucosa (nasa shosha):

Aggravated vata dries up kapha in the junction of nose with forehead (shranghataka marma) causes dry nose and results in loss of sense of smell. [111]

Pathogenesis of pratinaha (nasal obstruction):

Condition where kapha along with vata blocks/obstructs the channel of expiration is called pratinaha. [112]

Pathogenesis of parisrava (nasal discharge):

The condition where thick, yellow and mature kapha (mucus) discharge comes out from the brain is called as parisrava.[112]

Pathogenesis of putinasya (ozena):

If rhinitis is neglected then, the condition where, abnormal color and foul odor along with swelling and giddiness arises is called putinasya.[113]

Signs and symptoms of apinasa (chronic rhinitis):

The condition where the patient’s nose is obstructed, dryness exist, sticky and fuming sensation in the nose and one does not perceive smell and taste is called apinasa. It is caused by vata and kapha, and has symptoms similar to those of pratishyaya. [114]

Ghranapaka / nasa paka (suppurative rhinitis):

It is caused by the vitiation of rakta-pitta where burning sensation, redness, swelling and inflammation/ suppuration occur. [115]

Nasa-shotha (edematous rhinitis):

The aggravated dosha vitiate blood etc. located in the nose gives rise to nasa shotha.[115]

Nasa arbuda (nasal tumor/ polyps):

It is caused due to the vitiation of muscle tissue and blood located in the nose, thereby causing obstruction in the air passage.[116]

Puya-rakta (purulent and sanguinous rhinitis):

The condition where blood mixed with pus (pitta) is discharged from nose, ear, or mouth. [116]

Arumshi (furunculosis):

Caused by aggravated vata along with pitta which vitiate skin, etc. in the nose and which is associated with suppuration is called as furunculosis. [117]

Nasa dipta (burnt nose):

The condition where the person feels as if his nose is burnt.

Thus ends the description of diagnosis of nasal ailments.[117]

Diseases of Head region and scalp
Diagnosis of shiro-roga(diseases of Head)



bhr̥śārtiśūlaṁ sphuratīha vātāt pittāt sadāhārti kaphādguru syāt|
sarvaistridōṣaṁ krimibhistu kaṇḍūrdaurgandhyatōdārtiyutaṁ śiraḥ syāt||118||

iti śirōrōganidānam|

bhRushArtishUlaM sphuratIha vAtAt pittAt sadAhArti kaphAdguru syAt |
sarvaistridoṣhaM krimibhistu kaNDUrdaurgandhyatodArtiyutaM shiraH syAt ||118||

iti shiroroganidAnam |

In vata-predominant shiro-roga:Excruciating pain, severe head ache, and has pulsating throbbing sensation.

In pitta-predominant shiro-roga: burning sensation and discomfort.

In kapha-predominant shiro-roga: It is associated with heaviness in the head

In sannipatika-predominant head disease caused by three dosha: All the symptoms mentioned above are present.

In krimija shiro-roga due to parasitic infestation: There is itching, foul smell, pricking pain and head ache. Thus ends the description of diagnosis of diseases of head (shiro-roga).[118]

Oral diseases












mukhāmayē mārutajē tu śōṣakārkaśyaraukṣyāṇi calā rujaśca|

kr̥ṣṇāruṇaṁ niṣpatanaṁ saśītaṁ prasraṁsanaspandanatōdabhēdāḥ||119||

tr̥ṣṇājwarasphōṭakatāludāhā dhūmāyanaṁ cāpyavadīrṇatā ca|

pittāt samūrcchā vividhā rujaśca varṇāśca śuklāruṇavarṇavarjyāḥ||120||

kaṇḍūrgurutvaṁ sitavijjalatvaṁ snēhō'rucirjāḍyakaphaprasēkau|

utklēśamandānalatā ca tandrā rujaśca mandāḥ kaphavakrarōgē||121||

sarvāṇi rūpāṇi tu vakrarōgē bhavanti yasmin sa tu sarvajaḥ syāt|

saṁsthānadūṣyākr̥tināmabhēdāccaitē catuḥṣaṣṭividhā bhavanti||122||

śālākyatantrē'bhihitāni tēṣāṁ nimittarūpākr̥tibhēṣajāni|

yathāpradēśaṁ tu caturvidhasya kriyāṁ pravakṣyāmi mukhāmayasya||123||

iti mukharōganidānam|

mukhAmaye mArutaje tu shoShakArkashyaraukShyANi calA rujashca |

kRuShNAruNaM niShpatanaM sashItaM prasraMsanaspandanatodabhedAH ||119||

tRuShNAjwarasphoTakatAludAhA dhUmAyanaM cApyavadIrNatA ca | pittAt samUrcchA vividhA rujashca varNAshca shuklAruNavarNavarjyAH ||120||

kaNDUrgurutvaM sitavijjalatvaM sneho~arucirjADyakaphaprasekau |

utkleshamandAnalatA ca tandrA rujashca mandAH kaphavakraroge ||121||

sarvANi rUpANi tu vakraroge bhavanti yasmin sa tu sarvajaH syAt |

saMsthAnadUShyAkRutinAmabhedAccaite catuHShaShTividhA bhavanti ||122||

shAlAkyatantre~abhihitAni teShAM nimittarUpAkRutibheShajAni |

yathApradeshaM tu caturvidhasya kriyAM pravakShyAmi mukhAmayasya ||123||

iti mukharoganidAnam |

Diagnosis of oral diseases

Vata-predominant oral disease:

There is dryness, roughness, ununctuousness, shifting pain, black, reddish discoloration, salivation and coldness, loosening of teeth, pulsation/throbbing sensation, piercing and tearing pain.[119]

Pitta-predominant oral disease:

It is characterized by thirst, fever, eruptions, burning sensation in the palate, feeling of fumes in oral cavity, inflammations/ ulceration, different types of pain and various type of discoloration except white and redddish. [120]

Kapha-predominant oral disease:

Itching, heaviness, pallor, sliminess, unctuousness, anorexia, stiffness, excessive salivation, nausea, poor digestion, drowsiness and dull ache. [121]

Tri-doshaja oral disease:

All the above signs and symptoms may be seen which are caused by the simultaneous aggravation of all the three dosha. These oral-diseases are classified to be of sixty-four types, depending upon the location, pathogenic substratum/ tissue element, signs and symptoms and their names. [122]

Which are described in Shalakyatantra with reference to their etiology, signs, symptoms and treatment however, here I will describe the treatment of the above-mentioned four types of the oral disorders. Thus, ends description of diagnosis of oral diseases. [123]

Arochaka (anorexia)








vātādibhiḥ śōkabhayātilōbhakrōdhairmanōghnāśanagandharūpaiḥ|

arōcakāḥ syuḥ parihr̥ṣṭadantaḥ kaṣāyavakraśca matō'nilēna||124||

kaṭvamlamuṣṇaṁ virasaṁ ca pūti pittēna vidyāllavaṇaṁ ca vakram|

mādhuryapaicchilyagurutvaśaityavibaddhasambaddhayutaṁ [1] kaphēna||125||

arōcakē śōkabhayānilōbhakrōdhādyahr̥dyāśanagandhajē syāt|

svābhāvikaṁ vakramathāruciśca tridōṣajē naikarasaṁ bhavēttu||126||


vAtAdibhiH shokabhayAtilobhakrodhairmanoghnAshanagandharUpaiH |

arocakAH syuH parihRuShTadantaH kaShAyavakrashca mato~anilena ||124||

kaTvamlamuShNaM virasaM ca pUti pittena vidyAllavaNaM ca vakram |

mAdhuryapaicchilyagurutvashaityavibaddhasambaddhayutaM [1] kaphena ||125||

arocake shokabhayAnilobhakrodhAdyahRudyAshanagandhaje syAt |

svAbhAvikaM vakramathArucishca tridoṣhaje naikarasaM bhavettu ||126||

ityarocakanidAnam |

Etiology, Diagnosis/ signs and symptoms of arochaka (anorexia)

General Cause of Anorexia:

Vatadi dosha and grief, fear, over greed, anger, unpleasant food, smell and sights are in general causes.

Signs of vataja anorexia:

Patient teeth become sensitive and get astringent taste in mouth. [124]

Signs of pittaja anorexia:

Mouth becomes pungent, sour, and hot, with abnormal taste, foul smell and saline taste.

Signs of kaphaja anorexia:

Mouth is affected with sweetness, sliminess, heaviness, coldness and stickiness [125]

Signs of anorexia caused by mental factors:

Grief, fear, over-greed, anger etc. and unpleasant food and smell leads to loss of desire for food even though the condition of mouth is normal.

Signs of tridoshaja/ sannipatika anorexia:

Several types of tastes appear in mouth. [126]

Thus, ends description of diagnosis of arochaka (anorexia).

Ear diseases






nādō'tirukkarṇamalasya śōṣaḥ srāvastanuścāśravaṇaṁ ca vātāt|

śōphaḥ sarāgō daraṇaṁ vidāhaḥ sapītapūtiśravaṇaṁ ca pittāt||127||

vaiśrutyakaṇḍūsthiraśōphaśuklasnigdhaśrutiḥ ślēṣmabhavē'lparuk ca|

sarvāṇi rūpāṇi tu sannipātāt srāvaśca tatrādhikadōṣavarṇaḥ||128||

iti karṇarōganidānam|

nAdo~atirukkarNamalasya shoShaH srAvastanushcAshravaNaM ca vAtAt |

shophaH sarAgo daraNaM vidAhaH sapItapUtishravaNaM ca pittAt ||127||

vaishrutyakaNDUsthirashophashuklasnigdhashrutiH shleShmabhave~alparuk ca |

sarvANi rUpANi tu sannipAtAt srAvashca tatrAdhikadoShavarNaH ||128||

iti karNaroganidAnam |

Diagnosis/ signs and symptoms of ear diseases

Signs of vataja ear disease:

Tinnitus, severe pain, dried ear wax, thin discharge, deafness/ inability to hear.

Signs of pittaja ear disease:

Edema, redness, ulceration, burning sensation, yellow and purulent discharge. [127]

Signs of kaphaja ear disease:

Defective hearing, itching, stiffness, swelling, white and unctuous discharge and dull pain.

Signs of tridoshaja/sannipatika ear diseases:

With all the above symptoms there is extreme purulent discharge containing different colors according to the predominant dosha. [128]

Thus, ends description of diagnosis of ear diseases.

Eye diseases








alpastu rāgō'nupadēhavāṁśca satōdabhēdō'nilajākṣirōgē|

pittāt sadāhō'tirujaḥ sarāgaḥ pītōpadēhaḥ subhr̥śōṣṇavāhī||129||

śuklōpadēhaṁ bahupicchilāśru nētraṁ kaphāt syādgurutā sakaṇḍuḥ|

sarvāṇi rūpāṇi tu sannipātānnētrāmayāḥ ṣaṇṇavatistu bhēdāt||130||

tēṣāmabhivyaktirabhipradiṣṭā śālākyatantrēṣu cikitsitaṁ ca|

parādhikārē tu na vistarōktiḥ śastēti tēnātra na naḥ prayāsaḥ||131||

iti nētrarōganidānam|

alpastu rAgo~anupadehavAMshca satodabhedo~anilajAkShiroge |

pittAt sadAho~atirujaH sarAgaH pItopadehaH subhRushoShNavAhI ||129||

shuklopadehaM bahupicchilAshru netraM kaphAt syAdgurutA sakaNDuH |

sarvANi rUpANi tu sannipAtAnnetrAmayAH ShaNNavatistu bhedAt ||130||

teShAmabhivyaktirabhipradiShTA shAlAkyatantreShu cikitsitaM ca |

parAdhikAre tu na vistaroktiH shasteti tenAtra na naH prayAsaH ||131||

iti netraroganidAnam |

Diagnosis of eye diseases

Signs of vataja eye disease:

Redness, scanty or absence of lacrimation and sticky discharge, cutting and piercing pain.

Signs of pittaja eye disease:

Burning sensation, intense pain, redness, yellow discharge and excessive hot lacrimation. [129]

Signs of kaphaja eye disease:

Whitish discharge, excessive slimy lacrimation, heaviness and itching in the eye.

Signs of tridoshaja/sannipataja eye disease:

All the above characters are observed. [130]

Total, eye diseases are 96 in number their features and treatment are described in shalakyatantra. It is not desirable to divulge in details of another specialized branch. Hence such details are not attempted here. [131]

Thus, ends description of diagnosis of eye diseases.

Hair diseases






tejo~anilAdyaiH saha keshabhUmiM dagdhvA~a~ashu kuryAt khalatiM narasya |

ki~jcittu dagdhvA palitAni kuryAddhariprabhatvaM ca shiroruhANAm ||132||

ityUrdhvajatrUtthagadaikadeshastantre nibaddho~ayamashUnyatArtham |

ataH paraM bheShajasa~ggrahaM tu nibodha sa~gkShepata ucyamAnam ||133||

iti khAlityaroganidAnam |

tējō'nilādyaiḥ saha kēśabhūmiṁ dagdhvāśu kuryāt khalatiṁ narasya|

kiñcittu dagdhvā palitāni kuryāddhariprabhatvaṁ ca śirōruhāṇām||132||

ityūrdhvajatrūtthagadaikadēśastantrē nibaddhō'yamaśūnyatārtham|

ataḥ paraṁ bhēṣajasaṅgrahaṁ tu nibōdha saṅkṣēpata ucyamānam||133||

iti khālityarōganidānam|

Pathogenesis of alopecia:

The body heat along with vatadi dosha burns the hair root (scalp) instantaneously and thus causes alopecia in men. If there is slight burning of hair root, it produces whiteness or greying of head hairs. [132]

Only some of the ailments affecting the organs of head and neck are described here, in order to prevent the allegation of absolute omission of these ailments in this text. Thus, ends description of diagnosis of disease of alopecia. [133]

Treatment of supra-clavicular diseases (urdhva jatrugata roga)
Treatment of vataja pinasa





















vātāt sakāsavaisvaryē sakṣāraṁ pīnasē vr̥tam|

pibēdrasaṁ payaścōṣṇaṁ snaihikaṁ dhūmamēva vā||134||

śatāhvā tvagbalā mūlaṁ syōnākairaṇḍabilvajam|

sāragvadhaṁ pibēdvartiṁ madhūcchiṣṭavasāghr̥taiḥ||135||

athavā saghr̥tān saktūn kr̥tvā mallakasampuṭē|

navapratiśyāyavatāṁ dhūmaṁ vaidyaḥ prayōjayēt||136||

śaṅkhamūrdhalalāṭārtau pāṇisvēdōpanāhanam|

svabhyaktē kṣavathusrāvarōdhādau saṅkarādayaḥ||137||

ghrēyāśca rōhiṣājājīvacātarkāricōrakāḥ|

tvakpatramaricailānāṁ cūrṇā vā sōpakuñcikāḥ||138||

srōtaḥśr̥ṅgāṭanāsākṣiśōṣē tailaṁ ca nāvanam|

prabhāvyājē tilān kṣīrē tēna piṣṭāṁstaduṣmaṇā||139||

mandasvinnān sayaṣṭyāhvacūrṇāṁstēnaiva pīḍayēt|

daśamūlasya niṣkvāthē rāsnāmadhukakalkavat||140||

siddhaṁ sasaindhavaṁ tailaṁ daśakr̥tvō'ṇu tat smr̥tam|

snigdhasyāsthāpanairdōṣaṁ nirharēdvātapīnasē||141||

snigdhāmlōṣṇaiśca laghvannaṁ grāmyādīnāṁ rasairhitam|

uṣṇāmbunā snānapānē nivātōṣṇapratiśrayaḥ||142||

cintāvyāyāmavākcēṣṭāvyavāyaviratō bhavēt|

vātajē pīnasē dhīmānicchannēvātmanō hitam||143||

vAtAt sakAsavaisvarye sakShAraM pInase vRutam |

pibedrasaM payashcoShNaM snaihikaM dhUmameva vA ||134||

shatAhvA tvagbalA mUlaM syonAkairaNDabilvajam |

sAragvadhaM pibedvartiM madhUcchiShTavasAghRutaiH ||135||

athavA saghRutAn saktUn kRutvA mallakasampuTe |

navapratishyAyavatAM dhUmaM vaidyaH prayojayet ||136||

sha~gkhamUrdhalalATArtau pANisvedopanAhanam |

svabhyakte kShavathusrAvarodhAdau sa~gkarAdayaH ||137||

ghreyAshca rohiShAjAjIvacAtarkAricorakAH |

tvakpatramaricailAnAM cUrNA vA sopaku~jcikAH ||138||

srotaHshRu~ggATanAsAkShishoShe tailaM ca nAvanam |

prabhAvyAje tilAn kShIre tena piShTAMstaduShmaNA ||139||

mandasvinnAn sayaShTyAhvacUrNAMstenaiva pIDayet |

dashamUlasya niShkvAthe rAsnAmadhukakalkavat ||140||

siddhaM sasaindhavaM tailaM dashakRutvo~aNu tat smRutam |

snigdhasyAsthApanairdoShaM nirharedvAtapInase ||141||

snigdhAmloShNaishca laghvannaM grAmyAdInAM rasairhitam |

uShNAmbunA snAnapAne nivAtoShNapratishrayaH ||142||

cintAvyAyAmavAkceShTAvyavAyavirato bhavet |

vAtaje pInase dhImAnicchannevAtmano hitam ||143||

Treatment of vataja pinasa (vata dominant chronic rhinitis) if associated with cough and abnormal voice (hoarseness of voice):

  1. Consume ghee and yavakshara
  2. Drink hot meat soup or warm milk
  3. Inhalation of unctuous medicated smoke. [134]
  4. Varti (smoking wick/cigarette) is to be prepared out of shatahva, twak, bala roots, bark of shyonaka, eranda root, bark of bilva, aragvadha and beeswax, muscle-fat and ghee. Use this as varti (cigarette) to smoke. [135]
  5. Alternative formula can be adopted by the physician for smoke inhalation in cases of acute coryza /rhinitis: Roasted barley flour and ghee, mix together and keep in an earthen saucer, and cover it with another saucer having hole in the middle, seal the joint of these two earthen saucers then keep it over the fire. Reed should be fixed to the hole in the upper saucer. The smoke coming out of this is to be inhaled in acute rhinitis. [136]
  6. If pain in temples, head and forehead, fomentation with warm palms and poultices should be used.
  7. If sneezing, nasal obstruction or discharge, etc. then fomentation with bolus type (sankara sweda) and other such types fomentation to be done after adequate massage [137].
  8. The patient should also inhale powders of rohisha, jiraka, vacha, tarkari, chorakaor powders of- twak, patra, maricha, ela, upakunchika. [138]
  9. If there is dryness of nasal passage, shringataka (vital spot where the junction of vessels supplying nourishment to eye, nose and ear) nose and eye then oil inhalation is advisable.

