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|title=Dhamargava Kalpa Adhyaya
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|titlemode=append
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|keywords=Dhamargava, Vamana, Luffa cylindrica, Gara visha, Ayurveda, Indian system of medicine, charak samhita.
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|description=Kalpa Sthana Chapter 4.Pharmaceutical preparations of Dhamargava
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|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg
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|image_alt=charak samhita
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<big>'''[[Kalpa Sthana]] Chapter 4.Pharmaceutical preparations of Dhamargava'''</big>
 
<big>'''[[Kalpa Sthana]] Chapter 4.Pharmaceutical preparations of Dhamargava'''</big>
 
<big>'''Abstract'''</big>
 
 
This chapter describes the use of ''dhamargava'' (Luffa cylindrica) for the purpose of inducing ''vamana'' (emesis). For this, its tender leaves, fruits and flowers are used. Total 60 preparations by using different medium like milk, juice of cow dung, horse dung, ghee, alcohol and decoction of various drugs like ''dhanyaka, tumburu'' etc. In this reference ''vati'' (pill) is prepared of the size of ''kola'' (jujuba). In one preparation emesis is induced after inhaling the powdered fruit sprinkled over the flower of water lily etc. ''Dhamargava'' is used to treat ''gara visha'' (poisoning), ''gulma''(Lump in abdomen), ''udara roga'' ( swellings in abdomen including ascitis), ''kasa'' (cough), ''mano vikara'' (mental disorders) and various chronic and deep seated diseases.
 
 
'''Keywords''': ''Dhamargava, Vamana,'' Luffa cylindrical, ''Gara visha''.
 
 
 
{{Infobox
 
{{Infobox
 
|title = Dhamargava Kalpa Adhyaya
 
|title = Dhamargava Kalpa Adhyaya
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|label5 = Other Sections
 
|label5 = Other Sections
 
|data5 = [[Sutra Sthana]], [[Nidana Sthana]],  [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Chikitsa Sthana]], [[Siddhi Sthana]]
 
|data5 = [[Sutra Sthana]], [[Nidana Sthana]],  [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Chikitsa Sthana]], [[Siddhi Sthana]]
 +
|label6 = Translator and commentator
 +
|data6 = Dwivedi K.N., Sharma P.
 +
|label7 = Reviewer
 +
|data7  = Sawant B., Nishteswar K.
 +
|label8 = Editors
 +
|data8  = Nishteswar K., Sawant B., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]
 +
|label9 = Year of publication
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|data9 =  2020
 +
|label10 = Publisher
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|data10 =  [[Charak Samhita Research, Training and Skill Development Centre]]
 +
|label11 = DOI
 +
|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s07.005 10.47468/CSNE.2020.e01.s07.005]
 +
}}
  
|header3 =  
+
<big>'''Abstract'''</big>
 
+
<p style="text-align:justify;">This chapter describes the use of ''dhamargava'' (Luffa cylindrica) for the purpose of inducing [[vamana]] (emesis). For this, its tender leaves, fruits and flowers are used. Total 60 preparations by using different medium like milk, juice of cow dung, horse dung, ghee, alcohol and decoction of various drugs like ''dhanyaka, tumburu'' etc. In this reference ''vati'' (pill) is prepared of the size of ''kola'' (jujuba). In one preparation emesis is induced after inhaling the powdered fruit sprinkled over the flower of water lily etc. ''Dhamargava'' is used to treat ''gara visha'' (poisoning), ''gulma''(Lump in abdomen), ''udara roga'' ( swellings in abdomen including ascitis), ''kasa'' (cough), ''mano vikara'' (mental disorders) and various chronic and deep seated diseases. </p>
}}
 
  
=== Introduction ===
+
'''Keywords''': Dhamargava, [[Vamana]], Luffa cylindrica, ''Gara visha''.
  
