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|title=Trimarmiya Chikitsa
|titlemode=append
|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),Ayurveda, Indian system of medicine, charak samhita,Ojha S.N., Samant A.,Deole Y.S., Basisht G.
|description=Chikitsa Sthana Chapter 26. Management of Tri marma (diseases of three vital organs)
|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg
|image_alt=charak samhita
|type=article
}}
<big>'''[[Chikitsa Sthana]] Chapter 26. Management of Trimarma (diseases of three vital organs)</big>''' 
{{Infobox
|title = Trimarmiya Chikitsa
|label1 = Section/Chapter
|data1 = [[Chikitsa Sthana]] Chapter 26
|label2 = Preceding Chapter
|data2 = [[Dwivraniya Chikitsa]]

|label3= Succeeding Chapter
|data3 = [[Urustambha Chikitsa ]]
|label5 = Other Sections
|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]
|label6 = Translator and commentator
|data6 = Ojha S.N., Samant A.
|label7 = Reviewer 
|data7  = Dixit U.
|label8 = Editors 
|data8  = Ojha S.N., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]
|label9 = Year of publication 
|data9 = 2020
|label10 = Publisher 
|data10 = [[Charak Samhita Research, Training and Skill Development Centre]]
|label11 = DOI 
|data11  = [https://doi.org/10.47468/CSNE.2020.e01.s06.027 10.47468/CSNE.2020.e01.s06.027]
|header3 = 

}}
<big>'''Abstract </big>''' 
<p style="text-align:justify;">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.   <br/>

'''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)
</p>

== Introduction ==
<div style="text-align:justify;">
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 tri[[dosha]], tri[[guna]] 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'':
#''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.
#''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. 
#''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 [[vata]]di [[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 ===
<div class="mw-collapsible mw-collapsed">

अथातस्त्रिमर्मीयचिकित्सितमध्यायंव्याख्यास्यामः||१|| 

इतिहस्माहभगवानात्रेयः||२||
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athātastrimarmīyacikitsitamadhyāyaṁ vyākhyāsyāmaḥ||1||
 
iti ha smāha bhagavānātrēyaḥ||2|| 

athAtastrimarmIyacikitsitamadhyAyaM vyAkhyAsyAmaH ||1|| 

iti ha smAha bhagavAnAtreyaH ||2||
</div></div>

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'' ====
<div class="mw-collapsible mw-collapsed">

सप्तोत्तरंमर्मशतंयदुक्तंशरीरसङ्ख्यामधिकृत्यतेभ्यः| <br />
मर्माणिबस्तिंहृदयंशिरश्चप्रधानभूतानिवदन्तितज्ज्ञाः||३||<br />
 
प्राणाश्रयात्,तानिहिपीडयन्तोवातादयोऽसूनपिपीडयन्ति| <br />
तत्संश्रितानामनुपालनार्थंमहागदानांशृणुसौम्यरक्षाम्||४||<br />
<div class="mw-collapsible-content">

saptōttaraṁ marmaśataṁ yaduktaṁ śarīrasaṅkhyāmadhikr̥tya tēbhyaḥ| <br />
marmāṇi bastiṁ hr̥dayaṁ śiraśca pradhānabhūtāni vadanti tajjñāḥ||3|| <br />

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

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

prANAshrayAt, tAni hi pIDayanto vAtAdayo~asUnapi pIDayanti | <br />
tatsaMshritAnAmanupAlanArthaM mahAgadAnAM shRuNu saumya rakShAm ||4||<br />
</div></div>

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]]) ====
<div class="mw-collapsible mw-collapsed">

कषायतिक्तोषणरूक्षभोज्यैः

पक्वाशयेकुप्यतिचेदपानःस्रोतांस्यधोगानिबलीसरुद्ध्वा||५|| 

करोतिविण्मारुतमूत्रसङ्गंक्रमादुदावर्तमतःसुघोरम्| 

रुग्बस्तिहृत्कुक्ष्युदरेष्वभीक्ष्णंसपृष्ठपार्श्वेष्वतिदारुणास्यात्||६|| 

आध्मानहृल्लासविकर्तिकाश्चतोदोऽविपाकश्चसबस्तिशोथः| 

वर्चोऽप्रवृत्तिर्जठरेचगण्डान्यूर्ध्वश्चवायुर्विहतोगुदेस्यात्||७|| 

कृच्छ्रेणशुष्कस्यचिरात्प्रवृत्तिःस्याद्वातनुःस्यात्खररूक्षशीता| 

ततश्चरोगाज्वरमूत्रकृच्छ्रप्रवाहिकाहृद्ग्रहणीप्रदोषाः||८|| 

वम्यान्ध्यबाधिर्यशिरोऽभितापवातोदराष्ठीलमनोविकाराः| 

तृष्णास्रपित्तारुचिगुल्मकासश्वासप्रतिश्यार्दितपार्श्वरोगाः||९|| 

अन्येचरोगाबहवोऽनिलोत्थाभवन्त्युदाsवर्तकृताःसुघोराः| 

चिकित्सितंचास्ययथावदूर्ध्वंप्रवक्ष्यतेतच्छृणुचाग्निवेश! ||१०||
<div class="mw-collapsible-content">

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|| 

vamyāndhyabādhiryaśirō'bhitāpavātōdarāṣṭhīlamanōvikārāḥ| 

tr̥ṣṇāsrapittārucigulmakāsaśvāsapratiśyārditapārśvarōgāḥ||9|| 

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||
</div></div>

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'' ====
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तंतैलशीतज्वरनाशनाकंस्वेदैर्यथोक्तैःप्रविलीनदोषम्| 

उपाचरेद्वर्तिनिरूहबस्तिस्नेहैर्विरेकैरनुलोमनान्नैः||११|| 

श्यामात्रिवृन्मागधिकांसदन्तींगोमूत्रपिष्टांदशभागमाषाम्| 

सनीलिकांद्विर्लवणांगुडेनवर्तिंकराङ्गुष्ठनिभांविदध्यात्||१२|| 

पिण्याकसौवर्चलहिङ्गुभिर्वाससर्षपत्र्यूषणयावशूकैः| 

क्रिमिघ्नकम्पिल्लकशङ्खिनीभिःसुधार्कजक्षीरगुडैर्युताभिः||१३|| 

स्यात्पिप्पलीसर्षपराढवेश्मधूमैःसगोमूत्रगुडैश्चवर्तिः| 

श्यामाफलालाबुकपिप्पलीनांनाड्याऽथवातत्प्रधमेत्तुचूर्णम्||१४|| 

रक्षोघ्नतुम्बीकरहाटकृष्णाचूर्णंसजीमूतकसैन्धवंवा| 

स्निग्धेगुदेतान्यनुलोमयन्तिनरस्यवर्चोऽनिलमूत्रसङ्गम्||१५|| 

तेषांविघातेतुभिषग्विदध्यात्स्वभ्यक्तसुस्विन्नतनोर्निरूहम्| 

ऊर्ध्वानुलोमौषधमूत्रतैलक्षाराम्लवातघ्नयुतंसुतीक्ष्णम्||१६|| 

वातेऽधिकेऽम्लंलवणंसतैलं, क्षीरेणपित्तेतु, कफेसमूत्रम्| 

समूत्रवर्चोऽनिलसङ्गमाशुगुदंसिराश्चप्रगुणीकरोति||१७||
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taṁ tailaśītajwaranāśanāktaṁ svēdairyathōktaiḥ pravilīnadōṣam| 

upācarēdvartinirūhabastisnēhairvirēkairanulōmanānnaiḥ||11|| 

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||
</div></div>

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 =====

#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.)).
##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]
#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]
#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:

#Powder of ''shyama''- Operculina turpethum (L.), ''madanaphala''- Randia dumetorum (lam.), ''alabu''- Cucurbita lagrenaria (Linn.) and ''pippali''- Piper Longum (Linn). [15]
#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: 
#In [[vata]] predominance: The enema should be sour, salty and oily.
#In [[pitta]] predominance: The enema should be with milk.
#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'' ====
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त्रिवृत्सुधापत्रतिलादिशाकग्राम्यौदकानूपरसैर्यवान्नम्| 

अन्यैश्चसृष्टानिलमूत्रविङ्भिरद्यात्प्रसन्नागुडसीधुपायी||१८||
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trivr̥tsudhāpatratilādiśākagrāmyaudakānūparasairyavānnam| 

anyaiśca sr̥ṣṭānilamūtraviḍbhiradyāt prasannāguḍasīdhupāyī||18|| 

trivRutsudhApatratilAdishAkagrAmyaudakAnUparasairyavAnnam | 

anyaishca sRuShTAnilamUtravi~gbhiradyAt prasannAguDasIdhupAyI ||18||
</div></div>

The patient should be kept on diet of barley-made food, which is prepared with the following vegetables:
#Leaves of ''trivrita'' ( Operculina turpethum(L.)), and ''snuhi'' leaves, sesamum (Brassica nigra (L. Koch), etc. vegetables.
#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.
#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 ====
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भूयोऽनुबन्धेतुभवेद्विरेच्योमूत्रप्रसन्नादधिमण्डशुक्तैः| 

स्वस्थंतुपश्चादनुवासयेत्तंरौक्ष्याद्धिसङ्गोऽनिलवर्चसोश्चेत्||१९||
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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||
</div></div>

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 ====
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द्विरुत्तरंहिङ्गुवचाग्निकुष्ठंसुवर्चिकाचैवविडङ्गचूर्णम्| 

सुखाम्बुनाऽऽनाहविसूचिकार्तिहृद्रोगगुल्मोर्ध्वसमीरणघ्नम्||२०|| 

वचाभयाचित्रकयावशूकान्सपिप्पलीकातिविषान्सकुष्ठान्| 

उष्णाम्बुनाऽऽनाहविमूढवातान्पीत्वाजयेदाशुरसौदनाशी||२१|| 

हिङ्गूग्रगन्धाबिडशुण्ठ्यजाजीहरीतकीपुष्करमूलकुष्ठम्| 

यथोत्तरंभागविवृद्धमेतत्प्लीहोदराजीर्णविसूचिकासु||२२||
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dviruttaraṁ hiṅgu vacāgnikuṣṭhaṁ [1] suvarcikā caiva viḍaṅgacūrṇam| 

sukhāmbunā''nāhavisūcikārtihr̥drōgagulmōrdhvasamīraṇaghnam ||20|| 

vacābhayācitrakayāvaśūkān sapippalīkātiviṣān sakuṣṭhān| 

uṣṇāmbunā''nāhavimūḍhavātān pītvā jayēdāśu rasaudanāśī||21|| 

hiṅgūgragandhābiḍaśuṇṭhyajājīharītakīpuṣkaramūlakuṣṭham| 

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|| 

hi~ggUgragandhAbiDashuNThyajAjIharItakIpuShkaramUlakuShTham| 

yathottaraM bhAgavivRuddhametat plIhodarAjIrNavisUcikAsu||22|| 
</div></div>

=====''Dviruttara-hingvadi-churna'' =====

Ingredients:
#1 part-''hingu'' (Ferula asafoetida (L))
#2 parts- ''vacha'' (Acorus calamus Linn)
#4 parts- ''chitraka'' (Plumbago zeylanica Linn)
#8 parts-''kushtha'' (Saussurea lappa) 
#16 parts-''swarjikshara''
#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'' =====

Ingredients:

#1 part- ''hingu''- Ferula assa-foetida (L)
#2 parts- ''ugragandhi/ ajamoda''-Trachyspermum ammiLinn. Sprague
#3 parts- ''bida lavana''
#4 parts- ''sunthi''- Zingiber officinale (Roscoe)
#5 parts- ''ajaji/ jiraka''-Cuminum cyminum Linn.
#6 parts- ''haritaki''- Terminalia chebula Linn
#7 parts - ''puskaramula''- Inula Racemosa Hook. F.
#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 =====
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स्थिरादिवर्गस्यपुनर्नवायाःशम्पाकपूतीककरञ्जयोश्च| 

सिद्धःकषायेद्विपलांशिकानांप्रस्थोघृतात्स्यात्प्रतिरुद्धवाते||२३||
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sthirAdivargasya punarnavAyAH shampAkapUtIkakara~jjayoshca | 

siddhaH kaShAye dvipalAMshikAnAM prastho ghRutAt syAt pratiruddhavAte ||23||
</div></div>

Ingredients:

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]

===== Condiments =====
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फलंचमूलंचविरेचनोक्तंहिङ्ग्वर्कमूलंदशमूलमग्र्यम्| 

स्नुक्चित्रकश्चैवपुनर्नवाचतुल्यानिसर्वैर्लवणानिपञ्च||२४|| 

स्नेहैःसमूत्रैःसहजर्जराणिशरावसन्धौविपचेत्सुलिप्ते| 

पक्वंसुपिष्टंलवणंतदन्नैःपानैस्तथाऽऽनाहरुजाघ्नमद्यात्||२५||
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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 pānaistathā''nāharujāghnamadyāt||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||
</div></div>

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 ====
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हृत्स्तम्भमूर्धामयगौरवाभ्यामुद्गारसङ्गेनसपीनसेन| 

आनाहमामप्रभवंजयेत्तुप्रच्छर्दनैर्लङ्घनपाचनैश्च||२६|| 

(गुल्मोदरब्रध्नार्शःप्लीहोदावर्तयोनिशुक्रगदेमेदःकफसंसृष्टेमारुतरक्तेऽवगाढेच||२७|| 

गृध्रसिपक्षवधादिषुविरेचनार्हेषुवातरोगेषु| 

वातेविबद्धमार्गेमेदःकफपित्तरक्तेन||२८|| 

पयसामांसरसैर्वात्रिफलारसयूषमूत्रमदिराभिः|

दोषानुबन्धयोगात्प्रशस्तमेरण्डजंतैलम्||२९|| 

तद्वातनुत्स्वभावात्संयोगवशाद्विरेचनाच्चजयेत्| 

मेदोसृक्पित्तकफोन्मिश्रानिलरोगजित्तस्मात्||३०|| 

बलकोष्ठव्याधिवशादापञ्चपलाभवेन्मात्रा| 

मृदुकोष्ठाल्पबलानांसहभोज्यंतत्प्रयोज्यंस्यत्) ||३१|| 

इत्युदावर्तचिकित्सा|
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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| 

mēdōsr̥kpittakaphōnmiśrānilarōgajittasmāt||30|| 

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 |
</div></div>

''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) ====
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व्यायामतीक्ष्णौषधरूक्षमद्यप्रसङ्गनित्यद्रुतपृष्ठयानात्| 

आनूपमत्स्याध्यशनादजीर्णात्स्युर्मूत्रकृच्छ्राणिनृणामिहाष्टौ||३२|| 

पृथङ्मलाःस्वैःकुपितानिदानैःसर्वेऽथवाकोपमुपेत्यबस्तौ| 

मूत्रस्यमार्गंपरिपीडयन्तियदातदामूत्रयतीहकृच्छ्रात्||३३|| 

तीव्रारुजोवङ्क्षणबस्तिमेढ्रेस्वल्पंमुहुर्मूत्रयतीहवातात्| 

पीतंसरक्तंसरुजंसदाहंकृच्छ्रान्मुहुर्मूत्रयतीहपित्तात्||३४|| 

बस्तेःसलिङ्गस्यगुरुत्वशोथौमूत्रंसपिच्छंकफमूत्रकृच्छ्रे| 

सर्वाणिरूपाणितुसन्निपाताद्भवन्तितत्कृच्छ्रतमंहिकृच्छ्रम्||३५||
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vyāyāmatīkṣṇauṣadharūkṣamadyaprasaṅganityadrutapr̥ṣṭhayānāt| 

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||
</div></div>

===== 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]

===== Pathogenesis =====

''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 [[vata]]ja dysuria  ======

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

====== Signs of [[pitta]]ja dysuria  ====== 

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

====== Signs of [[kapha]]ja 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) ====
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विशोषयेद्बस्तिगतंसशुक्रंमूत्रंसपित्तंपवनःकफंवा| 

यदातदाऽश्मर्युपजायतेतुक्रमेणपित्तेष्विवरोचनागोः||३६||
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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||
</div></div>

===== Pathogenesis =====

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 ====
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कदम्बपुष्पाकृतिरश्मतुल्याश्लक्ष्णात्रिपुट्यप्यथवाऽपिमृद्वी| 

मूत्रस्यचेन्मार्गमुपैतिरुद्ध्वामूत्रंरुजंतस्यकरोतिबस्तौ||३७|| 

ससेवनीमेहनबस्तिशूलंविशीर्णधारंचकरोतिमूत्रम्| 

मृद्नातिमेढ्रंसतुवेदनार्तोमुहुःशकृन्मुञ्चतिमेहतेच||३८|| 

क्षोभात्क्षतेमूत्रयतीहसासृक्तस्याःसुखंमेहतिचव्यपायात्|३९|
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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|
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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 ====
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एषाऽश्मरीमारुतभिन्नमूर्तिःस्याच्छर्करामूत्रपथात्क्षरन्ती||३९|| 

(रेतोऽभिघाताभिहतस्यपुंसःप्रवर्ततेयस्यतुमूत्रकृच्छ्रम्| 

स्याद्वेदनावङ्क्षणबस्तिमेढ्रेतस्यातिशूलंवृषणातिवृत्ते||४०|| 

शुक्रेणसंरुद्धगतिप्रवाहोमूत्रंसकृच्छ्रेणविमुञ्चतीह| 

तमण्डयोःस्तब्धमितिब्रुवन्तिरेतोऽभिघातात्प्रवदन्तिकृच्छ्रम्||४१||
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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||
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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 ====
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शुक्रंमलाश्चैवपृथक्पृथग्वामूत्राशयस्थाःप्रतिवारयन्ति| 

तद्व्याहतंमेहनबस्तिशूलंमूत्रंसशुक्रंकुरुतेविबद्धम्||४२|| 

स्तब्धश्चशूनोभृशवेदनश्चतुद्येतबस्तिर्वृषणौचतस्य|४३|
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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|
</div></div>

''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) ====
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क्षताभिघातात्क्षतजंक्षयाद्वाप्रकोपितंबस्तिगतंविबद्धम्||४३|| 

तीव्रार्तिमूत्रेणसहाश्मरीत्वमायातितस्मिन्नतिसञ्चितेच| 

आध्माततांविन्दतिगौरवंचबस्तेर्लघुत्वंचविनिःसृतेऽस्मिन्||४४||
 
इतिमूत्रकृच्छ्रनिदानम्|

अभ्यञ्जनस्नेहनिरूहबस्तिस्नेहोपनाहोत्तरबस्तिसेकान्|
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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 |
</div></div>

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 [[vata]]ja dsyuria  ====
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स्थिरादिभिर्वातहरैश्चसिद्धान्दद्याद्रसांश्चानिलमूत्रकृच्छ्रे||४५|| 

पुनर्नवैरण्डशतावरीभिःपत्तूरवृश्चीरबलाश्मभिद्भिः| 

द्विपञ्चमूलेनकुलत्थकोलयवैश्चतोयोत्क्वथितेकषाये||४६|| 

तैलंवराहर्क्षवसाघृतंचतैरेवकल्कैर्लवणैश्चसाध्यम्| 

तन्मात्रयाऽऽशुप्रतिहन्तिपीतंशूलान्वितंमारुतमूत्रकृच्छ्रम्||४७|| 

एतानिचान्यानिवरौषधानिपिष्टानिशस्तान्यपिचोपनाहे| 

स्युर्लाभतस्तैलफलानिचैवस्नेहाम्लयुक्तानिसुखोष्णवन्ति||४८||
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sthirādibhirvātaharaiśca siddhān dadyādrasāṁścānilamūtrakr̥cchrē||45|| 

punarnavairaṇḍaśatāvarībhiḥ pattūravr̥ścīrabalāśmabhidbhiḥ| 

dvipañcamūlēna kulatthakōlayavaiśca tōyōtkvathitē kaṣāyē||46|| 

tailaṁ varāharkṣavasā ghr̥taṁ ca tairēva kalkairlavaṇaiśca sādhyam| 

tanmātrayā''śu 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||

abhyañjanasnēhanirūhabastisnēhōpanāhōttarabastisēkān| 
</div></div>

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 [[vata]]ja 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 [[vata]]ja 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 [[pitta]]ja dysuria  ====
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सेकावगाहाःशिशिराःप्रदेहाग्रैष्मोविधिर्बस्तिपयोविरेकाः| 