Also, the following oil known as anu-taila:

Sesame seeds are impregnated in goat’s milk paste is prepared and triturated with goat’s milk again. Add madhuka and heat this paste on mild fire. Extract the oil and add decoction of dashamula and paste of rasna, madhuka and saindhava. Cook the above repeatedly for ten times. The processed in this manner is called anu-tailam. [139-140]

Treatment of vataja- pinasa:

After oleation therapy, one should be given asthapana type of enema therapy to eliminate the dosha[141]

Dietary treatment in vataja-pinasa:

One should consume unctuous, sour, hot, and light food along with the meat soup of domestic animals. Should use hot water for bath and drinking. [142]

Patient should live in wind-free warm room and avoid anxiety, exertion, excessive speech and sexual intercourse considering once own well being. [143]

Treatment of pittaja pinasa











paittē sarpiḥ pibēt siddhaṁ [1] śr̥ṅgavēraśr̥taṁ payaḥ|

pācanārthaṁ pibēt pakvē kāryaṁ mūrdhavirēcanam||144||


dantyā ca sādhitaṁ tailaṁ nasyaṁ syāt pakvapīnasē||145||

pūyāsrē raktapittaghnāḥ kaṣāyā nāvanāni ca|

pākadāhāḍhyarūkṣēṣu [2] śītā lēpāḥ [3] sasēcanāḥ||146||

ghrēyanasyōpacārāśca kaṣāyāḥ svāduśītalāḥ|

mandapittē pratiśyāyē snigdhaiḥ kuryādvirēcanam||147||

ghr̥taṁ kṣīraṁ yavāḥ śālirgōdhūmā jāṅgalā rasāḥ|

śītāmlāstiktaśākāni yūṣā mudgādibhirhitāḥ||148||

paitte sarpiH pibet siddhaM [1] shRu~ggaverashRutaM payaH |

pAcanArthaM pibet pakve kAryaM mUrdhavirecanam ||144||

pAThAdvirajanImUrvApippalIjAtipallavaiH |

dantyA ca sAdhitaM tailaM nasyaM syAt pakvapInase ||145||

pUyAsre raktapittaghnAH kaShAyA nAvanAni ca |

pAkadAhADhyarUkSheShu [2] shItA lepAH [3] sasecanAH ||146||

ghreyanasyopacArAshcakaShAyAH svAdushItalAH |

mandapitte pratishyAye snigdhaiH kuryAdvirecanam ||147||

ghRutaM kShIraM yavAH shAlirgodhUmA jA~ggalA rasAH |

shItAmlAstiktashAkAni yUShA mudgAdibhirhitAH ||148||

General Treatment of pittaja pinasa:

  1. One should be given ghee prepared with shringavera or milk boiled with shringavera for digestion of morbid matter.
  2. There after, when the morbidity is ripened, head evacuation/errhines should be administered. [144]

Errhine formulas:

  1. Formula for ripened type of rhinitis/ Pakva-pinasa: Oil prepared out of patha, haridra, daruharidra, murva, pippali, tender leaves of jati and danti. [145]
  2. Treatment of puya-rakta (purulent and sanguinous rhinitis): Decoctions and snuffs/ inhalation therapies prescribed in raktapitta should be administered.
  3. Treatment of inflammation, burning sensation and boils etc: Cooling ointments and affusions should be applied. [146]
  4. In pittaja type of rhinitis inhalations and the decoctions used should be sweet in taste and cooling.
  5. In case of rhinitis of less aggravated pitta, purgation with unctuous drugs should be administered. [147]
  6. Diet in case of coryza having mild pitta involvement: ghee, milk, barley, rice, wheat, meat soup of wild animals, cooling, sour and bitter vegetables and soup of mudga etc. are useful. [148]
Treatment of kaphaja pinasa and dushtapratishyaya

गौरवारोचकेष्वादौ लङ्घनं कफपीनसे |










gauravārōcakēṣvādau laṅghanaṁ kaphapīnasē|
svēdāḥ sēkāśca pākārthaṁ liptē śirasi sarpiṣā||149||

laśunaṁ mudgacūrṇēna vyōṣakṣāraghr̥tairyutam|
dēyaṁ kaphaghnavamanamutkliṣṭaślēṣmaṇē hitam||150||

apīnasē pūtinasyē ghrāṇasrāvē sakaṇḍukē|
dhūmaḥ śastō'vapīḍaśca kaṭubhiḥ kaphapīnasē||151||

manaḥśilā vacā vyōṣaṁ viḍaṅgaṁ hiṅgu gugguluḥ|
cūrṇō ghrēyaḥ pradhamanaṁ kaṭubhiśca phalaistathā||152||

mūtrē lākṣā vacā lambā viḍaṅgaṁ kuṣṭhapippalī||153||

kr̥tvā kalkaṁ karañjaṁ ca tailaṁ taiḥ sārṣapaṁ pacēt|
pākānmuktē ghanē nasyamētanmēdōnibhē kaphē||154||

snigdhasya vyāhatē vēgē cchardanaṁ kaphapīnasē|

yūṣāḥ kaphaghnamannaṁ ca śastamuṣṇāmbusēca(va)nam||156||

sarvajit pīnasē duṣṭē kāryaṁ śōphē ca śōphajit|
kṣārō'rbudādhimāṁsēṣu kriyā śēṣēṣvavēkṣya ca||157||

iti pīnasanāsārōgacikitsā|

gauravArocakeShvAdau la~gghanaM kaphapInase |
svedAH sekAshca pAkArthaM lipte shirasi sarpiShA ||149||

lashunaM mudgacUrNena vyoShakShAraghRutairyutam |
deyaM kaphaghnavamanamutkliShTashleShmaNe hitam ||150||

apInase pUtinasye vrANasrAve sakaNDuke |
dhUmaH shasto~avapIDashca kaTubhiH kaphapInase ||151||

manaHshilA vacA vyoShaM viDa~ggaM hi~ggu gugguluH |
cUrNo ghreyaH pradhamanaM kaTubhishca phalaistathA ||152||

bhArgImadanatarkArIsurasAdivipAcite |
mUtre lAkShA vacA lambA viDa~ggaM kuShThapippalI ||153||

kRutvA kalkaM kara~jjaM ca tailaM taiH sArShapaM pacet |
pAkAnmukte ghane nasyametanmedonibhe kaphe ||154||

snigdhasya vyAhate vege cchardanaM kaphapInase |
vamanIyashRutakShIratilamAShayavAgunA ||155||

vArtAkakulakavyoShakulatthADhakimudgajAH |
yUShAH kaphaghnamannaM ca shastamuShNAmbuseca(va)nam ||156||

sarvajit pInase duShTe kAryaM shophe ca shophajit |
kShAro~arbudAdhimAMseShu kriyA sheSheShvavekShya ca ||157||

iti pInasanAsArogacikitsA |

Treatment of kaphaja pinasa
  1. In kaphaja pinasa, associated with heaviness and anorexia, fasting therapy should be advised. For digestion (of impurity) head should be smeared with ghee and then, fomentation and affusion therapies should be administered. [149]
  2. Garlic mixed with powder of green gram, trikatu, yavakshara and ghee should be given to reduce the alleviated kapha. When kapha is in excess alleviated condition then emetic therapy should be given with kapha alleviating medicines. [150]
  3. In case of kaphaja pinasa, apinasa, puti nasya, running nose and itching medicated smoke inhalation therapy and avapeedana/ expressed juice of pungent drugs to be given. [151]
  4. One should inhale the powder of manahshila, vacha, trikatu, vidanga, hingu and guggulu.
  5. The powder of pungent fruits should be sniffed / inhaled into the patient’s nose. [152]
  6. In case of thick, fat-like mucous discharge which comes out when the rhinitis is ripened (pakva) should be advised snuff with mustard oil, cow’s urine, bharangi, madana, tarkari, drugs of the surasadi group. Boil the above together and cooked by adding paste of laksha, vacha, bittergourd, vidanga, kushtha, pippali, karanja. [153-154]
  7. Treatment for diminished/ milder kaphaja pinasa: The patient should be given oleation therapy followed by emetic therapy. Gruel prepared out of tila and black gram by adding milk boiled with emetic drugs should be used in this emetic therapy. [155]
Diet for kaphaja pinasa

Soups of vartaka, patola, trikatu, kulattha, adhaki, mudga and kapha alleviating cereals and affusion of hot water is to be advised. [156]

Treatment of dushta pinasa

The measures described above should be applied for overcoming all the three dosha type rhinitis.

Treatment of swelling of the nose/ edematous rhinitis

Edema reliving measures should be applied.

Treatment of growth like tumors and polyps/ adhimamsa

Application of alkali is advised.

Treatment of the remaining disorders of the nose

Steps should be taken according to the condition after proper investigation. “Thus, ends the treatment of pinasa and other diseases of the nose.” [157]

Treatment of diseases of head










vātikē śirasō rōgē snēhān svēdān sanāvanān|
pānānnamupanāhāṁśca kuryādvātāmayāpahān||158||

tailabhr̥ṣṭairagurvādyaiḥ sukhōṣṇairupanāhanam|
jīvanīyaiḥ sumanasā matsyairmāṁsaiśca śasyatē||159||

rāsnāsthirādibhiḥ siddhaṁ sakṣīraṁ nasyamartinut|
tailaṁ rāsnādvikākōlīśarkarābhirathāpi vā||160||

jīvakarṣabhakadrākṣāśarkarābhiśca sādhitaḥ||161||

prasthastailasya sakṣīrō jāṅgalārdhatulārasē|
nasyaṁ sarvōrdhvajatrūtthavātapittāmayāpaham||162||

daśamūlabalārāsnātriphalāmadhukaiḥ saha|
mayūraṁ pakṣapittāntraśakr̥ttuṇḍāṅghrivarjitam||163||

jalē paktvā ghr̥taprasthaṁ tasmin kṣīrasamaṁ pacēt|
madhuraiḥ kārṣikaiḥ kalkaiḥ śirōrōgārditāpaham||164||


iti māyūraghr̥tam|

vAtike shiraso roge snehAn svedAn sanAvanAn |
pAnAnnamupanAhAMshca kuryAdvAtAmayApahAn ||158||

tailabhRuShTairagurvAdyaiH sukhoShNairupanAhanam |
jIvanIyaiH sumanasA matsyairmAMsaishca shasyate ||159||

rAsnAsthirAdibhiH siddhaM sakShIraM nasyamartinut |
tailaM rAsnAdvikAkolIsharkarAbhirathApi vA ||160||

balAmadhUkayaShTyAhvavidArIcandanotpalaiH |
jIvakarShabhakadrAkShAsharkarAbhishca sAdhitaH ||161||

prasthastailasya sakShIro jA~ggalArdhatulArase |
nasyaM sarvordhvajatrUtthavAtapittAmayApaham ||162||

dashamUlabalArAsnAtriphalAmadhukaiH saha |
mayUraM pakShapittAntrashakRuttuNDA~gghrivarjitam ||163||

jale paktvA ghRutaprasthaM tasmin kShIrasamaM pacet |
madhuraiH kArShikaiH kalkaiH shirorogArditApaham ||164||

karNAkShinAsikAjihvAtAlvAsyagalaroganut |
mAyUramitivikhyAtamUrdhvajatrugadApaham ||165||

iti mAyUraghRutam |

Treatment of vataja head diseases
  1. General treatment of vataja head diseases: oleation, fomentation and snuffing/ inhalation therapy, vata alleviating diet and poultices are used. [158]
  2. Hot poultices/upanaha: One should use the paste of drugs of the agaru etc group, jivaniya group, sumanas (flowers of jati) or of fish or meat fried in oil and used for lukewarm poultices. [159]
  3. Rasnadi-tailam:
    1. Oil Prepared out of rasna, laghu panchamula, milk and oil used for nasya cures headache.
    2. Oil prepared out of rasna, kakoli, kshirakakoli, sharkara and such oil when used for nasya cures headache .[160]
  4. Baladya-tailam: The following nasya alleviates all supraclavicular disorders caused by vata and pitta: One prastha (640 gm) of oil, bala, madhuka, yashti, vidari, chandana, utpala, jivaka, rishabhaka, draksha, sharkara, milk, 1/2 tula (2 kg) of meat soup of wild animals cooked together and oil prepared in this manner is used for nasya. [161-162]
  5. Mayura-ghrita: This ghrita is beneficial in diseases of head, facial paralysis, diseases of ear, eye, nose, tongue, palate, mouth, throat and other supraclavicular disorders.

Peacock (which is devoid of feathers, bile, intestines, feces, beak and feet) along with dashamula, bala, rasna, triphala, madhuka and water are mixed together. Decoction is prepared of all the above. To this one prastha (640 gm) ghee, one prastha (640 gm) milk, one karsha (10 gm) paste of madhuradi gana drugs is added and prepared ghrita is well known as mayura ghrita thus ends the description of mayura ghrita. [163-165]

Maha mayura ghrita












ētēnaiva kaṣāyēṇa ghr̥taprasthaṁ vipācayēt|
caturguṇēna payasā kalkairēbhiśca kārṣikaiḥ||166||


mr̥ṇālabisaśālūkaśr̥ṅgījīvakapadmakaiḥ [1] ||168||



kharjūrākṣōṭavātāmamuñjātābhiṣukairapi |
dravyairēbhiryathālābhaṁ pūrvakalpēna sādhitam||171||

nasyē pānē tathā'bhyaṅgē bastau caiva prayōjayēt|
śirōrōgēṣu sarvēṣu kāsē śvāsē ca dāruṇē||172||

manyāpr̥ṣṭhagrahē śōṣē svarabhēdē tathā'rditē|
yōnyasr̥kśukradōṣēṣu śastaṁ vandhyāsutapradam||173||

r̥tusnātā tathā nārī pītvā putraṁ prasūyatē|

iti mahāmāyūraghr̥tam|

ākhubhiḥ kukkuṭairhaṁsaiḥ śaśaiścāpi hi buddhimān|
kalpēnānēna vipacēt sarpirūrdhvagadāpaham||175||

etenaiva kaShAyeNa ghRutaprasthaM vipAcayet |
caturguNena payasA kalkairebhishca kArShikaiH ||166||

jIvantItriphalAmedAmRudvIkardhiparUShakaiH |
sama~ggAcavikAbhArgIkAshmarIsuradArubhiH ||167||

AtmaguptAmahAmedAtAlakharjUramastakaiH |
mRuNAlabisashAlUkashRu~ggIjIvakapadmakaiH [1] ||168||

shatAvarIvidArIkShubRuhatIsArivAyugaiH |
mUrvAshvadaMShTrarShabhakashRu~ggATakakaserukaiH ||169||

rAsnAsthirAtAmalakIsUkShmailAshaTipauShkaraiH |
punarnavAtugAkShIrIkAkolIdhanvayAsakaiH ||170||

kharjUrAkShoTavAtAmamu~jjAtAbhiShukairapi |
dravyairebhiryathAlAbhaM pUrvakalpena sAdhitam ||171||

nasye pAne tathA~abhya~gge bastau caiva prayojayet |
shirorogeShu sarveShu kAse shvAse ca dAruNe ||172||

manyApRuShThagrahe shoShe svarabhede tathA~ardite |
yonyasRukshukradoSheShu shastaM vandhyAsutapradam ||173||

RutusnAtA tathA nArI pItvA putraM prasUyate |
mahAmAyUramityetadghRutamAtreyapUjitam ||174||

iti mahAmAyUraghRutam |

AkhubhiH kukkuTairhaMsaiH shashaishcApi hi buddhimAn |
kalpenAnena vipacet sarpirUrdhvagadApaham ||175||

Decoction is prepared of peacock devoid of feathers, bile, intestines, feces, beak and feet, dashamula, bala, rasna, triphala, madhuka and water.