''Dhamargava'' is a ''vamaka'' (emetic) drug. Its synonyms are ''karkotaki, kothaphala, mahajalini'' and ''rajakoshataki''. Its tender leaves, flowers and fruits are used for inducing ''vamana'' (emesis). Two types of ''dhamargava'' are found one is ''tikta'' (bitter) and other ''madhura'' (sweet). ''Tikta'' variety is wild and used as ''aushadha'' (medicine). ''Madhura'' variety is used as ''shaka'' (vegetable). [1] Predominant ''mahabhuta'' in ''vamaka'' drugs are ''agni'' and ''vayu''. By its ''ubhaytobhagahara'' (upper and lower) ''prabhava'' it is ''vamaka'' in nature.
+
== Introduction ==
 +
<div style="text-align:justify;">
 +
''Dhamargava'' is a ''vamaka'' (emetic) drug. Its synonyms are ''karkotaki, kothaphala, mahajalini'' and ''rajakoshataki''. Its tender leaves, flowers and fruits are used for inducing [[vamana]] (emesis). Two types of ''dhamargava'' are found one is ''tikta'' (bitter) and other ''madhura'' (sweet). ''Tikta'' variety is wild and used as ''aushadha'' (medicine). ''Madhura'' variety is used as ''shaka'' (vegetable).<ref> Dravyaguna- Vigyana, Vol.II, written by Prof. P.V. Sharma, Chaukhambha Bharati Academy, Varanasi, Reprint 1998, 382.</ref>Predominant ''mahabhuta'' in ''vamaka'' drugs are ''agni'' and ''vayu''. By its ''ubhaytobhagahara'' (upper and lower) ''prabhava'' it is ''vamaka'' in nature.
  
''Dhamargava'' is one of nineteen ''phalini dravyas''. [2] It is used in ''vamana'' and ''asthapana basti''. [3] It is also explained in ''vamaka dravyas''. [4] It is used as drug of ''pakvashaya shodhana basti''. [5]
+
''Dhamargava'' is one of nineteen ''phalini dravyas''. [Cha. Sa.[[Sutra Sthana]] 1/82] It is used in [[vamana]] and asthapana [[basti]].[Cha.Sa. [[Sutra Sthana]] 1/85] It is also explained in ''vamaka dravyas''.[Cha. Sa. [[Sutra Sthana]] 2/7]. It is used as drug of pakvashaya shodhana [[basti]]. [Cha. Sa. [[Siddhi Sthana]] 10/25-27]
  
Rishi Gautam gives his opinion that ''dhamargava'' is best drug because of its ''kapha-pitta nashaka'' property.[6] According to Maharshi Atreya fruit of ''dhamargava'' is best for ''pandu'' (anemia) roga. [7]
+
Rishi Gautam gives his opinion that ''dhamargava'' is best drug because of its [[kapha]]-[[pitta]] nashaka'' property.[Cha. Sa. [[Siddhi Sthana]] 11/7]. According to Maharshi Atreya fruit of ''dhamargava'' is best for ''pandu'' (anemia) roga.[Cha. Sa. [[Siddhi Sthana]] 11/12]  
  
 
'''Latin name''': Luffa cylindrica (Linn.) M.J. Roem.  
 
'''Latin name''': Luffa cylindrica (Linn.) M.J. Roem.  
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'''Family''': Cucurbitaceae
 
'''Family''': Cucurbitaceae
  
'''Synonyms''': Luffa aegyptiaca Mill., Luffa pentandra Roxb.[8]
+
'''Synonyms''': Luffa aegyptiaca Mill., Luffa pentandra Roxb.<ref>Indian Medicinal Plants, Vol.II by Kirtikar and Basu, second edition 1998, 1120</ref>
  
'''Sanskrit synonyms''': Rajakoshataki, dirgha pattolika.[9]
+
'''Sanskrit synonyms''': Rajakoshataki, dirgha pattolika.<ref>The Wealth of India, Vol. VI L-M, Reprinted 2009, 179.</ref>
  
 
'''English name''': Sponge gourd, Smooth luffa.
 