द्राक्षाविदारीक्षुरसैर्घृतैश्चकृच्छ्रेषुपित्तप्रभवेषुकार्याः||४९|| 

शतावरीकाशकुशश्वदंष्ट्राविदारिशालीक्षुकशेरुकाणाम्| 

क्वाथंसुशीतंमधुशर्कराभ्यांयुक्तंपिबेत्पैत्तिकमूत्रकृच्छ्री||५०|| 

पिबेत्कषायंकमलोत्पलानांशृङ्गाटकानामथवाविदार्याः| 

दण्डैरकाणामथवाऽपिमूलंपूर्वेणकल्पेनतथाऽम्बुशीतम्||५१||
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sēkāvagāhāḥ śiśirāḥ pradēhā graiṣmō vidhirbastipayōvirēkāḥ| 

drākṣāvidārīkṣurasairghr̥taiśca kr̥cchrēṣu pittaprabhavēṣu kāryāḥ||49|| 

śatāvarīkāśakuśaśvadaṁṣṭrāvidāriśālīkṣukaśērukāṇām| 

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||
</div></div>

In [[pitta]]ja 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 [[pitta]]ja 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 [[pitta]]ja type of dysuria. Simple cold water mixed with water, honey, and sugar is also helpful in ''paittika'' type of dysuria. [51]

==== Remedies for [[pitta]]ja dysuria  ====
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एर्वारुबीजंत्रपुषात्कुसुम्भात्सकुङ्कुमःस्याद्वृषकश्चपेयः| 

द्राक्षारसेनाश्मरिशर्करासुसर्वेषुकृच्छ्रेषुप्रशस्तएषः||५२|| 

एर्वारुबीजंमधुकंसदारुपैत्तेपिबेत्तण्डुलधावनेन| 

दार्वींतथैवामलकीरसेनसमाक्षिकांपित्तकृतेतुकृच्छ्रे||५३||
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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|| 
</div></div>

#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]
#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)
#Drink prepared out of ''daruharidra''-Berberis vulgaris L, juice of ''amalaki''-Emblica officinalis Gaertn mixed with honey is helpful in [[pitta]]ja mutra krucchra''.[53]

==== Treatment of [[kapha]]ja type of dysuria  ====
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क्षारोष्णतीक्ष्णौषधमन्नपानंस्वेदोयवान्नंवमनंनिरूहाः| 

तक्रंसतिक्तौषधसिद्धतैलमभ्यङ्गपानंकफमूत्रकृच्छ्रे||५४|| 

व्योषंश्वदंष्ट्रात्रुटिसारसास्थिकोलप्रमाणंमधुमूत्रयुक्तम्| 

पिबेत्त्रुटिंक्षौद्रयुतांकदल्यारसेनकैडर्यरसेनवाऽपि||५५|| 

तक्रेणयुक्तंशितिवारकस्यबीजंपिबेत्कृच्छ्रविनाशहेतोः| 

पिबेत्तथातण्डुलधावनेनप्रवालचूर्णंकफमूत्रकृच्छ्रे||५६|| 

सप्तच्छदारग्वधकेबुकैलाधवंकरञ्जंकुटजंगुडूचीम्| 

पक्त्वाजलेतेनपिबेद्यवागूंसिद्धंकषायंमधुसंयुतंवा||५७||
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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||
</div></div>

In [[kapha]]ja dysuria the following remedies are useful:
#Alkaline, hot and sharp medicine and diet
#Sudation (Hot fomentation therapies)
#Barley 
#Medicated emesis 
#''Niruha'' type of medicated enema (non-unctuous enema)
#Buttermilk
#Medicated oil prepared by bitter drugs is used for both massages as well as oral intake. [54]

The following recipes are useful in [[kapha]]ja type of dysuria:

#''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.
#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]
#Drink prepared out of seeds of ''shitivara''-Celosia argentea along with butter milk 
#Drink prepared out of powder of ''pravala'' (coral) along with ''tandulodaka'' (rice washed water) [56]
#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 ====
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सर्वंत्रिदोषप्रभवेतुवायोःस्थानानुपूर्व्याप्रसमीक्ष्यकार्यम्| 

त्रिभ्योऽधिकेप्राग्वमनंकफेस्यात्पित्तेविरेकःपवनेतुबस्तिः||५८|| 

इतिमूत्रकृच्छ्रचिकित्सा|
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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 |
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If the dysuria is caused due to the aggravation of all the tri[[dosha]] 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 ====
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क्रियाहितासाऽश्मरिशर्कराभ्यांकृच्छ्रेयथैवेहकफानिलाभ्याम्| 

कार्याऽश्मरीभेदनपातनायविशेषयुक्तंशृणुकर्मसिद्धम्||५९|| 

पाषाणभेदंवृषकंश्वदंष्ट्रापाठाभयाव्योषशटीनिकुम्भाः| 

हिंस्राखराश्वाशितिवारकाणामेर्वारुकाणांत्रपुषस्यबीजम्||६०|| 

उत्कुञ्चिकाहिङ्गुसवेतसाम्लंस्याद्द्वेबृहत्यौहपुषावचाच| 

चूर्णंपिबेदश्मरिभेदपक्वंसर्पिश्चगोमूत्रचतुर्गुणंतैः||६१|| 

मूलंश्वदंष्ट्रेक्षुरकोरुबूकात्क्षीरेणपिष्टंबृहतीद्वयाच्च| 

आलोड्यदध्नामधुरेणपेयंदिनानिसप्ताश्मरिभेदनाय||६२|| 

पुनर्नवायोरजनीश्वदंष्ट्राफल्गुप्रवालाश्चसदर्भपुष्पाः| 

क्षीराम्बुमद्येक्षुरसैःसुपिष्टंपेयंभवेदश्मरिशर्करासु||६३|| 

त्रुटिंसुराह्वंलवणानिपञ्चयवाग्रजंकुन्दुरुकाश्मभेदौ| 

कम्पिल्लकंगोक्षुरकस्यबीजमेर्वारुबीजंत्रपुषस्यबीजम्||६४|| 

चूर्णीकृतंचित्रकहिङ्गुमासीयवानितुल्यंत्रिफलाद्विभागम्| 

अम्लैरशुक्तैरसमद्ययुषैःपेयंहिगुल्माश्मरिभेदनार्थम्||६५|| 

बिल्वप्रमाणोघृततैलभृष्टोयूषःकृतःशिग्रुकमूलकल्कात्| 

शीतोऽश्मभित्स्याद्दधिमण्डयुक्तःपेयःप्रकामंलवणेनयुक्तः||६६|| 

जलेनशोभाञ्जनमूलकल्कःशीतोहितश्चाश्मरिशर्करासु| 

सितोपलावासमयावशूकाकृच्छ्रेषुसर्वेष्वपिभेषजंस्यात्||६७|| 

पीत्वाऽथमद्यंनिगदंरथेनहयेनवाशीघ्रजवेनयायात्| 

तैःशर्कराप्रच्यवतेऽश्मरीतुशम्येन्नचेच्छल्यविदुद्धरेत्ताम्||६८|| 

रेतोभिघातप्रभवेतुकृच्छ्रेसमीक्ष्यदोषंप्रतिकर्मकुर्यात्| 

कार्पासमूलंवृषकाश्मभेदौबलास्थिरादीनिगवेधुकाच||६९|| 

वृश्चीरऐन्द्रीचपुनर्नवाचशतावरीमध्वसनाख्यपर्ण्यौ| 

तत्क्वाथसिद्धःपवनेरसःस्यात्पित्तेऽधिकेक्षीरमथापिसर्पिः||७०|| 

कफेचयूषादिकमन्नपानंसंसर्गजेसर्वहितःक्रमःस्यात्| 

एवंनचेच्छाम्यतितस्ययुञ्ज्यात्सुरांपुराणांमधुकासवंवा||७१|| 

विहङ्गमांसानिचबृंहणायबस्तींश्चशुक्राशयशोधनार्थम्| 

शुद्धस्यतृप्तस्यचवृष्ययोगैःप्रियानुकूलाःप्रमदाविधेयाः||७२||
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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||
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===== General treatment =====

If the dysuria is caused due to the ''ashmari'' (calculus) or the ''sharkara'' (gravel) then the therapies suggested for [[kapha]]ja and [[vata]]ja 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]

#''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 ghrita''Ghee 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]

''Punarnava''Boerhaavia 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 ''shigru''Moringa 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 ''shobhanjana''Moringa 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]

#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]
#The above mentioned decoction if taken along with milk or ghee is useful in case of [[pitta]] predominance. [70]
#Food and drinks such as soup etc. should be prepared with this decoction in case of [[kapha]] predominance. [71]
#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:
#Old wine or ''madhukasava'' and meat of birds to nourish /increase the body weight.
#Urethral douches (uttara [[basti]]) for cleaning the seat of semen (seminal vesicle).
#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) ====
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रक्तोद्भवेतूत्पलनालतालकासेक्षुबालेक्षुकशेरुकाणि| 

पिबेत्सिताक्षौद्रयुतानिखादेदिक्षुंविदारींत्रपुषाणिचैव||७३|| 

घृतंश्वदंष्ट्रास्वरसेनसिद्धंक्षीरेणचैवाष्टगुणेनपेयम्| 

स्थिरादिकानांकनकादिकानामेकैकशोवाविधिनैवतेन||७४|| 

क्षीरेणबस्तिर्मधुरौषधैःस्यात्तैलेनवास्वादुफलोत्थितेन| 

यन्मूत्रकृच्छ्रेविहितंतुपैत्तेकार्यंतुतच्छोणितमूत्रकृच्छ्रे||७५||
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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|| 
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#Drink prepared out of stalk of lily (''utpala''), ''tala, kasa, iksubala, iksu, kaseruka'' juice along with sugar, honey.
#One should chew sugarcane, ''vidari'' and ''trapusha''. [73]
#''Ghrita'' (medicated ghee) prepared out of juice of ''gokshura'' by adding eight times milk
#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]
#Urethral douche
##Medicated milk prepared with sweet drugs/ drugs having sweet taste, or
##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 ====
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व्यायामसन्धारणशुष्करूक्षपिष्टान्नवातार्ककरव्यवायान्| 

खर्जूरशालूककपित्थजम्बूबिसंकषायंनरसंभजेत||७६|| 

इत्यश्मरीचिकित्सा|
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vyāyāmasandhāraṇaśuṣkarūkṣapiṣṭānnavātārkakaravyavāyān| 

kharjūraśālūkakapitthajambūbisaṁ kaṣāyaṁ na rasaṁ bhajēta||76|| 

ityaśmarīcikitsā|

vyAyAmasandhAraNashuShkarUkShapiShTAnnavAtArkakaravyavAyAn | 

kharjUrashAlUkakapitthajambUbisaM kaShAyaM na rasaM bhajeta ||76|| 

ityashmarIcikitsA |
</div></div>

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'' =====
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व्यायामतीक्ष्णातिविरेकबस्तिचिन्ताभयत्रासगदातिचाराः| 

छर्द्यामसन्धारणकर्शनानिहृद्रोगकर्तॄणितथाऽभिघातः||७७|| 

वैवर्ण्यमूर्च्छाज्वरकासहिक्काश्वासास्यवैरस्यतृषाप्रमोहाः| 

छर्दिःकफोत्क्लेशरुजोऽरुचिश्चहृद्रोगजाःस्युर्विविधास्तथाऽन्ये||७८|| 

हृच्छून्यभावद्रवशोषभेदस्तम्भाःसमोहाःपवनाद्विशेषः| 

पित्तात्तमोदूयनदाहमोहाःसन्त्रासतापज्वरपीतभावाः||७९|| 

स्तब्धंगुरुस्यात्स्तिमितंचमर्मकफात्प्रसेकज्वरकासतन्द्राः| 

विद्यात्त्रिदोषंत्वपिसर्वलिङ्गंतीव्रार्तितोदंकृमिजंसकण्डूम्||८०||
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vyāyāmatīkṣṇātivirēkabasticintābhayatrāsagadāticārāḥ| 

chardyāmasandhāraṇakarśanāni hr̥drōgakartr̥̄ṇi tathā'bhighātaḥ||77|| 

vaivarṇyamūrcchājwarakāsahikkāśvāsāsyavairasyatr̥ṣāpramōhāḥ| 

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||
</div></div>

====== 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]

====== Symptoms ======

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]] ([[vata]]ja 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]] ([[pitta]]ja 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]] ([[kapha]]ja heart disease)  ======

Bradycardia, heaviness, timidity of heart/ dullness associated with salivation, fever, cough and drowsiness are the specific features of [[kapha]]ja 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 [[vata]]ja hridroga  =====
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तैलंससौवीरकमस्तुतक्रंवातेप्रपेयंलवणंसुखोष्णम्| 

मूत्राम्बुसिद्धंलवणैश्चतैलमानाहगुल्मार्तिहृदामयघ्नम्||८१|| 

पुनर्नवांदारुसपञ्चमूलंरास्नांयवान्बिल्वकुलत्थकोलम्| 

पक्त्वाजलेतेनविपाच्यतैलमभ्यङ्गपानेऽनिलहृद्गदध्नम्||८२|| 

हरीतकीनागरपुष्कराह्वैर्वयःकयस्थालवणैश्चकल्कैः| 

सहिङ्गुभिःसाधितमग्र्यसर्पिर्गुल्मेसहृत्पार्श्वगदेऽनिलोत्थे||८३|| 

सपुष्कराह्वंफलपूरमूलंमहौषधंशट्यभयाचकल्काः| 

क्षाराम्बुसर्पिर्लवणैर्विमिश्राःस्युर्वातहृद्रोगविकर्तिकाघ्नाः||८४|| 

क्वाथःकृतःपौष्करमातुलुङ्गपलाशभूतीकशटीसुराह्वैः| 

सनागराजाजिवचायवानीक्षारःसुखोष्णोलवणश्चपेयः||८५|| 

पथ्याशटीपौष्करपञ्चकोलात्समातुलुङ्गाद्यमकेनकल्कः| 

गुडप्रसन्नालवणैश्चभृष्टोहृत्पार्श्वपृष्ठोदरयोनिशूले||८६|| 

स्यात्त्र्यूषणंद्वेत्रिफलेसपाठेनिदिग्धिकागोक्षुरकौबलेद्वे| 

ऋद्धिस्त्रुटिस्तामलकीस्वगुप्तामेदेमधूकंमधुकंस्थिराच||८७|| 

शतावरीजीवकपृश्निपर्ण्यौद्रव्यैरिमैरक्षसमैःसुपिष्टैः| 

प्रस्थंघृतस्येहपचेद्विधिज्ञःप्रस्थेनदध्नात्वथमाहिषेण||८८|| 

मात्रांपलंचार्धपलंपिचुंवाप्रयोजयेन्माक्षिकसम्प्रयुक्ताम्| 

श्वासेसकासेत्वथपाण्डुरोगेहलीमकेहृद्ग्रहणीप्रदोषे||८९||
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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||
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#Oil, ''sauviraka, mastu'' (curd water/whey), buttermilk, along with salt to be consumed in lukewarm form.
#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]
#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]
#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]
#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]
#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]
#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]
#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 [[pitta]]ja hridroga  =====
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शीताःप्रदेहाःपरिषेचनानितथाविरेकोहृदिपित्तदुष्टे| 

द्राक्षासिताक्षौद्रपरूषकैःस्याच्छुद्धेतुपित्तापहमन्नपानम्||९०|| 

यष्ट्याह्विकातिक्तकरोहिणीभ्यांकल्कंपिबेच्चापिसिताजलेन| 

क्षतेचसर्पींषिहितानिसर्पिर्गुडाश्चयेतान्प्रसमीक्ष्यसम्यक्||९१|| 

दद्याद्भिषग्धन्वरसांश्चगव्यक्षीराशिनांपित्तहृदामयेषु| 

तैरेवसर्वेप्रशमंप्रयान्तिपित्तामयाःशोणितसंश्रयाये||९२|| 

द्राक्षाबलाश्रेयसिशर्कराभिःखर्जूरवीरर्षभकोत्पलैश्च| 

काकोलिमेदायुगजीवकैश्चक्षीरेणसिद्धंमहिषीघृतंस्यात्||९३|| 

कशेरुकाशैवलशृङ्गवेरप्रपौण्डरीकंमधुकंबिसस्य| 

ग्रन्थिश्चसर्पिःपयसापचेत्तैःक्षौद्रान्वितंपित्तहृदामयघ्नम्||९४|| 

स्थिरादिकल्कैःपयसाचसिद्धंद्राक्षारसेनेक्षुरसेनवाऽपि| 

सर्पिर्हितंस्वादुफलेक्षुजाश्चरसाःसुशीताहृदिपित्तदुष्टे||९५||
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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||
</div></div>

In case of aggravated [[pitta]] [[dosha]]:

#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]
#Patient can also consume the paste of ''yastimadhu'' and ''katu rohini'' along with sugar water.
#In case of chest wound after proper examination the medicated ''ghrita'' and the recipes of ''sarpirguda'' are used [91]
#In [[pitta]]ja hridroga, the patient should be kept on diet of soup of wild animals prepared out of cow’s milk.By this all [[pitta]]ja disorders located blood (diseases pertaining to the bloodstream) get pacified.[92]
#Formulas useful in [[pitta]]ja heart disease: medicated ghee prepared by buffalo’s ghee and milk
#Buffalo’s ghee along with milk and Paste of ''draksha, bala, sreyasi'' (''rasna'') and ''sarkara''
#Buffalo’s ghee along with milk, ''kharjura, vira, rishabhaka'' and ''utpala''
#Buffalo’s ghee, milk, ''kakoli, meda, mahameda'' and ''jivaka'' [93]
#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]
#Ghee and paste of ''laghu panchamula''. Cook the above togetherand taken with milk, grape juice or sugar cane juice is helpful in ''paittika hridroga''.
#Cold juice of sweet fruits or sugar cane is useful in ''paittika hridroga''.[95]

===== Treatment of [[kapha]]ja hridroga  =====
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स्विन्नस्यवान्तस्यविलङ्घितस्यक्रियाकफघ्नीकफमर्मरोगे| 

कौलत्थधान्यैश्चरसैर्ववान्नंपानानितीक्ष्णानिचशङ्कराणि||९६|| 

मूत्रेशृताःकट्फलशृङ्गवेरपीतद्रुपथ्यातिविषाःप्रदेयाः| 

कृष्णाशटीपुष्करमूलरास्नावचाभयानागरचूर्णकं[च||९७|| 

उदुम्बराश्वत्थवटार्जुनाख्येपालाशरौहीतकखादिरेच| 

क्वाथेत्रिवृत्त्र्यूषणचूर्णसिद्धोलेहःकफघ्नोऽशिशिराम्बुयुक्तः||९८|| 

शिलाह्वयंवाभिषगप्रमत्तःप्रयोजयेत्कल्पविधानदिष्टम्|

प्राशं तथाऽऽगस्त्यमथापि लेहं रसायनं ब्राह्ममथामलक्याः||९९|| 
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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 tathā''gastyamathāpi 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||
</div></div>

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 [[kapha]]ja heart disease:

#Boil together ''katphala, sunthi, daruharidra, haritaki, ativisha'' and cow’s urine.
#Powder of ''pippali, sati, puskaramula, rasna, vacha, haritaki, sunthi'' [97]
#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 [[kapha]]ja hridroga''. [98]

====== ''Rasayanas'' for [[kapha]]ja 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 [[kapha]]ja type of ''hridroga''. [99]

===== Treatment of tri[[dosha]]ja/sannipatika hridroga  =====
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त्रिदोषजेलङ्घनमादितःस्यादन्नंचसर्वेषुहितंविधेयम्| 

हीनातिमध्यत्वमवेक्ष्यचैवकार्यंत्रयाणामपिकर्मशस्तम्||१००||
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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||
</div></div>

#Firstly [[langhana]] (fasting therapy)
#Diet which alleviates all the three [[dosha]] to be advised.
#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 =====
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भुक्तेऽधिकंजीर्यतिशूलमल्पंजीर्णेस्थितंचेत्सुरदारुकुष्ठम्| 

सतिल्वकंद्वेलवणेविडङ्गमुष्णाम्बुनासातिविषंपिबेत्सः||१०१||
 
जीर्णेऽधिकेस्नेहविरेचनंस्यात्फलैर्विरेच्योयदिजीर्यतिस्यात्| 

त्रिष्वेवकालेष्वधिकेतुशूलेतीक्ष्णंहितंमूलविरेचनंस्यात्||१०२|| 

प्रायोऽनिलोरुद्धगतिःप्रकुप्यत्यामाशयेशोधनमेवतस्मात्| 

कार्यंतथालङ्घनपाचनंच..... |१०३|
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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|
</div></div>

