Vatavyadhi Chikitsa: Difference between revisions

हृद्रोगो विद्रधिः प्लीहा गुल्मोऽतीसार एव च ||२३६||  

भवन्त्युपद्रवास्तेषामावृतानामुपेक्षणात् |  

तस्मादावरणं वैद्यः पवनस्योपलक्षयेत् ||२३७||  

पञ्चात्मकस्य वातेन पित्तेन श्लेष्मणाऽपि वा |  

भिषग्जितमतः सम्यगुपलक्ष्य समाचरेत् ||२३८||  

अनभिष्यन्दिभिः स्निग्धैः स्रोतसां शुद्धिकारकैः |  

कफपित्ताविरुद्धं यद्यच्च वातानुलोमनम् ||२३९||  

सर्वस्थानावृतेऽप्याशु तत् कार्यं मारुते हितम् |  

यापना बस्तयः प्रायो मधुराः सानुवासनाः ||२४०||  

प्रसमीक्ष्य बलाधिक्यं मृदु वा स्रंसनं हितम् |  

रसायनानां सर्वेषामुपयोगः प्रशस्यते ||२४१||  

शैलस्य जतुनोऽत्यर्थं पयसा गुग्गुलोस्तथा |  

लेहं वा भार्गवप्रोक्तमभ्यसेत् क्षीरभुङ्नरः ||२४२||  

अभयामलकीयोक्तमेकादशसिताशतम् [१] |  

अपानेनावृते सर्वं दीपनं ग्राहि भेषजम् ||२४३||  

वातानुलोमनं यच्च पक्वाशयविशोधनम् |  

इति सङ्क्षेपतः प्रोक्तमावृतानां चिकित्सितम् ||२४४||  

प्राणादीनां भिषक् कुर्याद्वितर्क्य स्वयमेव तत् |  

पित्तावृते तु पित्तघ्नैर्मारुतस्याविरोधिभिः |  

कफावृते कफघ्नैस्तु मारुतस्यानुलोमनैः ||२४५||

hRudrogo vidradhiH plIhA gulmo~a’tīsāra eva ca ||236||  

bhavantyupadravAsteShAmAvRutAnAmupekShaNAt |  

tasmAdĀvaranaM vaidyaH pavanasyopalakṣayaet ||237||  

pa~jcAtmakasya vAtena pittena shleShmaNA~api vA |  

bhiShagjitamataH samyagupalakShya samAcaret ||238||  

anabhiShyandibhiH snigdhaiH srotasAM shuddhikArakaiH |  

kaphapittAviruddhaM yadyacca vātanulomanam ||239||  

sarvasthānavRute~apyAshu tat kAryaM mArute hitam |  

Yāpana  bastayaH prAyo madhurAH sAnuvAsanAH ||240||  

prasamIkShya balAdhikyaM mRudu vA sraMsanaM hitam |  

rasāyananAM sarveShAmupayogaH prashasyate ||241||  

shailasya jatuno~atyarthaM payasA guggulostathA |  

lehaM vA bhArgavaproktamabhyaset kShIrabhu~gnaraH ||242||  

abhayAmalakIyoktamekAdashaśītāshatam [1] |  

apānaenAvRute sarvaM dIpanaM grAhi bheShajam ||243||  

vātanulomanaM yacca pakvAshayavishodhanam |  

iti sa~gkShepataH proktamAvRutAnAM cikitśītām ||244||  

prānadInAM bhiShak kuryAdvitarkya svayameva tat |  

pittAvRute tu pittaghnairmArutasyAvirodhibhiH |  

kaphAvRute kaphaghnaistu mArutasyAnulomanaiH ||245||  

hr̥drōgō vidradhiḥ plīhā gulmō'tīsāra ēva ca||236||  

bhavantyupadravāstēṣāmāvr̥tānāmupēkṣaṇāt|  

tasmādāvaraṇaṁ vaidyaḥ pavanasyōpalakṣayēt||237||  

pañcātmakasya vātēna pittēna ślēṣmaṇā'pi vā|  

bhiṣagjitamataḥ samyagupalakṣya samācarēt||238||  

anabhiṣyandibhiḥ snigdhaiḥ srōtasāṁ śuddhikārakaiḥ|  

kaphapittāviruddhaṁ yadyacca vātānulōmanam||239||  

sarvasthānāvr̥tē'pyāśu tat kāryaṁ mārutē hitam|  

yāpanā bastayaḥ prāyō madhurāḥ sānuvāsanāḥ||240||  

prasamīkṣya balādhikyaṁ mr̥du vā sraṁsanaṁ hitam|  

rasāyanānāṁ sarvēṣāmupayōgaḥ praśasyatē||241||  

śailasya jatunō'tyarthaṁ payasā guggulōstathā|  

lēhaṁ vā bhārgavaprōktamabhyasēt kṣīrabhuṅnaraḥ||242||  

abhayāmalakīyōktamēkādaśasitāśatam [14] |  

apānēnāvr̥tē sarvaṁ dīpanaṁ grāhi bhēṣajam||243||  

vātānulōmanaṁ yacca pakvāśayaviśōdhanam|  

iti saṅkṣēpataḥ prōktamāvr̥tānāṁ cikitśītām||244||  

prāṇādīnāṁ bhiṣak kuryādvitarkya svayamēva tat|  

pittāvr̥tē tu pittaghnairmārutasyāvirōdhibhiḥ|  

kaphāvr̥tē kaphaghnaistu mārutasyānulōmanaiḥ||245||  

As a result of  neglecting these conditions of occlusions, there occur complications such as cardiac disorders, abscesses, splenic disorders, gulma and diarrhoea. (236-236½)

Therefore, the physician should diagnose the condition of occlusion of the five types of vāta, by vāta, pitta, or kapha. (237-237½)

After having well thought about the proper medications, the physician should treat the patient by measures which are non-abhiṣyandi, unctuous and depurative of body channels. (238-238½)

In condition of occlusion of vāta in all its habitats, taking prompt measures which are vāta anulomana and at the same time not antagonistic to kapha and pitta is beneficial. (239-239½)

The yāpana enema as well as the sweet unctuous enema is generally beneficial, and if the patient found to be sufficiently strong mild laxatives may be used.  (240-240½)

The use of all kinds of rasāyana is highly recommended. A course of shilājatu and a course of guggulu with milk are especially beneficial. (241-241½)

The patient living on milk diet, may take a course of rasāyana told by Bhārgava explained in ‘abhayāmalakī pāda’ containing 4400 tolas (52.8 kg) of sugar. (242-242½)

In condition of occlusion by apāna, all measures that are dīpana, grāhi, vāta anuloman and which cleanse pakvāśaya constitute the treatment. (243-243½)

Thus has been described in brief the line of treatment in conditions of occlusion of prāna and other types of vāta; the physician should use his own discretion and give the proper treatment. (244-244½)

In a condition of occlusion of vāta by pitta, the physician should administer medications curative of pitta and not antagonistic to vāta.  

In a condition of occlusion of vāta by kapha, medications curative of kapha and vāta anulomana should be given. (245)