Chhardi Chikitsa - Revision history

Agnivesha: /* Bad prognostic symptoms */

2025-11-17T07:02:25Z

Bad prognostic symptoms

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	The premonitory signs and symptoms of ''chhardi'' (vomiting) are nausea, excessive salivation and aversion to food [6]		The premonitory signs and symptoms of ''chhardi'' (vomiting) are nausea, excessive salivation and aversion to food [6]

	=== [[Vata]]ja chhardi ===		=== [[Vata]]ja chhardi ===
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	#The patient feels miserable [7-9]		#The patient feels miserable [7-9]

	=== [[Pitta]]ja chhardi ===		=== [[Pitta]]ja chhardi ===
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	#Vomitus is yellow, excessively hot, green, bitter and smoky in appearance with burning sensation [10-11]		#Vomitus is yellow, excessively hot, green, bitter and smoky in appearance with burning sensation [10-11]

	=== [[Kapha]]ja chhardi ===		=== [[Kapha]]ja chhardi ===
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	#Vomitus is unctuous, dense, sweet and devoid of any undesirable smell; and is associated with horripilation and slight pain [12-13]		#Vomitus is unctuous, dense, sweet and devoid of any undesirable smell; and is associated with horripilation and slight pain [12-13]

	=== Tri[[dosha]]ja chhardi ===		=== Tri[[dosha]]ja chhardi ===
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	When the morbid [[vata]] occludes the channels carrying ~~faeces~~, sweat, urine and body fluids and moves upwards, then the morbid matter from the ''koshtha'' (gastrointestinal tract), gets incited to cause vomiting, that has the following characteristics:		When the morbid [[vata]] occludes the channels carrying feces, sweat, urine and body fluids and moves upwards, then the morbid matter from the [[koshtha]] (gastrointestinal tract), gets incited to cause vomiting, that has the following characteristics:
	#Vomitus having color and odor of the feces and urine;		#Vomitus having color and odor of the feces and urine;
	#Persistent thirst, dyspnea hiccup and pain		#Persistent thirst, dyspnea hiccup and pain
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	Patient may also be given emetic therapy prepared of the drugs of the ''valliphala'' (group of cucurbitaceous fruits), etc. or if the patient is weak, then he should be treated with pacification therapy through delicious soups and light as well as dry food articles for diet along with various kinds of drinks [21-22]		Patient may also be given emetic therapy prepared of the drugs of the ''valliphala'' (group of cucurbitaceous fruits), etc. or if the patient is weak, then he should be treated with pacification therapy through delicious soups and light as well as dry food articles for diet along with various kinds of drinks [21-22]

	=== Treatment of [[vata]]ja chhardi ===		=== Treatment of [[vata]]ja chhardi ===
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	#The diet consisting of unctuous and palatable food, meat soups, vegetable-soup, curd sour ''dadima'' (pomegranate/Punica granatum) [23-25]		#The diet consisting of unctuous and palatable food, meat soups, vegetable-soup, curd sour ''dadima'' (pomegranate/Punica granatum) [23-25]

	=== Treatment of [[pitta]]ja chhardi ===		=== Treatment of [[pitta]]ja chhardi ===
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	##Powder of ''murva'' (Marsdenia tenacissima / sansevieria roxburghiana) along with ''tandulodaka'' (rice-water)[26-33]		##Powder of ''murva'' (Marsdenia tenacissima / sansevieria roxburghiana) along with ''tandulodaka'' (rice-water)[26-33]

	=== Treatment of [[kapha]]ja chhardi ===		=== Treatment of [[kapha]]ja chhardi ===
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	''Douhruda janita'' (pregnancy induced vomitting), ''satmya prakopaja'' (vomiting due to inadequacy of substances) and ''krimija'' (vomiting due to microbial infection) type of ''chhardi'' are other causes of ''chhardi''.<ref>Sushruta. Sushruta Samhita . In: Kaviraj Shastri Ambika Dutt, Editors. 5th ed. Varanasi: Chaukhambha Sanskrit Series;1982. p.?.</ref>		''Douhruda janita'' (pregnancy induced vomitting), ''satmya prakopaja'' (vomiting due to inadequacy of substances) and ''krimija'' (vomiting due to microbial infection) type of ''chhardi'' are other causes of ''chhardi''.<ref>Sushruta. Sushruta Samhita . In: Kaviraj Shastri Ambika Dutt, Editors. 5th ed. Varanasi: Chaukhambha Sanskrit Series;1982. p.?.</ref>