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'' =====
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... सर्वंकृमिघ्नंकृमिहृद्गदेच||१०३||
 
इतिहृद्रोगचिकित्सा|
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... sarvaM kRumighnaM kRumihRudgade ca ||103|| 

iti hRudrogacikitsA |

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

iti hr̥drōgacikitsā| 
</div></div>

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 =====
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सन्धारणाजीर्णरजोतिभाष्यक्रोधर्तुवैषम्यशिरोभितापैः| 

प्रजागरातिस्वपनाम्बुशीतैरवश्ययामैथुनबाष्पधूमैः||१०४|| 

संस्त्यानदोषेशिरसिप्रवृद्धोवायुःप्रतिश्यायमुदीरयेत्तु| 

घ्राणार्तितोदौक्षवथुर्जलाभःस्रावोऽनिलात्सस्वरमूर्धरोगः||१०५|| 

नासाग्रपाकज्वरवक्त्रशोषतृष्णोष्णपीतस्रवणानिपित्तात्| 

कासारुचिस्रावघनप्रसेकाःकफाद्गुरुःस्रोतसिचापिकण्डूः||१०६|| 

सर्वाणिरूपाणितुसन्निपातात्स्युःपीनसेतीव्ररुजेऽतिदुःखे|१०७|

सर्वोऽतिवृद्धोऽहितभोजनात्तुदुष्टप्रतिश्यायउपेक्षितःस्यात्||१०७|| 
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sandhāraṇājīrṇarajōtibhāṣyakrōdhartuvaiṣamyaśirōbhitāpaiḥ| 

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|
</div></div>

====== 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 [[vata]]ja-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 [[pitta]]ja-type ''pratishyaya'':

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

Signs of [[kapha]]ja-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) ======
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ततस्तुरोगाःक्षवथुश्चनासाशोषःप्रतीनाहपरिस्रवौच| 

घ्राणस्यपूतित्वमपीनसश्चसपाकशोथार्बुदपूयरक्ताः||१०८|| 

अरूंषिशीर्षश्रवणाक्षिरोगखालित्यहर्यर्जुनलोमभावाः| 

तृट्श्वासकासज्वररक्तपित्तवैस्वर्यशोषाश्चततोभवन्ति||१०९||
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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||
</div></div>

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 ======
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रोधाभिघातस्रवशोषपाकैर्घ्राणंयुतंयश्चनवेत्तिगन्धम्| 

दुर्गन्धिचास्यंबहुशःप्रकोपिदुष्टप्रतिश्यायमुदाहरेत्तम्||११०|| 

संस्पृश्यमर्माण्यनिलस्तुमूर्ध्निविष्वक्पथस्थःक्षवथुंकरोति| 

क्रुद्धःससंशोष्यकफंतुनासाशृङ्गाटकघ्राणविशोषणंच||१११|| 

उच्छ्वासमार्गंतुकफःसवातोरुन्ध्यात्प्रतीनाहमुदाहरेत्तम्| 

योमस्तुलुङ्गाद्घनपीतपक्वःकफःस्रवेदेषपरिस्रवस्तु||११२|| 

वैवर्ण्यदौर्गन्ध्यमुपेक्षयातुस्यात्पूतिनस्यंश्वयथुर्भ्रमश्च| 

आनह्यतेयस्यविशुष्यतेचप्रक्लिद्यतेधूप्यतिचापिनासा||११३|| 

नवेत्तियोगन्धरसांश्चजन्तुर्जुष्टंव्यवस्येत्तमपीनसेन| 

तंचानिलश्लेष्मभवंविकारंब्रूयात्प्रतिश्यायसमानलिङ्गम्||११४|| 

सदाहरागःश्वयथुःसपाकःस्याद्घ्राणपाकोऽपिचरक्तपित्तात्| 

घ्राणाश्रितासृक्प्रभृतीन्प्रदूष्यकुर्वन्तिनासाश्वयथुंमलाश्च||११५|| 

घ्राणेतथोच्छ्वासगतिंनिरुध्यमांसास्रदोषादपिचार्बुदानि| 

घ्राणात्स्रवेद्वाश्रवणान्मुखाद्वापित्ताक्तमस्रंत्वपिपूयरक्तम्||११६|| 

कुर्यात्सपित्तःपवनस्त्वगादीन्सन्दूष्यचारूंषिसपाकवन्ति| 

नासाप्रदीप्तेवनरस्ययस्यदीप्तंतुतंरोगमुदाहरन्ति||११७|| 

इतिनासारोगनिदानम्|
<div class="mw-collapsible-content">

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 |
</div></div>

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) ======
<div class="mw-collapsible mw-collapsed">

भृशार्तिशूलंस्फुरतीहवातात्पित्तात्सदाहार्तिकफाद्गुरुस्यात्| <br />
सर्वैस्त्रिदोषंक्रिमिभिस्तुकण्डूर्दौर्गन्ध्यतोदार्तियुतंशिरःस्यात्||११८|| 

इतिशिरोरोगनिदानम्| 
<div class="mw-collapsible-content">

bhr̥śārtiśūlaṁ sphuratīha vātāt pittāt sadāhārti kaphādguru syāt| <br />
sarvaistridōṣaṁ krimibhistu kaṇḍūrdaurgandhyatōdārtiyutaṁ śiraḥ syāt||118|| 

iti śirōrōganidānam| 

bhRushArtishUlaM sphuratIha vAtAt pittAt sadAhArti kaphAdguru syAt | <br />
sarvaistridoṣhaM krimibhistu kaNDUrdaurgandhyatodArtiyutaM shiraH syAt ||118|| 

iti shiroroganidAnam |
</div></div>

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 =====
<div class="mw-collapsible mw-collapsed">

मुखामयेमारुतजेतुशोषकार्कश्यरौक्ष्याणिचलारुजश्च| 

कृष्णारुणंनिष्पतनंसशीतंप्रस्रंसनस्पन्दनतोदभेदाः||११९|| 

तृष्णाज्वरस्फोटकतालुदाहाधूमायनंचाप्यवदीर्णताच| 

पित्तात्समूर्च्छाविविधारुजश्चवर्णाश्चशुक्लारुणवर्णवर्ज्याः||१२०|| 

कण्डूर्गुरुत्वंसितविज्जलत्वंस्नेहोऽरुचिर्जाड्यकफप्रसेकौ| 

उत्क्लेशमन्दानलताचतन्द्रारुजश्चमन्दाःकफवक्ररोगे||१२१|| 

सर्वाणिरूपाणितुवक्ररोगेभवन्तियस्मिन्सतुसर्वजःस्यात्| 

संस्थानदूष्याकृतिनामभेदाच्चैतेचतुःषष्टिविधाभवन्ति||१२२|| 

शालाक्यतन्त्रेऽभिहितानितेषांनिमित्तरूपाकृतिभेषजानि| 

यथाप्रदेशंतुचतुर्विधस्यक्रियांप्रवक्ष्यामिमुखामयस्य||१२३|| 

इतिमुखरोगनिदानम्| 
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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 |
</div></div>

====== 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-[[dosha]]ja 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) =====
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वातादिभिःशोकभयातिलोभक्रोधैर्मनोघ्नाशनगन्धरूपैः| 

अरोचकाःस्युःपरिहृष्टदन्तःकषायवक्रश्चमतोऽनिलेन||१२४|| 

कट्वम्लमुष्णंविरसंचपूतिपित्तेनविद्याल्लवणंचवक्रम्| 

माधुर्यपैच्छिल्यगुरुत्वशैत्यविबद्धसम्बद्धयुतंकफेन||१२५|| 

अरोचकेशोकभयानिलोभक्रोधाद्यहृद्याशनगन्धजेस्यात्| 

स्वाभाविकंवक्रमथारुचिश्चत्रिदोषजेनैकरसंभवेत्तु||१२६||
 
इत्यरोचकनिदानम्| 
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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||

ityarōcakanidānam

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 |
</div></div>

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

General Cause of Anorexia:

[[Vata]]di [[dosha]] and grief, fear, over greed, anger, unpleasant food, smell and sights are in general causes.

Signs of [[vata]]ja anorexia:

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

Signs of [[pitta]]ja anorexia:

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

Signs of [[kapha]]ja 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 tri[[dosha]]ja/ sannipatika anorexia:

Several types of tastes appear in mouth. [126]

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

===== Ear diseases =====
<div class="mw-collapsible mw-collapsed">

नादोऽतिरुक्कर्णमलस्यशोषःस्रावस्तनुश्चाश्रवणंचवातात्| 

शोफःसरागोदरणंविदाहःसपीतपूतिश्रवणंचपित्तात्||१२७|| 

वैश्रुत्यकण्डूस्थिरशोफशुक्लस्निग्धश्रुतिःश्लेष्मभवेऽल्परुक्च| 

सर्वाणिरूपाणितुसन्निपातात्स्रावश्चतत्राधिकदोषवर्णः||१२८|| 

इतिकर्णरोगनिदानम्|
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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 |
</div></div>

====== Diagnosis/ signs and symptoms of ear diseases ======

Signs of [[vata]]ja ear disease:

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

Signs of [[pitta]]ja ear disease:

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

Signs of [[kapha]]ja ear disease:

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

Signs of tri[[dosha]]ja/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 =====
<div class="mw-collapsible mw-collapsed">

अल्पस्तुरागोऽनुपदेहवांश्चसतोदभेदोऽनिलजाक्षिरोगे| 

पित्तात्सदाहोऽतिरुजःसरागःपीतोपदेहःसुभृशोष्णवाही||१२९|| 

शुक्लोपदेहंबहुपिच्छिलाश्रुनेत्रंकफात्स्याद्गुरुतासकण्डुः| 

सर्वाणिरूपाणितुसन्निपातान्नेत्रामयाःषण्णवतिस्तुभेदात्||१३०|| 

तेषामभिव्यक्तिरभिप्रदिष्टाशालाक्यतन्त्रेषुचिकित्सितंच| 

पराधिकारेतुनविस्तरोक्तिःशस्तेतितेनात्रननःप्रयासः||१३१|| 

इतिनेत्ररोगनिदानम्|
<div class="mw-collapsible-content">

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 |
</div></div>

====== Diagnosis of eye diseases ======

Signs of [[vata]]ja eye disease:

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

Signs of [[pitta]]ja eye disease:

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

Signs of [[kapha]]ja eye disease:

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

Signs of tri[[dosha]]ja/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 =====
<div class="mw-collapsible mw-collapsed">

तेजोऽनिलाद्यैःसहकेशभूमिंदग्ध्वाऽऽशुकुर्यात्खलतिंनरस्य| 

किञ्चित्तुदग्ध्वापलितानिकुर्याद्धरिप्रभत्वंचशिरोरुहाणाम्||१३२|| 

इत्यूर्ध्वजत्रूत्थगदैकदेशस्तन्त्रेनिबद्धोऽयमशून्यतार्थम्| 

अतःपरंभेषजसङ्ग्रहंतुनिबोधसङ्क्षेपतउच्यमानम्||१३३|| 

इतिखालित्यरोगनिदानम्| 
<div class="mw-collapsible-content">

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 dagdhvā''śu kuryāt khalatiṁ narasya| 

kiñcittu dagdhvā palitāni kuryāddhariprabhatvaṁ ca śirōruhāṇām||132|| 

ityūrdhvajatrūtthagadaikadēśastantrē nibaddhō'yamaśūnyatārtham| 

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

iti khālityarōganidānam| 
</div></div>

Pathogenesis of alopecia:

The body heat along with [[vata]]di [[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 [[vata]]ja pinasa  =====
<div class="mw-collapsible mw-collapsed">

वातात्सकासवैस्वर्येसक्षारंपीनसेवृतम्| 

पिबेद्रसंपयश्चोष्णंस्नैहिकंधूममेववा||१३४|| 

शताह्वात्वग्बलामूलंस्योनाकैरण्डबिल्वजम्| 

सारग्वधंपिबेद्वर्तिंमधूच्छिष्टवसाघृतैः||१३५|| 

अथवासघृतान्सक्तून्कृत्वामल्लकसम्पुटे| 

नवप्रतिश्यायवतांधूमंवैद्यःप्रयोजयेत्||१३६|| 

शङ्खमूर्धललाटार्तौपाणिस्वेदोपनाहनम्| 

स्वभ्यक्तेक्षवथुस्रावरोधादौसङ्करादयः||१३७|| 

घ्रेयाश्चरोहिषाजाजीवचातर्कारिचोरकाः| 

त्वक्पत्रमरिचैलानांचूर्णावासोपकुञ्चिकाः||१३८|| 

स्रोतःशृङ्गाटनासाक्षिशोषेतैलंचनावनम्| 

प्रभाव्याजेतिलान्क्षीरेतेनपिष्टांस्तदुष्मणा||१३९|| 

मन्दस्विन्नान्सयष्ट्याह्वचूर्णांस्तेनैवपीडयेत्| 

दशमूलस्यनिष्क्वाथेरास्नामधुककल्कवत्||१४०|| 

सिद्धंससैन्धवंतैलंदशकृत्वोऽणुतत्स्मृतम्| 

स्निग्धस्यास्थापनैर्दोषंनिर्हरेद्वातपीनसे||१४१|| 

स्निग्धाम्लोष्णैश्चलघ्वन्नंग्राम्यादीनांरसैर्हितम्| 

उष्णाम्बुनास्नानपानेनिवातोष्णप्रतिश्रयः||१४२|| 

चिन्ताव्यायामवाक्चेष्टाव्यवायविरतोभवेत्| 

वातजेपीनसेधीमानिच्छन्नेवात्मनोहितम्||१४३|| 
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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||
</div></div>

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

#Consume ghee and yavakshara
#Drink hot meat soup or warm milk
#Inhalation of unctuous medicated smoke. [134]
#''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]
#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]
#If pain in temples, head and forehead, fomentation with warm palms and poultices should be used.
#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].
#The patient should also inhale powders of ''rohisha, jiraka, vacha, tarkari, chorakaor'' powders of- ''twak, patra, maricha, ela, upakunchika''. [138]
#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 [[vata]]ja- pinasa:

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

Dietary treatment in [[vata]]ja-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 [[pitta]]ja pinasa  =====
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पैत्तेसर्पिःपिबेत्सिद्धंशृङ्गवेरशृतंपयः| 

पाचनार्थंपिबेत्पक्वेकार्यंमूर्धविरेचनम्||१४४|| 

पाठाद्विरजनीमूर्वापिप्पलीजातिपल्लवैः| 

दन्त्याचसाधितंतैलंनस्यंस्यात्पक्वपीनसे||१४५|| 

पूयास्रेरक्तपित्तघ्नाःकषायानावनानिच| 

पाकदाहाढ्यरूक्षेषुशीतालेपाःससेचनाः||१४६|| 

घ्रेयनस्योपचाराश्चकषायाःस्वादुशीतलाः| 

मन्दपित्तेप्रतिश्यायेस्निग्धैःकुर्याद्विरेचनम्||१४७|| 

घृतंक्षीरंयवाःशालिर्गोधूमाजाङ्गलारसाः| 

शीताम्लास्तिक्तशाकानियूषामुद्गादिभिर्हिताः||१४८|| 
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paittē sarpiḥ pibēt siddhaṁ [1] śr̥ṅgavēraśr̥taṁ payaḥ| 

pācanārthaṁ pibēt pakvē kāryaṁ mūrdhavirēcanam||144|| 

pāṭhādvirajanīmūrvāpippalījātipallavaiḥ| 

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||
</div></div>

General Treatment of [[pitta]]ja pinasa:

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

Errhine formulas:

#Formula for ripened type of rhinitis/ ''Pakva-pinasa'': Oil prepared out of ''patha, haridra, daruharidra, murva, pippali,'' tender leaves of ''jati'' and ''danti''. [145]
#Treatment of ''puya-rakta'' (purulent and sanguinous rhinitis): Decoctions and snuffs/ inhalation therapies prescribed in ''raktapitta'' should be administered.
#Treatment of inflammation, burning sensation and boils etc: Cooling ointments and affusions should be applied. [146]
#In [[pitta]]ja type of rhinitis inhalations and the decoctions used should be sweet in taste and cooling.
#In case of rhinitis of less aggravated pitta, purgation with unctuous drugs should be administered. [147]
#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 [[kapha]]ja pinasa and ''dushtapratishyaya'' =====
<div class="mw-collapsible mw-collapsed">

गौरवारोचकेष्वादौ लङ्घनं कफपीनसे |<br />
स्वेदाःसेकाश्चपाकार्थंलिप्तेशिरसिसर्पिषा||१४९|| <br />

लशुनंमुद्गचूर्णेनव्योषक्षारघृतैर्युतम्| <br />
देयंकफघ्नवमनमुत्क्लिष्टश्लेष्मणेहितम्||१५०|| <br />

अपीनसेपूतिनस्येव्राणस्रावेसकण्डुके| <br />
धूमःशस्तोऽवपीडश्चकटुभिःकफपीनसे||१५१||<br /> 

मनःशिलावचाव्योषंविडङ्गंहिङ्गुगुग्गुलुः| <br />
चूर्णोघ्रेयःप्रधमनंकटुभिश्चफलैस्तथा||१५२|| <br />

भार्गीमदनतर्कारीसुरसादिविपाचिते| <br />
मूत्रेलाक्षावचालम्बाविडङ्गंकुष्ठपिप्पली||१५३|| <br />

कृत्वाकल्कंकरञ्जंचतैलंतैःसार्षपंपचेत्| <br />
पाकान्मुक्तेघनेनस्यमेतन्मेदोनिभेकफे||१५४|| <br />

स्निग्धस्यव्याहतेवेगेच्छर्दनंकफपीनसे| <br />
वमनीयशृतक्षीरतिलमाषयवागुना||१५५|| <br />

वार्ताककुलकव्योषकुलत्थाढकिमुद्गजाः| <br />
यूषाःकफघ्नमन्नंचशस्तमुष्णाम्बुसेच(व)नम्||१५६|| <br />

सर्वजित्पीनसेदुष्टेकार्यंशोफेचशोफजित्| <br />
क्षारोऽर्बुदाधिमांसेषुक्रियाशेषेष्ववेक्ष्यच||१५७|| <br />

इतिपीनसनासारोगचिकित्सा| <br />
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gauravārōcakēṣvādau laṅghanaṁ kaphapīnasē| <br />
svēdāḥ sēkāśca pākārthaṁ liptē śirasi sarpiṣā||149|| <br />

laśunaṁ mudgacūrṇēna vyōṣakṣāraghr̥tairyutam| <br />
dēyaṁ kaphaghnavamanamutkliṣṭaślēṣmaṇē hitam||150|| <br />

apīnasē pūtinasyē ghrāṇasrāvē sakaṇḍukē| <br />
dhūmaḥ śastō'vapīḍaśca kaṭubhiḥ kaphapīnasē||151|| <br />

manaḥśilā vacā vyōṣaṁ viḍaṅgaṁ hiṅgu gugguluḥ| <br />
cūrṇō ghrēyaḥ pradhamanaṁ kaṭubhiśca phalaistathā||152|| <br />

bhārgīmadanatarkārīsurasādivipācitē| <br />
mūtrē lākṣā vacā lambā viḍaṅgaṁ kuṣṭhapippalī||153|| <br />

kr̥tvā kalkaṁ karañjaṁ ca tailaṁ taiḥ sārṣapaṁ pacēt| <br />
pākānmuktē ghanē nasyamētanmēdōnibhē kaphē||154|| <br />

snigdhasya vyāhatē vēgē cchardanaṁ kaphapīnasē| <br />
vamanīyaśr̥takṣīratilamāṣayavāgunā||155|| <br />

vārtākakulakavyōṣakulatthāḍhakimudgajāḥ| <br />
yūṣāḥ kaphaghnamannaṁ ca śastamuṣṇāmbusēca(va)nam||156|| <br />

sarvajit pīnasē duṣṭē kāryaṁ śōphē ca śōphajit| <br />
kṣārō'rbudādhimāṁsēṣu kriyā śēṣēṣvavēkṣya ca||157|| <br />

iti pīnasanāsārōgacikitsā| <br />

gauravArocakeShvAdau la~gghanaM kaphapInase | <br />
svedAH sekAshca pAkArthaM lipte shirasi sarpiShA ||149|| <br />

lashunaM mudgacUrNena vyoShakShAraghRutairyutam | <br />
deyaM kaphaghnavamanamutkliShTashleShmaNe hitam ||150|| <br />

apInase pUtinasye vrANasrAve sakaNDuke | <br />
dhUmaH shasto~avapIDashca kaTubhiH kaphapInase ||151|| <br />