The 640 grams ghee and four times of milk, 10gm paste of each jivanti, triphala, meda, mridvika, rddhi, parusaka, samanga,chavika, bharangi, devadaru, kapikacchu, mahameda, talamastaka, kharjuramustaka, bisa,shaluka, shringi, jivaka, padmaka, shatavari, vidari, ikshu, brihati, two types of sariva, murva, gokshura, rishabhaka, shringataka, kasheruka, rasna, shalaparni, tamalaki, sukshmaila, shati, pushkaramula, punarnava, tugakshiri, kakoli, dhanvayasa, kharjura, akshota, vatama,munjata, abhishuka added and fortify the above into ghee.

This ghrita is used as snuff, for consumption as drink, massage and enema therapies, in all head diseases, in severe cough and dyspnea, stiffness of neck and back, emaciation, hoarseness of voice, facial paralysis, diseases of vaginal track and menstruation and seminal vitiation and provides fertility to sterile women. Intake of it after bath at the end of the menstrual period delivers male offspring. This is called as maha mayura ghrita and is praised by Lord Atreya, thus ends the description of maha mayura ghrita. [166-174]

“A wise physician may prepare ghrita, with the above mentioned ingredients and the procedure, with rats, chickens, swans and rabbits (substituted for the peacock (mayura)) which also cure supraclavicular disorders” [175]

Treatment of pittaja diseases of head





paittē ghr̥taṁ payaḥ sēkāḥ śītā lēpāḥ sanāvanāḥ|
jīvanīyāni sarpīṁṣi pānānnaṁ cāpi pittanut||176||

kṣīrapiṣṭaiḥ pradēhaḥ syācchr̥tairvā pariṣēcanam||177||

tvakpatraśarkarākalkaḥ supiṣṭastaṇḍulāmbunā|
kāryō'vapīḍaḥ sarpiśca nasyaṁ tasyānu paittikē||178||

yaṣṭyāhvacandanānantākṣīrasiddhaṁ ghr̥taṁ hitam|
nāvanaṁ śarkarādrākṣāmadhūkairvā'pi pittajē||179||

paitte ghRutaM payaH sekAH shItA lepAH sanAvanAH |
jIvanIyAni sarpIMShi pAnAnnaM cApi pittanut ||176||

candanoshIrayaShTyAhvabalAvyAghranakhotpalaiH |
kShIrapiShTaiH pradehaH syAcchRutairvA pariShecanam ||177||

tvakpatrasharkarAkalkaH supiShTastaNDulAmbunA |
kAryo~avapIDaH sarpishca nasyaM tasyAnu paittike ||178||

yaShTyAhvacandanAnantAkShIrasiddhaM ghRutaM hitam |
nAvanaM sharkarAdrAkShAmadhUkairvA~api pittaje ||179||

  1. General Treatment of paittika head diseases: Ghee, Milk, affusions, cold pastes/poultice, snuffs of drugs having cold potency, ghee prepared out of drugs belonging to jivaniya group and pitta-alleviating diet (food and drinks) should be taken. [176]
  2. Ointment and affusion in pittaja diseases of head: Chandana, ushira, madhuyashti, bala, vyaghranakha, utpala and milk (for trituration) made into paste and can be anointed on the patient of paittika disease of head and also the decoction prepared out of above drugs can be used for affusion in paittika diseases of head. [177]
  3. The snuff in pittaja diseases of head:Paste prepared of twak, patra, sarkara along with rice water should be squeeze to extract out the juice and put the same in the nostrils followed by administration of ghee as nasya. [178]
  4. The nasya in diseases of head: Ghee fortified with ingredients such as madhuyashti, chandana, ananta and milk is used for nasya. Similarly medicated ghee prepared from sharkara, draksha, madhuka is useful in pittaja head disease. [179]
Treatment of kaphaja, sannipatika and krimija head diseases










kaphajē svēditaṁ dhūmanasyapradhamanādibhiḥ|
śuddhaṁ pralēpapānānnaiḥ kaphaghnaiḥ samupācarēt||180||

purāṇasarpiṣaḥ pānaistīkṣṇairbastibhirēva ca|
kaphānilōtthitē dāhaḥ śēṣayō raktamōkṣaṇam||181||

dhūmavartiṁ pibēdgandhairakuṣṭhatagaraistathā||182||

sannipātabhavē kāryā sannipātahitā kriyā|
krimijē caiva kartavyaṁ tīkṣṇaṁ mūrdhavirēcanam||183||


apāmārgaphalaṁ bījaṁ naktamālaśirīṣayōḥ|
kṣavakō'śmantakō bilvaṁ haridrā hiṅgu yūthikā||184||

phaṇijjhakaśca taistailamavimūtrē caturguṇē|
siddhaṁ syānnāvanaṁ cūrṇaṁ caiṣāṁ pradhamanaṁ hitam||185||

phalaṁ śigrukarañjābhyāṁ savyōṣaṁ cāvapīḍakaḥ|
kaṣāyaḥ svarasaḥ kṣāraścūrṇaṁ kalkō'vapīḍakaḥ||186||

iti śirōrōgacikitsā|

kaphaje sveditaM dhUmanasyapradhamanAdibhiH |
shuddhaM pralepapAnAnnaiH kaphaghnaiH samupAcaret ||180||

purANasarpiShaH pAnaistIkShNairbastibhireva ca |
kaphAnilotthite dAhaH sheShayo raktamokShaNam ||181||

eraNDanaladakShaumaguggulvagurucandanaiH |
dhUmavartiM pibedgandhairakuShThatagaraistathA ||182||

sannipAtabhave kAryA sannipAtahitA kriyA |
krimije caiva kartavyaM tIkShNaM mUrdhavirecanam ||183||

tvagdantIvyAghrakarajaviDa~gganavamAlikAH |

apAmArgaphalaM bIjaM naktamAlashirIShayoH |
kShavako~ashmantako bilvaM haridrA hi~ggu yUthikA ||184||

phaNijjhakashca taistailamavimUtre caturguNe |
siddhaM syAnnAvanaM cUrNaM caiShAM pradhamanaM hitam ||185||

phalaM shigrukara~jjAbhyAM savyoShaM cAvapIDakaH |
kaShAyaH svarasaH kShArashcUrNaM kalko~avapIDakaH ||186||

iti shirorogacikitsA |

General treatment of kaphaja head diseases

Fomentation therapy, smoking, snuffing and insufflation of powders in to nostrils and then managed with kapha-alleviating paste and diet along with intake of old ghee and teekshna basti (medicated enema having strong cleansing property). [180-181]

  1. In kaphaja and vataja head diseases, daha (agnikarma/ cauterization) on forehead and temples is done followed by blood-letting therapy considering the remaining morbid dosha [181]
  2. Dhooma varti (smoke bougie/cigar) prepared of eranda, nalada, ksauma, guggulu, aguru, chandana and other aromatic drugs except kushtha and tagara should be used for medicated smoking. [182]
Treatment of tridoshika/sannipatika head diseases

Therapeutic measures prescribed for all the three types of head diseases should be administered in sannipatika head diseases. [183]

Treatment of head disease due to micro organisms/ krimija
  1. Strong errhine having sharply acting (teekshna) ingredients should be administered. [183]
  2. Medicated errhine prepared after fortifying oil with twak, danti, vyaghranakha, vidanga, navamallika, apamarga fruits and seeds of naktamala and shirisha, kshavaka, ashmantaka, bilva, haridra, hingu, yuthika, phanijjaka along with four times the volume in sheep urine should be used or the same herbs may also be used for insufflation. [184-185]
  3. The squeezed juice prepared from seeds of sigru karanja and trikatu may be put in the nostrils/ avapeedana. Similarly decoction, fresh juice, alkali preparation, powder preparation, paste of the same drugs may also be used for avapeedana in nostrils.

Thus ends the treatment of head disease. [186]

Treatment of diseases of the mouth
























śuktatiktakaṭukṣaudrakaṣāyaiḥ kavalagrahaḥ|
dhūmaḥ pradhamanaṁ śuddhiradhaśchardanalaṅghanam||187||

bhōjyaṁ ca mukharōgēṣu yathāsvaṁ dōṣanuddhitam|

pāṭhāṁ tējōvatīṁ pathyāṁ samabhāgaṁ vicūrṇayēt|
mukharōgēṣu sarvēṣu sakṣaudraṁ tadvidhārayēt||189||

sīdhumādhavamādhvīkaiḥ śrēṣṭhō'yaṁ kavalagrahaḥ|
tējōhvāmabhayāmēlāṁ samaṅgāṁ kaṭukāṁ ghanam||190||

pāṭhāṁ jyōtiṣmatīṁ lōdhraṁ dārvīṁ kuṣṭhaṁ ca cūrṇayēt|
dantānāṁ gharṣaṇaṁ raktasrāvakaṇḍūrujāpaham||191||

palāśamuṣkakakṣārayavakṣārāśca cūrṇitāḥ||192||

guḍē purāṇē dviguṇē kvathitē guṭikāḥ kr̥tāḥ|
karkandhumātrāḥ saptāhaṁ sthitā muṣkakabhasmani||193||

kaṇṭharōgēṣu sarvēṣu dhāryāḥ syuramr̥tōpamāḥ|
gr̥hadhūmō yavakṣāraḥ pāṭhā vyōṣaṁ rasāñjanam||194||

tējōhvā triphalā lōdhraṁ citrakaścēti cūrṇitam|
sakṣaudraṁ dhārayēdētadgalarōgavināśanam||195||

kālakaṁ nāma taccūrṇaṁ dantāsyagalarōganut|

iti kālakacūrṇam|

manaḥśilā yavakṣārō haritālaṁ sasaindhavam||196||

dārvītvak cēti taccūrṇaṁ mākṣikēṇa samāyutam|
mūrcchitaṁ ghr̥tamaṇḍēna kaṇṭharōgēṣu dhārayēt||197||

mukharōgēṣu ca śrēṣṭhaṁ pītakaṁ nāma kīrtitam|

iti pītakacūrṇam|

mr̥dvīkā kaṭukā vyōṣaṁ dārvītvak triphalā ghanam||198||

mūrcchitaṁ ghr̥tamaṇḍēna kaṇṭharōgēṣu dhārayēt|
pāṭhā rasāñjanaṁ mūrvā tējōhvēti ca cūrṇitam||199||

kṣaudrayuktaṁ vidhātavyaṁ galarōgē bhiṣagjitam|
yōgāstvētē trayaḥ prōktā vātapittakaphāpahāḥ||200||

gōmūtrakvathitāḥ pēyāḥ kaṇṭharōgavināśanāḥ||201||

svarasaḥ kvathitō dārvyā ghanībhūtō rasakriyā|
sakṣaudrā mukharōgāsr̥gdōṣanāḍīvraṇāpahā||202||

tāluśōṣē tvatr̥ṣṇasya sarpirauttarabhaktikam|
nāvanaṁ madhurāḥ snigdhāḥ śītāścaiva rasā hitāḥ||203||

mukhapākē sirākarma śiraḥkāyavirēcanam|
mūtratailaghr̥takṣaudrakṣīraiśca kavalagrahāḥ||204||

kaṣāyatiktakāḥ śītāḥ kvāthāśca mukhadhāvanāḥ||205||

shuktatiktakaTukShaudrakaShAyaiH kavalagrahaH dhUmaH pradhamanaM shuddhiradhashchardanala~gghanam ||187||

bhojyaM ca mukharogeShu yathAsvaM doShanuddhitam |
pippalyagurudArvItvagyavakShArarasA~jjanam ||188||

pAThAM tejovatIM pathyAM samabhAgaM vicUrNayet |
mukharogeShu sarveShu sakShaudraM tadvidhArayet ||189||

sIdhumAdhavamAdhvIkaiH shreShTho~ayaM kavalagrahaH |
tejohvAmabhayAmelAM sama~ggAM kaTukAM ghanam ||190||

pAThAM jyotiShmatIM lodhraM dArvIM kuShThaM ca cUrNayet |
dantAnAM gharShaNaM raktasrAvakaNDUrujApaham ||191||

pa~jcakolakatAlIsapatrailAmaricatvacaH |
palAshamuShkakakShArayavakShArAshca cUrNitAH ||192||

guDe purANe dviguNe kvathite guTikAH kRutAH |
karkandhumAtrAH saptAhaM sthitA muShkakabhasmani ||193||

kaNTharogeShu sarveShu dhAryAH syuramRutopamAH |
gRuhadhUmo yavakShAraH pAThA vyoShaM rasA~jjanam ||194||

tejohvA triphalA lodhraM citrakashceti cUrNitam |
sakShaudraM dhArayedetadgalarogavinAshanam ||195||

kAlakaM nAma taccUrNaM dantAsyagalaroganut |

iti kAlakacUrNam |

manaHshilA yavakShAro haritAlaM sasaindhavam ||196||

dArvItvak ceti taccUrNaM mAkShikeNa samAyutam |
mUrcchitaM ghRutamaNDena kaNTharogeShu dhArayet ||197||

mukharogeShu ca shreShThaM pItakaM nAma kIrtitam |

iti pItakacUrNam |

mRudvIkA kaTukA vyoShaM dArvItvak triphalA ghanam ||198||

mUrcchitaM ghRutamaNDena kaNTharogeShu dhArayet |
pAThA rasA~jjanaM mUrvA tejohveti ca cUrNitam ||199||

kShaudrayuktaM vidhAtavyaM galaroge bhiShagjitam |
yogAstvete trayaH proktA vAtapittakaphApahAH ||200||

kaTukAtiviShApAThAdArvImustakali~ggakAH |
gomUtrakvathitAH peyAH kaNTharogavinAshanAH ||201||

svarasaH kvathito dArvyA ghanIbhUto rasakriyA |
sakShaudrA mukharogAsRugdoShanADIvraNApahA ||202||

tAlushoShe tvatRuShNasya sarpirauttarabhaktikam |
nAvanaM madhurAH snigdhAH shItAshcaiva rasA hitAH ||203||

mukhapAke sirAkarma shiraHkAyavirecanam |
mUtratailaghRutakShaudrakShIraishca kavalagrahAH ||204||

sakShaudrAstriphalApAThAmRudvIkAjAtipallavAH |
kaShAyatiktakAH shItAH kvAthAshca mukhadhAvanAH ||205||

General treatment of diseases of the mouth

Gargling/ holding paste of drugs in mouth (kavala graha) of contents such as vinegar, decoction of bitter and pungent drug and honey. Medicated smoking, insufflation, purgation, emesis, fasting and diet which alleviates the aggravated dosha are beneficial in oral diseases. [187]