	==== [[Vata]]ja chhardi ====		==== [[Vata]]ja chhardi ====

	There are many factors that increase [[vata]] in the ''sharira'' .<ref> Sushruta. Sutra sthana cha 21 Vranaprashna Adhyaya verse 19. In: Kaviraj Shastri Ambika Dutt, editors, 5th Edition, Varanasi : Chaukhamba Sanskrit Series,1982.</ref> Particular ''ahara'' (food), ''vihara'' (lifestyle) and mental factors increase [[vata]] and its ''gunas'' (properties). This aggravation of [[vata]] gunas like ''rukshata'' (dryness), ''laghuta'' (lightness), etc. plays a role in causing [[vata]]ja chhardi. [ Cha. Sa. [[Sutra Sthana]] 1/59] [[dosha]] conjugate (''sammurchhana'' [ Cha. Sa.[[Sutra Sthana]] 18/46] with a particular organ (''mahasrotas, amashaya, marma'' (vital organ), ''urdhwabhaga'' (upper trunk, etc) as ''dushyas'' (affected [[dhatu]]) to cause [[vata]]ja chhardi (as ''utkshepana'' (upward movement), ''adhahkshepana'' (downward movement), etc are the ''karmas'' (actions) of [[vayu]])-(7-9).		There are many factors that increase [[vata]] in the ''sharira'' .<ref> Sushruta. Sutra sthana cha 21 Vranaprashna Adhyaya verse 19. In: Kaviraj Shastri Ambika Dutt, editors, 5th Edition, Varanasi : Chaukhamba Sanskrit Series,1982.</ref> Particular ''ahara'' (food), ''vihara'' (lifestyle) and mental factors increase [[vata]] and its ''gunas'' (properties). This aggravation of [[vata]] gunas like ''rukshata'' (dryness), ''laghuta'' (lightness), etc. plays a role in causing [[vata]]ja chhardi. [ Cha. Sa. [[Sutra Sthana]] 1/59] [[dosha]] conjugate (''sammurchhana'' [ Cha. Sa.[[Sutra Sthana]] 18/46] with a particular organ (''mahasrotas, amashaya, marma'' (vital organ), ''urdhwabhaga'' (upper trunk, etc) as ''dushyas'' (affected [[dhatu]]) to cause [[vata]]ja chhardi (as ''utkshepana'' (upward movement), ''adhahkshepana'' (downward movement), etc are the ''karmas'' (actions) of [[vayu]])-(7-9).

	==== [[Pitta]]ja chhardi ====		==== [[Pitta]]ja chhardi ====

	''Nidanas'' of [[pitta]]prakopaka increase [[pitta]] in nature <ref> Sushruta, Sutra sthana c21/21 Hindi commentary by Kaviraj, Shastri Ambika Dutt, 5th Edition, 1982, Chaukhamba Sanskrit Series, Varanasi </ref>and cause provocation of ''gunas'' like ''ushna'' (hot), ''tikshna'' (sharp), ''snigdha'' (unctous), etc. [ Cha. Sa. [[Sutra Sthana]] 1/60] in the body. This aggravated ''pitta'' joins (''sammurchhana'') with a particular organ (''rasayani, amashaya, marma, urdhwabhaga,'' etc) as ''dushyas''. The conjugation of [[dosha]] and ''dushya'' has affinity towards ''urdhwabhaga'' which results in [[pitta]]ja chhardi (10-11).		''Nidanas'' of [[pitta]]prakopaka increase [[pitta]] in nature <ref> Sushruta, Sutra sthana c21/21 Hindi commentary by Kaviraj, Shastri Ambika Dutt, 5th Edition, 1982, Chaukhamba Sanskrit Series, Varanasi </ref>and cause provocation of ''gunas'' like ''ushna'' (hot), ''tikshna'' (sharp), ''snigdha'' (unctous), etc. [ Cha. Sa. [[Sutra Sthana]] 1/60] in the body. This aggravated ''pitta'' joins (''sammurchhana'') with a particular organ (''rasayani, amashaya, marma, urdhwabhaga,'' etc) as ''dushyas''. The conjugation of [[dosha]] and ''dushya'' has affinity towards ''urdhwabhaga'' which results in [[pitta]]ja chhardi (10-11).