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

bhArgImadanatarkArIsurasAdivipAcite | <br />
mUtre lAkShA vacA lambA viDa~ggaM kuShThapippalI ||153|| <br />

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

snigdhasya vyAhate vege cchardanaM kaphapInase | <br />
vamanIyashRutakShIratilamAShayavAgunA ||155|| <br />

vArtAkakulakavyoShakulatthADhakimudgajAH | <br />
yUShAH kaphaghnamannaM ca shastamuShNAmbuseca(va)nam ||156|| <br />

sarvajit pInase duShTe kAryaM shophe ca shophajit | <br />
kShAro~arbudAdhimAMseShu kriyA sheSheShvavekShya ca ||157|| <br />

iti pInasanAsArogacikitsA | <br />
</div></div>

====== Treatment of [[kapha]]ja pinasa  ======
#In [[kapha]]ja 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]
#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]
#In case of [[kapha]]ja pinasa, apinasa, puti nasya,'' running nose and itching medicated smoke inhalation therapy and ''avapeedana''/ expressed juice of pungent drugs to be given. [151]
#One should inhale the powder of ''manahshila, vacha, trikatu, vidanga, hingu'' and ''guggulu''.
#The powder of pungent fruits should be sniffed / inhaled into the patient’s nose. [152]
#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]
#Treatment for diminished/ milder [[kapha]]ja 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 [[kapha]]ja 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 ====
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वातिकेशिरसोरोगेस्नेहान्स्वेदान्सनावनान्| <br />
पानान्नमुपनाहांश्चकुर्याद्वातामयापहान्||१५८|| <br />

तैलभृष्टैरगुर्वाद्यैःसुखोष्णैरुपनाहनम्| <br />
जीवनीयैःसुमनसामत्स्यैर्मांसैश्चशस्यते||१५९|| <br />

रास्नास्थिरादिभिःसिद्धंसक्षीरंनस्यमर्तिनुत्| <br />
तैलंरास्नाद्विकाकोलीशर्कराभिरथापिवा||१६०|| <br />

बलामधूकयष्ट्याह्वविदारीचन्दनोत्पलैः| <br />
जीवकर्षभकद्राक्षाशर्कराभिश्चसाधितः||१६१|| <br />
 
प्रस्थस्तैलस्यसक्षीरोजाङ्गलार्धतुलारसे| <br />
नस्यंसर्वोर्ध्वजत्रूत्थवातपित्तामयापहम्||१६२|| <br />

दशमूलबलारास्नात्रिफलामधुकैःसह| <br />
मयूरंपक्षपित्तान्त्रशकृत्तुण्डाङ्घ्रिवर्जितम्||१६३|| <br />

जलेपक्त्वाघृतप्रस्थंतस्मिन्क्षीरसमंपचेत्| <br />
मधुरैःकार्षिकैःकल्कैःशिरोरोगार्दितापहम्||१६४|| <br />

कर्णाक्षिनासिकाजिह्वाताल्वास्यगलरोगनुत्| <br />
मायूरमितिविख्यातमूर्ध्वजत्रुगदापहम्||१६५|| <br />

इतिमायूरघृतम्| <br />
<div class="mw-collapsible-content">

vātikē śirasō rōgē snēhān svēdān sanāvanān| <br />
pānānnamupanāhāṁśca kuryādvātāmayāpahān||158|| <br />

tailabhr̥ṣṭairagurvādyaiḥ sukhōṣṇairupanāhanam| <br />
jīvanīyaiḥ sumanasā matsyairmāṁsaiśca śasyatē||159|| <br />

rāsnāsthirādibhiḥ siddhaṁ sakṣīraṁ nasyamartinut| <br />
tailaṁ rāsnādvikākōlīśarkarābhirathāpi vā||160|| <br />

balāmadhūkayaṣṭyāhvavidārīcandanōtpalaiḥ| <br />
jīvakarṣabhakadrākṣāśarkarābhiśca sādhitaḥ||161|| <br />

prasthastailasya sakṣīrō jāṅgalārdhatulārasē| <br />
nasyaṁ sarvōrdhvajatrūtthavātapittāmayāpaham||162|| <br />

daśamūlabalārāsnātriphalāmadhukaiḥ saha| <br />
mayūraṁ pakṣapittāntraśakr̥ttuṇḍāṅghrivarjitam||163|| <br />

jalē paktvā ghr̥taprasthaṁ tasmin kṣīrasamaṁ pacēt| <br />
madhuraiḥ kārṣikaiḥ kalkaiḥ śirōrōgārditāpaham||164|| <br />

karṇākṣināsikājihvātālvāsyagalarōganut| <br />
māyūramitivikhyātamūrdhvajatrugadāpaham||165|| <br />

iti māyūraghr̥tam| <br />

vAtike shiraso roge snehAn svedAn sanAvanAn | <br />
pAnAnnamupanAhAMshca kuryAdvAtAmayApahAn ||158|| <br />

tailabhRuShTairagurvAdyaiH sukhoShNairupanAhanam | <br />
jIvanIyaiH sumanasA matsyairmAMsaishca shasyate ||159|| <br />

rAsnAsthirAdibhiH siddhaM sakShIraM nasyamartinut | <br />
tailaM rAsnAdvikAkolIsharkarAbhirathApi vA ||160|| <br />

balAmadhUkayaShTyAhvavidArIcandanotpalaiH | <br />
jIvakarShabhakadrAkShAsharkarAbhishca sAdhitaH ||161|| <br />

prasthastailasya sakShIro jA~ggalArdhatulArase | <br />
nasyaM sarvordhvajatrUtthavAtapittAmayApaham ||162|| <br />

dashamUlabalArAsnAtriphalAmadhukaiH saha | <br />
mayUraM pakShapittAntrashakRuttuNDA~gghrivarjitam ||163|| <br />

jale paktvA ghRutaprasthaM tasmin kShIrasamaM pacet | <br />
madhuraiH kArShikaiH kalkaiH shirorogArditApaham ||164|| <br />

karNAkShinAsikAjihvAtAlvAsyagalaroganut | <br />
mAyUramitivikhyAtamUrdhvajatrugadApaham ||165|| <br />

iti mAyUraghRutam | <br />
</div></div>

===== Treatment of [[vata]]ja head diseases  =====
#General treatment of [[vata]]ja head diseases: oleation, fomentation and snuffing/ inhalation therapy, [[vata]] alleviating diet and poultices are used. [158]
#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]
#''Rasnadi-tailam'':
##Oil Prepared out of ''rasna, laghu panchamula,'' milk and oil used for [[nasya]] cures headache.
##Oil prepared out of ''rasna, kakoli, kshirakakoli, sharkara'' and such oil when used for [[nasya]] cures headache .[160]
#''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]
#''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'' ======
<div class="mw-collapsible mw-collapsed">

एतेनैवकषायेणघृतप्रस्थंविपाचयेत्| <br />
चतुर्गुणेनपयसाकल्कैरेभिश्चकार्षिकैः||१६६|| <br />

जीवन्तीत्रिफलामेदामृद्वीकर्धिपरूषकैः| <br />
समङ्गाचविकाभार्गीकाश्मरीसुरदारुभिः||१६७|| <br />

आत्मगुप्तामहामेदातालखर्जूरमस्तकैः| <br />
मृणालबिसशालूकशृङ्गीजीवकपद्मकैः||१६८|| <br />

शतावरीविदारीक्षुबृहतीसारिवायुगैः| <br />
मूर्वाश्वदंष्ट्रर्षभकशृङ्गाटककसेरुकैः||१६९|| <br />

रास्नास्थिरातामलकीसूक्ष्मैलाशटिपौष्करैः| <br />
पुनर्नवातुगाक्षीरीकाकोलीधन्वयासकैः||१७०|| <br />

खर्जूराक्षोटवाताममुञ्जाताभिषुकैरपि| <br />
द्रव्यैरेभिर्यथालाभंपूर्वकल्पेनसाधितम्||१७१||<br /> 

नस्येपानेतथाऽभ्यङ्गेबस्तौचैवप्रयोजयेत्| <br />
शिरोरोगेषुसर्वेषुकासेश्वासेचदारुणे||१७२|| <br />

मन्यापृष्ठग्रहेशोषेस्वरभेदेतथाऽर्दिते| <br />
योन्यसृक्शुक्रदोषेषुशस्तंवन्ध्यासुतप्रदम्||१७३|| <br />

ऋतुस्नातातथानारीपीत्वापुत्रंप्रसूयते| <br />
महामायूरमित्येतद्घृतमात्रेयपूजितम्||१७४|| <br />

इतिमहामायूरघृतम्| <br />

आखुभिःकुक्कुटैर्हंसैःशशैश्चापिहिबुद्धिमान्| <br />
कल्पेनानेनविपचेत्सर्पिरूर्ध्वगदापहम्||१७५|| <br />
<div class="mw-collapsible-content">

ētēnaiva kaṣāyēṇa ghr̥taprasthaṁ vipācayēt| <br />
caturguṇēna payasā kalkairēbhiśca kārṣikaiḥ||166|| <br />

jīvantītriphalāmēdāmr̥dvīkardhiparūṣakaiḥ| <br />
samaṅgācavikābhārgīkāśmarīsuradārubhiḥ||167|| <br />

ātmaguptāmahāmēdātālakharjūramastakaiḥ| <br />
mr̥ṇālabisaśālūkaśr̥ṅgījīvakapadmakaiḥ [1] ||168|| <br />

śatāvarīvidārīkṣubr̥hatīsārivāyugaiḥ| <br />
mūrvāśvadaṁṣṭrarṣabhakaśr̥ṅgāṭakakasērukaiḥ||169|| <br />

rāsnāsthirātāmalakīsūkṣmailāśaṭipauṣkaraiḥ| <br />
punarnavātugākṣīrīkākōlīdhanvayāsakaiḥ||170|| <br />

kharjūrākṣōṭavātāmamuñjātābhiṣukairapi  | <br />
dravyairēbhiryathālābhaṁ pūrvakalpēna sādhitam||171|| <br />

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

manyāpr̥ṣṭhagrahē śōṣē svarabhēdē tathā'rditē| <br />
yōnyasr̥kśukradōṣēṣu śastaṁ vandhyāsutapradam||173|| <br />

r̥tusnātā tathā nārī pītvā putraṁ prasūyatē| <br />
mahāmāyūramityētadghr̥tamātrēyapūjitam||174|| <br />

iti mahāmāyūraghr̥tam| <br />

ākhubhiḥ kukkuṭairhaṁsaiḥ śaśaiścāpi hi buddhimān| <br />
kalpēnānēna vipacēt sarpirūrdhvagadāpaham||175|| <br />

etenaiva kaShAyeNa ghRutaprasthaM vipAcayet | <br />
caturguNena payasA kalkairebhishca kArShikaiH ||166|| <br />

jIvantItriphalAmedAmRudvIkardhiparUShakaiH | <br />
sama~ggAcavikAbhArgIkAshmarIsuradArubhiH ||167|| <br />

AtmaguptAmahAmedAtAlakharjUramastakaiH | <br />
mRuNAlabisashAlUkashRu~ggIjIvakapadmakaiH [1] ||168|| <br />

shatAvarIvidArIkShubRuhatIsArivAyugaiH | <br />
mUrvAshvadaMShTrarShabhakashRu~ggATakakaserukaiH ||169|| <br />

rAsnAsthirAtAmalakIsUkShmailAshaTipauShkaraiH | <br />
punarnavAtugAkShIrIkAkolIdhanvayAsakaiH ||170|| <br />

kharjUrAkShoTavAtAmamu~jjAtAbhiShukairapi | <br />
dravyairebhiryathAlAbhaM pUrvakalpena sAdhitam ||171|| <br />

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

manyApRuShThagrahe shoShe svarabhede tathA~ardite | <br />
yonyasRukshukradoSheShu shastaM vandhyAsutapradam ||173|| <br />

RutusnAtA tathA nArI pItvA putraM prasUyate | <br />
mahAmAyUramityetadghRutamAtreyapUjitam ||174|| <br />

iti mahAmAyUraghRutam | <br />

AkhubhiH kukkuTairhaMsaiH shashaishcApi hi buddhimAn | <br />
kalpenAnena vipacet sarpirUrdhvagadApaham ||175||<br />
</div></div>

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 [[pitta]]ja diseases of head  =====
<div class="mw-collapsible mw-collapsed">

पैत्तेघृतंपयःसेकाःशीतालेपाःसनावनाः| <br />
जीवनीयानिसर्पींषिपानान्नंचापिपित्तनुत्||१७६|| <br />

चन्दनोशीरयष्ट्याह्वबलाव्याघ्रनखोत्पलैः| <br />
क्षीरपिष्टैःप्रदेहःस्याच्छृतैर्वापरिषेचनम्||१७७|| <br />

त्वक्पत्रशर्कराकल्कःसुपिष्टस्तण्डुलाम्बुना| <br />
कार्योऽवपीडःसर्पिश्चनस्यंतस्यानुपैत्तिके||१७८|| <br />

यष्ट्याह्वचन्दनानन्ताक्षीरसिद्धंघृतंहितम्| <br />
नावनंशर्कराद्राक्षामधूकैर्वाऽपिपित्तजे||१७९||<br />
<div class="mw-collapsible-content">

paittē ghr̥taṁ payaḥ sēkāḥ śītā lēpāḥ sanāvanāḥ| <br />
jīvanīyāni sarpīṁṣi pānānnaṁ cāpi pittanut||176|| <br />

candanōśīrayaṣṭyāhvabalāvyāghranakhōtpalaiḥ| <br />
kṣīrapiṣṭaiḥ pradēhaḥ syācchr̥tairvā pariṣēcanam||177|| <br />

tvakpatraśarkarākalkaḥ supiṣṭastaṇḍulāmbunā| <br />
kāryō'vapīḍaḥ sarpiśca nasyaṁ tasyānu paittikē||178|| <br />

yaṣṭyāhvacandanānantākṣīrasiddhaṁ ghr̥taṁ hitam| <br />
nāvanaṁ śarkarādrākṣāmadhūkairvā'pi pittajē||179|| <br />

paitte ghRutaM payaH sekAH shItA lepAH sanAvanAH | <br />
jIvanIyAni sarpIMShi pAnAnnaM cApi pittanut ||176|| <br />

candanoshIrayaShTyAhvabalAvyAghranakhotpalaiH | <br />
kShIrapiShTaiH pradehaH syAcchRutairvA pariShecanam ||177|| <br />

tvakpatrasharkarAkalkaH supiShTastaNDulAmbunA | <br />
kAryo~avapIDaH sarpishca nasyaM tasyAnu paittike ||178|| <br />

yaShTyAhvacandanAnantAkShIrasiddhaM ghRutaM hitam | <br />
nAvanaM sharkarAdrAkShAmadhUkairvA~api pittaje ||179||<br />
</div></div>

#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]
#Ointment and affusion in [[pitta]]ja 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]
#The snuff in [[pitta]]ja 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]
#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 [[pitta]]ja head disease. [179]

===== Treatment of [[kapha]]ja, sannipatika and krimija head diseases  =====
<div class="mw-collapsible mw-collapsed">

कफजेस्वेदितंधूमनस्यप्रधमनादिभिः| <br />
शुद्धंप्रलेपपानान्नैःकफघ्नैःसमुपाचरेत्||१८०|| <br />

पुराणसर्पिषःपानैस्तीक्ष्णैर्बस्तिभिरेवच| <br />
कफानिलोत्थितेदाहःशेषयोरक्तमोक्षणम्||१८१|| <br />

एरण्डनलदक्षौमगुग्गुल्वगुरुचन्दनैः| <br />
धूमवर्तिंपिबेद्गन्धैरकुष्ठतगरैस्तथा||१८२|| <br />

सन्निपातभवेकार्यासन्निपातहिताक्रिया| <br />
क्रिमिजेचैवकर्तव्यंतीक्ष्णंमूर्धविरेचनम्||१८३|| <br />

त्वग्दन्तीव्याघ्रकरजविडङ्गनवमालिकाः| <br />

अपामार्गफलंबीजंनक्तमालशिरीषयोः| <br />
क्षवकोऽश्मन्तकोबिल्वंहरिद्राहिङ्गुयूथिका||१८४|| <br />

फणिज्झकश्चतैस्तैलमविमूत्रेचतुर्गुणे| <br />
सिद्धंस्यान्नावनंचूर्णंचैषांप्रधमनंहितम्||१८५|| <br />

फलंशिग्रुकरञ्जाभ्यांसव्योषंचावपीडकः| <br />
कषायःस्वरसःक्षारश्चूर्णंकल्कोऽवपीडकः||१८६|| <br />

इतिशिरोरोगचिकित्सा|<br />
<div class="mw-collapsible-content">

kaphajē svēditaṁ dhūmanasyapradhamanādibhiḥ| <br />
śuddhaṁ pralēpapānānnaiḥ kaphaghnaiḥ samupācarēt||180|| <br />

purāṇasarpiṣaḥ pānaistīkṣṇairbastibhirēva ca| <br />
kaphānilōtthitē dāhaḥ śēṣayō raktamōkṣaṇam||181|| <br />

ēraṇḍanaladakṣaumaguggulvagurucandanaiḥ| <br />
dhūmavartiṁ pibēdgandhairakuṣṭhatagaraistathā||182|| <br />

sannipātabhavē kāryā sannipātahitā kriyā| <br />
krimijē caiva kartavyaṁ tīkṣṇaṁ mūrdhavirēcanam||183|| <br />

tvagdantīvyāghrakarajaviḍaṅganavamālikāḥ| <br />

apāmārgaphalaṁ bījaṁ naktamālaśirīṣayōḥ| <br />
kṣavakō'śmantakō bilvaṁ haridrā hiṅgu yūthikā||184|| <br />

phaṇijjhakaśca taistailamavimūtrē caturguṇē| <br />
siddhaṁ syānnāvanaṁ cūrṇaṁ caiṣāṁ pradhamanaṁ hitam||185|| <br />

phalaṁ śigrukarañjābhyāṁ savyōṣaṁ cāvapīḍakaḥ| <br />
kaṣāyaḥ svarasaḥ kṣāraścūrṇaṁ kalkō'vapīḍakaḥ||186|| <br />

iti śirōrōgacikitsā| <br />

kaphaje sveditaM dhUmanasyapradhamanAdibhiH | <br />
shuddhaM pralepapAnAnnaiH kaphaghnaiH samupAcaret ||180|| <br />

purANasarpiShaH pAnaistIkShNairbastibhireva ca | <br />
kaphAnilotthite dAhaH sheShayo raktamokShaNam ||181|| <br />

eraNDanaladakShaumaguggulvagurucandanaiH | <br />
dhUmavartiM pibedgandhairakuShThatagaraistathA ||182|| <br />

sannipAtabhave kAryA sannipAtahitA kriyA | <br />
krimije caiva kartavyaM tIkShNaM mUrdhavirecanam ||183|| <br />

tvagdantIvyAghrakarajaviDa~gganavamAlikAH | <br />

apAmArgaphalaM bIjaM naktamAlashirIShayoH | <br />
kShavako~ashmantako bilvaM haridrA hi~ggu yUthikA ||184|| <br />

phaNijjhakashca taistailamavimUtre caturguNe | <br />
siddhaM syAnnAvanaM cUrNaM caiShAM pradhamanaM hitam ||185|| <br />

phalaM shigrukara~jjAbhyAM savyoShaM cAvapIDakaH | <br />
kaShAyaH svarasaH kShArashcUrNaM kalko~avapIDakaH ||186|| <br />

iti shirorogacikitsA | <br />
</div></div>

====== General treatment of [[kapha]]ja 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]
#In [[kapha]]ja and [[vata]]ja head diseases, daha (''agnikarma''/ cauterization) on forehead and temples is done followed by blood-letting therapy considering the remaining morbid [[dosha]] [181]
#''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'' ======

#Strong errhine having sharply acting (''teekshna'') ingredients should be administered. [183]
#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]
#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 =====
<div class="mw-collapsible mw-collapsed">