  1. Pippalyadi-churna:Take equal quantity each of pippali, aguru, daruharidra bark, yavakshara, rasanjana, patha, tejovati, haritaki. Powder all the above drugs and Mix with honey. This linctus is to be kept in the mouth in all diseases of the mouth. [188]
  2. Mix all the above mentioned drugs by adding sidhu (wine prepared out of sugarcane juice), madhava (wine prepared out of honey) and madhvika (wine prepared out of madhuka) together and used for gargling in all diseases of the mouth. [189]
  3. Tejovatyadi tooth – powder: Brushing with powder of tejohva/tejabala, haritaki, ela, samanga, katuka, ghana/musta, patha, jyotismati, lodhra, daruharidra, kustha reduces bleeding, itching and pain in the teeth. [190-191]
  4. Kshara-gutika:Panchakola (pippali, pippalimula, chavya, chitraka, nagara), talisapatra, ela, maricha, twak, alkali of palasa, mustaka and yavaksara. Powder all of the above and cooked together with two times old jaggery. Make pills the size of small karkandu (jujube/ber fruit).Keep them within the heap of ash (alkali) of muskaka for a week. These pills are like ambrosia when kept in mouth for all throat disorders. [192-194]
  5. Kalaka- churna:Powders of grahadhooma (kitchen shoot), yavakshara, patha, trikatu, rasanjana, tejohva, triphala, lodhra, chitraka and honey mix all the above together and keep in mouth (slowly sucked) it cures throat disease. This is called as kalaka churna and it alleviates diseases of teeth, mouth and throat. Thus ends the description of kalaka churna. [194-196]
  6. Pitaka churna:Powder of manahshila (realgar), yavakshara, haratala (orpiment), saindhava (rock-salt), daruharidra bark mixed alongwith honey and ghee-scum and is kept in the mouth for cure of oral disease. It is known as pitaka-churna, this is an excellent remedy for oral diseases.Thus ends the description of pitaka-churna. [196-198]
  7. Mridvika, katuka, trikatu, daruharidra bark, triphala, musta and ghee-scum is to be kept in the mouth for diseases of the throat. [198-199]
  8. Patha, rasanjana, murva, tejohva and honey kept in the mouth for the treatment of throat diseases. [199-200]
  9. Katuka, ativisa, patha, daruharidra, musta, indrayava and cow’s urine. Boil together; this decoction is used to cure throat disorders. [201]
  10. Rasakriya (the decoction of daruharidra boiled and solidified) and honey, is used to cure oral diseases and used in diseases caused by vitiation of blood and sinuses (nadi- vrana). [202]
  11. In case of dryness of palate in non polydipsia (atrishna): ghee should be given to drink after meals (uttara-bhaktikam). Also, give snuff (inhalation therapy). Meat soups having sweet, unctuous and cold qualities should be given. [203]
  12. Treatment of stomatitis: Venesection (rakta mokshana therapy), head -evacuation errhines and purgation therapy, gargling (kavala-graha therapy) with cow’s urine, oil, ghee, honey and milk, similarly another gargle with triphala, patha, mrdvika, tender leaves of jati and honey is helpful in stomatitis. Also mouth should be washed with astringent, bitter and cold decoctions. [204-205]
Khadiradi Gutika and Khadiradi Taila











tulāṁ khadirasārasya dviguṇāmarimēdasaḥ|
prakṣālya jarjarīkr̥tya caturdrōṇē'mbhasaḥ pacēt||206||

drōṇaśēṣaṁ kaṣāyaṁ taṁ pūtvā bhūyaḥ pacēcchanaiḥ|
tatastasmin ghanībhūtē cūrṇīkr̥tyākṣabhāgikam||207||

candanaṁ padmakōśīraṁ mañjiṣṭhā dhātakī ghanam|
prapauṇḍarīkaṁ yaṣṭyāhvatvagēlāpadmakēśaram||208||

lākṣāṁ rasāñjanaṁ māṁsītriphalālōdhravālakam|
rajanyau phalinīmēlāṁ samaṅgāṁ kaṭphalaṁ vacām||209||

lavaṅganakhakakkōlajātikōśān palōnmitān||210||

karpūrakuḍavaṁ cāpi kṣipēcchītē'vatāritē|
tatastu guṭikāḥkāryāḥśuṣkāścāsyēna dhārayēt||211||

tailaṁ cānēna kalkēna kaṣāyēṇa ca sādhayēt|
dantānāṁ calanabhraṁśaśauśiryakrimirōganut||212||


dantāsyagalarōgēṣu sarvēṣvētat parāyaṇam|
khadirādiguṭīkēyaṁ tailaṁ ca khadirādikam||214||

iti khadirādiguṭikā tailaṁ ca|

tulAM khadirasArasya dviguNAmarimedasaH |
prakShAlya jarjarIkRutya caturdroNe~ambhasaH pacet ||206||

droNasheShaM kaShAyaM taM pUtvA bhUyaH pacecchanaiH |
tatastasmin ghanIbhUte cUrNIkRutyAkShabhAgikam ||207||

candanaM padmakoshIraM ma~jjiShThA dhAtakI ghanam |
prapauNDarIkaM yaShTyAhvatvagelApadmakesharam ||208||

lAkShAM rasA~jjanaM mAMsItriphalAlodhravAlakam |
rajanyau phalinImelAM sama~ggAM kaTphalaM vacAm ||209||

yavAsAgurupatta~ggagairikA~jjanamAvapet |
lava~gganakhakakkolajAtikoshAn palonmitAn ||210||

karpUrakuDavaM cApi kShipecchIte~avatArite |
tatastu guTikAHkAryAHshuShkAshcAsyena dhArayet ||211||

tailaM cAnena kalkena kaShAyeNa ca sAdhayet |
dantAnAM calanabhraMshashaushiryakrimiroganut ||212||

mukhapAkAsyadaurgandhyajADyArocakanAshanam |
srAvopalepapaicchilyavaisvaryagalashoShanut ||213||

dantAsyagalarogeShu sarveShvetat parAyaNam |
khadirAdiguTIkeyaM tailaM ca khadirAdikam ||214||

iti khadirAdiguTikA tailaM ca |

One tula of heartwood of khadira, two tula- (heartwood of) arimeda. The above should be washed and made to a coarse powder and four drone of water should be added. Cook all the above and reduced to one drona. Then strain and heat again slowly till it is thickened to the consistency of paste. To this add one aksha of powder of each chandana, padmaka, ushira, manjishtha, dhataki, musta, prapaundarika, yashti, twak, ela, kamalakeshara, laksha, rasanjana, mamsi, triphala, lodhra, balaka, two types of haridra (haridra and daruharidra), priyangu, ela, samanga, katphala,vacha, yavasa, aguru, pattanga, gairika, anjana. After it is brought down and cooled, and thereafter add one pala each of - lavanga, nakha, kakkola, jatikosha, one kudava of camphor. Then pills should be made and dried. These pills should be kept in the mouth and sucked.

This alleviates looseness, displacement, caries and parasitic infestation of teeth, stomatitis, and foul smell from mouth, stiffness of mouth, anorexia, discharge, coating, sliminess, abnormal voice and dryness of throat. This is a good remedy in all diseases of teeth, mouth and throat. This pill is called as khadiradi gutika. [206-214]. Khadiradi taila:

Oil when fortified with above contents it is called as khadiradi tailam.

Thus, ends the description of khadiradi gutika and khadiradi tailam and here ends the description of the treatment of oral-diseases. [206-214]

Treatment of anorexia






बस्तिंसमीरणे, पित्तेविरेकं, वमनंकफे|


arucau kavalagrāhā dhūmāḥ samukhadhāvanāḥ|
manōjñamannapānaṁ ca harṣaṇāśvāsanāni ca||215||

kuṣṭhasauvarcalājājīśarkarāmaricaṁ biḍam|

lōdhraṁ tējōvatī pathyā tryūṣaṇaṁ sayavāgrajam|

satailamākṣikāstvētē catvāraḥ kavalagrahāḥ|
caturō'rōcakān hanyurvātādyēkajasarvajān||218||

sauvarcalaṁ guḍaḥ kṣaudraṁ sarvārōcakanāśanam||219||

bastiṁ samīraṇē, pittē virēkaṁ, vamanaṁ kaphē|
kuryāddhr̥dyānukūlāni harṣaṇaṁ ca manōghnajē||220||


arucau kavalagrAhA dhUmAH samukhadhAvanAH |
manoj~jamannapAnaM ca harShaNAshvAsanAni ca ||215||

kuShThasauvarcalAjAjIsharkarAmaricaM biDam |
dhAtryelApadmakoshIrapippalyutpalacandanam ||216||

lodhraM tejovatI pathyA tryUShaNaM sayavAgrajam |
ArdradADimaniryAsashcAjAjIsharkarAyutaH ||217||

satailamAkShikAstvete catvAraH kavalagrahAH |
caturo~arocakAn hanyurvAtAdyekajasarvajAn ||218||

kAravImaricAjAjIdrAkShAvRukShAmladADimam |
sauvarcalaM guDaH kShaudraM sarvArocakanAshanam ||219||

bastiM samIraNe, pitte virekaM, vamanaM kaphe |
kuryAddhRudyAnukUlAni harShaNaM ca manoghnaje ||220||

ityarocakacikitsA |

General treatment of anorexia

Kaval graham (gargles/keeping thin paste of drugs in the mouth), dhuma (smoking therapy), mukha dhavana (mouth washes), delicious food and drink, gladdening and consolation is helpful in anorexia. [215]

  1. Gargle to be used for vatika type anorexia: Gargles prepared from kustha, sauvarchala, jiraka, sharkara, maricha, bida, oil, and honey. [216]
  2. Gargle to be used for paittika anorexia: Gargle of amalaki/dhatri, ela, padmaka, usira, pippali, utpala, chandana, oil and honey. [216]
  3. Gargle to be used for kaphaja anorexia: Gargle of lodhra, tejovati, haritaki, trikatu, yavakshara, oil and honey. [217]
  4. Gargle to be used in tri-doshic/sannipatika anorexia: Fresh juice of pomengranate, jiraka, sarkara, oil and honey. [218]
  5. Karavyadi-yoga: Karavi, maricha, jiraka, draksha, vrikshamla, dadima, sauvarchala, jaggery and honey. This (gargle) cures all types of anorexia. [219]
  6. General treatment of vatika anorexia is medicated enema.
  7. General treatment of paittika anorexia is purgation therapy.
  8. General treatment of kaphaja anorexia is medicated emesis therapy.
  9. General treatment of psychological anorexia: Delicious favorite foods pleasing the heart, gladdening the patient should be given.

Thus ends the description of the treatment of arochaka (anorexia). [220]

Treatment of ear diseases












karṇaśūlē tu vātaghnī hitā pīnasavat kriyā|
pradēhāḥ pūraṇaṁ nasyaṁ pākasrāvē vraṇakriyāḥ||221||

bhōjyāni ca yathādōṣaṁ kuryāt snēhāṁśca pūraṇān|
hiṅgutumbaruśuṇṭhībhistailaṁ tu sārṣapaṁ pacēt||222||

ētaddhi pūraṇaṁ śrēṣṭhaṁ karṇaśūlanivāraṇam|

tailaṁ siddhaṁ bastamūtrē karṇaśūlanivāraṇam|
varāṭakān samāhr̥tya dahēnmr̥dbhājanē navē||224||

tadbhasma ścyōtayēttēna [1] gandhatailaṁ vipācayēt|
rasāñjanasya śuṇṭhyāśca kalkābhyāṁ karṇaśūlanut||225||

śuṣkamūlakaśuṇṭhānāṁ [2] kṣārō hiṅgu mahauṣadham|
śatapuṣpā vacā kuṣṭhaṁ dāru śigru rasāñjanam||226||

bhūrjagranthirbiḍaṁ mustaṁ madhuśuktaṁ caturguṇam||227||

mātuluṅgarasaścaiva kadalyā rasa ēva ca|
sarvairētairyathōddiṣṭaiḥ [3] kṣāratailaṁ vipācayēt||228||

bādhiryaṁ karṇanādaśca pūyasrāvaśca dāruṇaḥ|
krimayaḥ karṇaśūlaṁ ca pūraṇādasya naśyati||229||

mukhakarṇākṣirōgēṣu yathōktaṁ pīnasē vidhim|
kuryādbhiṣak samīkṣyādau dōṣakālabalābalam||230||

iti karṇarōgacikitsā |

karNashUle tu vAtaghnI hitA pInasavat kriyA |
pradehAH pUraNaM nasyaM pAkasrAve vraNakriyAH ||221||

bhojyAni ca yathAdoShaM kuryAt snehAMshca pUraNAn |
hi~ggutumbarushuNThIbhistailaM tu sArShapaM pacet ||222||

etaddhi pUraNaM shreShThaM karNashUlanivAraNam |
devadAruvacAshuNThIshatAhvAkuShThasaindhavaiH ||223||

tailaM siddhaM bastamUtre karNashUlanivAraNam |
varATakAn samAhRutya dahenmRudbhAjane nave ||224||

tadbhasma shcyotayettena [1] gandhatailaM vipAcayet |
rasA~jjanasya shuNThyAshca kalkAbhyAM karNashUlanut ||225||

shuShkamUlakashuNThAnAM [2] kShAro hi~ggu mahauShadham |
shatapuShpA vacA kuShThaM dAru shigru rasA~jjanam ||226||

sauvarcalayavakShArasvarjikodbhidasaindhavam |
bhUrjagranthirbiDaM mustaM madhushuktaM caturguNam ||227||

mAtulu~ggarasashcaiva kadalyA rasa eva ca |
sarvairetairyathoddiShTaiH [3] kShAratailaM vipAcayet ||228||

bAdhiryaM karNanAdashca pUyasrAvashca dAruNaH |
krimayaH karNashUlaM ca pUraNAdasya nashyati ||229||

mukhakarNAkShirogeShu yathoktaM pInase vidhim |
kuryAdbhiShak samIkShyAdau doShakAlabalAbalam ||230||

iti karNarogacikitsA |

General treatment of ear diseases

Vata alleviating treatment on the line listed under pinasa (vatika type of rhinitis) to be applied such as anointing, drops and snuffing as prescribed for pinasa.

Treatment of suppuration and discharge

Surgical measures/treatment prescribed for vrana (ulcer) should be adopted. Diet and ear drop should be used depending upon the dosha involvement. [221]

Specific formulas for ear disease
  1. Hingvadi taila: Mustard oil, hingu, tumburu, sunthi cooked all together is useful for ear ache. [222]
  2. Devadarvyadi-taila:Devadaru, vacha, shunthi, shatahva, kushtha, rock salt, oil and goat’s urine cooked together cures earache. [223]
  3. Gandha-taila:Cowrie ash (one should collect cowries and burn them in new earthen pot). This ash should be washed with water (alkaline water is obtained) and paste of rasanjana and sunthi should be prepared.