	==== [[Kapha]]ja chhardi ====		==== [[Kapha]]ja chhardi ====

	''Nidanas'' of [[kapha]]prakopaka increase [[kapha]] in nature which causes provocation of [[guna]] like ''guru'' (heavyness), ''sheeta'' (coldness), ''manda'' (slowness), etc. [ Cha. Sa.[[Sutra Sthana]] 1/60] in the body. This aggravated [[kapha]] joins (''sammurchhana'') with a particular organ (''urah'' (chest), ''shirah'' (head), ''rasayani marma, urdhwabhaga,'' etc.) as ''dushyas''. This amalgamation of [[dosha]] and ''dushya'' has affinity towards ''urdhwabhaga'' which results in [[kapha]]ja chhardi(12-13).		''Nidanas'' of [[kapha]]prakopaka increase [[kapha]] in nature which causes provocation of [[guna]] like ''guru'' (heavyness), ''sheeta'' (coldness), ''manda'' (slowness), etc. [ Cha. Sa.[[Sutra Sthana]] 1/60] in the body. This aggravated [[kapha]] joins (''sammurchhana'') with a particular organ (''urah'' (chest), ''shirah'' (head), ''rasayani marma, urdhwabhaga,'' etc.) as ''dushyas''. This amalgamation of [[dosha]] and ''dushya'' has affinity towards ''urdhwabhaga'' which results in [[kapha]]ja chhardi(12-13).

Agnivesha: /* Vataja chhardi */

2025-11-17T06:33:46Z

Vataja chhardi

Show changes

Agnivesha at 10:22, 23 February 2024

2024-02-23T10:22:26Z

← Older revision		Revision as of 10:22, 23 February 2024
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	\|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]		\|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]
	\|label6 = Translator and commentator		\|label6 = Translator and commentator
	\|data6 = Murthy A.R.V.,Jani D.		\|data6 = Murthy A.R.V., Jani D.
	\|label7 = Reviewer		\|label7 = Reviewer
	\|data7 = Prasad B.S.		\|data7 = Prasad B.S.
	\|label8 = Editors		\|label8 = Editors
	\|data8 = Singh G., Goyal M., Deole Y.S., Basisht G.		\|data8 = Singh G., Goyal M., [[Yogesh Deole\|Deole Y.S.]], [[Gopal Basisht\|Basisht G.]]
	\|label9 = Year of publication		\|label9 = Year of publication
	\|data9 = 2020		\|data9 = 2020

Agnivesha at 13:29, 6 March 2023

2023-03-06T13:29:52Z

← Older revision		Revision as of 13:29, 6 March 2023
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	\|type=article		\|type=article
	}}		}}