शुक्ततिक्तकटुक्षौद्रकषायैःकवलग्रहः|<br />
धूमःप्रधमनंशुद्धिरधश्छर्दनलङ्घनम्||१८७|| <br />

भोज्यंचमुखरोगेषुयथास्वंदोषनुद्धितम्| <br />
पिप्पल्यगुरुदार्वीत्वग्यवक्षाररसाञ्जनम्||१८८|| <br />

पाठांतेजोवतींपथ्यांसमभागंविचूर्णयेत्| <br />
मुखरोगेषुसर्वेषुसक्षौद्रंतद्विधारयेत्||१८९|| <br />

सीधुमाधवमाध्वीकैःश्रेष्ठोऽयंकवलग्रहः| <br />
तेजोह्वामभयामेलांसमङ्गांकटुकांघनम्||१९०|| <br />

पाठांज्योतिष्मतींलोध्रंदार्वींकुष्ठंचचूर्णयेत्| <br />
दन्तानांघर्षणंरक्तस्रावकण्डूरुजापहम्||१९१|| <br />

पञ्चकोलकतालीसपत्रैलामरिचत्वचः| <br />
पलाशमुष्ककक्षारयवक्षाराश्चचूर्णिताः||१९२|| <br />

गुडेपुराणेद्विगुणेक्वथितेगुटिकाःकृताः| <br />
कर्कन्धुमात्राःसप्ताहंस्थितामुष्ककभस्मनि||१९३|| <br />

कण्ठरोगेषुसर्वेषुधार्याःस्युरमृतोपमाः| <br />
गृहधूमोयवक्षारःपाठाव्योषंरसाञ्जनम्||१९४|| <br />

तेजोह्वात्रिफलालोध्रंचित्रकश्चेतिचूर्णितम्| <br />
सक्षौद्रंधारयेदेतद्गलरोगविनाशनम्||१९५|| <br />

कालकंनामतच्चूर्णंदन्तास्यगलरोगनुत्| <br />

इतिकालकचूर्णम्| <br />

मनःशिलायवक्षारोहरितालंससैन्धवम्||१९६|| <br />

दार्वीत्वक्चेतितच्चूर्णंमाक्षिकेणसमायुतम्| <br />
मूर्च्छितंघृतमण्डेनकण्ठरोगेषुधारयेत्||१९७|| <br />
 
मुखरोगेषुचश्रेष्ठंपीतकंनामकीर्तितम्| <br />

इतिपीतकचूर्णम्| <br />

मृद्वीकाकटुकाव्योषंदार्वीत्वक्त्रिफलाघनम्||१९८|| <br />

मूर्च्छितंघृतमण्डेनकण्ठरोगेषुधारयेत्| <br />
पाठारसाञ्जनंमूर्वातेजोह्वेतिचचूर्णितम्||१९९|| <br />

क्षौद्रयुक्तंविधातव्यंगलरोगेभिषग्जितम्| <br />
योगास्त्वेतेत्रयःप्रोक्तावातपित्तकफापहाः||२००|| <br />
 
कटुकातिविषापाठादार्वीमुस्तकलिङ्गकाः| <br />
गोमूत्रक्वथिताःपेयाःकण्ठरोगविनाशनाः||२०१|| <br />

स्वरसःक्वथितोदार्व्याघनीभूतोरसक्रिया| <br />
सक्षौद्रामुखरोगासृग्दोषनाडीव्रणापहा||२०२|| <br />

तालुशोषेत्वतृष्णस्यसर्पिरौत्तरभक्तिकम्| <br />
नावनंमधुराःस्निग्धाःशीताश्चैवरसाहिताः||२०३|| <br />

मुखपाकेसिराकर्मशिरःकायविरेचनम्| <br />
मूत्रतैलघृतक्षौद्रक्षीरैश्चकवलग्रहाः||२०४|| <br />

सक्षौद्रास्त्रिफलापाठामृद्वीकाजातिपल्लवाः| <br />
कषायतिक्तकाःशीताःक्वाथाश्चमुखधावनाः||२०५|| <br />
<div class="mw-collapsible-content">

śuktatiktakaṭukṣaudrakaṣāyaiḥ kavalagrahaḥ| <br />
dhūmaḥ pradhamanaṁ śuddhiradhaśchardanalaṅghanam||187|| <br />

bhōjyaṁ ca mukharōgēṣu yathāsvaṁ dōṣanuddhitam| <br />
pippalyagurudārvītvagyavakṣārarasāñjanam||188|| <br />

pāṭhāṁ tējōvatīṁ pathyāṁ samabhāgaṁ vicūrṇayēt| <br />
mukharōgēṣu sarvēṣu sakṣaudraṁ tadvidhārayēt||189|| <br />

sīdhumādhavamādhvīkaiḥ śrēṣṭhō'yaṁ kavalagrahaḥ| <br />
tējōhvāmabhayāmēlāṁ samaṅgāṁ kaṭukāṁ ghanam||190|| <br />

pāṭhāṁ jyōtiṣmatīṁ lōdhraṁ dārvīṁ kuṣṭhaṁ ca cūrṇayēt| <br />
dantānāṁ gharṣaṇaṁ raktasrāvakaṇḍūrujāpaham||191|| <br />

pañcakōlakatālīsapatrailāmaricatvacaḥ| <br />
palāśamuṣkakakṣārayavakṣārāśca cūrṇitāḥ||192|| <br />

guḍē purāṇē dviguṇē kvathitē guṭikāḥ kr̥tāḥ| <br />
karkandhumātrāḥ saptāhaṁ sthitā muṣkakabhasmani||193|| <br />

kaṇṭharōgēṣu sarvēṣu dhāryāḥ syuramr̥tōpamāḥ| <br />
gr̥hadhūmō yavakṣāraḥ pāṭhā vyōṣaṁ rasāñjanam||194|| <br />

tējōhvā triphalā lōdhraṁ citrakaścēti cūrṇitam| <br />
sakṣaudraṁ dhārayēdētadgalarōgavināśanam||195|| <br />

kālakaṁ nāma taccūrṇaṁ dantāsyagalarōganut| <br />

iti kālakacūrṇam| <br />

manaḥśilā yavakṣārō haritālaṁ sasaindhavam||196|| <br />

dārvītvak cēti taccūrṇaṁ mākṣikēṇa samāyutam| <br />
mūrcchitaṁ ghr̥tamaṇḍēna kaṇṭharōgēṣu dhārayēt||197|| <br />

mukharōgēṣu ca śrēṣṭhaṁ pītakaṁ nāma kīrtitam| <br />

iti pītakacūrṇam| <br />

mr̥dvīkā kaṭukā vyōṣaṁ dārvītvak triphalā ghanam||198|| <br />

mūrcchitaṁ ghr̥tamaṇḍēna kaṇṭharōgēṣu dhārayēt| <br />
pāṭhā rasāñjanaṁ mūrvā tējōhvēti ca cūrṇitam||199|| <br />

kṣaudrayuktaṁ vidhātavyaṁ galarōgē bhiṣagjitam| <br />
yōgāstvētē trayaḥ prōktā vātapittakaphāpahāḥ||200|| <br />

kaṭukātiviṣāpāṭhādārvīmustakaliṅgakāḥ| <br />
gōmūtrakvathitāḥ pēyāḥ kaṇṭharōgavināśanāḥ||201|| <br />

svarasaḥ kvathitō dārvyā ghanībhūtō rasakriyā| <br />
sakṣaudrā mukharōgāsr̥gdōṣanāḍīvraṇāpahā||202|| <br />

tāluśōṣē tvatr̥ṣṇasya  sarpirauttarabhaktikam| <br />
nāvanaṁ madhurāḥ snigdhāḥ śītāścaiva rasā hitāḥ||203|| <br />

mukhapākē sirākarma śiraḥkāyavirēcanam| <br />
mūtratailaghr̥takṣaudrakṣīraiśca kavalagrahāḥ||204|| <br />

sakṣaudrāstriphalāpāṭhāmr̥dvīkājātipallavāḥ| <br />
kaṣāyatiktakāḥ śītāḥ kvāthāśca mukhadhāvanāḥ||205|| <br />

shuktatiktakaTukShaudrakaShAyaiH kavalagrahaH
dhUmaH pradhamanaM shuddhiradhashchardanala~gghanam ||187||
 
bhojyaM ca mukharogeShu yathAsvaM doShanuddhitam | <br />
pippalyagurudArvItvagyavakShArarasA~jjanam ||188|| <br />

pAThAM tejovatIM pathyAM samabhAgaM vicUrNayet | <br />
mukharogeShu sarveShu sakShaudraM tadvidhArayet ||189|| <br />

sIdhumAdhavamAdhvIkaiH shreShTho~ayaM kavalagrahaH | <br />
tejohvAmabhayAmelAM sama~ggAM kaTukAM ghanam ||190|| <br />

pAThAM jyotiShmatIM lodhraM dArvIM kuShThaM ca cUrNayet | <br />
dantAnAM gharShaNaM raktasrAvakaNDUrujApaham ||191|| <br />

pa~jcakolakatAlIsapatrailAmaricatvacaH | <br />
palAshamuShkakakShArayavakShArAshca cUrNitAH ||192|| <br />

guDe purANe dviguNe kvathite guTikAH kRutAH | <br />
karkandhumAtrAH saptAhaM sthitA muShkakabhasmani ||193|| <br />

kaNTharogeShu sarveShu dhAryAH syuramRutopamAH | <br />
gRuhadhUmo yavakShAraH pAThA vyoShaM rasA~jjanam ||194|| <br />

tejohvA triphalA lodhraM citrakashceti cUrNitam | <br />
sakShaudraM dhArayedetadgalarogavinAshanam ||195|| <br />

kAlakaM nAma taccUrNaM dantAsyagalaroganut | <br />

iti kAlakacUrNam | <br />

manaHshilA yavakShAro haritAlaM sasaindhavam ||196|| <br />

dArvItvak ceti taccUrNaM mAkShikeNa samAyutam | <br />
mUrcchitaM ghRutamaNDena kaNTharogeShu dhArayet ||197|| <br />

mukharogeShu ca shreShThaM pItakaM nAma kIrtitam | <br />

iti pItakacUrNam | <br />

mRudvIkA kaTukA vyoShaM dArvItvak triphalA ghanam ||198|| <br />

mUrcchitaM ghRutamaNDena kaNTharogeShu dhArayet | <br />
pAThA rasA~jjanaM mUrvA tejohveti ca cUrNitam ||199|| <br />

kShaudrayuktaM vidhAtavyaM galaroge bhiShagjitam | <br />
yogAstvete trayaH proktA vAtapittakaphApahAH ||200|| <br />

kaTukAtiviShApAThAdArvImustakali~ggakAH | <br />
gomUtrakvathitAH peyAH kaNTharogavinAshanAH ||201|| <br />

svarasaH kvathito dArvyA ghanIbhUto rasakriyA | <br />
sakShaudrA mukharogAsRugdoShanADIvraNApahA ||202|| <br />

tAlushoShe tvatRuShNasya sarpirauttarabhaktikam | <br />
nAvanaM madhurAH snigdhAH shItAshcaiva rasA hitAH ||203|| <br />

mukhapAke sirAkarma shiraHkAyavirecanam | <br />
mUtratailaghRutakShaudrakShIraishca kavalagrahAH ||204|| <br />

sakShaudrAstriphalApAThAmRudvIkAjAtipallavAH | <br />
kaShAyatiktakAH shItAH kvAthAshca mukhadhAvanAH ||205||<br />
</div></div>

====== 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]

#''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]
#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]
#''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]
#''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]
#''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]
#''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]
#''Mridvika, katuka, trikatu, daruharidra'' bark, ''triphala, musta'' and ghee-scum is to be kept in the mouth for diseases of the throat. [198-199]
#''Patha, rasanjana, murva, tejohva'' and honey kept in the mouth for the treatment of throat diseases. [199-200]
#''Katuka, ativisa, patha, daruharidra, musta, indrayava'' and cow’s urine. Boil together; this decoction is used to cure throat disorders. [201]
#''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]
#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]
#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'' ======
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तुलांखदिरसारस्यद्विगुणामरिमेदसः| <br />
प्रक्षाल्यजर्जरीकृत्यचतुर्द्रोणेऽम्भसःपचेत्||२०६|| <br />

द्रोणशेषंकषायंतंपूत्वाभूयःपचेच्छनैः| <br />
ततस्तस्मिन्घनीभूतेचूर्णीकृत्याक्षभागिकम्||२०७|| <br />

चन्दनंपद्मकोशीरंमञ्जिष्ठाधातकीघनम्| <br />
प्रपौण्डरीकंयष्ट्याह्वत्वगेलापद्मकेशरम्||२०८|| <br />

लाक्षांरसाञ्जनंमांसीत्रिफलालोध्रवालकम्| <br />
रजन्यौफलिनीमेलांसमङ्गांकट्फलंवचाम्||२०९|| <br />

यवासागुरुपत्तङ्गगैरिकाञ्जनमावपेत्| <br />
लवङ्गनखकक्कोलजातिकोशान्पलोन्मितान्||२१०|| <br />

कर्पूरकुडवंचापिक्षिपेच्छीतेऽवतारिते| <br />
ततस्तुगुटिकाःकार्याःशुष्काश्चास्येनधारयेत्||२११|| <br />

तैलंचानेनकल्केनकषायेणचसाधयेत्| <br />
दन्तानांचलनभ्रंशशौशिर्यक्रिमिरोगनुत्||२१२|| <br />

मुखपाकास्यदौर्गन्ध्यजाड्यारोचकनाशनम्| <br />
स्रावोपलेपपैच्छिल्यवैस्वर्यगलशोषनुत्||२१३|| <br />

दन्तास्यगलरोगेषुसर्वेष्वेतत्परायणम्| <br />
खदिरादिगुटीकेयंतैलंचखदिरादिकम्||२१४|| <br />

इतिखदिरादिगुटिकातैलंच|<br />
<div class="mw-collapsible-content">

tulāṁ khadirasārasya dviguṇāmarimēdasaḥ| <br />
prakṣālya jarjarīkr̥tya caturdrōṇē'mbhasaḥ pacēt||206|| <br />

drōṇaśēṣaṁ kaṣāyaṁ taṁ pūtvā bhūyaḥ pacēcchanaiḥ| <br />
tatastasmin ghanībhūtē cūrṇīkr̥tyākṣabhāgikam||207|| <br />

candanaṁ padmakōśīraṁ mañjiṣṭhā dhātakī ghanam| <br />
prapauṇḍarīkaṁ yaṣṭyāhvatvagēlāpadmakēśaram||208|| <br />

lākṣāṁ rasāñjanaṁ māṁsītriphalālōdhravālakam| <br />
rajanyau phalinīmēlāṁ samaṅgāṁ kaṭphalaṁ vacām||209|| <br />

yavāsāgurupattaṅgagairikāñjanamāvapēt| <br />
lavaṅganakhakakkōlajātikōśān palōnmitān||210|| <br />

karpūrakuḍavaṁ cāpi kṣipēcchītē'vatāritē| <br />
tatastu guṭikāḥkāryāḥśuṣkāścāsyēna dhārayēt||211|| <br />

tailaṁ cānēna kalkēna kaṣāyēṇa ca sādhayēt| <br />
dantānāṁ calanabhraṁśaśauśiryakrimirōganut||212|| <br />

mukhapākāsyadaurgandhyajāḍyārōcakanāśanam| <br />
srāvōpalēpapaicchilyavaisvaryagalaśōṣanut||213|| <br />

dantāsyagalarōgēṣu sarvēṣvētat parāyaṇam| <br />
khadirādiguṭīkēyaṁ tailaṁ ca khadirādikam||214|| <br />

iti khadirādiguṭikā tailaṁ ca| <br />

tulAM khadirasArasya dviguNAmarimedasaH | <br />
prakShAlya jarjarIkRutya caturdroNe~ambhasaH pacet ||206|| <br />

droNasheShaM kaShAyaM taM pUtvA bhUyaH pacecchanaiH | <br />
tatastasmin ghanIbhUte cUrNIkRutyAkShabhAgikam ||207|| <br />

candanaM padmakoshIraM ma~jjiShThA dhAtakI ghanam | <br />
prapauNDarIkaM yaShTyAhvatvagelApadmakesharam ||208|| <br />

lAkShAM rasA~jjanaM mAMsItriphalAlodhravAlakam | <br />
rajanyau phalinImelAM sama~ggAM kaTphalaM vacAm ||209|| <br />

yavAsAgurupatta~ggagairikA~jjanamAvapet | <br />
lava~gganakhakakkolajAtikoshAn palonmitAn ||210|| <br />

karpUrakuDavaM cApi kShipecchIte~avatArite | <br />
tatastu guTikAHkAryAHshuShkAshcAsyena dhArayet ||211|| <br />

tailaM cAnena kalkena kaShAyeNa ca sAdhayet | <br />
dantAnAM calanabhraMshashaushiryakrimiroganut ||212|| <br />

mukhapAkAsyadaurgandhyajADyArocakanAshanam | <br />
srAvopalepapaicchilyavaisvaryagalashoShanut ||213|| <br />

dantAsyagalarogeShu sarveShvetat parAyaNam | <br />
khadirAdiguTIkeyaM tailaM ca khadirAdikam ||214|| <br />

iti khadirAdiguTikA tailaM ca | <br />
</div></div>

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 =====
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अरुचौकवलग्राहाधूमाःसमुखधावनाः| <br />
मनोज्ञमन्नपानंचहर्षणाश्वासनानिच||२१५|| <br />
 
कुष्ठसौवर्चलाजाजीशर्करामरिचंबिडम्| <br />
धात्र्येलापद्मकोशीरपिप्पल्युत्पलचन्दनम्||२१६|| <br />

लोध्रंतेजोवतीपथ्यात्र्यूषणंसयवाग्रजम्| <br />
आर्द्रदाडिमनिर्यासश्चाजाजीशर्करायुतः||२१७|| <br />

सतैलमाक्षिकास्त्वेतेचत्वारःकवलग्रहाः| <br />
चतुरोऽरोचकान्हन्युर्वाताद्येकजसर्वजान्||२१८|| <br />

कारवीमरिचाजाजीद्राक्षावृक्षाम्लदाडिमम्| <br />
सौवर्चलंगुडःक्षौद्रंसर्वारोचकनाशनम्||२१९|| <br />

बस्तिंसमीरणे, पित्तेविरेकं, वमनंकफे| <br />
कुर्याद्धृद्यानुकूलानिहर्षणंचमनोघ्नजे||२२०|| <br />

इत्यरोचकचिकित्सा| <br />
<div class="mw-collapsible-content">

arucau kavalagrāhā dhūmāḥ samukhadhāvanāḥ| <br />
manōjñamannapānaṁ ca harṣaṇāśvāsanāni ca||215|| <br />

kuṣṭhasauvarcalājājīśarkarāmaricaṁ biḍam| <br />
dhātryēlāpadmakōśīrapippalyutpalacandanam||216|| <br />

lōdhraṁ tējōvatī pathyā tryūṣaṇaṁ sayavāgrajam| <br />
ārdradāḍimaniryāsaścājājīśarkarāyutaḥ||217|| <br />

satailamākṣikāstvētē catvāraḥ kavalagrahāḥ| <br />
caturō'rōcakān hanyurvātādyēkajasarvajān||218|| <br />

kāravīmaricājājīdrākṣāvr̥kṣāmladāḍimam| <br />
sauvarcalaṁ guḍaḥ kṣaudraṁ sarvārōcakanāśanam||219|| <br />

bastiṁ samīraṇē, pittē virēkaṁ, vamanaṁ kaphē| <br />
kuryāddhr̥dyānukūlāni harṣaṇaṁ ca manōghnajē||220|| <br />

ityarōcakacikitsā| <br />

arucau kavalagrAhA dhUmAH samukhadhAvanAH | <br />
manoj~jamannapAnaM ca harShaNAshvAsanAni ca ||215|| <br />

kuShThasauvarcalAjAjIsharkarAmaricaM biDam | <br />
dhAtryelApadmakoshIrapippalyutpalacandanam ||216|| <br />

lodhraM tejovatI pathyA tryUShaNaM sayavAgrajam | <br />
ArdradADimaniryAsashcAjAjIsharkarAyutaH ||217|| <br />

satailamAkShikAstvete catvAraH kavalagrahAH | <br />
caturo~arocakAn hanyurvAtAdyekajasarvajAn ||218|| <br />

kAravImaricAjAjIdrAkShAvRukShAmladADimam | <br />
sauvarcalaM guDaH kShaudraM sarvArocakanAshanam ||219|| <br />

bastiM samIraNe, pitte virekaM, vamanaM kaphe | <br />
kuryAddhRudyAnukUlAni harShaNaM ca manoghnaje ||220|| <br />

ityarocakacikitsA | <br />
</div></div>

====== 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]