With all the above, perfumed oil should be fortified by cooking together. Ear drop with this medicated oil cures earache. [224-225]

  1. Kshara-taila: Ash of dry radish (dry radish cut into pieces and burnt to prepare ash), oil should be cooked by adding the paste of alkali preparation in total one fourth of quantity of oil of hingu, shunthi, shatapushpa, vacha, kushtha, devadaru, shigru, rasanjana, sauvarchala lavana, yavakshara, svarjika, audbhida, saindhava lavana, bhurja nodes, bida lavana, musta and four times the oil - madhusukta, juice of matulunga, kadali should be added. This kshara taila should be dropped into the ear which cures deafness, tinnitus, severe purulent discharge and parasitic infestation of the ear and ear ache. [226-229]
  2. Treatment in general of mouth, ear and eyes diseases:In case of mouth, ear and eye disorders, the physician should, first evaluate strength and weakness of dosha and the season, and thereafter decide the treatment/ therapies described for different types of pinasa (rhinitis). Thus ends the description of treatment of ear diseases. [230]
Treatment of eye diseases





































utpannamātrē taruṇē nētrarōgē biḍālakaḥ|
kāryō dāhōpadēhāśruśōpharāganivāraṇaḥ||231||

nāgaraṁ saindhavaṁ sarpirmaṇḍēna ca rasakriyā|
nighr̥ṣṭaṁ vātikē tadvanmadhusaindhavagairikam||232||

tathā śāvarakaṁ lōdhraṁ ghr̥tabhr̥ṣṭaṁ biḍālakaḥ|
tadvat kāryō harītakyā ghr̥tabhr̥ṣṭō rujāpahaḥ||233||

paittikē candanānantāmañjiṣṭhābhirbiḍālakaḥ|
kāryaḥ padmakayaṣṭyāhvamāṁsīkālīyakaistathā||234||

gairikaṁ saindhavaṁ mustaṁ rōcanā ca [1] rasakriyā|
kaphē kāryā tathā kṣaudraṁ priyaṅguḥ samanaḥśilā||235||

sannipātē tu sarvaiḥ syādbahirakṣṇōḥ pralēpanam|
pakṣmāṇyaspr̥śyatā [2] kāryaṁ sampakvē tvañjanaṁ tryahāt||236||

āścyōtanaṁ mārutajē kvāthō bilvādibhirhitaḥ|
kōṣṇaḥ sairaṇḍatarkārībr̥hatīmadhuśigrubhiḥ||237||

kvāthaḥ saśarkaraḥ śītaḥ pūraṇaṁ raktapittanut||238||

nāgaratriphalāmustanimbavāsārasaḥ [3] kaphē|
kōṣṇamāścyōtanaṁ miśrairōṣadhaiḥ sānnipātakē||239||

br̥hatyēraṇḍamūlatvak śigrōḥ puṣpaṁ sasaindhavam|
ajākṣīrēṇa piṣṭaṁ syādvartirvātākṣirōganut||240||

sumanaḥkōrakāḥ śaṅkhastriphalā madhukaṁ balā|
pittaraktāpahā vartiḥ piṣṭā divyēna vāriṇā||241||

saindhavaṁ triphalā vyōṣaṁ śaṅkhanābhiḥ samudrajaḥ|
phēnaḥ śailēyakaṁ sarjō vartiḥ ślēṣmākṣirōganut||242||

amr̥tāhvā bisaṁ bilvaṁ paṭōlaṁ chāgalaṁ śakr̥t|
prapauṇḍarīkaṁ yaṣṭyāhvaṁ dārvī kālānusārivā||243||

ēṣāmaṣṭapalān bhāgān sudhautāñjarjarīkr̥tān|
tōyē paktvā rasē pūtē bhūyaḥ pakvē rasē ghanē||244||

karṣaṁ ca śvētamaricājjātīpuṣpānnavāt palam|
cūrṇaṁ kṣiptvā kr̥tā vartiḥ sarvaghnī [4] dr̥kprasādanī||245||

srōtōjaśvētamaricairvartiḥ sarvākṣirōganut||246||

śāṇārdhaṁ maricāddvau ca pippalyarṇavaphēnayōḥ|
śāṇārdhaṁ saindhavācchāṇā nava sauvīrakāñjanāt||247||

piṣṭaṁ susūkṣmaṁ citrāyāṁ cūrṇāñjanamidaṁ śubham|
kaṇḍūkācakaphārtānāṁ malānāṁ ca viśōdhanam||248||

bastamūtrē tryahaṁ sthāpyamēlācūrṇaṁ subhāvitam|
cūrṇāñjanaṁ hi taimiryakrimipillamalāpaham||249||

sauvīramañjanaṁ tutthaṁ tāpyō dhāturmanaḥśilā|
cakṣuṣyā madhukaṁ lōhā maṇayaḥ pauṣpamañjanam||250||

saindhavaṁ śaukarī daṁṣṭrā katakaṁ cāñjanaṁ śubham|
timirādiṣu curṇaṁ vā vartirvēyamanuttamā||251||

katakasya phalaṁ śaṅkhaḥ saindhavaṁ tryūṣaṇaṁ sitā|
phēnō rasāñjanaṁ kṣaudraṁ viḍaṅgāni manaḥśilā||252||

kukkuṭāṇḍakapālāni vartirēṣā vyapōhati|
timiraṁ paṭalaṁ kācaṁ malaṁ cāśu sukhāvatī||253||

iti sukhāvatī vartiḥ |

triphalākukkuṭāṇḍatvakkāsīsamayasō rajaḥ|
nīlōtpalaṁ viḍaṅgāni phēnaṁ ca saritāṁ patēḥ||254||

ājēna payasā piṣṭvā bhāvayēttāmrabhājanē|
saptarātraṁ sthitaṁ bhūyaḥ piṣṭvā kṣīrēṇa vartayēt||255||

ēṣā dr̥ṣṭipradā vartirandhasyābhinnacakṣuṣaḥ||256||

iti dr̥ṣṭipradā vartiḥ |

vadanē kr̥ṣṇasarpasya nihitaṁ māsamañjanam||256||

tatastasmāt samr̥ddhr̥tya suśuṣkaṁ cūrṇayēdbudhaḥ|
sumanaḥkōrakaiḥ śuṣkairardhāṁśaiḥ saindhavēna ca||257||

ētannētrāñjanaṁ kāryaṁ timiraghnamanuttamam|
pippalyaḥ kiṁśukarasō vasā sarpasya saindhavam||258||

jīrṇaṁ ghr̥taṁ ca sarvākṣirōgaghnī syādrasakriyā|
kr̥ṣṇasarpavasā kṣaudraṁ rasō dhātryā rasakriyāḥ||259||

śastā sarvākṣirōgēṣu kācārbudamalēṣu ca|
dhātrīrasāñjanakṣaudrasarpirbhistu rasakriyā||260||

pittaraktākṣirōgaghnī taimiryapaṭalāpahā|
dhātrīsaindhavapippalyaḥ syuralpamaricāḥ samāḥ||261||

kṣaudrayuktā nihantyāndhyaṁ paṭalaṁ ca rasakriyā|262|

iti nētrarōgacikitsā |

utpannamAtre taruNe netraroge biDAlakaH |
kAryo dAhopadehAshrushopharAgAnivAraNaH ||231||

nAgaraM saindhavaM sarpirmaNDena ca rasakriyA |
nighRuShTaM vAtike tadvanmadhusaindhavagairikam ||232||

tathA shAvarakaM lodhraM ghRutabhRuShTaM biDAlakaH |
tadvat kAryo harItakyA ghRutabhRuShTo rujApahaH ||233||

paittike candanAnantAma~jjiShThAbhirbiDAlakaH |
kAryaH padmakayaShTyAhvamAMsIkAlIyakaistathA ||234||

gairikaM saindhavaM mustaM rocanA ca [1] rasakriyA |
kaphe kAryA tathA kShaudraM priya~gguH samanaHshilA ||235||

sannipAte tu sarvaiH syAdbahirakShNoH pralepanam |
pakShmANyaspRushyatA [2] kAryaM sampakve tva~jjanaM tryahAt ||236||

AshcyotanaM mArutaje kvAtho bilvAdibhirhitaH |
koShNaH sairaNDatarkArIbRuhatImadhushigrubhiH ||237||

pRuthvIkAdArvima~jjiShThAlAkShAdvimadhukotpalaiH |
kvAthaH sasharkaraH shItaH pUraNaM raktapittanut ||238||

nAgaratriphalAmustanimbavAsArasaH [3] kaphe |
koShNamAshcyotanaM mishrairoShadhaiH sAnnipAtake ||239||

bRuhatyeraNDamUlatvak shigroH puShpaM sasaindhavam |
ajAkShIreNa piShTaM syAdvartirvAtAkShiroganut ||240||

sumanaHkorakAH sha~gkhstriphalA madhukaM balA |
pittaraktApahA vartiH piShTA divyena vAriNA ||241||

saindhavaM triphalA vyoShaM sha~gkhanAbhiH samudrajaH |
phenaH shaileyakaM sarjo vartiH shleShmAkShiroganut ||242||

amRutAhvA bisaM bilvaM paTolaM chAgalaM shakRut |
prapauNDarIkaM yaShTyAhvaM dArvI kAlAnusArivA ||243||

eShAmaShTapalAn bhAgAn sudhautA~jjarjarIkRutAn |
toye paktvA rase pUte bhUyaH pakve rase ghane ||244||

karShaM ca shvetamaricAjjAtIpuShpAnnavAt palam |
cUrNaM kShiptvA kRutA vartiH sarvaghnI [4] dRukprasAdanI ||245||

sha~gkhapravAlavaidUryalauhatAmraplavAsthibhiH |
srotojashvetamaricairvartiH sarvAkShiroganut ||246||

shANArdhaM maricAddvau ca pippalyarNavaphenayoH |
shANArdhaM saindhavAcchANA nava sauvIrakA~jjanAt ||247||

piShTaM susUkShmaM citrAyAM cUrNA~jjanamidaM shubham |
kaNDUkAcakaphArtAnAM malAnAM ca vishodhanam ||248||

bastamUtre tryahaM sthApyamelAcUrNaMsubhAvitam |
cUrNA~jjanaM hi taimiryakrimipillamalApaham ||249||

sauvIrama~jjanaM tutthaM tApyo dhAturmanaHshilA |
cakShuShyA madhukaM lohA maNayaH pauShpama~jjanam ||250||

saindhavaM shaukarI daMShTrA katakaM cA~jjanaM shubham |
timirAdiShu curNaM vA vartirveyamanuttamA ||251||

katakasya phalaM sha~gkhaH saindhavaM tryUShaNaM sitA |
pheno rasA~jjanaM kShaudraM viDa~ggAni manaHshilA ||252||

kukkuTANDakapAlAni vartireShA vyapohati |
timiraM paTalaM kAcaM malaM cAshu sukhAvatI ||253||

iti sukhAvatI vartiH |

triphalAkukkuTANDatvakkAsIsamayaso rajaH |
nIlotpalaM viDa~ggAni phenaM ca saritAM pateH ||254||

Ajena payasA piShTvA bhAvayettAmrabhAjane |
saptarAtraM sthitaM bhUyaH piShTvA kShIreNa vartayet ||255||

eShA dRuShTipradA vartirandhasyAbhinnacakShuShaH ||256||

iti dRuShTipradA vartiH |

vadane kRuShNasarpasya nihitaM mAsama~jjanam ||256||

tatastasmAt samRuddhRutya sushuShkaM cUrNayedbudhaH |
sumanaHkorakaiH shuShkairardhAMshaiH saindhavena ca ||257||

etannetrA~jjanaM kAryaM timiraghnamanuttamam |
pippalyaH kiMshukaraso vasA sarpasya saindhavam ||258||

jIrNaM ghRutaM ca sarvAkShirogaghnI syAdrasakriyA |
kRuShNasarpavasA kShaudraM raso dhAtryA rasakriyAH ||259||

shastA sarvAkShirogeShu kAcArbudamaleShu ca |
dhAtrIrasA~jjanakShaudrasarpirbhistu rasakriyA ||260||

pittaraktAkShirogaghnI taimiryapaTalApahA |
dhAtrIsaindhavapippalyaH syuralpamaricAH samAH ||261||

kShaudrayuktA nihantyAndhyaM paTalaM ca rasakriyA |262|

iti netrarogacikitsA |

Principles of treatment: Treatment of critical stage of freshly occurred eye diseases

Bidalaka (it is the application of drugs in paste form on the closed eye lids excluding eye-lashes) relieves burning sensation, mucous discharge, lacrymation, swelling and congestion or redness. [231]

Treatment of vataja eye disease

[Stage I, pastes for application on the eyelid]

  1. Shunthi, saindhava, ghee-scum triturated and made a paste also known as rasakriya) is applied as bidalaka.
  2. Honey, saindhava and gairika (red ochre) rubbed together and applied. [232]

The following paste when applied relieves pain:

  1. Shavara lodhra fried in ghee
  2. Haritaki fried in the ghee. [233]
Treatment of pittaja type eye diseases
  1. Paste of chandana, ananta, and manjistha is applied.
  2. Paste of padmaka, madhuyashti, mamsi, kaliyaka [234]
Treatment of kaphaja eye diseases
  1. Paste of gairika, saindhava, musta, rochana
  2. Paste of priyangu, manah-sila (realgar) and honey. [235]
Treatment of sannipataja eye diseases

Paste made with all the above mentioned drugs.

While application of the paste over the eye lids, the eye-lashes should not be touched. When the disease is matured, collyrium (anjana) may be applied (into the eye) every third day without touching the eyelids. [236]

Ashchyotana - eye douche formulas for eye diseases.

  1. Eye drop for vatika eye disease: Decoction is prepared of bilvadi (brihat panchamula- bilva, syonaka, gambhari, patala and ganikarnika), eranda, tarkari, brihati, madhushigru and water. Use it as eye drops while warm. [237]
  2. Eye drop for paittika eye disease:Decoction is prepared with prthivika, daruharidra, manjistha, laksha, two types of madhuka, utpala and water and sugar. Use it as eye drop at cold temperature. Eye drop pacifies rakta and pitta disease.[238]
  3. Eye drop for kaphaja disease: Decoction of shunthi, triphala, musta, nimba, vasa and water used when warm as eye drop is beneficial.
  4. Eye drops in sannipatika eye disease: All the above formulations mixed together should be used. [239]
  5. Varti (medicated bougies) for vatika eye diseases:
    1. Brahatyadi-varti: Pound the herbs such as brihati, root- bark of eranda, shigru flowers, saindhava lavana and goat’s milk and triturate in milk. Make into a varti, and using it (after rubbing) alleviates vataja eye diseases. [240]
  6. Varti in paittika eye diseases:
    1. Sumanahkoradi-varti: Buds of jati pushpa (sumana), shankha(conch), triphala, madhuka, bala, rain water(distilled) are collected pound the above ingredients in the water. Make into a varti. This varti alleviates eye diseases caused due to rakta and pitta. [241]
  7. Varti for kaphaja eye diseases:
    1. Saindhavadi-varti: Saindhava lavana, triphala, trikatu, sankhanabhi, samudraphena, shaileyaka, sarja (rasa). Make the above into a bougie it cures kaphaja eye disease. [242]
  8. Varti for tridoshic/sannipatika eye diseases: Coarse powder each of guduchi, lotus stem, bilva, patola, goat’s feces, prapaundarika,madhuyashti, daruharidra, kalanusariva in the quantity of eight pala should be washed well and boil them in water and then strain. Reheat till it is thickened. To this add one karsha (12 grams) powder of shweta maricha, one pala powder of fresh jati flowers. Make the above into a bougie. Application of this cures sannipatika eye disease and also promotes eye-sight. [243-245]
Formulas for other eye diseases
  1. Shankhadi-varti: Varti (bougie) prepared of sankha bhasma, pravala bhasma, vaidurya pishti, lauha bhasma (iron), tamra bhasma (copper), bhasma of the bone of plava (pelican- bird called prasevaka-gala), srotonjana and sveta- maricha cures all types of eye diseases. [246]
  2. Churnanjana: Half shana ( 1 shana = 3 grams) of maricha (Black pepper fruit – piper nigrum), two shana of pippali – Piper longum, and samudraphena, half shana of saindhava lavana, nine shana of sauviranjana should be triturated and made to a fine powder during chitra constellation.This powder collyrium is beneficial in itching, cataract and kaphaja eye diseases and eliminates impurities. [247-248]
  3. Seeds of ela (Cardamom-Elattaria cardamom), goat’s urine (dip the cardamom in the urine for three days), let the cardamom be well-impregnated and dried and made to a powder. Application of this powder in the form of collyrium cures timira (a type of cataract), krimi (parasitic infestation), patala (another type of cataract) and discharge of mucoid matter from the eyes. [249]
  4. Sauviranjana, tuttha, tapya-dhatu (maksika), manahshila, chaksushya (variety of kulattha), madhuka (Licorice – Glycyrrhiza glabra), loha bhasma(iron), precious stones, pushpanjana, saindhava, tusk of boar, kataka – strychnos potatorum may be used in the form of either powder or varti as collyrium which is excellent remedies for timira (cataract) and such other eye-diseases. [250-251]
  5. Sukhavati varti: Kataka (Strychnos potatorum), shankha, saindhava (rock salt), shunthi, pippali – long pepper fruit, maricha – Black pepper fruit, sugar, samudraphena, rasanjana (aqueous extract of berberis aristata), honey, vidanga – Embelia ribes, manahshila and shell of hen’s egg. Varti prepared out of these ingredients alleviates blurred vision, patala (covering), kacha (type of cataract) and putrid discharge from the eyes quickly. Thus, ends the description of sukhavati- varti. [252-253]
  6. Drishtiprada varti: Triturate together triphala, crust of hen’s eggs, kasisa, iron powder, nilotpala, vidanga, samudraphena in goat’s milk and impregnate with the same in a copper vessel for 1 week and rolled in the form of varti. This is called as drishti-prada varti. This varti revives vision even in the blind provided the pupils of his eyes have not undergone any physical change or been damaged. Thus ends the prescription of drishtiprada varti. [254-255]
  7. Collyrium for timira: A wise physician should keep anjana inside the buccal cavity of a dead black snake cobra for one month.Then, after taking it out, one should dry it well and powder it. To this equal quantity of dried buds of jati pushpa, half quantity- rock salt/ saindhava is to be added. Mix all the above together made to a fine powder. This is wonderful recipe for the cure of timira (cataract/ blurred vision). [256-257]
  8. Pippalyadi rasakriya: Rasa-kriya (thin paste) prepared out of pippali – Piper longum, juice of kimsuka – Butea monosperma, snake’s fat, saindhva/ rock salt and old ghee cures all types of eye-diseases. [258-259]
  9. Krishna sarpa vasadi –rasakriya: Rasakriya (thin paste) prepared of the fat of black snake cobra, honey, the juice of amalaki – phyllanthus emblicais useful in curing all eye-diseases like kacha (cataract), arbuda (tumor in the eyes) and discharge from the eyes. [259-260]
  10. Other recipes for eye diseases:
    1. The rasakriya (thin paste) prepared of dhatri, rasanjana (aqueous extract of berberis aristata), honey and ghee cures eye-diseases caused by the vitiation of pitta and rakta (blood), timira (cataract /blurred vision) and patala (another type of cataract).
    2. One parts each of amalaka, pippali, white maricha, one part of rock salt and honey. This rasakriya alleviates blindness and patala.