	<big>'''[[Chikitsa Sthana]] Chapter 20. Management of Chhardi (vomiting) </big>'''		<big>'''[[Chikitsa Sthana]] Chapter 20. Management of Chhardi (vomiting) </big>'''
	{{Infobox		{{Infobox
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	<big>'''Abstract </big>'''		<big>'''Abstract </big>'''
	<~~div~~ style="text-align:justify;">		<p style='text-align:justify;'>''Chhardi'' (vomiting), is a common gastrointestinal disorder characterized by bouts of vomiting, nausea, pain and black outs. The causative factors of ''chhardi'' can be categorized under dietary, lifestyle and psychological factors. Dietary factors include excessive ''upavasa'' (starvation), over intake of ''vidahi'' or ''snigdha-guru dravya'' (drugs which are very acrid, unctuous and heavy to digest), etc. Lifestyle aspects include excessive exercise, ''divasvapna'' (day sleep), etc. whereas the psychological stressors like excess worries, grief, anger, fear can precipitate it. ''Amashaya'' (stomach) and ''rasayani'' (channels) are the sites of origin of ''chhardi''. Vitiated [[dosha]] accumulate in ''amashaya'' and ''rasayani'' and are thrown out forcefully from the upper part of body causing ''pida'' (pain) to ''urdhva avayavas'' (organs situated above supraclavicular region). Comprehensive management includes avoidance of etiological factors with pharmacological treatment through medicament as well as non-pharmacological methods.
	''Chhardi'' (vomiting), is a common gastrointestinal disorder characterized by bouts of vomiting, nausea, pain and black outs. The causative factors of ''chhardi'' can be categorized under dietary, lifestyle and psychological factors. Dietary factors include excessive ''upavasa'' (starvation), over intake of ''vidahi'' or ''snigdha-guru dravya'' (drugs which are very acrid, unctuous and heavy to digest), etc. Lifestyle aspects include excessive exercise, ''divasvapna'' (day sleep), etc. whereas the psychological stressors like excess worries, grief, anger, fear can precipitate it. ''Amashaya'' (stomach) and ''rasayani'' (channels) are the sites of origin of ''chhardi''. Vitiated [[dosha]] accumulate in ''amashaya'' and ''rasayani'' and are thrown out forcefully from the upper part of body causing ''pida'' (pain) to ''urdhva avayavas'' (organs situated above supraclavicular region). Comprehensive management includes avoidance of etiological factors with pharmacological treatment through medicament as well as non-pharmacological methods.		</p>
	</~~div~~>
	'''Keywords''': ''Chhardi chikitsa, chhardi,'' vomiting, emesis		'''Keywords''': ''Chhardi chikitsa, chhardi,'' vomiting, emesis

Agnivesha at 06:41, 20 September 2022

2022-09-20T06:41:49Z

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	{{#seo:		{{#seo:
	\|title=Chhardi Chikitsa		\|title=Chhardi Chikitsa

Eganeesh: /* Further researches */

2021-09-23T22:28:21Z

Further researches

← Older revision		Revision as of 22:28, 23 September 2021
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	Many parenteral and oral medicines are available in conventional medical systems for management of dehydration and emergency conditions. The ayurveada drugs listed in this chaper need to be researched further for evaluating their efficacy specifically in conditions where the parenteral administration is contra-indicated and in case of drug intorerance.		Many parenteral and oral medicines are available in conventional medical systems for management of dehydration and emergency conditions. The ayurveada drugs listed in this chaper need to be researched further for evaluating their efficacy specifically in conditions where the parenteral administration is contra-indicated and in case of drug intorerance.
	</div>		</div>
			<big>'''[[Special:ContactMe\|Send us your suggestions and feedback on this page.]]'''</big>