#Gargle to be used for ''vatika'' type anorexia: Gargles prepared from ''kustha, sauvarchala, jiraka, sharkara, maricha, bida,'' oil, and honey. [216]
#Gargle to be used for ''paittika'' anorexia: Gargle of ''amalaki/dhatri, ela, padmaka, usira, pippali, utpala, chandana,'' oil and honey. [216]
#Gargle to be used for [[kapha]]ja anorexia: Gargle of ''lodhra, tejovati, haritaki, trikatu, yavakshara,'' oil and honey. [217]
#Gargle to be used in ''tri-doshic/sannipatika'' anorexia: Fresh juice of pomengranate, ''jiraka, sarkara,'' oil and honey. [218]
#''Karavyadi-yoga'': ''Karavi, maricha, jiraka, draksha, vrikshamla, dadima, sauvarchala,'' jaggery and honey. This (gargle) cures all types of anorexia. [219]
#General treatment of ''vatika'' anorexia is medicated enema.
#General treatment of ''paittika'' anorexia is purgation therapy. 
#General treatment of [[kapha]]ja anorexia is medicated emesis therapy.
#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 =====
<div class="mw-collapsible mw-collapsed">

कर्णशूलेतुवातघ्नीहितापीनसवत्क्रिया| <br />
प्रदेहाःपूरणंनस्यंपाकस्रावेव्रणक्रियाः||२२१|| <br />

भोज्यानिचयथादोषंकुर्यात्स्नेहांश्चपूरणान्| <br />
हिङ्गुतुम्बरुशुण्ठीभिस्तैलंतुसार्षपंपचेत्||२२२|| <br />

एतद्धिपूरणंश्रेष्ठंकर्णशूलनिवारणम्| <br />
देवदारुवचाशुण्ठीशताह्वाकुष्ठसैन्धवैः||२२३|| <br />

तैलंसिद्धंबस्तमूत्रेकर्णशूलनिवारणम्| <br />
वराटकान्समाहृत्यदहेन्मृद्भाजनेनवे||२२४|| <br />

तद्भस्मश्च्योतयेत्तेनगन्धतैलंविपाचयेत्| <br />
रसाञ्जनस्यशुण्ठ्याश्चकल्काभ्यांकर्णशूलनुत्||२२५|| <br />

शुष्कमूलकशुण्ठानांक्षारोहिङ्गुमहौषधम्| <br />
शतपुष्पावचाकुष्ठंदारुशिग्रुरसाञ्जनम्||२२६|| <br />

सौवर्चलयवक्षारस्वर्जिकोद्भिदसैन्धवम्| <br />
भूर्जग्रन्थिर्बिडंमुस्तंमधुशुक्तंचतुर्गुणम्||२२७|| <br />

मातुलुङ्गरसश्चैवकदल्यारसएवच| <br />
सर्वैरेतैर्यथोद्दिष्टैःक्षारतैलंविपाचयेत्||२२८|| <br />

बाधिर्यंकर्णनादश्चपूयस्रावश्चदारुणः| <br />
क्रिमयःकर्णशूलंचपूरणादस्यनश्यति||२२९|| <br />

मुखकर्णाक्षिरोगेषुयथोक्तंपीनसेविधिम्| <br />
कुर्याद्भिषक्समीक्ष्यादौदोषकालबलाबलम्||२३०|| <br />

इतिकर्णरोगचिकित्सा| <br />
<div class="mw-collapsible-content">

karṇaśūlē tu vātaghnī hitā pīnasavat kriyā| <br />
pradēhāḥ pūraṇaṁ nasyaṁ pākasrāvē vraṇakriyāḥ||221|| <br />

bhōjyāni ca yathādōṣaṁ kuryāt snēhāṁśca pūraṇān| <br />
hiṅgutumbaruśuṇṭhībhistailaṁ tu sārṣapaṁ pacēt||222|| <br />

ētaddhi pūraṇaṁ śrēṣṭhaṁ karṇaśūlanivāraṇam| <br />
dēvadāruvacāśuṇṭhīśatāhvākuṣṭhasaindhavaiḥ||223|| <br />

tailaṁ siddhaṁ bastamūtrē karṇaśūlanivāraṇam| <br />
varāṭakān samāhr̥tya dahēnmr̥dbhājanē navē||224|| <br />

tadbhasma ścyōtayēttēna [1] gandhatailaṁ vipācayēt| <br />
rasāñjanasya śuṇṭhyāśca kalkābhyāṁ karṇaśūlanut||225|| <br />

śuṣkamūlakaśuṇṭhānāṁ [2] kṣārō hiṅgu mahauṣadham| <br />
śatapuṣpā vacā kuṣṭhaṁ dāru śigru rasāñjanam||226|| <br />

sauvarcalayavakṣārasvarjikōdbhidasaindhavam| <br />
bhūrjagranthirbiḍaṁ mustaṁ madhuśuktaṁ caturguṇam||227|| <br />

mātuluṅgarasaścaiva kadalyā rasa ēva ca| <br />
sarvairētairyathōddiṣṭaiḥ [3] kṣāratailaṁ vipācayēt||228|| <br />

bādhiryaṁ karṇanādaśca pūyasrāvaśca dāruṇaḥ| <br />
krimayaḥ karṇaśūlaṁ ca pūraṇādasya naśyati||229|| <br />

mukhakarṇākṣirōgēṣu yathōktaṁ pīnasē vidhim| <br />
kuryādbhiṣak samīkṣyādau dōṣakālabalābalam||230|| <br />

iti karṇarōgacikitsā | <br />

karNashUle tu vAtaghnI hitA pInasavat kriyA | <br />
pradehAH pUraNaM nasyaM pAkasrAve vraNakriyAH ||221|| <br />

bhojyAni ca yathAdoShaM kuryAt snehAMshca pUraNAn | <br />
hi~ggutumbarushuNThIbhistailaM tu sArShapaM pacet ||222|| <br />

etaddhi pUraNaM shreShThaM karNashUlanivAraNam | <br />
devadAruvacAshuNThIshatAhvAkuShThasaindhavaiH ||223|| <br />

tailaM siddhaM bastamUtre karNashUlanivAraNam | <br />
varATakAn samAhRutya dahenmRudbhAjane nave ||224|| <br />

tadbhasma shcyotayettena [1] gandhatailaM vipAcayet | <br />
rasA~jjanasya shuNThyAshca kalkAbhyAM karNashUlanut ||225|| <br />

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

sauvarcalayavakShArasvarjikodbhidasaindhavam | <br />
bhUrjagranthirbiDaM mustaM madhushuktaM caturguNam ||227|| <br />

mAtulu~ggarasashcaiva kadalyA rasa eva ca | <br />
sarvairetairyathoddiShTaiH [3] kShAratailaM vipAcayet ||228|| <br />

bAdhiryaM karNanAdashca pUyasrAvashca dAruNaH | <br />
krimayaH karNashUlaM ca pUraNAdasya nashyati ||229|| <br />

mukhakarNAkShirogeShu yathoktaM pInase vidhim | <br />
kuryAdbhiShak samIkShyAdau doShakAlabalAbalam ||230|| <br />

iti karNarogacikitsA |<br />
</div></div>

====== 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 ======
#''Hingvadi taila'': Mustard oil, ''hingu, tumburu, sunthi'' cooked all together is useful for ear ache. [222]
#''Devadarvyadi-taila'':''Devadaru, vacha, shunthi, shatahva, kushtha,'' rock salt, oil and goat’s urine cooked together cures earache. [223]
#''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]
#''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]
#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 =====
<div class="mw-collapsible mw-collapsed">

उत्पन्नमात्रेतरुणेनेत्ररोगेबिडालकः| <br />
कार्योदाहोपदेहाश्रुशोफरागानिवारणः||२३१||<br />
 
नागरंसैन्धवंसर्पिर्मण्डेनचरसक्रिया| <br />
निघृष्टंवातिकेतद्वन्मधुसैन्धवगैरिकम्||२३२|| <br />

तथाशावरकंलोध्रंघृतभृष्टंबिडालकः| <br />
तद्वत्कार्योहरीतक्याघृतभृष्टोरुजापहः||२३३|| <br />

पैत्तिकेचन्दनानन्तामञ्जिष्ठाभिर्बिडालकः| <br />
कार्यःपद्मकयष्ट्याह्वमांसीकालीयकैस्तथा||२३४|| <br />

गैरिकंसैन्धवंमुस्तंरोचनाचरसक्रिया| <br />
कफेकार्यातथाक्षौद्रंप्रियङ्गुःसमनःशिला||२३५|| <br />

सन्निपातेतुसर्वैःस्याद्बहिरक्ष्णोःप्रलेपनम्| <br />
पक्ष्माण्यस्पृश्यताकार्यंसम्पक्वेत्वञ्जनंत्र्यहात्||२३६|| <br />

आश्च्योतनंमारुतजेक्वाथोबिल्वादिभिर्हितः| <br />
कोष्णःसैरण्डतर्कारीबृहतीमधुशिग्रुभिः||२३७|| <br />

पृथ्वीकादार्विमञ्जिष्ठालाक्षाद्विमधुकोत्पलैः| <br />
क्वाथःसशर्करःशीतःपूरणंरक्तपित्तनुत्||२३८|| <br />

नागरत्रिफलामुस्तनिम्बवासारसःकफे| <br />
कोष्णमाश्च्योतनंमिश्रैरोषधैःसान्निपातके||२३९|| <br />

बृहत्येरण्डमूलत्वक्शिग्रोःपुष्पंससैन्धवम्| <br />
अजाक्षीरेणपिष्टंस्याद्वर्तिर्वाताक्षिरोगनुत्||२४०|| <br />

सुमनःकोरकाःशङ्ख्स्त्रिफलामधुकंबला| <br />
पित्तरक्तापहावर्तिःपिष्टादिव्येनवारिणा||२४१|| <br />

सैन्धवंत्रिफलाव्योषंशङ्खनाभिःसमुद्रजः| <br />
फेनःशैलेयकंसर्जोवर्तिःश्लेष्माक्षिरोगनुत्||२४२|| <br />

अमृताह्वाबिसंबिल्वंपटोलंछागलंशकृत्| <br />
प्रपौण्डरीकंयष्ट्याह्वंदार्वीकालानुसारिवा||२४३||<br /> 

एषामष्टपलान्भागान्सुधौताञ्जर्जरीकृतान्| <br />
तोयेपक्त्वारसेपूतेभूयःपक्वेरसेघने||२४४|| <br />

कर्षंचश्वेतमरिचाज्जातीपुष्पान्नवात्पलम्| <br />
चूर्णंक्षिप्त्वाकृतावर्तिःसर्वघ्नीदृक्प्रसादनी||२४५||<br /> 

शङ्खप्रवालवैदूर्यलौहताम्रप्लवास्थिभिः| <br />
स्रोतोजश्वेतमरिचैर्वर्तिःसर्वाक्षिरोगनुत्||२४६|| <br />

शाणार्धंमरिचाद्द्वौचपिप्पल्यर्णवफेनयोः| <br />
शाणार्धंसैन्धवाच्छाणानवसौवीरकाञ्जनात्||२४७|| <br />

पिष्टंसुसूक्ष्मंचित्रायांचूर्णाञ्जनमिदंशुभम्| <br />
कण्डूकाचकफार्तानांमलानांचविशोधनम्||२४८|| <br />

बस्तमूत्रेत्र्यहंस्थाप्यमेलाचूर्णंसुभावितम्| <br />
चूर्णाञ्जनंहितैमिर्यक्रिमिपिल्लमलापहम्||२४९|| <br />

सौवीरमञ्जनंतुत्थंताप्योधातुर्मनःशिला| <br />
चक्षुष्यामधुकंलोहामणयःपौष्पमञ्जनम्||२५०||<br /> 

सैन्धवंशौकरीदंष्ट्राकतकंचाञ्जनंशुभम्| <br />
तिमिरादिषुचुर्णंवावर्तिर्वेयमनुत्तमा||२५१|| <br />

कतकस्यफलंशङ्खःसैन्धवंत्र्यूषणंसिता| <br />
फेनोरसाञ्जनंक्षौद्रंविडङ्गानिमनःशिला||२५२|| <br />

कुक्कुटाण्डकपालानिवर्तिरेषाव्यपोहति| <br />
तिमिरंपटलंकाचंमलंचाशुसुखावती||२५३|| <br />

इतिसुखावतीवर्तिः| <br />

त्रिफलाकुक्कुटाण्डत्वक्कासीसमयसोरजः| <br />
नीलोत्पलंविडङ्गानिफेनंचसरितांपतेः||२५४|| <br />

आजेनपयसापिष्ट्वाभावयेत्ताम्रभाजने| <br />
सप्तरात्रंस्थितंभूयःपिष्ट्वाक्षीरेणवर्तयेत्||२५५|| <br />

एषादृष्टिप्रदावर्तिरन्धस्याभिन्नचक्षुषः||२५६|| <br />

इतिदृष्टिप्रदावर्तिः| <br />

वदनेकृष्णसर्पस्यनिहितंमासमञ्जनम्||२५६|| <br />

ततस्तस्मात्समृद्धृत्यसुशुष्कंचूर्णयेद्बुधः| <br />
सुमनःकोरकैःशुष्कैरर्धांशैःसैन्धवेनच||२५७|| <br />

एतन्नेत्राञ्जनंकार्यंतिमिरघ्नमनुत्तमम्| <br />
पिप्पल्यःकिंशुकरसोवसासर्पस्यसैन्धवम्||२५८|| <br />

जीर्णंघृतंचसर्वाक्षिरोगघ्नीस्याद्रसक्रिया| <br />
कृष्णसर्पवसाक्षौद्रंरसोधात्र्यारसक्रियाः||२५९|| <br />

शस्तासर्वाक्षिरोगेषुकाचार्बुदमलेषुच| <br />
धात्रीरसाञ्जनक्षौद्रसर्पिर्भिस्तुरसक्रिया||२६०|| <br />

पित्तरक्ताक्षिरोगघ्नीतैमिर्यपटलापहा| <br />
धात्रीसैन्धवपिप्पल्यःस्युरल्पमरिचाःसमाः||२६१|| <br />

क्षौद्रयुक्तानिहन्त्यान्ध्यंपटलंचरसक्रिया|२६२| <br />

इतिनेत्ररोगचिकित्सा| <br />
<div class="mw-collapsible-content">

utpannamātrē taruṇē nētrarōgē biḍālakaḥ| <br />
kāryō dāhōpadēhāśruśōpharāganivāraṇaḥ||231|| <br />

nāgaraṁ saindhavaṁ sarpirmaṇḍēna ca rasakriyā| <br />
nighr̥ṣṭaṁ vātikē tadvanmadhusaindhavagairikam||232|| <br />

tathā śāvarakaṁ lōdhraṁ ghr̥tabhr̥ṣṭaṁ biḍālakaḥ| <br />
tadvat kāryō harītakyā ghr̥tabhr̥ṣṭō rujāpahaḥ||233|| <br />

paittikē candanānantāmañjiṣṭhābhirbiḍālakaḥ| <br />
kāryaḥ padmakayaṣṭyāhvamāṁsīkālīyakaistathā||234|| <br />

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

sannipātē tu sarvaiḥ syādbahirakṣṇōḥ pralēpanam| <br />
pakṣmāṇyaspr̥śyatā [2] kāryaṁ sampakvē tvañjanaṁ tryahāt||236|| <br />

āścyōtanaṁ mārutajē kvāthō bilvādibhirhitaḥ| <br />
kōṣṇaḥ sairaṇḍatarkārībr̥hatīmadhuśigrubhiḥ||237|| <br />

pr̥thvīkādārvimañjiṣṭhālākṣādvimadhukōtpalaiḥ| <br />
kvāthaḥ saśarkaraḥ śītaḥ pūraṇaṁ raktapittanut||238|| <br />

nāgaratriphalāmustanimbavāsārasaḥ [3] kaphē| <br />
kōṣṇamāścyōtanaṁ miśrairōṣadhaiḥ sānnipātakē||239|| <br />

br̥hatyēraṇḍamūlatvak śigrōḥ puṣpaṁ sasaindhavam| <br />
ajākṣīrēṇa piṣṭaṁ syādvartirvātākṣirōganut||240|| <br />

sumanaḥkōrakāḥ śaṅkhastriphalā madhukaṁ balā| <br />
pittaraktāpahā vartiḥ piṣṭā divyēna vāriṇā||241|| <br />

saindhavaṁ triphalā vyōṣaṁ śaṅkhanābhiḥ samudrajaḥ| <br />
phēnaḥ śailēyakaṁ sarjō vartiḥ ślēṣmākṣirōganut||242|| <br />

amr̥tāhvā bisaṁ bilvaṁ paṭōlaṁ chāgalaṁ śakr̥t| <br />
prapauṇḍarīkaṁ yaṣṭyāhvaṁ dārvī kālānusārivā||243|| <br />

ēṣāmaṣṭapalān bhāgān sudhautāñjarjarīkr̥tān| <br />
tōyē paktvā rasē pūtē bhūyaḥ pakvē rasē ghanē||244|| <br />

karṣaṁ ca śvētamaricājjātīpuṣpānnavāt palam| <br />
cūrṇaṁ kṣiptvā kr̥tā vartiḥ sarvaghnī [4] dr̥kprasādanī||245|| <br />

śaṅkhapravālavaidūryalauhatāmraplavāsthibhiḥ| <br />
srōtōjaśvētamaricairvartiḥ sarvākṣirōganut||246|| <br />

śāṇārdhaṁ maricāddvau ca pippalyarṇavaphēnayōḥ| <br />
śāṇārdhaṁ saindhavācchāṇā nava sauvīrakāñjanāt||247|| <br />

piṣṭaṁ susūkṣmaṁ citrāyāṁ cūrṇāñjanamidaṁ śubham| <br />
kaṇḍūkācakaphārtānāṁ malānāṁ ca viśōdhanam||248|| <br />

bastamūtrē tryahaṁ sthāpyamēlācūrṇaṁ subhāvitam| <br />
cūrṇāñjanaṁ hi taimiryakrimipillamalāpaham||249|| <br />

sauvīramañjanaṁ tutthaṁ tāpyō dhāturmanaḥśilā| <br />
cakṣuṣyā madhukaṁ lōhā maṇayaḥ pauṣpamañjanam||250|| <br />

saindhavaṁ śaukarī daṁṣṭrā katakaṁ cāñjanaṁ śubham| <br />
timirādiṣu curṇaṁ vā vartirvēyamanuttamā||251|| <br />

katakasya phalaṁ śaṅkhaḥ saindhavaṁ tryūṣaṇaṁ sitā| <br />
phēnō rasāñjanaṁ kṣaudraṁ viḍaṅgāni manaḥśilā||252|| <br />

kukkuṭāṇḍakapālāni vartirēṣā vyapōhati| <br />
timiraṁ paṭalaṁ kācaṁ malaṁ cāśu sukhāvatī||253|| <br />

iti sukhāvatī vartiḥ | <br />

triphalākukkuṭāṇḍatvakkāsīsamayasō rajaḥ| <br />
nīlōtpalaṁ viḍaṅgāni phēnaṁ ca saritāṁ patēḥ||254|| <br />

ājēna payasā piṣṭvā bhāvayēttāmrabhājanē| <br />
saptarātraṁ sthitaṁ bhūyaḥ piṣṭvā kṣīrēṇa vartayēt||255|| <br />

ēṣā dr̥ṣṭipradā vartirandhasyābhinnacakṣuṣaḥ||256|| <br />

iti dr̥ṣṭipradā vartiḥ | <br />

vadanē kr̥ṣṇasarpasya nihitaṁ māsamañjanam||256|| <br />

tatastasmāt samr̥ddhr̥tya suśuṣkaṁ cūrṇayēdbudhaḥ| <br />
sumanaḥkōrakaiḥ śuṣkairardhāṁśaiḥ saindhavēna ca||257|| <br />