'''English name''': Sponge gourd, Smooth luffa.
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'''Botanical Description''':  
 
'''Botanical Description''':  
  
Monoecious, climbing to a considerable height; stems stout, 5- angled, twisted, glabrous or slightly pubescent, often scabrous at the angles. Tendrils usually 3-fid. Leaves orbicular – reniform in outline, 10-20cm. long, often broader than long, palmately 5- (rarely 7) lobed, the lobes acute or acuminate, lobulate and distantly denticulate. Petioles 2.5-10 cm. long, angular slightly scabrous. Male flowers in axillary 4-20, flowered racemes, usually crowded near the top of the raceme. Stamens 5, distinct. Female flowers solitary, usually from the same axils as the males; peduncles stout, 2.5-7.5 cm. long. Fruit 12.5- 30 cm. long cylindric or somewhat trigonous, blunt at the end, marked with longitudinal lines. Seeds black or grey, 10 by 6mm, much compressed, narrowly winged, smooth or slightly tuberculate. [10]
+
Monoecious, climbing to a considerable height; stems stout, 5- angled, twisted, glabrous or slightly pubescent, often scabrous at the angles. Tendrils usually 3-fid. Leaves orbicular – reniform in outline, 10-20cm. long, often broader than long, palmately 5- (rarely 7) lobed, the lobes acute or acuminate, lobulate and distantly denticulate. Petioles 2.5-10 cm. long, angular slightly scabrous. Male flowers in axillary 4-20, flowered racemes, usually crowded near the top of the raceme. Stamens 5, distinct. Female flowers solitary, usually from the same axils as the males; peduncles stout, 2.5-7.5 cm. long. Fruit 12.5- 30 cm. long cylindric or somewhat trigonous, blunt at the end, marked with longitudinal lines. Seeds black or grey, 10 by 6mm, much compressed, narrowly winged, smooth or slightly tuberculate.<ref>Indian Medicinal Plants, Vol.II, by Kirtikar and Basu, second edition 1998, pp1120. </ref>
  
 
<gallery>
 
<gallery>
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*Veerya: Ushna
 
*Veerya: Ushna
 
*Vipaka: Katu
 
*Vipaka: Katu
*Prabhava: Ubhaytobhagahara. [11]
+
*Prabhava: Ubhaytobhagahara.<ref>Ibidem Dravyaguna Vigyana Vol.II,(1) 382.</ref>
*Actions and uses:  Apakva phala is used for mutrajanana (diuretic) and stanyajanan (glactagogue). Pakva phala is kriminashaka (anthelmintic), and vatanulomaka (carminative). Its swarasa is virechaka (purgative). The mature seeds are vamaka (emetic). [12]
+
*Actions and uses:  Apakva phala is used for mutrajanana (diuretic) and stanyajanan (glactagogue). Pakva phala is kriminashaka (anthelmintic), and vatanulomaka (carminative). Its swarasa is virechaka (purgative). The mature seeds are vamaka (emetic).
  
'''Chemical Constituents''': A substance like Colocynthine extract and one Luffein extract is found in it. In seeds fixed oil is found, one bitter substance and saponin is found. The fruit contains triterpenoid saponins: lucyosides A, B, C, D, E, F, G, H, I, J, K, L, M. [13]
+
'''Chemical Constituents''': A substance like Colocynthine extract and one Luffein extract is found in it. In seeds fixed oil is found, one bitter substance and saponin is found. The fruit contains triterpenoid saponins: lucyosides A, B, C, D, E, F, G, H, I, J, K, L, M.
  
=== Sanskrit Text, Transliteration with English Translation ===
+
== Sanskrit Text, Transliteration with English Translation ==
 +
<div class="mw-collapsible mw-collapsed">
  
 
अथातो धामार्गवकल्पं व्याख्यास्यामः||१||  
 
अथातो धामार्गवकल्पं व्याख्यास्यामः||१||  
  
 
इति ह स्माह भगवानात्रेयः||२||  
 
इति ह स्माह भगवानात्रेयः||२||  
 +
<div class="mw-collapsible-content">
  
 
athātō dhāmārgavakalpaṁ vyākhyāsyāmaḥ||1||  
 
athātō dhāmārgavakalpaṁ vyākhyāsyāmaḥ||1||  
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iti ha smAha bhagavAnAtreyaH||2||  
 
iti ha smAha bhagavAnAtreyaH||2||  
 +
</div></div>
  
Now we shall expound the chapter on pharmaceutical preparations of ''dhamargava'' (sponge gourd). Thus said Lord Atreya.[1-2]
+
Now we shall expound the chapter "Dhamargava kalpa" (Pharmaceutical preparations of Dhamargava). Thus said Lord Atreya.[1-2]
  
==== Synonyms ====
+
Note: Dhamargava is sponge gourd.
  