	== References ==		== References ==

Anaghas at 04:03, 31 July 2021

2021-07-31T04:03:47Z

← Older revision		Revision as of 04:03, 31 July 2021
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	<big>'''Abstract </big>'''		<big>'''Abstract </big>'''
	<div style="text-align:justify;">		<div style="text-align:justify;">
	''Chhardi'' (vomiting), is a common gastrointestinal disorder characterized by bouts of vomiting, nausea, pain and black outs. The causative factors of ''chhardi'' can be categorized under dietary, lifestyle and psychological factors. Dietary factors include excessive ''upavasa'' (starvation), over intake of ''vidahi'' or ''snigdha-guru dravya'' (drugs which are very acrid, unctuous and heavy to digest), etc. Lifestyle aspects include excessive exercise, ''divasvapna'' (day sleep), etc. whereas the psychological stressors like excess worries, grief, anger, fear can precipitate it. ''Amashaya'' (stomach) and ''rasayani'' (channels) are the sites of origin of ''chhardi''. Vitiated ~~''doshas''~~ accumulate in ''amashaya'' and ''rasayani'' and are thrown out forcefully from the upper part of body causing ''pida'' (pain) to ''urdhva avayavas'' (organs situated above supraclavicular region). Comprehensive management includes avoidance of etiological factors with pharmacological treatment through medicament as well as non-pharmacological methods.		''Chhardi'' (vomiting), is a common gastrointestinal disorder characterized by bouts of vomiting, nausea, pain and black outs. The causative factors of ''chhardi'' can be categorized under dietary, lifestyle and psychological factors. Dietary factors include excessive ''upavasa'' (starvation), over intake of ''vidahi'' or ''snigdha-guru dravya'' (drugs which are very acrid, unctuous and heavy to digest), etc. Lifestyle aspects include excessive exercise, ''divasvapna'' (day sleep), etc. whereas the psychological stressors like excess worries, grief, anger, fear can precipitate it. ''Amashaya'' (stomach) and ''rasayani'' (channels) are the sites of origin of ''chhardi''. Vitiated [[dosha]] accumulate in ''amashaya'' and ''rasayani'' and are thrown out forcefully from the upper part of body causing ''pida'' (pain) to ''urdhva avayavas'' (organs situated above supraclavicular region). Comprehensive management includes avoidance of etiological factors with pharmacological treatment through medicament as well as non-pharmacological methods.
	</div>		</div>
	'''Keywords''': ''Chhardi chikitsa, chhardi,'' vomiting, emesis		'''Keywords''': ''Chhardi chikitsa, chhardi,'' vomiting, emesis

Anaghas: /* Vidhi Vimarsha (Applied Inferences ) */

2021-07-29T07:52:12Z

Vidhi Vimarsha (Applied Inferences )

Show changes

Anaghas: /* Tattva Vimarsha (Fundamental Principles) */

2021-07-29T07:32:43Z

Tattva Vimarsha (Fundamental Principles)

← Older revision		Revision as of 07:32, 29 July 2021
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	== Tattva Vimarsha (Fundamental Principles) ==		== Tattva Vimarsha (Fundamental Principles) ==

	*''Chhardi'' (vomiting) can be either caused by vitiation of endogenous ''dosha'' or by exogenous factors like in ''dvistartha-yogaja-chhardi'' (that results from contact with unpleasant sense objects).		*''Chhardi'' (vomiting) can be either caused by vitiation of endogenous [[dosha]] or by exogenous factors like in ''dvistartha-yogaja-chhardi'' (that results from contact with unpleasant sense objects).
	*The ''dosha'' vitiation due to their own specific causative factors lead to irritation of stomach, spread through ''rasayani'' (channels carrying rasa) resulting in ''chhardi''. Different types of ''chhardi'' shall be diagnosed based on the specific etio-pathogenesis and clinical presentation.		*The [[dosha]] vitiation due to their own specific causative factors lead to irritation of stomach, spread through ''rasayani'' (channels carrying rasa) resulting in ''chhardi''. Different types of ''chhardi'' shall be diagnosed based on the specific etio-pathogenesis and clinical presentation.
	*Mind and sense objects play significant role in pathogenesis of ''chhardi'' due to exposure to unwholesome objects.		*Mind and sense objects play significant role in pathogenesis of ''chhardi'' due to exposure to unwholesome objects.
	*The prognosis of ''chhardi'' depends upon strength of patient, bouts, presence of associated disorders and complications, contents of vomitus.		*The prognosis of ''chhardi'' depends upon strength of patient, bouts, presence of associated disorders and complications, contents of vomitus.
	*All the types of vomiting are considered originating from the agitations of the ~~''doshas''~~ in the stomach. Therefore, fasting therapy is first principle of treatment. Purification therapies of ''kapha'' and ''pitta'' are administered to expel out vitiated ~~''doshas''~~. These therapies are contraindicated in cases of ''vata'' dominance. The choice of therapy depends upon strength of patient and type of vitiated ''dosha''.		*All the types of vomiting are considered originating from the agitations of the [[dosha]] in the stomach. Therefore, fasting therapy is first principle of treatment. Purification therapies of [[kapha]] and [[pitta]] are administered to expel out vitiated [[dosha]]. These therapies are contraindicated in cases of [[vata]] dominance. The choice of therapy depends upon strength of patient and type of vitiated [[dosha]].
	*The drugs having nutritive properties, carminative, ''dosha'' pacifying actions are prescribed in the treatment of ''chhardi''.		*The drugs having nutritive properties, carminative, [[dosha]] pacifying actions are prescribed in the treatment of ''chhardi''.
	*Sublingual, pleasant tasting linctus, mild purgative to open the channel to lower G I tract.		*Sublingual, pleasant tasting linctus, mild purgative to open the channel to lower G I tract.
	*During initial stage of ''chhardi'', because of irritated stomach, anti-emetic treatment is not advised. Soothing, taste enhancing and nutritive liquid substances should be given. Mind diverting and entertaining activities are also advised.		*During initial stage of ''chhardi'', because of irritated stomach, anti-emetic treatment is not advised. Soothing, taste enhancing and nutritive liquid substances should be given. Mind diverting and entertaining activities are also advised.
	*The treatment of complications arising from vomiting should be done according to the lines suggested in respect of each of those ailments.		*The treatment of complications arising from vomiting should be done according to the lines suggested in respect of each of those ailments.
	*In persistent vomiting ~~vāta~~ invariably gets aggravated because of loss of tissue elements. Therefore, in case of chronic vomiting medications that are bulk promoting, ''vata'' pacifying, ''upastambhana'' (astringents) and ''brimhana'' (nutritive) should be administered.		*In persistent vomiting [[vata]] invariably gets aggravated because of loss of tissue elements. Therefore, in case of chronic vomiting medications that are bulk promoting, [[vata]] pacifying, ''upastambhana'' (astringents) and [[brimhana]] (nutritive) should be administered.