ētannētrāñjanaṁ kāryaṁ timiraghnamanuttamam| <br />
pippalyaḥ kiṁśukarasō vasā sarpasya saindhavam||258|| <br />

jīrṇaṁ ghr̥taṁ ca sarvākṣirōgaghnī syādrasakriyā| <br />
kr̥ṣṇasarpavasā kṣaudraṁ rasō dhātryā rasakriyāḥ||259|| <br />

śastā sarvākṣirōgēṣu kācārbudamalēṣu ca| <br />
dhātrīrasāñjanakṣaudrasarpirbhistu rasakriyā||260|| <br />

pittaraktākṣirōgaghnī taimiryapaṭalāpahā| <br />
dhātrīsaindhavapippalyaḥ syuralpamaricāḥ samāḥ||261|| <br />

kṣaudrayuktā nihantyāndhyaṁ paṭalaṁ ca rasakriyā|262| <br />

iti nētrarōgacikitsā | <br />

utpannamAtre taruNe netraroge biDAlakaH | <br />
kAryo dAhopadehAshrushopharAgAnivAraNaH ||231|| <br />

nAgaraM saindhavaM sarpirmaNDena ca rasakriyA | <br />
nighRuShTaM vAtike tadvanmadhusaindhavagairikam ||232|| <br />

tathA shAvarakaM lodhraM ghRutabhRuShTaM biDAlakaH | <br />
tadvat kAryo harItakyA ghRutabhRuShTo rujApahaH ||233|| <br />

paittike candanAnantAma~jjiShThAbhirbiDAlakaH | <br />
kAryaH padmakayaShTyAhvamAMsIkAlIyakaistathA ||234|| <br />

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

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

AshcyotanaM mArutaje kvAtho bilvAdibhirhitaH | <br />
koShNaH sairaNDatarkArIbRuhatImadhushigrubhiH ||237|| <br />

pRuthvIkAdArvima~jjiShThAlAkShAdvimadhukotpalaiH | <br />
kvAthaH sasharkaraH shItaH pUraNaM raktapittanut ||238|| <br />

nAgaratriphalAmustanimbavAsArasaH [3] kaphe | <br />
koShNamAshcyotanaM mishrairoShadhaiH sAnnipAtake ||239|| <br />

bRuhatyeraNDamUlatvak shigroH puShpaM sasaindhavam | <br />
ajAkShIreNa piShTaM syAdvartirvAtAkShiroganut ||240|| <br />

sumanaHkorakAH sha~gkhstriphalA madhukaM balA | <br />
pittaraktApahA vartiH piShTA divyena vAriNA ||241|| <br />

saindhavaM triphalA vyoShaM sha~gkhanAbhiH samudrajaH | <br />
phenaH shaileyakaM sarjo vartiH shleShmAkShiroganut ||242|| <br />

amRutAhvA bisaM bilvaM paTolaM chAgalaM shakRut | <br />
prapauNDarIkaM yaShTyAhvaM dArvI kAlAnusArivA ||243|| <br />

eShAmaShTapalAn bhAgAn sudhautA~jjarjarIkRutAn | <br />
toye paktvA rase pUte bhUyaH pakve rase ghane ||244|| <br />

karShaM ca shvetamaricAjjAtIpuShpAnnavAt palam | <br />
cUrNaM kShiptvA kRutA vartiH sarvaghnI [4] dRukprasAdanI ||245|| <br />

sha~gkhapravAlavaidUryalauhatAmraplavAsthibhiH | <br />
srotojashvetamaricairvartiH sarvAkShiroganut ||246|| <br />

shANArdhaM maricAddvau ca pippalyarNavaphenayoH | <br />
shANArdhaM saindhavAcchANA nava sauvIrakA~jjanAt ||247|| <br />

piShTaM susUkShmaM citrAyAM cUrNA~jjanamidaM shubham | <br />
kaNDUkAcakaphArtAnAM malAnAM ca vishodhanam ||248|| <br />

bastamUtre tryahaM sthApyamelAcUrNaMsubhAvitam | <br />
cUrNA~jjanaM hi taimiryakrimipillamalApaham ||249|| <br />

sauvIrama~jjanaM tutthaM tApyo dhAturmanaHshilA | <br />
cakShuShyA madhukaM lohA maNayaH pauShpama~jjanam ||250|| <br />

saindhavaM shaukarI daMShTrA katakaM cA~jjanaM shubham | <br />
timirAdiShu curNaM vA vartirveyamanuttamA ||251|| <br />

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

kukkuTANDakapAlAni vartireShA vyapohati | <br />
timiraM paTalaM kAcaM malaM cAshu sukhAvatI ||253|| <br />

iti sukhAvatI vartiH | <br />

triphalAkukkuTANDatvakkAsIsamayaso rajaH | <br />
nIlotpalaM viDa~ggAni phenaM ca saritAM pateH ||254|| <br />

Ajena payasA piShTvA bhAvayettAmrabhAjane | <br />
saptarAtraM sthitaM bhUyaH piShTvA kShIreNa vartayet ||255|| <br />

eShA dRuShTipradA vartirandhasyAbhinnacakShuShaH ||256|| <br />

iti dRuShTipradA vartiH | <br />

vadane kRuShNasarpasya nihitaM mAsama~jjanam ||256|| <br />

tatastasmAt samRuddhRutya sushuShkaM cUrNayedbudhaH | <br />
sumanaHkorakaiH shuShkairardhAMshaiH saindhavena ca ||257|| <br />

etannetrA~jjanaM kAryaM timiraghnamanuttamam | <br />
pippalyaH kiMshukaraso vasA sarpasya saindhavam ||258|| <br />

jIrNaM ghRutaM ca sarvAkShirogaghnI syAdrasakriyA | <br />
kRuShNasarpavasA kShaudraM raso dhAtryA rasakriyAH ||259|| <br />

shastA sarvAkShirogeShu kAcArbudamaleShu ca | <br />
dhAtrIrasA~jjanakShaudrasarpirbhistu rasakriyA ||260|| <br />

pittaraktAkShirogaghnI taimiryapaTalApahA | <br />
dhAtrIsaindhavapippalyaH syuralpamaricAH samAH ||261|| <br />

kShaudrayuktA nihantyAndhyaM paTalaM ca rasakriyA |262| <br />

iti netrarogacikitsA |<br />
</div></div>

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

The following paste when applied relieves pain:
#''Shavara lodhra'' fried in ghee
#''Haritaki'' fried in the ghee. [233]

====== Treatment of ''pittaja'' type eye diseases ======

#Paste of ''chandana, ananta,'' and ''manjistha'' is applied.
#Paste of ''padmaka, madhuyashti, mamsi, kaliyaka'' [234]

====== Treatment of kaphaja eye diseases ======

#Paste of ''gairika, saindhava, musta, rochana''
#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.

#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]
#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]
#Eye drop for ''kaphaja'' disease: Decoction of ''shunthi, triphala, musta, nimba, vasa'' and water used when warm as eye drop is beneficial.
#Eye drops in ''sannipatika'' eye disease: All the above formulations mixed together should be used. [239]
#''Varti'' (medicated bougies) for ''vatika'' eye diseases:
##''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]
#''Varti'' in ''paittika'' eye diseases:
##''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]
#''Varti'' for ''kaphaja'' eye diseases:
##''Saindhavadi-varti'': ''Saindhava lavana, triphala, trikatu, sankhanabhi, samudraphena, shaileyaka, sarja'' (''rasa''). Make the above into a bougie it cures ''kaphaja'' eye disease. [242]
#''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 ======
#''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]
#''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 [[kapha]]ja eye diseases and eliminates impurities. [247-248]
#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]
#''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]
#''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]
#''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]
#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]
#''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]
#''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]
#Other recipes for eye diseases: 
##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).
##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 =====
<div class="mw-collapsible mw-collapsed">

खालित्येपलितेवल्यांहरिलोम्निचशोधितम्||२६२|| <br />

नस्यैस्तैलैःशिरोवक्रप्रलेपैश्चाप्युपाचरेत्| <br />
सिद्धंविदारीगन्धाद्यैर्जीवनीयैरथापिच||२६३|| <br />

नस्यंस्यादणुतैलंवाखालित्यपलितापहम्| <br />
क्षीरात्सहचराद्भृङ्गराजाच्चसौरसाद्रसात्||२६४|| <br />

प्रस्थैस्तुकुडवस्तैलाद्यष्ट्याह्वपलकल्कितः| <br />
सिद्धःशिलासमेभाण्डेमेषशृङ्गादिषुस्थितः||२६५|| <br />

नस्यंस्याद्भिषजासम्यग्योजितंपलितापहम्| <br />
भिषजाक्षीरपिष्टौवादुग्धिकाकरवीरकौ||२६६|| <br />

उत्पाट्यपलितेदेयौतावुभौपलितापहौ| <br />
मार्कवस्वरसात्क्षीराद्द्विप्रस्थंमधुकात्पलम्||२६७|| <br />

तैःपचेत्कुडवंतैलात्तन्नस्यंपलितापहम्| <br />
आदित्यवल्ल्यामूलानिकृष्णशैरेयकस्यच||२६८|| <br />

सुरसस्यचपत्राणिपत्रंकृष्णशणस्यच| <br />
मार्कवःकाकमाचीचमधुकंदेवदारुच||२६९|| <br />

पृथग्दशपलांशानिपिप्पल्यस्त्रिफलाऽञ्जनम्| <br />
प्रपौण्डरीकंमञ्जिष्ठालोध्रंकृष्णागुरूत्पलम्||२७०|| <br />

आम्रास्थिकर्दमःकृष्णोमृणालंरक्तचन्दनम्| <br />
नीलीभल्लातकास्थीनिकासीसंमदयन्तिका||२७१|| <br />

सोमराज्यसनःशस्त्रंकृष्णौपिण्डीतचित्रकौ| <br />
पुष्करार्जुनकाश्मर्याण्याम्रजम्बूफलानिच||२७२|| <br />

पृथक्पञ्चपलांशानितैःपिष्टैराढकंपचेत्| <br />
बैभीतकस्यतैलस्यधात्रीरसचतुर्गुणम्||२७३|| <br />

कुर्यादादित्यपाकंवायावच्छुष्कोभवेद्रसः| <br />
लोहपात्रेततःपूतंसंशुद्धमुपयोजयेत्||२७४|| <br />

पानेनस्यक्रियायांचशिरोभ्यङ्गेतथैवच| <br />
एतच्चक्षुष्यमायुष्यंशिरसःसर्वरोगनुत्||२७५|| <br />

महानीलमितिख्यातंपलितघ्नमनुत्तमम्| <br />

इतिमहानीलतैलम्| <br />

प्रपौण्डरीकमधुकपिप्पलीचन्दनोत्पलैः||२७६|| <br />

कार्षिकैस्तैलकुडवोद्विगुणामलकीरसः| <br />
सिद्धःसप्रतिमर्शःस्यात्सर्वमूर्धगदापहः||२७७|| <br />

(पलितघ्नोविशेषेणकृष्णात्रेयेणभाषितः|) <br />
क्षीरंप्रियालयष्ट्याह्वेजीवकाद्योगणस्तिलाः||२७८|| <br />

कृष्णावक्त्रेप्रलेपःस्याद्धरिलोमनिवारणः| <br />
तिलाःसामलकाश्चैवकिञ्जल्कोमधुकंमधु||२७९|| <br />

बृंहयेद्रञ्जयेचैतत्केशान्मूर्धप्रलेपनात्| <br />
पचेत्सैन्धवशुक्ताम्लैरयश्चूर्णंसतण्डुलम्||२८०|| <br />

तेनालिप्तंशिरःशुद्धमस्निग्धमुषितंनिशि| <br />
तत्प्रातस्त्रिफलाधौतंस्यात्कृष्णमृदुमूर्धजम्||२८१|| <br />

अयश्चूर्णोऽम्लपिष्टश्चरागःसत्रिफलोवरः| <br />

कुर्याच्छेषेषुरोगेषुक्रियांस्वांस्वाच्चिकित्सितात्| <br />
शेषेष्वादौचनिर्दिष्टासिद्धौचान्याप्रवक्ष्यते||२८२|| <br />

इतिखालित्यादिचिकित्सा| <br />
<div class="mw-collapsible-content">

khālityē palitē valyāṁ harilōmni ca śōdhitam||262|| <br />

nasyaistailaiḥ śirōvakrapralēpaiścāpyupācarēt| <br />
siddhaṁ vidārīgandhādyairjīvanīyairathāpi ca||263|| <br />

nasyaṁ syādaṇutailaṁ vā khālityapalitāpaham| <br />
kṣīrāt sahacarādbhr̥ṅgarājācca saurasādrasāt||264|| <br />

prasthaistu kuḍavastailādyaṣṭyāhvapalakalkitaḥ| <br />
siddhaḥ śilāsamē bhāṇḍē mēṣaśr̥ṅgādiṣu sthitaḥ||265|| <br />

nasyaṁ syādbhiṣajā samyagyōjitaṁ palitāpaham| <br />
bhiṣajā kṣīrapiṣṭau vā dugdhikākaravīrakau||266|| <br />

utpāṭya palitē dēyau tāvubhau palitāpahau| <br />
mārkavasvarasāt kṣīrāddviprasthaṁ madhukāt palam||267|| <br />

taiḥ pacēt kuḍavaṁ tailāttannasyaṁ palitāpaham| <br />
ādityavallyā mūlāni kr̥ṣṇaśairēyakasya ca||268|| <br />

surasasya ca patrāṇi patraṁ [1] kr̥ṣṇaśaṇasya ca| <br />
mārkavaḥ kākamācī ca madhukaṁ dēvadāru ca||269|| <br />

pr̥thagdaśapalāṁśāni pippalyastriphalā'ñjanam| <br />
prapauṇḍarīkaṁ mañjiṣṭhā lōdhraṁ kr̥ṣṇāgurūtpalam||270|| <br />

āmrāsthi kardamaḥ kr̥ṣṇō mr̥ṇālaṁ raktacandanam| <br />
nīlī bhallātakāsthīni kāsīsaṁ madayantikā||271|| <br />

sōmarājyasanaḥ śastraṁ kr̥ṣṇau piṇḍītacitrakau| <br />
puṣkarārjunakāśmaryāṇyāmrajambūphalāni ca||272|| <br />

pr̥thak pañcapalāṁśāni taiḥ piṣṭairāḍhakaṁ pacēt| <br />
baibhītakasya tailasya dhātrīrasacaturguṇam||273|| <br />

kuryādādityapākaṁ vā yāvacchuṣkō bhavēdrasaḥ| <br />
lōhapātrē tataḥ pūtaṁ saṁśuddhamupayōjayēt||274|| <br />

pānē nasyakriyāyāṁ ca śirōbhyaṅgē tathaiva ca| <br />
ētaccakṣuṣyamāyuṣyaṁ śirasaḥ sarvarōganut||275|| <br />

mahānīlamiti khyātaṁ palitaghnamanuttamam| <br />

iti mahānīlatailam| <br />

prapauṇḍarīkamadhukapippalīcandanōtpalaiḥ||276|| <br />

kārṣikaistailakuḍavō dviguṇāmalakīrasaḥ| <br />
siddhaḥ sa pratimarśaḥ syāt sarvamūrdhagadāpahaḥ||277|| <br />

(palitaghnō [2] viśēṣēṇa kr̥ṣṇātrēyēṇa bhāṣitaḥ|) <br />
kṣīraṁ priyālayaṣṭyāhvē jīvakādyō gaṇastilāḥ||278|| <br />

kr̥ṣṇā vaktrē pralēpaḥ syāddharilōmanivāraṇaḥ| <br />
tilāḥsāmalakāścaiva kiñjalkō madhukaṁ madhu||279|| <br />

br̥ṁhayēdrañjayēcaitat kēśānmūrdhapralēpanāt| <br />
pacētsaindhavaśuktāmlairayaścūrṇaṁ sataṇḍulam||280|| <br />

tēnāliptaṁ śiraḥ śuddhamasnigdhamuṣitaṁ niśi| <br />
tat prātastriphalādhautaṁ syāt kr̥ṣṇamr̥dumūrdhajam||281|| <br />

ayaścūrṇō'mlapiṣṭaśca rāgaḥ satriphalō varaḥ| <br />

kuryācchēṣēṣu rōgēṣu kriyāṁ svāṁ svāccikitsitāt| <br />
śēṣēṣvādau ca nirdiṣṭā siddhau cānyā pravakṣyatē||282|| <br />

iti khālityādicikitsā| <br />

khAlitye palite valyAM harilomni ca shodhitam ||262|| <br />

nasyaistailaiH shirovakrapralepaishcApyupAcaret | <br />
siddhaM vidArIgandhAdyairjIvanIyairathApi ca ||263|| <br />

nasyaM syAdaNutailaM vA khAlityapalitApaham | <br />
kShIrAt sahacarAdbhRu~ggarAjAcca saurasAdrasAt ||264|| <br />

prasthaistu kuDavastailAdyaShTyAhvapalakalkitaH | <br />
siddhaH shilAsame bhANDe meShashRu~ggAdiShu sthitaH ||265|| <br />

nasyaM syAdbhiShajA samyagyojitaM palitApaham | <br />
bhiShajA kShIrapiShTau vA dugdhikAkaravIrakau ||266|| <br />

utpATya palite deyau tAvubhau palitApahau | <br />
mArkavasvarasAt kShIrAddviprasthaM madhukAt palam ||267|| <br />

taiH pacet kuDavaM tailAttannasyaM palitApaham | <br />
AdityavallyA mUlAni kRuShNashaireyakasya ca ||268|| <br />

surasasya ca patrANi patraM [1] kRuShNashaNasya ca | <br />
mArkavaH kAkamAcI ca madhukaM devadAru ca ||269|| <br />

pRuthagdashapalAMshAni pippalyastriphalA~a~jjanam | <br />
prapauNDarIkaM ma~jjiShThA lodhraM kRuShNAgurUtpalam ||270|| <br />

AmrAsthi kardamaH kRuShNo mRuNAlaM raktacandanam | <br />
nIlI bhallAtakAsthIni kAsIsaM madayantikA ||271|| <br />

somarAjyasanaH shastraM kRuShNau piNDItacitrakau | <br />
puShkarArjunakAshmaryANyAmrajambUphalAni ca ||272|| <br />

pRuthak pa~jcapalAMshAni taiH piShTairADhakaM pacet | <br />
baibhItakasya tailasya dhAtrIrasacaturguNam ||273|| <br />

kuryAdAdityapAkaM vA yAvacchuShko bhavedrasaH | <br />
lohapAtre tataH pUtaM saMshuddhamupayojayet ||274|| <br />

pAne nasyakriyAyAM ca shirobhya~gge tathaiva ca | <br />
etaccakShuShyamAyuShyaM shirasaH sarvaroganut ||275|| <br />

mahAnIlamiti khyAtaM palitaghnamanuttamam | <br />

iti mahAnIlatailam | <br />

prapauNDarIkamadhukapippalIcandanotpalaiH ||276|| <br />

kArShikaistailakuDavo dviguNAmalakIrasaH | <br />
siddhaH sa pratimarshaH syAt sarvamUrdhagadApahaH ||277|| <br />

(palitaghno [2] visheSheNa kRuShNAtreyeNa bhAShitaH|) <br />
kShIraM priyAlayaShTyAhve jIvakAdyo gaNastilAH ||278|| <br />

kRuShNA vaktre pralepaH syAddharilomanivAraNaH | <br />
tilAH sAmalakAshcaiva ki~jjalko madhukaM madhu ||279|| <br />

bRuMhayedra~jjayecaitat keshAnmUrdhapralepanAt | <br />
pacetsaindhavashuktAmlairayashcUrNaM sataNDulam ||280|| <br />

tenAliptaM shiraH shuddhamasnigdhamuShitaM nishi | <br />
tat prAtastriphalAdhautaM syAt kRuShNamRudumUrdhajam ||281|| <br />

ayashcUrNo~amlapiShTashca rAgaH satriphalo varaH | <br />

kuryAccheSheShu rogeShu kriyAM svAM svAccikitsitAt | <br />
sheSheShvAdau ca nirdiShTA siddhau cAnyA pravakShyate ||282|| <br />

iti khAlityAdicikitsA | <br />
</div></div>

====== 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]
#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.
##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]
#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]
#''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]
#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] 
#''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), ''krishna'' – ''kardama'' (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]
#''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]
#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]
#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]
#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 =====
<div class="mw-collapsible mw-collapsed">