कर्कोटकी कोठफला महाजालिनिरेव च|
+
=== Synonyms ===
धामार्गवस्य पर्याया राजकोशातकी तथा||३||
+
<div class="mw-collapsible mw-collapsed">
  
karkōṭakī kōṭhaphalā mahājālinirēva ca|  
+
कर्कोटकी कोठफला महाजालिनिरेव च| <br />
dhāmārgavasya paryāyā rājakōśātakī tathā||3||
+
धामार्गवस्य पर्याया राजकोशातकी तथा||३|| <br />
 +
<div class="mw-collapsible-content">
 +
 
 +
karkōṭakī kōṭhaphalā mahājālinirēva ca|<br />
 +
dhāmārgavasya paryāyā rājakōśātakī tathā||3||<br />
 
   
 
   
karkoTakI koThaphalA mahAjAlinireva ca|  
+
karkoTakI koThaphalA mahAjAlinireva ca| <br />
dhAmArgavasya paryAyA rAjakoshAtakI tathA||3||
+
dhAmArgavasya paryAyA rAjakoshAtakI tathA||3||<br />
 +
</div></div>
  
 
''Karkotaki, kothaphala, mahajalini'' and ''rajakosataki'' are the synonyms of ''dhamargava''.[3]
 
''Karkotaki, kothaphala, mahajalini'' and ''rajakosataki'' are the synonyms of ''dhamargava''.[3]
  
==== Indications ====
+
=== Indications ===
 +
<div class="mw-collapsible mw-collapsed">
  
गरे गुल्मोदरे कासे वाते श्लेष्माशयस्थिते|  
+
गरे गुल्मोदरे कासे वाते श्लेष्माशयस्थिते| <br />
कफे च कण्ठवक्रस्थे कफसञ्चयजेषु च||४||  
+
कफे च कण्ठवक्रस्थे कफसञ्चयजेषु च||४|| <br />
  
रोगेष्वेषु प्रयोज्यं स्यात् स्थिराश्च गुरवश्च ये   
+
रोगेष्वेषु प्रयोज्यं स्यात् स्थिराश्च गुरवश्च ये  <br />
फलं पुष्पं प्रवालं च विधिना तस्य संहरेत्||५||  
+
फलं पुष्पं प्रवालं च विधिना तस्य संहरेत्||५|| <br />
 +
<div class="mw-collapsible-content">
  
garē gulmōdarē kāsē vātē ślēṣmāśayasthitē|  
+
garē gulmōdarē kāsē vātē ślēṣmāśayasthitē| <br />
kaphē ca kaṇṭhavakrasthē kaphasañcayajēṣu ca||4||  
+
kaphē ca kaṇṭhavakrasthē kaphasañcayajēṣu ca||4|| <br />
  
rōgēṣvēṣu prayōjyaṁ syāt sthirāśca guravaśca yē  
+
rōgēṣvēṣu prayōjyaṁ syāt sthirāśca guravaśca yē <br />
phalaṁ puṣpaṁ pravālaṁ ca vidhinā tasya saṁharēt||5||
+
phalaṁ puṣpaṁ pravālaṁ ca vidhinā tasya saṁharēt||5||<br />
  
gare gulmodare kAse vAte shleShmAshayasthite|  
+
gare gulmodare kAse vAte shleShmAshayasthite| <br />
kaphe ca kaNThavakrasthe kaphasa~jcayajeShu ca||4||  
+
kaphe ca kaNThavakrasthe kaphasa~jcayajeShu ca||4|| <br />
  
rogeShveShu prayojyaM syAt sthirAshca guravashca ye|5|
+
rogeShveShu prayojyaM syAt sthirAshca guravashca ye|5|<br />
  
phalaM puShpaM pravAlaM ca vidhinA tasya saMharet||5||  
+
phalaM puShpaM pravAlaM ca vidhinA tasya saMharet||5|| <br />
 +
</div></div>
  