	== Vidhi Vimarsha (Applied Inferences ) ==		== Vidhi Vimarsha (Applied Inferences ) ==

Anaghas: /* Treatment of chronic chhardi */

2021-07-29T07:30:32Z

Treatment of chronic chhardi

← Older revision		Revision as of 07:30, 29 July 2021
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	</div></div>		</div></div>

	In persistent vomiting vāta invariably gets aggravated because of loss of tissue elements. Therefore, in case of chronic vomiting medications that are bulk promoting, ''vata'' pacifying, ''upastambhana'' (astringents) and ''brimhana'' (nutritive) should be administered.		In persistent vomiting vāta invariably gets aggravated because of loss of tissue elements. Therefore, in case of chronic vomiting medications that are bulk promoting, [[vata]] pacifying, ''upastambhana'' (astringents) and [[brimhana]] (nutritive) should be administered.

	The following recipes are useful in chronic type of vomiting.		The following recipes are useful in chronic type of vomiting.

	''Sarpirguda'' [Cha. Sa. [[Chikitsa Sthana]] 11/50-77], ''kshira-vidhi'' (milk boiled by adding ''vata''-alleviating drugs), ''kalyanaka-ghrita'' [Cha. Sa. [[Chikitsa Sthana]] 9/33-42], ''tryushana-ghrita'' [ Cha. Sa. [[Chikitsa Sthana]] 18/39-42], ''jivaniya-ghrita'' [Cha. Sa. [[Chikitsa Sthana]] 29/55-57], ''vrishya'' (virilific) recipes, ''mamsarasa'' (meat soup) and ''lehya'' like ''chyavanprasha'' (linctuses) [46-47]		''Sarpirguda'' [Cha. Sa. [[Chikitsa Sthana]] 11/50-77], ''kshira-vidhi'' (milk boiled by adding [[vata]]-alleviating drugs), ''kalyanaka-ghrita'' [Cha. Sa. [[Chikitsa Sthana]] 9/33-42], ''tryushana-ghrita'' [ Cha. Sa. [[Chikitsa Sthana]] 18/39-42], ''jivaniya-ghrita'' [Cha. Sa. [[Chikitsa Sthana]] 29/55-57], ''vrishya'' (virilific) recipes, ''mamsarasa'' (meat soup) and ''lehya'' like ''chyavanprasha'' (linctuses) [46-47]

	=== Summary ===		=== Summary ===