Thus, ends the description of the treatment of eye diseases. [260 ½ –262½]

Treatment of baldness and greying of hair


























khālityē palitē valyāṁ harilōmni ca śōdhitam||262||

nasyaistailaiḥ śirōvakrapralēpaiścāpyupācarēt|
siddhaṁ vidārīgandhādyairjīvanīyairathāpi ca||263||

nasyaṁ syādaṇutailaṁ vā khālityapalitāpaham|
kṣīrāt sahacarādbhr̥ṅgarājācca saurasādrasāt||264||

prasthaistu kuḍavastailādyaṣṭyāhvapalakalkitaḥ|
siddhaḥ śilāsamē bhāṇḍē mēṣaśr̥ṅgādiṣu sthitaḥ||265||

nasyaṁ syādbhiṣajā samyagyōjitaṁ palitāpaham|
bhiṣajā kṣīrapiṣṭau vā dugdhikākaravīrakau||266||

utpāṭya palitē dēyau tāvubhau palitāpahau|
mārkavasvarasāt kṣīrāddviprasthaṁ madhukāt palam||267||

taiḥ pacēt kuḍavaṁ tailāttannasyaṁ palitāpaham|
ādityavallyā mūlāni kr̥ṣṇaśairēyakasya ca||268||

surasasya ca patrāṇi patraṁ [1] kr̥ṣṇaśaṇasya ca|
mārkavaḥ kākamācī ca madhukaṁ dēvadāru ca||269||

pr̥thagdaśapalāṁśāni pippalyastriphalā'ñjanam|
prapauṇḍarīkaṁ mañjiṣṭhā lōdhraṁ kr̥ṣṇāgurūtpalam||270||

āmrāsthi kardamaḥ kr̥ṣṇō mr̥ṇālaṁ raktacandanam|
nīlī bhallātakāsthīni kāsīsaṁ madayantikā||271||

sōmarājyasanaḥ śastraṁ kr̥ṣṇau piṇḍītacitrakau|
puṣkarārjunakāśmaryāṇyāmrajambūphalāni ca||272||

pr̥thak pañcapalāṁśāni taiḥ piṣṭairāḍhakaṁ pacēt|
baibhītakasya tailasya dhātrīrasacaturguṇam||273||

kuryādādityapākaṁ vā yāvacchuṣkō bhavēdrasaḥ|
lōhapātrē tataḥ pūtaṁ saṁśuddhamupayōjayēt||274||

pānē nasyakriyāyāṁ ca śirōbhyaṅgē tathaiva ca|
ētaccakṣuṣyamāyuṣyaṁ śirasaḥ sarvarōganut||275||

mahānīlamiti khyātaṁ palitaghnamanuttamam|

iti mahānīlatailam|


kārṣikaistailakuḍavō dviguṇāmalakīrasaḥ|
siddhaḥ sa pratimarśaḥ syāt sarvamūrdhagadāpahaḥ||277||

(palitaghnō [2] viśēṣēṇa kr̥ṣṇātrēyēṇa bhāṣitaḥ|)
kṣīraṁ priyālayaṣṭyāhvē jīvakādyō gaṇastilāḥ||278||

kr̥ṣṇā vaktrē pralēpaḥ syāddharilōmanivāraṇaḥ|
tilāḥsāmalakāścaiva kiñjalkō madhukaṁ madhu||279||

br̥ṁhayēdrañjayēcaitat kēśānmūrdhapralēpanāt|
pacētsaindhavaśuktāmlairayaścūrṇaṁ sataṇḍulam||280||

tēnāliptaṁ śiraḥ śuddhamasnigdhamuṣitaṁ niśi|
tat prātastriphalādhautaṁ syāt kr̥ṣṇamr̥dumūrdhajam||281||

ayaścūrṇō'mlapiṣṭaśca rāgaḥ satriphalō varaḥ|

kuryācchēṣēṣu rōgēṣu kriyāṁ svāṁ svāccikitsitāt|
śēṣēṣvādau ca nirdiṣṭā siddhau cānyā pravakṣyatē||282||

iti khālityādicikitsā|

khAlitye palite valyAM harilomni ca shodhitam ||262||

nasyaistailaiH shirovakrapralepaishcApyupAcaret |
siddhaM vidArIgandhAdyairjIvanIyairathApi ca ||263||

nasyaM syAdaNutailaM vA khAlityapalitApaham |
kShIrAt sahacarAdbhRu~ggarAjAcca saurasAdrasAt ||264||

prasthaistu kuDavastailAdyaShTyAhvapalakalkitaH |
siddhaH shilAsame bhANDe meShashRu~ggAdiShu sthitaH ||265||

nasyaM syAdbhiShajA samyagyojitaM palitApaham |
bhiShajA kShIrapiShTau vA dugdhikAkaravIrakau ||266||

utpATya palite deyau tAvubhau palitApahau |
mArkavasvarasAt kShIrAddviprasthaM madhukAt palam ||267||

taiH pacet kuDavaM tailAttannasyaM palitApaham |
AdityavallyA mUlAni kRuShNashaireyakasya ca ||268||

surasasya ca patrANi patraM [1] kRuShNashaNasya ca |
mArkavaH kAkamAcI ca madhukaM devadAru ca ||269||

pRuthagdashapalAMshAni pippalyastriphalA~a~jjanam |
prapauNDarIkaM ma~jjiShThA lodhraM kRuShNAgurUtpalam ||270||

AmrAsthi kardamaH kRuShNo mRuNAlaM raktacandanam |
nIlI bhallAtakAsthIni kAsIsaM madayantikA ||271||

somarAjyasanaH shastraM kRuShNau piNDItacitrakau |
puShkarArjunakAshmaryANyAmrajambUphalAni ca ||272||

pRuthak pa~jcapalAMshAni taiH piShTairADhakaM pacet |
baibhItakasya tailasya dhAtrIrasacaturguNam ||273||

kuryAdAdityapAkaM vA yAvacchuShko bhavedrasaH |
lohapAtre tataH pUtaM saMshuddhamupayojayet ||274||

pAne nasyakriyAyAM ca shirobhya~gge tathaiva ca |
etaccakShuShyamAyuShyaM shirasaH sarvaroganut ||275||

mahAnIlamiti khyAtaM palitaghnamanuttamam |

iti mahAnIlatailam |

prapauNDarIkamadhukapippalIcandanotpalaiH ||276||

kArShikaistailakuDavo dviguNAmalakIrasaH |
siddhaH sa pratimarshaH syAt sarvamUrdhagadApahaH ||277||

(palitaghno [2] visheSheNa kRuShNAtreyeNa bhAShitaH|)
kShIraM priyAlayaShTyAhve jIvakAdyo gaNastilAH ||278||

kRuShNA vaktre pralepaH syAddharilomanivAraNaH |
tilAH sAmalakAshcaiva ki~jjalko madhukaM madhu ||279||

bRuMhayedra~jjayecaitat keshAnmUrdhapralepanAt |
pacetsaindhavashuktAmlairayashcUrNaM sataNDulam ||280||

tenAliptaM shiraH shuddhamasnigdhamuShitaM nishi |
tat prAtastriphalAdhautaM syAt kRuShNamRudumUrdhajam ||281||

ayashcUrNo~amlapiShTashca rAgaH satriphalo varaH |

kuryAccheSheShu rogeShu kriyAM svAM svAccikitsitAt |
sheSheShvAdau ca nirdiShTA siddhau cAnyA pravakShyate ||282||

iti khAlityAdicikitsA |

General treatment of alopecia and graying of hair

In case of khalitya (alopecia), palitya (graying of the hair), vali (appearance of wrinkles over the face) and hari lomana (tawny hair), the patient should be managed after elimination/ detoxification therapies in the beginning and thereafter be given nasya (inhalation therapy) with medicated oil, and application of paste of drugs over the head and face. [262 1/2- 263½]

  1. The following drugs and oils should be used to alleviate baldness and greying of hair: Drugs of vidarigandhadi group (vidarigandha—Pueraria tuberosa, shalaparni, prishnaparni, brihati – Solanum indicum, kantakari – Garcinia Morella and gokshura – Tribulus terrestris) or jeevaneeya group (vitalizer drugs) (jeevaka – Malaxiz acuminata, rishabhaka – Manilkara hexandra, meda – Polygonatum cirrhifolium, maha-meda – Polygonatum verticillatum, kakoli – Fritillaria roylei, mudga – Green gram- parni and masha-parni – Teramnus labialis.) and Oil.
    1. Medicated oil is prepared by cooking all above ingredients. Inhalation therapy with these medicated oils or with anu taila cures alopecia and graying of the hair. [263-264]
  2. One prastha (640 grams) of milk and juice of sahachara – Barleria prionitis, bhringaraja – Eclipta alba, surasa –Cinnamonum zeylanica, one kudava of oil, one pala paste of yastimadhu – glychrizza glabra is cooked and kept inside a pot of stone or the horn of sheep. Appropriately administered by the physician for inhalation therapy, this medicated oil cures graying of hair. [264-265]
  3. Dugdhika – Euphorbia hirta, karavira – Nerium indicumare made to a paste by triturating them with milk. After pulling out gray hair, the physician should apply this paste over the head of the patient for curing graying of hair. [265-266]
  4. One kudava of oil is cooked by adding one prastha of the juice of markava (bhringaraja – Eclipta alba) and milk.To this one pala of yashtimadhu – Glychriza glabra is added. Administration of this medicated oil for inhalation therapy cures graying of hair. [266 ½- 268½]
  5. Mahaneela taila: Paste of ten pala of each of the root of adityavalli and black variety of saireyaka – Barleria prionitis, leaves of surasa – Cinnamonum zeylanica, black variety of sana – Brassica alba, markava (bhringaraja – Eclipta alba), kakamachi – Solanum nigrum, yastimadhu –Glycrrhiza glabra and devadaru – Cedrus deodara. Five pala each of pippali – Piper longum, triphala (haritaki–Terminalia chebula, vibhitaka –Terminalia bellerica, amalaki–Phyllanthus emblica), anjana, prapaundarika, manjistha – Rubia cordifolia, lodhra – Symplocos racemose, black variety of aguru – Aquallaria agallocha, utpala – Nymphaea alba, amrasthi (seeds of Mango –Mangifera indica), krishnakardama (black mud), mrinala – Lotus stalk, rakta chandana- Pterocapus santalinus Linn. F, Nili – Indigofera tinctoria, seeds of bhallataka – Semecarpus anacardium Linn., kasisa, madayantika – Lawsonia alba, somaraji – Psorelea corylifolia, asana – Terminalia crenulata, sastra bhasma of tiksna (type of iron), black variety of pinditaka (Madana –Randia dumetorum), chitraka – Leadword – Plumbago zeylanica, pushkara – Inula racemose, arjuna – Terminalia arjuna, kasmarya – Gmelina arborea, fruits of amra – mango – Mangifera indica as well as jambu – Syzmium cumini. Pound all the above ingredients and cooked with one adhaka of oil extracted from the seeds of vibhitaka – Terminalia bellerica, four adhaka of juice of amalaki – Phyllanthus emblica in an iron pot by solar heat till the water is evaporated. This medicated oil is given to a patient whose body is cleansed/ detoxified (by purgation therapy etc), in the form of inhalation therapy or massage over the head. It promotes eye-sight and longevity and cures all the diseases of the head. This is called mahanila taila which is a wonder cure of gray hair.Thus, ends the description of mahaneela taila. [268 ½ –276½]
  6. Prapaundarikadya taila: Paste of one karsa each of prapaundarika, yastimadhu – Glycrrhiza glabra, Pippali – Long pepper fruit – Piper longum, chandana – sandalwood – Santalum album and utpala – Nymphaea alba. One kudava of oil and two kudava of the juice of amalaki – Phyllanthus emblica. Cook all the above ingredients and obtain medicated oil. Administration of pratimarsa nasya (errhine therapy wherein dose of drops to be put in nostrils is minimum (two drops per nostrils)) quantity and it cures all the diseases of the head. According to Krsnatreya, this therapy is especially useful for curing graying of hair. [276 ½- 278½]
  7. Ointment for tawny hair: Application of the paste prepared of milk, priyala (Buchanania lanzan), yastimadhu – Glycrrchiza glabra, jeevaka – Malaxis acuminata, rishabhaka – Manilkara hexandra, meda – Polygonatum cirrhifolium, maha-meda – Polygonatum cirrhifolium, kakoli – Fritillaria roylei, kshira-kakoli, mudgaparni – Phaseolus trilobus, mashaparni – Teramnus labialis, jeevanti –Leptadenia reticulata, madhuka, honey, tila – Sesame Sesamum indicum) and pippali – Piper longum cures tawny hair. [278 ½- 279½]
  8. Recipe for restoration of hair: Application of the paste of tila – sesame (Sesamum indicum), amalaki – Phyllanthus emblica, kinjalka, madhuka– Licorice – Glycyrrhiza glabra and honey over the head restores the color of hair, and promotes hair growth. [279 ½- 280½]
  9. Recipes for dyeing and softening hair: Lauha powder (bhasma), saindhava lavana, shuktamla (sour vinegar) and rice (all taken in equal quantities) to be cooked together. In the morning, the head is washed with the decoction of haritaki – Terminalia chebula, bibhitaka – Terminalia bellerica and amalaki – Phyllanthus emblica to make it free from oily matter and thereafter this paste is applied over the scalp, and kept overnight with this therapy, the hair becomes black and soft. Lauha powder (bhasma) triturated with sour articles and triphala is an excellent hair-dye. [280 ½- 2821/3]
Treatment of remaining shiroroga – head diseases

Treatment of the remaining disorders which appear as complications of the diseases described above, the treatment suitable for these has been said partially in the beginning and will be explained further in Siddhi Sthana. Thus, ends the treatment of alopecia etc. [282 2/3]

Treatment of hoarseness of voice










sarpīṁṣyuparibhaktāni svarabhēdē'nilātmakē|
tailaiścatuṣprayōgaiśca balārāsnāmr̥tāhvayaiḥ||283||

barhitittiridakṣāṇāṁ pañcamūlaśr̥tān rasān|
māyūraṁ kṣīrasarpirvā pibēttryūṣaṇamēva vā||284||

paittikē tu virēkaḥ syāt payaśca madhuraiḥ śr̥tam|
sarpirguḍā ghr̥taṁ tiktaṁ jīvanīyaṁ vr̥ṣasya vā||285||

kaphajē svarabhēdē tu tīkṣṇaṁ mūrdhavirēcanam|
virēkō vamanaṁ dhūmō yavānnakaṭusēvanam||286||

lihyādvā pippalīpathyē tīkṣṇaṁ madyaṁ pibēcca saḥ||287||

raktajē svarabhēdē tu saghr̥tā [jāṅgalā rasāḥ|
drākṣāvidārīkṣurasāḥ saghr̥takṣaudraśarkarāḥ||288||

yaccōktaṁ kṣayakāsaghnaṁ tacca sarvaṁ cikitsitam|
pittajasvarabhēdaghnaṁ sirāvēdhaśca raktajē||289||

sannipātē hitāḥ sarvāḥ kriyā na tu sirāvyadhaḥ|
ityuktaṁ svarabhēdasya samāsēna cikitsitam||290||
iti svarabhēdacikitsā|

sarpIMShyuparibhaktAni svarabhede~anilAtmake |
tailaishcatuShprayogaishca balArAsnAmRutAhvayaiH ||283||

barhitittiridakShANAM pa~jcamUlashRutAn rasAn |
mAyUraM kShIrasarpirvA pibettryUShaNameva vA ||284||

paittike tu virekaH syAt payashca madhuraiH shRutam |
sarpirguDA ghRutaM tiktaM jIvanIyaM vRuShasya vA ||285||

kaphaje svarabhede tu tIkShNaM mUrdhavirecanam |
vireko vamanaM dhUmo yavAnnakaTusevanam ||286||

cavyabhArgyabhayAvyoShakShAramAkShikacitrakAn |
lihyAdvA pippalIpathye tIkShNaM madyaM pibecca saH ||287||

raktaje svarabhede tu saghRutA jA~ggalA rasAH |
drAkShAvidArIkShurasAH saghRutakShaudrasharkarAH ||288||

yaccoktaM kShayakAsaghnaM tacca sarvaM cikitsitam |
pittajasvarabhedaghnaM sirAvedhashca raktaje ||289||

sannipAte hitAH sarvAH kriyA na tu sirAvyadhaH |
ityuktaM svarabhedasya samAsena cikitsitam ||290||

iti svarabhedacikitsA |

Treatment of vataja svarabheda

In vataja svarabheda (hoarseness of voice) medicated ghee is given after the intake of food. Medicated oil prepared by cooking with bala – country mallow root – Sida cordifolia, etc), rasna (Vanda roxburghi / Pluchea lanceolata) etc), and guduchi – Tinospora cordifolia etc., is administered in four ways viz, pana or drinking, abhyanga – massage, gargle and basti – enema.Meat soup of peacock, partridge and chicken prepared by cooking with panchamula (Bilva- Aegle marmelos, syonaka – Orchis mascula, gambhari – Gmelina arborea, patala – Ficus microcarpa and ganikarika or medicated milk and medicated ghee prepared by boiling with the meat of peacock or tryushana (shunthi – ginger, pippali – long pepper fruit and maricha – black pepper) are beneficial in this condition. [283- 284]