It should be used in conditions of ''gara'' (artificial poison), ''gulma, udara'' (GIT problems), ''kasa'' (cough), ''vata'' situated in the seat of ''kapha, kapha'' located in throat and mouth, diseases caused by accumulation of ''kapha'' and other stable and severe diseases.[4]
+
It should be used in conditions of ''gara'' (artificial poison), ''gulma, udara'' (GIT problems), ''kasa'' (cough), [[vata]] situated in the seat of [[kapha]], [[kapha]] located in throat and mouth, diseases caused by accumulation of [[kapha]] and other stable and severe diseases.[4]
  
 
Fruits, flowers and tender leaves of the plant should be collected by the method said earlier. [5]
 
Fruits, flowers and tender leaves of the plant should be collected by the method said earlier. [5]
  
==== Different preparations ====
+
=== Different preparations ===
 +
<div class="mw-collapsible mw-collapsed">
  
प्रवालस्वरसं शुष्कं कृत्वा च गुलिकाः पृथक्|  
+
प्रवालस्वरसं शुष्कं कृत्वा च गुलिकाः पृथक्| <br />
कोविदारादिभिः पेयाः कषायैर्मधुकस्य च||६||  
+
कोविदारादिभिः पेयाः कषायैर्मधुकस्य च||६|| <br />
 +
<div class="mw-collapsible-content">
  
pravālasvarasaṁ śuṣkaṁ kr̥tvā ca gulikāḥ pr̥thak|  
+
pravālasvarasaṁ śuṣkaṁ kr̥tvā ca gulikāḥ pr̥thak| <br />
kōvidārādibhiḥ pēyāḥ kaṣāyairmadhukasya ca||6||  
+
kōvidārādibhiḥ pēyāḥ kaṣāyairmadhukasya ca||6|| <br />
  
pravAlasvarasaM shuShkaM kRutvA ca gulikAH pRuthak|  
+
pravAlasvarasaM shuShkaM kRutvA ca gulikAH pRuthak| <br />
kovidArAdibhiH peyAH kaShAyairmadhukasya ca||6||
+
kovidArAdibhiH peyAH kaShAyairmadhukasya ca||6||<br />
 +
</div></div>
  
 
The juice of tender leaves is dried and made into pills which should be administered along with the decoction prepared out of any one of the drug from ''kovidaradi gana'' or ''madhuka'' (Glycyrrhiza glabra Linn.) [6]
 
The juice of tender leaves is dried and made into pills which should be administered along with the decoction prepared out of any one of the drug from ''kovidaradi gana'' or ''madhuka'' (Glycyrrhiza glabra Linn.) [6]
 +
 +
* '''Note: ''Kovidaradi gana'':''' ''Kovidaradi'' drugs include ''rakta kanchanara'' (Bauhinia variegata Linn.), ''shweta kanchanara'' (Bauhinia purpurea Linn.), ''kadamba'' (Anthocephalus indicus Miq.), ''jalaveta'' (Salix tetrasperma), ''kundaru'' (Boswellia serrata Roxb.), ''shanapushpi'' (Crotolaria verrucosa Linn.), ''madara'' (Calotropis procera Ait. R. Br.), ''apamarga'' (Achyranthes aspera Linn.). Total nine preparations are enlisted depending on nine decoction prepared. Out of which eight decoctions are prepared from each eight drugs of ''kovidaradi gana'' and one decoction prepared from ''madhuka'' (Glycyrrhiza glabra Linn).
 +
<div class="mw-collapsible mw-collapsed">
  
 
पुष्पादिषु पयोयोगाश्चत्वारः पञ्चमी सुरा| पूर्ववत्...|७|  
 
पुष्पादिषु पयोयोगाश्चत्वारः पञ्चमी सुरा| पूर्ववत्...|७|  
 +
<div class="mw-collapsible-content">
  
 
puṣpādiṣu payōyōgāścatvāraḥ pañcamī surā| pūrvavat...|7|  
 
puṣpādiṣu payōyōgāścatvāraḥ pañcamī surā| pūrvavat...|7|  
Line 135: Line 170:
 
puShpAdiShu payoyogAshcatvAraH pa~jcamI surA|  
 
puShpAdiShu payoyogAshcatvAraH pa~jcamI surA|  
 
pUrvavat...|7|  
 
pUrvavat...|7|  
 +
</div></div>
  
 
Four preparations are of milk using flower etc. and the fifth one employs wine as said earlier. [7]
 