सर्पींष्युपरिभक्तानिस्वरभेदेऽनिलात्मके| <br />
तैलैश्चतुष्प्रयोगैश्चबलारास्नामृताह्वयैः||२८३|| <br />

बर्हितित्तिरिदक्षाणांपञ्चमूलशृतान्रसान्| <br />
मायूरंक्षीरसर्पिर्वापिबेत्त्र्यूषणमेववा||२८४|| <br />

पैत्तिकेतुविरेकःस्यात्पयश्चमधुरैःशृतम्| <br />
सर्पिर्गुडाघृतंतिक्तंजीवनीयंवृषस्यवा||२८५|| <br />

कफजेस्वरभेदेतुतीक्ष्णंमूर्धविरेचनम्| <br />
विरेकोवमनंधूमोयवान्नकटुसेवनम्||२८६|| <br />

चव्यभार्ग्यभयाव्योषक्षारमाक्षिकचित्रकान्| <br />
लिह्याद्वापिप्पलीपथ्येतीक्ष्णंमद्यंपिबेच्चसः||२८७|| <br />

रक्तजेस्वरभेदेतुसघृताजाङ्गलारसाः| <br />
द्राक्षाविदारीक्षुरसाःसघृतक्षौद्रशर्कराः||२८८|| <br />

यच्चोक्तंक्षयकासघ्नंतच्चसर्वंचिकित्सितम्| <br />
पित्तजस्वरभेदघ्नंसिरावेधश्चरक्तजे||२८९|| <br />

सन्निपातेहिताःसर्वाःक्रियानतुसिराव्यधः| <br />
इत्युक्तंस्वरभेदस्यसमासेनचिकित्सितम्||२९०|| <br />

इतिस्वरभेदचिकित्सा|<br />
<div class="mw-collapsible-content">

sarpīṁṣyuparibhaktāni svarabhēdē'nilātmakē| <br />
tailaiścatuṣprayōgaiśca balārāsnāmr̥tāhvayaiḥ||283|| <br />

barhitittiridakṣāṇāṁ pañcamūlaśr̥tān rasān| <br />
māyūraṁ kṣīrasarpirvā pibēttryūṣaṇamēva vā||284|| <br />

paittikē tu virēkaḥ syāt payaśca madhuraiḥ śr̥tam| <br />
sarpirguḍā ghr̥taṁ tiktaṁ jīvanīyaṁ vr̥ṣasya vā||285|| <br />

kaphajē svarabhēdē tu tīkṣṇaṁ mūrdhavirēcanam| <br />
virēkō vamanaṁ dhūmō yavānnakaṭusēvanam||286|| <br />

cavyabhārgyabhayāvyōṣakṣāramākṣikacitrakān| <br />
lihyādvā pippalīpathyē tīkṣṇaṁ madyaṁ pibēcca saḥ||287|| <br />

raktajē svarabhēdē tu saghr̥tā [jāṅgalā rasāḥ| <br />
drākṣāvidārīkṣurasāḥ saghr̥takṣaudraśarkarāḥ||288|| <br />

yaccōktaṁ kṣayakāsaghnaṁ tacca sarvaṁ cikitsitam| <br />
pittajasvarabhēdaghnaṁ sirāvēdhaśca raktajē||289|| <br />

sannipātē hitāḥ sarvāḥ kriyā na tu sirāvyadhaḥ| <br />
ityuktaṁ svarabhēdasya samāsēna cikitsitam||290|| <br />
iti svarabhēdacikitsā| <br />

sarpIMShyuparibhaktAni svarabhede~anilAtmake | <br />
tailaishcatuShprayogaishca balArAsnAmRutAhvayaiH ||283|| <br />

barhitittiridakShANAM pa~jcamUlashRutAn rasAn | <br />
mAyUraM kShIrasarpirvA pibettryUShaNameva vA ||284|| <br />

paittike tu virekaH syAt payashca madhuraiH shRutam | <br />
sarpirguDA ghRutaM tiktaM jIvanIyaM vRuShasya vA ||285|| <br />

kaphaje svarabhede tu tIkShNaM mUrdhavirecanam |<br /> 
vireko vamanaM dhUmo yavAnnakaTusevanam ||286|| <br />

cavyabhArgyabhayAvyoShakShAramAkShikacitrakAn | <br />
lihyAdvA pippalIpathye tIkShNaM madyaM pibecca saH ||287|| <br />

raktaje svarabhede tu saghRutA jA~ggalA rasAH | <br />
drAkShAvidArIkShurasAH saghRutakShaudrasharkarAH ||288|| <br />

yaccoktaM kShayakAsaghnaM tacca sarvaM cikitsitam | <br />
pittajasvarabhedaghnaM sirAvedhashca raktaje ||289|| <br />

sannipAte hitAH sarvAH kriyA na tu sirAvyadhaH | <br />
ityuktaM svarabhedasya samAsena cikitsitam ||290|| <br />

iti svarabhedacikitsA |<br />
</div></div>

====== 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:
#Milk boiled with drugs having sweet taste 
#''Sarpirguda'' 
#''Tiktaka ghrita'' 
#''Jivaniya ghrita'' 
#''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 [[kapha]]ja, 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]

==== Summary ====
<div class="mw-collapsible mw-collapsed">

भवन्तिचात्र- 

वातपित्तकफानॄणांबस्तिहृन्मूर्धसंश्रयाः| <br />
तस्मात्तत्स्थानसामीप्याद्धर्तव्यावमनादिभिः||२९१|| <br />
<div class="mw-collapsible-content">

bhavanti cātra- 

vātapittakaphā nr̥̄ṇāṁ bastihr̥nmūrdhasaṁśrayāḥ| <br />
tasmāttatsthānasāmīpyāddhartavyā vamanādibhiḥ||291|| <br />

bhavanticAtra- 

vAtapittakaphA nRUNAM bastihRunmUrdhasaMshrayAH | <br />
tasmAttatsthAnasAmIpyAddhartavyA vamanAdibhiH ||291||<br />
</div></div>

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 ====
<div class="mw-collapsible mw-collapsed">

अध्यात्मलोकोवाताद्यैर्लोकोवातरवीन्दुभिः| <br />
पीड्यतेधार्यतेचैवविकृताविकृतैस्तथा||२९२|| <br />
<div class="mw-collapsible-content">

adhyātmalōkō vātādyairlōkō vātaravīndubhiḥ| <br />
pīḍyatē dhāryatē caiva vikr̥tāvikr̥taistathā||292|| <br />

adhyAtmalokovAtAdyairlokovAtaravIndubhiH | <br />
pIDyate dhAryate caiva vikRutAvikRutaistathA ||292||<br />
</div></div>

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 ====
<div class="mw-collapsible mw-collapsed">

विरुद्धैरपिनत्वेतेगुणैर्घ्नन्तिपरस्परम्| <br />
दोषाःसहजसात्म्यत्वाद्विषंघोरमहीनिव||२९३||<br />
<div class="mw-collapsible-content">

viruddhairapi na tvētē guṇairghnanti parasparam| <br />
dōṣāḥ sahajasātmyatvādviṣaṁ ghōramahīniva||293|| <br />

viruddhairapi na tvete guNairghnanti parasparam | <br />
doShAH sahajasAtmyatvAdviShaM ghoramahIniva ||293||<br />
</div></div>

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 ====
<div class="mw-collapsible mw-collapsed">

तत्रश्लोकः- 

त्रिमर्मजानांरोगाणांनिदानाकृतिभेषजम्| <br />
विस्तरेणपृथग्दिष्टंत्रिमर्मीयेचिकित्सिते||२९४|| <br />
<div class="mw-collapsible-content">

tatra ślōkaḥ- 

trimarmajānāṁ rōgāṇāṁ nidānākr̥tibhēṣajam|<br /> 
vistarēṇa pr̥thagdiṣṭaṁ trimarmīyē cikitsitē||294|| <br />

tatrashlokaH- 

trimarmajAnAM rogANAM nidAnAkRutibheShajam | <br />
vistareNa pRuthagdiShTaM trimarmIye cikitsite ||294||<br />
</div></div>

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]
<div class="mw-collapsible mw-collapsed">

इत्यग्निवेशकृतेतन्त्रेचरकप्रतिसंस्कृतेऽप्राप्तेदृढबलसम्पूरितेचिकित्सास्थानेत्रिमर्मीयचिकित्सितंनामषड्विंशोऽध्यायः||२६||
<div class="mw-collapsible-content">

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

ityagniveshakRute tantre carakapratisaMskRute~aprApte dRuDhabalasampUrite cikitsAsthAne trimarmIyacikitsitaM nAma ShaDviMsho~adhyAyaH ||26||
</div></div>

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.

==== Treatment ====

===== Disease specific therapy =====

#''Niruha'' (enema with decoction for purification) 
#''Anuvasana'' (unctuous enema) 
#''Anulomana'' (carminative) 
#''Varti'' (wicks/suppositories) 

==== Important medicines ====
#''Haratala'' 
#''Kuchala'' 
#''Haritaki'' 

===== Medicines for oral intake =====

{| class="wikitable"
|-
! scope="col"| Type
! scope="col"| Name
! scope="col"| Dose
! scope="col"| Time
! scope="col"| ''Anupana''
|-
| rowspan = "2"|''Vata nirodhaja''
| ''Agnitundi rasa''
| 125-250 mg
| Before meals, two time
| Hot water
|-
| ''Vishatinduka vati''
| 250-500 mg
| Before meals, two time
| Hot water
|-
| rowspan = "2"|''Purisha nirodhaja''
| ''Vishatinduka vati''
| 250-500 mg
| Before meals, two time
| Hot water
|-
| ''Aarogya kshara''
| 250-500 mg
| Before meals, two time
| Hot water
|-
| rowspan = "2"|''Mutra nirodhaja''
| ''Gokshuradi'' mixture
| 125-250 mg
| Before meals, two time
| ''Ushirasava''
|-
| ''Surya kshara''
| 125-250 mg
| Before meals, two time
| Water
|}

===== [[Panchakarma]] therapies =====
{| class="wikitable"
|-
! scope="col"| Type
! scope="col"| Name
! scope="col"| Dose
! scope="col"| Time
! scope="col"| ''Anupana''
|-
| rowspan = "2"|''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
|-
| rowspan="3"|''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]] ==== 
#Mohanlal P.K. (1976): A study on Tri-marma W.S.R. to Hridaya, , Trivandrum
#Thakare S.S. (1992): Charakokta Trimarmo mein Basti marma ka rachanatmaka Vishesh Adhyayana , Nagpur
#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
#Chirag Goradiya, (2006): An applied aspect of Trimarmiya Adhyaya (Charak Chikitsa 26 and Siddhi 9) wsr to Mutraukasada, Jamnagar.  

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

==== Thesis done on other related topics ====
#Patankar A.B. (1992): Concept of Pratiloma Vata and practical utility of Anuloma Principle in its management, Department of Basic Principles, Jamnagar.
#Kachare Prashant P.: Study on conceptual and applied aspect of Apana – Vaigunya w.s.r. to Anaha, Department of Basic Principles, Jamnagar.
#Patel B.S. (1993): Ayurvedeeya Kriya Shareera Antargata Koshtha Pareekshana evam Vibandha Roga ka Nidana – Chikitsatmaka Adhyayana, Department of Basic Principles, Jamnagar.
#Chitra S.V. (1998): Drugs acting on Pureeshavaha strotasa w.s.r. to Anulomana, Department of Dravyaguna and Pharmacy, Trivendram.
#Bhalaghat S. S.: Study of Apana Vayu Dushti Janya Vyadhi and Matra Basti, Department of Kayachikitsa, Gangadhar Shastri Gune Ayu.Mahavidyalaya, Ahmednagar.
#Jain M.K. (2001): ‘Apanenavrite Sarva Deepanam Grahi Bheshajam Vatanulomanam’ – yaccha…Department of Basic Principle, Jaipur.
#Pandey T.N. (1987): Vibandha Roga mein Trivrita evam Yogasana Chikitsa ka Tulanat-maka Adhyayana, Department of Kayachikitsa, Govt. Ayurvedic College, Raipur.
#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 ====
===== Causes =====
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: 

{| class="wikitable"
|-
! scope="col"| Criteria
! scope="col"| ''Vata'' dominance
! scope="col"| ''Pitta'' dominance
! scope="col"| ''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.

===== Treatment =====

====== 1. ''Mutrakricchra'' (dysuria) ====== 
Disease specific therapies: 
#''Sudation'' 
#''Mutra virechana'' (diuretics) 
#''Anulomana'' (carminatives) 

Important medicines: 
#''Gokshura'' 
#''Shilajatu'' 
#''Parasika yavani'' 
#''Pashanabheda'' 

Medicines for oral intake:

{| class="wikitable"
|-
! scope="col"| Type
! scope="col"| Medicine
! scope="col"| Dosage
! scope="col"| Time of Administration
! scope="col"| ''Anupana''
|-
| rowspan="2"|''Vata'' dominant
| ''Gokshuradi'' mixture
| 250-500 mg
| Between two meals
|''Veeratarvadi kwatha''
|-
| ''Surya kshara''
| 250-500 mg
| Between two meals
|''Veeratarvadi kwatha''
|-
| rowspan="4"|''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
|-
|rowspan="2"| ''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 ======
{| class="wikitable"
|-
! scope="col"| Type
! scope="col"| Medicine
! scope="col"| Dosage
! scope="col"| Time of Administration
! scope="col"| ''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''': 
#''Avagaha sweda'' (sitz bath) 
#''Mutra virechana'' (diuretics) 

'''''Important treatment'':''' 
#Surgery 
#''Kusumbha bija'' 
#''Pashana badara'' 

{| class="wikitable"
|-
! scope="col"| Type
! scope="col"| Medicine
! scope="col"| Dosage
! scope="col"| Time of Administration
! scope="col"| ''Anupana''
|-
| rowspan="2"|''Vata'' dominant
| ''Sahachara Taila''
| 20-40 drops
| Before meals, two times
| Milk
|-
| ''Shitivaraka bija''
| 125-250 mg
| Between meals
|''Viratarvadi kwatha''+''yavakshara''
|-
| rowspan="2"|''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 =====
#Dr. Parmar B. P. (1978): “Mootraashmari Roga Par Ashmarihara Kwaatha Kaa Pray-oga, Eka Adhyayana”. 
#Dr. Chatterji Rekha (1985): “Role of Punarnavaa in Mootraashmari”. 
#Dr. D. K. Udaya (1989): “Effect of Veeratarvaadi Compound in Mootraashmari w.s.r. to its Etiopathogenesis”. 
#Dr. Mehta J. J. (1990): “Role of indigenous drug compound in the management of Moot-raashmari”. 
#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”. 
#Dr. Ramesh Chand (1994): “Role of Indigenous Compound in Mootraashmari”. I.P.G.T. & R.A., Jamnagar
#Dr. Vankata Ramaiah (1994): “Role of Shunthyaadi Kwaatha in the Management of Mootraashmari”.
#Dr. Deepak Kulsreshtha (1996): “Role of Punarnavaadi Compound in the Management of Mootraashmari”.
#Dr. Dhiraj V. Malaviya (1997): “Role of Badaraashma Pishti in the Management of Mootraashmari”.
#Dr. Sharma Anil Kumar (2001): “Role of Imaging Techniques in the Diagnosis of Mootraashmari (Urolithiasis) and Shikhaadi Compound in its Management”.
#Dr. Shailesh Chovatiya (2004): “Role of Naagaraadi Kashaaya in the Management of Mootraashmari (urolithiasis)”.
#Dr. Mukesh Kumar Meena (2006): “Experimental and Clinical Evaluation on Nephro-protective and Lithotripsic Activity of Naagaraadi Kashaaya”. 
#Dr. Asim Mandal (2007): “A Comparative Study on Vrikka Samrakshanaatmaka and Ashmarighna Effect of Tilaadi Kshaara and Varunaadi Ghrita (Nephroprotective and Lithotripsic effect)”.
#Dr. S. K. Gupta (2012): “A clinical & Experimental study of Ashmari and its Management with Paashaanabhedaadi Ghrita w.s.r. to Urolithiasis”.
#Dr.Sheetal Kumar Solanki (2013):  A comparative clinical evaluation of Ashmarihara Kwaatha & Palaasha Kshaara in the management of Mootraashmari

===== B. H. U., Varanasi =====
#Gupta S. K. (1995): “Effect of Paashaanabheda (Saxifraga ligulata) in the Management of Ashmari Roga- A Clinical and Experimental Study”.
#Kumar Vikas (2000): “Effect of Gokshura (Tribulus terrestris) in the Management of Urolithiasis”. 
===== N.I.A. Jaipur =====
#Chaubisa H. L. (1992): “Mootravaha Srotogata Ashmari Par Varunaadya Lauha Kaa Prabhaavaatmaka Adhyayana”.
#Chaudhari R. C. (1997): “Mootraashmari Par Aayurvedeeya Aushadhiyon Kaa Prab-haavaatmaka Adhyayana”.
===== Puri =====
#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:
{| class="wikitable"
|-
! scope="col"| Criteria
! scope="col"| ''Vata'' dominant
! scope="col"| ''Pitta'' dominant
! scope="col"| ''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. 

===== Treatment =====

====== 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:''' 
#Pacification of [[dosha]] 
#[[Snehana]] 
#[[Swedana]] 

'''Important medicines:''' 
#''Mriga shringa bhasma'' 
#''Suvarna bhasma'' 
#''Arjuna'' 
#''Aradraka'' 

{| class="wikitable"
|-
! scope="col"| Type
! scope="col"| Name
! scope="col"| Dosage
! scope="col"| Time of administration
| scope="col"| ''Anupana''
|-
| rowspan="4"|[[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
|-
| [[Kapha]]nubandha
| ''Karaskara kalpa''
| 250-500 mg
| After meals
| Medicated milk processed with ''Arjuna''
|-
| rowspan="2"|[[Pitta]] dominant
| ''Makshika'' mixture
| 500-1000 mg
| Between meals
| Honey + raw sugar
|-
| ''Swarna shekhara rasa''
| 500-1000 mg
| Between meals
| ''Amalakavaleha''
|-
| rowspan="4"|[[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:'''
{| class="wikitable"
|-
! scope="col"| Type
! scope="col"| Name
! scope="col"| Dosage
! scope="col"| Time of administration
| scope="col"| ''Anupana''
|-
| [[Virechana]]
| [[Virechana]] Kashaya
| 20-40 ml
| Morning one time
| ''-''
|-
| rowspan="3"|''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:'''
#[[Snehana]] : ''Eranda sneha'' 
#[[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. 

'''Treatment:''' 

'''Management of ''khalitya'' and ''palitya'' (hair loss/alopecia/graying of hair):'''
{| class="wikitable"
|-
! scope="col"| Type
! scope="col"| Name
! scope="col"| Dosage
! scope="col"| Time of administration
| scope="col"| ''Anupana''
|-
| rowspan="3"|''Indralupta/Khalitya''
| ''Chyavanaprasha''
| 5-10 grams
| Morning empty stomach
| Milk + sugar
|-
| Massage with ''Japa-kusuma'' oil
| ''-''
| ''-''
| ''-''
|-
| Massage with ''Mahaneela'' oil
| ''-''
| ''-''
| ''-''
|-
| rowspan="3"|''Palitam''
| ''Hastidanta masi churnam'' with ''navanita'' application 
| ''-''
| ''-''
| ''-''
|-
| Massage with ''Mahaneela'' oil
| ''-''
| ''-''
| ''-''
|-
|-
| Massage with ''Bhringaraja'' oil
| ''-''
| ''-''
| ''-''
|}

'''Management of ''Pratishyaya'' (rhinitis):''' 

Disease specific therapies: 
#''Nasya'' 
#''Dhuma'' (medicated smoke)  
#''Shodhana''  
#''Shamana'' 

Important medicines: 
#''Twak'' (''dalachini'') 
#''Vatsanabha''  
#''Dhatura'' 

{| class="wikitable"
|-
! scope="col"| Type
! scope="col"| Name
! scope="col"| Dosage
! scope="col"| Time of administration
| scope="col"| ''Anupana''
|-
| rowspan="4"|''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

|}

{| class="wikitable"
|-
! 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

|}

=== Related Chapters ===
* [[Kiyanta Shiraseeya Adhyaya]] 
* [[Trimarmiya Siddhi]]
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