Treatment of pittaja svarabheda

For pittaja type of svarabheda (hoarseness of voice), purgation therapy is useful. In addition, following recipes are useful in this condition:

  1. Milk boiled with drugs having sweet taste
  2. Sarpirguda
  3. Tiktaka ghrita
  4. Jivaniya ghrita
  5. Vrisha ghrita [285]
Treatment of kaphaja svarabheda

In kaphaja svarabheda (hoarseness of voice), the patient is given strong errhine, purgation, emetic and smoking therapies. He should eat barley diet added with pungent ingredients. He should take the linctus prepared of chavya – Piper retrofractum, bharngi – Clerodendrum serratum, abhaya, sunthi – ginger, pippali – Long pepper, maricha – Black pepper fruit – piper nigrum, yavaksara, and chitraka – Plumbago zeylanica, or the linctus prepared of pippali – Long pepper fruit – Piper longum and pathya (haritaki – Terminalia chebula). He should drink strong wine. [286- 287]

Treatment of raktaja svarabheda

If svarabheda (hoarseness of voice) is caused due to vitiated blood (raktaja), then the patient is given the meat soup of wild animals added with ghee.

The juice of draksha (raisin, Vitis vinifera), vidari (Ipomoea paniculata / Pueraria tuberosa) and sugar- cane added with ghee and sugar.

The entire therapeutic measures prescribed for the treatment of kshayaja kasa and of paittika svarabheda along with venesection therapy are beneficial in raktaja type svarabheda (hoarseness of voice). [288-289]

Treatment of sannipatika svarabheda

Svarabheda (hoarseness of voice) caused by sannipata (simultaneous vitiation of all the three dosha) is treated with all the therapeutic measures prescribed above for the vatika, paittika and kaphaja, except vensection therapy (siravyadha). Thus, in brief, the treatment of svarabheda is described.

This ends the description of the treatment of svarabheda (hoarseness of voice). [290]




bhavanti cātra-

vātapittakaphā nr̥̄ṇāṁ bastihr̥nmūrdhasaṁśrayāḥ|
tasmāttatsthānasāmīpyāddhartavyā vamanādibhiḥ||291||


vAtapittakaphA nRUNAM bastihRunmUrdhasaMshrayAH |
tasmAttatsthAnasAmIpyAddhartavyA vamanAdibhiH ||291||

To sum up, in human beings, vata, pitta and kapha are located in the basti (region of the urinary bladder, i.e pelvic region), heart (cardiac region) and murdha (head) respectively therefore, the morbid matter located in these places is eliminated from the nearby region appropriately by emetic therapy etc. [291]

Microcosm and macrocosm


adhyātmalōkō vātādyairlōkō vātaravīndubhiḥ|
pīḍyatē dhāryatē caiva vikr̥tāvikr̥taistathā||292||

adhyAtmalokovAtAdyairlokovAtaravIndubhiH |
pIDyate dhAryate caiva vikRutAvikRutaistathA ||292||

As the loka (macrocosm) is afflicted or maintained respectively by the morbidity and normal state of the wind, sun and moon, so also the adhyatma-loka (sentient world or microcosm) is either afflicted or maintained respectively by the morbidity and normal state of vayu, pitta and kapha. [292]

Harmony among the dosha


viruddhairapi na tvētē guṇairghnanti parasparam|
dōṣāḥ sahajasātmyatvādviṣaṁ ghōramahīniva||293||

viruddhairapi na tvete guNairghnanti parasparam |
doShAH sahajasAtmyatvAdviShaM ghoramahIniva ||293||

The dosha viz, vayu, pitta and kapha never destroy each other inspite of having contradictory properties, they coexist in a harmonious state. This happens because of their sahaja- satmya (natural wholesome disposition of coexistence), as even fatal poison does not effect snakes [293].

In Conclusion



tatra ślōkaḥ-

trimarmajānāṁ rōgāṇāṁ nidānākr̥tibhēṣajam|
vistarēṇa pr̥thagdiṣṭaṁ trimarmīyē cikitsitē||294||


trimarmajAnAM rogANAM nidAnAkRutibheShajam |
vistareNa pRuthagdiShTaM trimarmIye cikitsite ||294||

In this chapter on “the Treatment of diseases of the Three Vital Organs”, the etiology, signs and symptoms, and treatment of the individual diseases afflicting the three vital organs of the body are described in detail.[294]


ityagnivēśakr̥tē tantrē carakapratisaṁskr̥tē'prāptē dr̥ḍhabalasampūritē cikitsāsthānē trimarmīyacikitsitaṁnāma ṣaḍviṁśō'dhyāyaḥ||26||

ityagniveshakRute tantre carakapratisaMskRute~aprApte dRuDhabalasampUrite cikitsAsthAne trimarmIyacikitsitaM nAma ShaDviMsho~adhyAyaH ||26||

Thus, ends the 26th chapter of Chikitsa Sthana dealing with the treatment of diseases of the three vital organs in Agnivesha’s work as redacted by Charak, and supplemented by Dridhabala.

Tattva Vimarsha (Fundamental Principles)

  • There are one hundred and seven vital points called marma in the body which are junctures of body components and prana (life force) resides in them. Among the ten pranayatana, three marma i.e., shira, hridaya and basti are important.
  • If dosha affect these three marma, they will have impact on the prana. Hence their protection is crucial for preservation of health and management of disorders.
  • Udavarta means abnormal upward frequent movement of vata dosha. Commonly this condition is caused by suppression of natural urges and vata aggravating factors. Udavarta hampers digestion and metabolism at micro channels. This leads to accumulation of the toxic elements to cause various diseases.
  • Vata dosha can be aggravated due to its own causes or due to obstruction by other two vitiated dosha.
  • In udavarta, the pathogenesis takes place at pakvashaya (colon) and apana vata is aggravated to turn into opposite movements. The apana can cause various disorders after affecting the sites.
  • Anulomana (treatment leading to normal movement of vata) is the principle of treatment in udavarta. This includes therapies for pacification of vata and removing obstruction in its movement.
  • In vata predominance, the enema added with sour, salty and oily medicines is administered. In pitta predominance, the enema added with milk is administered. In kapha predominance, the enema added with urine (cow’s urine) is administered.
  • The management of udavarta depends upon condition of dosha vitiation and its clinical presentation in patient. Excess unctuousness is treated with dryness and vice versa.
  • Emesis therapy, langhana (fasting therapy) and pachana (carminatives) are advised in same dosha located in upper part of abdomen.
  • Castor oil is an excellent remedy for obstruction caused by excess fat, kapha, pitta and rakta.
  • Diet and lifestyle factors along with vitiation of annavaha srotasa (gastrointestinal tract) are important causative factors for vitiation of dosha in urinary system disorders. This is caused when the vitiated dosha located in urinary bladder, kidney and urinary system.
  • When the aggravated vata dries up semen and urine along with pitta and kapha which is located in urinary bladder the calculus is formed. The clinical presentation and composition of ashmari (calculus) depends upon vitiation of dosha.
  • The treatment of ashmari includes massage, unctuous and non-unctuous medicated enema, unctuous poultice, uttara basti (urethral douche) and sekam (affusion) as well as the diet of soup prepared with dosha alleviating drugs. The main dosha shall be treated first.
  • Tikshna(sharply acting) and anulomana(facilitating movement) medicines along with specific procedures like riding fast moving vehicle are administered for breaking, moving and flushing out of calculus.
  • Diet, lifestyle and psychological factors are responsible for causing heart diseases. The clinical presentation is based upon vitiation of dosha and accordingly treatment is planned. Langhana, pachana and purification are principles of treatment.
  • In addition to the dietary and lifestyle causes, environmental factors like change in weather conditions, temperature are responsible for pratishyaya (rhinitis). Kapha/vata dosha with rasa and rakta dushya are vitiating factors in its pathogenesis.
  • In diseases of head, eyes, nose, oral cavity and ears, the treatment of local dosha as well as vitiated dosha is important. Local treatment with generalized treatment is advised.
  • The route of administration of drug is the nearest route to site of vitiation of dosha.
  • Treatment of arochaka (anorexia) due to psychological factors includes counseling therapy and harshana (happiness) therapy.
  • In human beings, vata, pitta and kapha are located in the basti (region of the urinary bladder, i.e pelvic region), heart (cardiac region) and murdha (head) respectively. The treatment of dosha located in these places is administered from the nearby region appropriately by medicated enema, purgation and emetic therapy respectively.
  • As the loka (macrocosm) is afflicted or maintained respectively by the morbidity and normal state of the wind, sun and moon, so also the adhyatma loka (sentient world or microcosm) is either afflicted or maintained respectively by the morbidity and normal state of vayu, pitta and kapha.
  • The dosha viz. vayu, pitta and kapha never destroy each other in spite of having contradictory properties, they coexist in a harmonious state. This happens because of their sahaja satmya (natural wholesome disposition of coexistence).

Vidhi Vimarsha (Applied Inferences )

Understanding concept of udavarta

Udavarta involves obstruction to movement of vata leading to its vitiation and vimarga gamana (movement in improper direction). The vitiated vata then locates to various sites and produces diseases at that site. The basic pathogenesis of udavarta takes place at pakvashaya (colon). Apana vata is vitiated due to excess consumption of astringent, bitter and pungent, dried food items, suppression of natural urges, starvation and excess sexual intercourse. The vitiated apana itself obstructs its own functions and produces retention of feces, flatus and urine in pelvic region. These events occur frequently to cause udavarta.

This leads to increased intra-abdominal pressure, hampering functions of various organs. This results in frequent severe pain in urinary bladder, cardiac region, pelvis, flanks, back region, abdominal distension, nausea, fissure in ano, pricking pain, indigestion, cystitis, constipation, dryness, hardness in stool and delayed passage of stools.

These pathological events produce various disorders of vata at various sites.

Therefore, management is targeted to remove the apana sanga by vitiated apana. Pacification of apana by various unctuous and purification enema, massage, fomentation therapies is indicated.

Anulomona (carminatives) for proper movement of vata and anal suppositories are indicated to facilitate the action of vata in pelvic region.

Therapeutic purgation with castor oil with proper concoction is prescribed to remove obstruction by excess meda, kapha, pitta and rakta. Obstruction by fat and excess unctuous substances indicates pathogenesis of dyslipidemia causing atherosclerosis and cerebro-vascular disease. This is dealt in more detail in context of pakshaghata in Vatavyadhi Chikitsa.

Examination: Clinical examination of palpation of abdomen for distension, assessment of obstruction and per rectal examination is done.

Investigations: Ultra sonography of abdomen and pelvis can reveal the exact nature of obstruction.


Disease specific therapy
  1. Niruha (enema with decoction for purification)
  2. Anuvasana (unctuous enema)
  3. Anulomana (carminative)
  4. Varti (wicks/suppositories)

Important medicines

  1. Haratala
  2. Kuchala
  3. Haritaki
Medicines for oral intake
Type Name Dose Time Anupana
Vata nirodhaja Agnitundi rasa 125-250 mg Before meals, two time Hot water
Vishatinduka vati 250-500 mg Before meals, two time Hot water
Purisha nirodhaja Vishatinduka vati 250-500 mg Before meals, two time Hot water
Aarogya kshara 250-500 mg Before meals, two time Hot water
Mutra nirodhaja Gokshuradi mixture 125-250 mg Before meals, two time Ushirasava
Surya kshara 125-250 mg Before meals, two time Water
Panchakarma therapies
Type Name Dose Time Anupana
Virechana Castor oil 10-40 ml Morning, empty stomach one time Lukewarm water/milk/soup
Virechana decoction 20-40 ml Morning, empty stomach one time -
Stramsana Stramsana churna 500-1500 mg At night before sleep one time Lukewarm water/milk/soup
Anulomana Gomutra haritaki 500-1500 mg Before meals, two times Lukewarm water
Gandharva haritaki 500-1500 mg Before meals, two time Lukewarm water
Abhayarishta 10-20 ml Before meals, two time Lukewarm water
Niruha basti Dashamulika niruha - - -
Anuvasana basti Sahachara taila 20-50 ml - -
Varti Phala varti - - -

External applications

Massage with sesame oil, fomentation with atasi upanaha(poultice)

Researches done on Trimarmiya Chikitsa

  1. Mohanlal P.K. (1976): A study on Tri-marma W.S.R. to Hridaya, , Trivandrum
  2. Thakare S.S. (1992): Charakokta Trimarmo mein Basti marma ka rachanatmaka Vishesh Adhyayana , Nagpur
  3. Waghmare S.S. (2003): Charak samhita varnita trimarmi paiki Hridaya Marma cha itar samhitatil sthana va tya babat vivechanatkaka rugna adhyanana, R K T. Ayurveda Mahavidyalaya, Akola
  4. Chirag Goradiya, (2006): An applied aspect of Trimarmiya Adhyaya (Charak Chikitsa 26 and Siddhi 9) wsr to Mutraukasada, Jamnagar.

Research work done on udavarta

  1. Devhitka M.H. (1966) & Upadhyay (1967): Udavarta Ek Adhyayana, department of Basic Principles, Jamnagar.
  2. Sharma O.P. (1975): Udavarta Roga Evam Sukumara-Kumara Ghrita, Department of Kayachikitsa, Jaipur.
  3. Siddiqui M.A. (1985): Udavarta Evam Us Par Hingvadi Churna Ka Prayoga, Department of Kayachikitsa, Raipur.
  4. Sharma B.N. (1987): Pureesha Nirodhaja Udavarta, Department of Kayachikitsa, Jamnagar.
  5. Yeole Suresh Marotrao (1993): Udavarta Mein Basti Chikitsa Ek Prayogika Adhyayana, Department of Kayachikitsa, Mumbai.
  6. Sheeba (1998) & Prasanna V.N. (1999): Effect of certain indigenous drug on Udavarta, De-partment of Prasuti Tantra and Stri Roga, Trivendrum.
  7. Lanjevar Lalita D. (2002): Pureeshaja Udavarta Vyadhi Ka Nidana Panchakatmaka Adhyayana, Department of Roga Vijnana, Nagpur.