Four preparations are of milk using flower etc. and the fifth one employs wine as said earlier. [7]
 +
<div class="mw-collapsible mw-collapsed">
  
... जीर्णशुष्काणामतः कल्पः प्रवक्ष्यते||७||  
+
... जीर्णशुष्काणामतः कल्पः प्रवक्ष्यते||७|| <br />
  
मधुकस्य कषायेण बीजकण्ठोद्धृतं फलम्|  
+
मधुकस्य कषायेण बीजकण्ठोद्धृतं फलम्| <br />
सगुडं व्युषितं रात्रिं कोविदारादिभिस्तथा||८||  
+
सगुडं व्युषितं रात्रिं कोविदारादिभिस्तथा||८|| <br />
  
दद्याद्गुल्मोदरार्तेभ्यो ये चाप्यन्ये कफामयाः|९|  
+
दद्याद्गुल्मोदरार्तेभ्यो ये चाप्यन्ये कफामयाः|९| <br />
  
दद्यादन्नेन संयुक्तं छर्दिहृद्रोगशान्तये||९||  
+
दद्यादन्नेन संयुक्तं छर्दिहृद्रोगशान्तये||९|| <br />
 +
<div class="mw-collapsible-content">
  
... jīrṇaśuṣkāṇāmataḥ kalpaḥ pravakṣyatē||7||  
+
... jīrṇaśuṣkāṇāmataḥ kalpaḥ pravakṣyatē||7|| <br />
  
madhukasya kaṣāyēṇa bījakaṇṭhōddhr̥taṁ phalam|  
+
madhukasya kaṣāyēṇa bījakaṇṭhōddhr̥taṁ phalam| <br />
saguḍaṁ vyuṣitaṁ rātriṁ kōvidārādibhistathā||8||  
+
saguḍaṁ vyuṣitaṁ rātriṁ kōvidārādibhistathā||8|| <br />
  
dadyādgulmōdarārtēbhyō yē cāpyanyē kaphāmayāḥ|9|  
+
dadyādgulmōdarārtēbhyō yē cāpyanyē kaphāmayāḥ|9| <br />
  
dadyādannēna saṁyuktaṁ chardihr̥drōgaśāntayē||9||  
+
dadyādannēna saṁyuktaṁ chardihr̥drōgaśāntayē||9|| <br />
  
... jIrNashuShkANAmataH kalpaH pravakShyate||7||  
+
... jIrNashuShkANAmataH kalpaH pravakShyate||7|| <br />
  
madhukasya kaShAyeNa bIjakaNThoddhRutaM phalam|  
+
madhukasya kaShAyeNa bIjakaNThoddhRutaM phalam| <br />
saguDaM vyuShitaM rAtriM kovidArAdibhistathA||8||  
+
saguDaM vyuShitaM rAtriM kovidArAdibhistathA||8|| <br />
  
dadyAdgulmodarArtebhyo ye cApyanye kaphAmayAH|9|  
+
dadyAdgulmodarArtebhyo ye cApyanye kaphAmayAH|9| <br />
  
dadyAdannena saMyuktaM chardihRudrogashAntaye||9||  
+
dadyAdannena saMyuktaM chardihRudrogashAntaye||9|| <br />
 +
</div></div>
  
Now, I would say the preparations of over ripened and dry fruits. The meshy /fibrous fruit core containing seeds should be taken out and the fruit should be stuffed with jiggery for the whole night. Next morning it should be given with the decoction of ''madhuka'' or any one of the ''kovidaradi'' drugs in the ailments like ''gulma, udara'' and the disorders of ''kapha''.[7-8]
+
Now, I would say the preparations of over ripened and dry fruits. The meshy /fibrous fruit core containing seeds should be taken out and the fruit should be stuffed with jiggery for the whole night. Next morning it should be given with the decoction of ''madhuka'' or any one of the ''kovidaradi'' drugs in the ailments like ''gulma, udara'' and the disorders of [[kapha]].[7-8]
  
 
The fruit should be given mixed with food to alleviate vomiting and heart disease. [9]
 