Thesis done on other related topics

  1. Patankar A.B. (1992): Concept of Pratiloma Vata and practical utility of Anuloma Principle in its management, Department of Basic Principles, Jamnagar.
  2. Kachare Prashant P.: Study on conceptual and applied aspect of Apana – Vaigunya w.s.r. to Anaha, Department of Basic Principles, Jamnagar.
  3. Patel B.S. (1993): Ayurvedeeya Kriya Shareera Antargata Koshtha Pareekshana evam Vibandha Roga ka Nidana – Chikitsatmaka Adhyayana, Department of Basic Principles, Jamnagar.
  4. Chitra S.V. (1998): Drugs acting on Pureeshavaha strotasa w.s.r. to Anulomana, Department of Dravyaguna and Pharmacy, Trivendram.
  5. Bhalaghat S. S.: Study of Apana Vayu Dushti Janya Vyadhi and Matra Basti, Department of Kayachikitsa, Gangadhar Shastri Gune Ayu.Mahavidyalaya, Ahmednagar.
  6. Jain M.K. (2001): ‘Apanenavrite Sarva Deepanam Grahi Bheshajam Vatanulomanam’ – yaccha…Department of Basic Principle, Jaipur.
  7. Pandey T.N. (1987): Vibandha Roga mein Trivrita evam Yogasana Chikitsa ka Tulanat-maka Adhyayana, Department of Kayachikitsa, Govt. Ayurvedic College, Raipur.
  8. Johri Rohit (2004): Standardization of Panchashakara Choorna through laboratory methods and its therapeutic effect on Vibandha (constipation), Department of Dravyaguna Vigyana, Dr. B K R R Govt. Ayu. College, Hyderabad.

Diseases and management of urinary system


Difficulty in micturition is caused specifically by excess exertion, sharply acting medicines, wines causing dryness in body, excess coitus and frequent riding on fast moving vehicle. Apart from this eating meat of marshy animals, fishes, frequent over eating, indigestion can cause urinary disorders.

Severe depletion of body tissues, direct or indirect trauma to pelvic region can lead to diseases of urinary system.

These causes have role in formation of volume of urine, water-acid-base balance in body. The function of urine is to carry excess kleda (moisture) outside body. Kleda is produced as a byproduct of digestion and micro-cellular metabolism. These specific dietary items can cause dis-equilibrium of kleda leading to impairment of functions of urinary system and its disorders.

Urine formation is function of kapha dosha and is excreted by vata dosha. Therefore, these two dosha are vitiated in cases of urinary disorders.

Clinical features

The clinical features can be examined on the criteria like volume, color, flow, frequency and turbidity of urine and associated symptoms like pain, burning, heaviness and swelling. The clinical features are observed based upon the dominance of dosha in disorders as given in table:

Criteria Vata dominance Pitta dominance Kapha dominance
Volume Less Medium More
Flow Less Medium More
Frequency More Medium More
Color/turbidity - Yellow-Red Turbid
Associated complaints Severe pain in pelvis, bladder and phallus Burning and pain Heaviness and swelling

Mutrashmari (urinary calculus), mutra sharkara (gravel) and shukrashmari (calculi of dried up semen)

The calculus is formed due to drying of urine or semen by vitiated doshas. This causes obstruction in urination or ejaculation respectively. The clinical features mainly include abdominal pain in lumbar region radiating to back, painful and burning micturition with decreased quantity. In case of semen calculi, painful ejaculation is observed.

Examination: On palpation, tenderness in lumbar region based upon site of ashmari is observed.

Investigation: Microscopic examination of urine is done for presence of crystals of calculi and red blood cells. The types of calculi are also assessed. Radiological screening like X-ray and ultra-sonography is done to assess the size, shape and exact location of calculi in urinary system.

1. Mutrakricchra (dysuria)

Disease specific therapies:

  1. Sudation
  2. Mutra virechana (diuretics)
  3. Anulomana (carminatives)

Important medicines:

  1. Gokshura
  2. Shilajatu
  3. Parasika yavani
  4. Pashanabheda

Medicines for oral intake:

Type Medicine Dosage Time of Administration Anupana
Vata dominant Gokshuradi mixture 250-500 mg Between two meals Veeratarvadi kwatha
Surya kshara 250-500 mg Between two meals Veeratarvadi kwatha
Pitta dominant Shatavari-trina panchamula kwatha 20-40 ml Between two meals -
Pravala bhasma 125-250 mg After meals, two times Haritakyadi kwatha
Shatavari ghrita 10-20 ml After meals, two times Milk + raw sugar
Chandrakala rasa 125-250 mg Between two meals Milk + raw sugar
Kapha dominant Chandraprabha 250-500 mg Between two meals Punarnavasava
Haritakyadi Kwatha 10-20 ml Between two meals -
Sharkara (gravels) Shilabadara churna 250-500 mg Between two meals Milk + raw sugar
2. Panchakarma therapies
Type Medicine Dosage Time of Administration Anupana
Vamana Madanaphala Yoga 125-500 mg Morning one time Yashtimadhu Phanta
Virechana Virechana Kashaya 20-40 ml Morning one time -
Stramsana Stramsana Churna 250-500 mg At night, before sleep Hot water
Niruha Dashamulika Niruha 900 ml Morning one time -

External applications:

  • Massage with castor oil on lower abdomen and pelvis
  • Sudation in the form of sitz bath
Management of urinary calculi

Disease specific therapies:

  1. Avagaha sweda (sitz bath)
  2. Mutra virechana (diuretics)

Important treatment:

  1. Surgery
  2. Kusumbha bija
  3. Pashana badara
Type Medicine Dosage Time of Administration Anupana
Vata dominant Sahachara Taila 20-40 drops Before meals, two times Milk
Shitivaraka bija 125-250 mg Between meals Viratarvadi kwatha+yavakshara
Pitta dominant Shilabadara churna 250-500 mg Between meals Milk + raw sugar
Silajatu + Praval + Vanga bhasma 250-500 mg Between meals Milk + raw sugar
Kapha dominant Eranda karkati mula churna 125-200 mg Between meals -
Calculi of large size Removal by surgery - - -

Researches on Ashmari

Place of research : I.P.G.T. & R.A., Jamnagar
  1. Dr. Parmar B. P. (1978): “Mootraashmari Roga Par Ashmarihara Kwaatha Kaa Pray-oga, Eka Adhyayana”.
  2. Dr. Chatterji Rekha (1985): “Role of Punarnavaa in Mootraashmari”.
  3. Dr. D. K. Udaya (1989): “Effect of Veeratarvaadi Compound in Mootraashmari w.s.r. to its Etiopathogenesis”.
  4. Dr. Mehta J. J. (1990): “Role of indigenous drug compound in the management of Moot-raashmari”.
  5. Dr. C. M. Vaghani (1993): “Structures and Functions of Urinary System w.s.r. to Moot-ravaha Srotodushti & its Principle of Management by Ayurvedic Indigenous Compound i.e. Ashmarihara Kwaatha”.
  6. Dr. Ramesh Chand (1994): “Role of Indigenous Compound in Mootraashmari”. I.P.G.T. & R.A., Jamnagar
  7. Dr. Vankata Ramaiah (1994): “Role of Shunthyaadi Kwaatha in the Management of Mootraashmari”.
  8. Dr. Deepak Kulsreshtha (1996): “Role of Punarnavaadi Compound in the Management of Mootraashmari”.
  9. Dr. Dhiraj V. Malaviya (1997): “Role of Badaraashma Pishti in the Management of Mootraashmari”.
  10. Dr. Sharma Anil Kumar (2001): “Role of Imaging Techniques in the Diagnosis of Mootraashmari (Urolithiasis) and Shikhaadi Compound in its Management”.
  11. Dr. Shailesh Chovatiya (2004): “Role of Naagaraadi Kashaaya in the Management of Mootraashmari (urolithiasis)”.
  12. Dr. Mukesh Kumar Meena (2006): “Experimental and Clinical Evaluation on Nephro-protective and Lithotripsic Activity of Naagaraadi Kashaaya”.
  13. Dr. Asim Mandal (2007): “A Comparative Study on Vrikka Samrakshanaatmaka and Ashmarighna Effect of Tilaadi Kshaara and Varunaadi Ghrita (Nephroprotective and Lithotripsic effect)”.
  14. Dr. S. K. Gupta (2012): “A clinical & Experimental study of Ashmari and its Management with Paashaanabhedaadi Ghrita w.s.r. to Urolithiasis”.
  15. Dr.Sheetal Kumar Solanki (2013): A comparative clinical evaluation of Ashmarihara Kwaatha & Palaasha Kshaara in the management of Mootraashmari
B. H. U., Varanasi
  1. Gupta S. K. (1995): “Effect of Paashaanabheda (Saxifraga ligulata) in the Management of Ashmari Roga- A Clinical and Experimental Study”.
  2. Kumar Vikas (2000): “Effect of Gokshura (Tribulus terrestris) in the Management of Urolithiasis”.
N.I.A. Jaipur
  1. Chaubisa H. L. (1992): “Mootravaha Srotogata Ashmari Par Varunaadya Lauha Kaa Prabhaavaatmaka Adhyayana”.
  2. Chaudhari R. C. (1997): “Mootraashmari Par Aayurvedeeya Aushadhiyon Kaa Prab-haavaatmaka Adhyayana”.
  1. Sunita Mahapatra (2003): “Management of Mootraashmari (Urinary Calculus) with Indigenous Drugs”.

Causes, prevalence, clinical features and management of diseases of heart

Causes of heart diseases

Cardio vascular diseases are considered as major cause of death among non-communicable diseases. Faulty diet, lifestyle and stress are etiological factors. Apart from that, iatrogenic factors such as mis-administration of purgation therapy and enema as well as excess use of medicines are enlisted among the causes.

Improper exercise can lead to heart diseases. Indigestion can cause heart diseases. In the hridaya (heart), the ten dhamani (ten great vessels arising from the heart), prana, apana, manas (mind), buddhi (intellect), chetana (life), mahabhutas (five fundamental elements) are situated just like spokes to the axle in a wheel.(Cha.Si.9/5). Moreover, the heart is the root of rasavaha srotasa, location of vyana vayu, sadhaka pitta and avalambaka kapha. It is also the supreme site of consciousness and mind. Therefore, any event that affects functions of heart involves all these factors. Heart shall be protected specifically from the psychological miseries. (Cha.Su.30).

Consequences of injury to heart: Injury to the hridaya leads to kasa (cough), shwasa (breathlessness), balakshaya (weakness), kantha shosha (dryness of throat), klomakarshana (a form of severe chest pain), jihvanirgama (prolapse of tongue), mukhashosha (dryness of mouth), talushosha (dryness of palate), apasmara (epilepsy), unmada (psychosis), pralapa (incoherent speech), chittanasha (loss of mental integrity), etc. (Cha.Si.9/6)

Clinical features

The clinical features and diagnosis of sub-types depends upon dosha dominance as follows:

Criteria Vata dominant Pitta dominant Kapha dominant
Feeling in cardiac region Emptiness Burning Heaviness
Heart rate Tachycardia/Palpitations - Bradychardia
Rhythm Arrhythmia - -
Pain Prickly sensation Burning sensation Congestion
Associated features Unconsciousness Fainting, giddiness, black out, fever Salivation, fever, cough
Mental Status Confusion Distress Dullness/Drowsiness
Assessment and diagnosis

Blood pressure monitoring, electro-cardiograph (ECG), echo-cardiograph, coronary angiography are useful in diagnosis and assessment the cardiac status.

Preventive aspect

Prevention of cardiac diseases can be done by following dietary regulations, lifestyle modifications, Panchakarma (body purification therapies), psychotherapies as per dosha dominance in prakriti.

The management emphasizes upon prevention of any obstruction to flow of vata dosha. Facilitating the movement of vata in its proper direction is the key factor in management of heart diseases. The flow of vata with respect to cardiac functions is observed in respiration, digestive processes, nervous conduction, and blood circulation. If there is any obstruction in any of these functions, then cardiac function is affected. Hence the preventive and curative aspect focuses on proper unobstructed functioning of vata in body.

Management of disease

Disease specific therapies:

  1. Pacification of dosha
  2. Snehana
  3. Swedana

Important medicines:

  1. Mriga shringa bhasma
  2. Suvarna bhasma
  3. Arjuna
  4. Aradraka
Type Name Dosage Time of administration Anupana
Vata dominant Mriga shringa 125-250 mg Between meals Honey + ghee + Medicated milk
Bhasma mixture - - Processed with Arjuna
Dashamularishta 10-20 ml Between meals Water
Shaliparni potali 10-20 ml Between meals Water
Kaphanubandha Karaskara kalpa 250-500 mg After meals Medicated milk processed with Arjuna
Pitta dominant Makshika mixture 500-1000 mg Between meals Honey + raw sugar
Swarna shekhara rasa 500-1000 mg Between meals Amalakavaleha
Kapha dominant Shringyadi kwatha 25-50 ml Between meals -
Kumari asava mishrana 20-30 ml Between meals Water
Shwasa kuthara mishrana 125-250 mg Between meals Honey
Hemagrabha mishrana 60-120 mg Between meals Honey

Panchakarma therapy:

Type Name Dosage Time of administration Anupana
Virechana Virechana Kashaya 20-40 ml Morning one time -
Anulomana Haritaki churna 125-250 mg Between meals Honey
Katuki churna 125-250 mg Between meals Sugar + milk
Abhayarishta 10-20 ml Before meals Hot water
Stramsana Stramsana churna 250-500 mg At night Hot water
Niruha basti Dashamulika 900 ml Morning one time -

External applications:

  1. Snehana : Eranda sneha
  2. Swedana : Atasi upanaha

Causes, prevalence, clinical features and management of diseases of head:

Shiras (head) is the site of the indriya(the seat of special senses), the srotas (channels) pertaining to the conduction of indriya and prana.[Cha.Sa.Siddhi Sthana 9/5] Moreover, prana vayu and tarpaka kapha are located in head. Alochaka pitta is specifically located in eyes. All the indriya are controlled by mind. Hence the coordination of mind and senses takes place at head.

Complex structures of brain and spinal cord, roots of nervous system are located in head. All the functions of nervous system are regulated by brain and spinal cord. Twelve cranial nerves are important to be considered in this context.

Consequences of head injury:

Injury to the shiras (head) leads to manyastambha (stiffness of neck), ardita (hemiplegia with facial palsy), chakshuvibhrama (improper movements of eyeball/lesions in sight), moha (a state of confusion), udveshtana (twisting pain in the head), cheshtanasha (loss of body functions), kasa (cough), shwasa (breathlessness), hanugraha (stiffness of jaw), muka (dumbness), gadgada (hoarseness of voice), akshinimilana (ptosis), gandaspandana (twitching in cheek), jrambhana (excessive yawning), lalasrava (dribbling of saliva), svarahani (aphonia), vadana jihmatva (deviation of face) etc.(Cha.Si.9/6)

All the above diseases are observed due to dysfunction of cranial nerves.

Clinical features:

Clinical features are observed as per dosha dominance and described in the text in Kiyanta Shiraseeya Adhyaya.

Diagnosis and assessment:

Diagnosis of diseases of head is generally based upon history, clinical examination of signs and symptoms of patient. Assessment of frequency, nature and severity of disease are important. Specific investigations are done for each part like eyes, ears and nose. Advanced investigations like Magnetic Resonance Imaging, Computed Tomography scanning, Positron Emission Tomography scans are useful in detecting the space occupying lesions, degenerative pathologies in the brain and spinal cord.


Management of khalitya and palitya (hair loss/alopecia/graying of hair):

Type Name Dosage Time of administration Anupana
Indralupta/Khalitya Chyavanaprasha 5-10 grams Morning empty stomach Milk + sugar
Massage with Japa-kusuma oil - - -
Massage with Mahaneela oil - - -
Palitam Hastidanta masi churnam with navanita application - - -
Massage with Mahaneela oil - - -
Massage with Bhringaraja oil - - -

Management of Pratishyaya (rhinitis):

Disease specific therapies:

  1. Nasya
  2. Dhuma (medicated smoke)
  3. Shodhana
  4. Shamana

Important medicines:

  1. Twak (dalachini)
  2. Vatsanabha
  3. Dhatura
Type Name Dosage Time of administration Anupana
Pinasa Samirapannaga rasa 30-120 mg Frequently Honey
Arogya mishrana 500-750 mg After meals, two times Ghee + milk
Chaturbhuja kalpa 250-500 mg After meals, two times Ghee + milk
Disorder Drug Dose Time of administration Vehicle (Anupana)
Peenasa Samirapannaga rasa 30-120 mg Frequently Honey
Aarogya mishrana 500-750 mg Twice after meals Ghee + milk
Chaturbhuja kalpa 250-500 mg Twice after meals Ghee + milk
Shadbindu taila nasya
Apa-marga kshara taila nasya
Nasa paka Pravala bhasma 250-500 mg Between meals Honey
Goghrita nasya
Vata dominant pratishyaya Malla + Naga mishrana 250-500 mg Between meals Honey
Pitta dominant pratishyaya Makshika mish-rana 250-500 mg Between meals Vasavaleha
Kapha dominant pratishyaya Naga guti 60-120 mg Between meals Honey + Kanakasava

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