The fruit should be given mixed with food to alleviate vomiting and heart disease. [9]
  
चूर्णैर्वाऽप्युत्पलादीनि भावितानि प्रभूतशः|
+
'''Note: Collection of fruits:''' Fruits of ''dhamargava'' are plucked in spring or autumn season when there are abundant flowers that are growing on flat, even lands that are well nurtured by the ''kusha'' and ''rohisa''. These plants should not be grown directly in sun, and neither along the river bank nor has chasms and crevices or anthills. The fruits themselves ought to be fully developed, ripen and with their juice well formed. A wise physician picking up such fruits should place them covered in a granary of ''yava'' or that of the husks for seven nights. (Bhela Samhita) <ref>Bhela,Kalpa sthana,chapter 4,Dhamargava Kalpa Adhyaya,Verse1-4 In:K. H. Krishnamurthy,Prof.P.V. Sharma,editors
रसक्षीरयवाग्वादितृप्तो घ्रात्वा वमेत् सुखम्||१०||
+
Bhela Samhita, Kalpa sthana, Dhamargava Kalpa Adhyaya, 4/1-4, English Commentary by K. H. Krishnamurthy, editor Prof.P.V. Sharma, Chaukhambha Visvabharati, Varanasi Reprint 2008, 493.</ref>
 +
<div class="mw-collapsible mw-collapsed">
  
cūrṇairvā'pyutpalādīni bhāvitāni prabhūtaśaḥ|  
+
चूर्णैर्वाऽप्युत्पलादीनि भावितानि प्रभूतशः| <br />
rasakṣīrayavāgvāditr̥ptō ghrātvā vamēt sukham||10||  
+
रसक्षीरयवाग्वादितृप्तो घ्रात्वा वमेत् सुखम्||१०|| <br />
 +
<div class="mw-collapsible-content">
  
cUrNairvA~apyutpalAdIni bhAvitAni prabhUtashaH|  
+
cūrṇairvā'pyutpalādīni bhāvitāni prabhūtaśaḥ| <br />
rasakShIrayavAgvAditRupto ghrAtvA vamet sukham||10||
+
rasakṣīrayavāgvāditr̥ptō ghrātvā vamēt sukham||10|| <br />
 +
 
 +
cUrNairvA~apyutpalAdIni bhAvitAni prabhUtashaH| <br />
 +
rasakShIrayavAgvAditRupto ghrAtvA vamet sukham||10||<br />
 +
</div></div>
  
 
One after being saturated with meat soup, milk, gruel etc. vomits easily by inhaling the flowers of water lily etc. impregnated profusely with the fine powder of ''dhamargava'' fruits.[10]
 
One after being saturated with meat soup, milk, gruel etc. vomits easily by inhaling the flowers of water lily etc. impregnated profusely with the fine powder of ''dhamargava'' fruits.[10]
 +
<div class="mw-collapsible mw-collapsed">
  
चूर्णीकृतस्य वर्तिं वा कृत्वा बदरसम्मिताम्|  
+
चूर्णीकृतस्य वर्तिं वा कृत्वा बदरसम्मिताम्| <br />
विनीयाञ्जलिमात्रे तु पिबेद्गोऽश्वशकृद्रसे ||११||  
+
विनीयाञ्जलिमात्रे तु पिबेद्गोऽश्वशकृद्रसे ||११|| <br />
  
पृषतर्ष्यकुरङ्गाह्वगजोष्ट्राश्वतराविके|  
+
पृषतर्ष्यकुरङ्गाह्वगजोष्ट्राश्वतराविके| <br />
श्वदंष्ट्रखरखङ्गानां चैवं पेया शकृद्रसे ||१२||  
+
श्वदंष्ट्रखरखङ्गानां चैवं पेया शकृद्रसे ||१२|| <br />
 +
<div class="mw-collapsible-content">
  
cūrṇīkr̥tasya vartiṁ vā kr̥tvā badarasammitām|  
+
cūrṇīkr̥tasya vartiṁ vā kr̥tvā badarasammitām| <br />
vinīyāñjalimātrē tu pibēdgō'śvaśakr̥drasē  ||11||  
+
vinīyāñjalimātrē tu pibēdgō'śvaśakr̥drasē  ||11|| <br />
  
pr̥ṣatarṣyakuraṅgāhvagajōṣṭrāśvatarāvikē|  
+
pr̥ṣatarṣyakuraṅgāhvagajōṣṭrāśvatarāvikē| <br />
śvadaṁṣṭrakharakhaṅgānāṁ caivaṁ pēyā śakr̥drasē  ||12||  
+
śvadaṁṣṭrakharakhaṅgānāṁ caivaṁ pēyā śakr̥drasē  ||12|| <br />
  
cUrNIkRutasya vartiM vA kRutvA badarasammitAm|  
+
cUrNIkRutasya vartiM vA kRutvA badarasammitAm| <br />
vinIyA~jjalimAtre tu pibedgo~ashvashakRudrase ||11||  
+
vinIyA~jjalimAtre tu pibedgo~ashvashakRudrase ||11|| <br />
  
pRuShatarShyakura~ggAhvagajoShTrAshvatarAvike|  
+
pRuShatarShyakura~ggAhvagajoShTrAshvatarAvike| <br />
shvadaMShTrakharakha~ggAnAM caivaM peyA shakRudrase ||12||  
+
shvadaMShTrakharakha~ggAnAM caivaM peyA shakRudrase ||12|| <br />
 +
</div></div>
  
 
Caplets of the size of ''kola'' (jujuba) fruit made of the powder of fruits should be taken after dissolving in 160 ml of the juice of cow dung or horse dung. Similarly it should be taken in the juice of feces of (''prasata, rsya, kuranga, gaja, ustra, ashvatara, avi, shvadanstra, khara'' and ''khadaganama'').[11-12]
 
Caplets of the size of ''kola'' (jujuba) fruit made of the powder of fruits should be taken after dissolving in 160 ml of the juice of cow dung or horse dung. Similarly it should be taken in the juice of feces of (''prasata, rsya, kuranga, gaja, ustra, ashvatara, avi, shvadanstra, khara'' and ''khadaganama'').[11-12]
 +
<div class="mw-collapsible mw-collapsed">
  
जीवकर्षभकौ वीरामात्मगुप्तां शतावरीम्|  
+
जीवकर्षभकौ वीरामात्मगुप्तां शतावरीम्| <br />
काकोलीं श्रावणीं मेदां महामेदां मधूलिकाम्||१३||  
+
काकोलीं श्रावणीं मेदां महामेदां मधूलिकाम्||१३|| <br />
  
एकैकशोऽभिसञ्चूर्ण्य सह धामार्गवेण ते|  
+
एकैकशोऽभिसञ्चूर्ण्य सह धामार्गवेण ते| <br />
शर्करामधुसंयुक्ता लेहा हृद्दाहकासिनाम्||१४||  
+
शर्करामधुसंयुक्ता लेहा हृद्दाहकासिनाम्||१४|| <br />
  
सुखोदकानुपानाः स्युः पित्तोष्मसहिते कफे  
+
सुखोदकानुपानाः स्युः पित्तोष्मसहिते कफे <br />
धान्यतुम्बुरुयूषेण कल्कः सर्वविषापहः||१५||  
+
धान्यतुम्बुरुयूषेण कल्कः सर्वविषापहः||१५|| <br />
 +
<div class="mw-collapsible-content">
  
jīvakarṣabhakau vīrāmātmaguptāṁ śatāvarīm|  
+
jīvakarṣabhakau vīrāmātmaguptāṁ śatāvarīm| <br />
kākōlīṁ śrāvaṇīṁ mēdāṁ mahāmēdāṁ madhūlikām||13||  
+
kākōlīṁ śrāvaṇīṁ mēdāṁ mahāmēdāṁ madhūlikām||13|| <br />
  
ēkaikaśō'bhisañcūrṇya saha dhāmārgavēṇa tē|  
+
ēkaikaśō'bhisañcūrṇya saha dhāmārgavēṇa tē| <br />
śarkarāmadhusaṁyuktā lēhā hr̥ddāhakāsinām||14||  
+
śarkarāmadhusaṁyuktā lēhā hr̥ddāhakāsinām||14|| <br />
  
sukhōdakānupānāḥ syuḥ pittōṣmasahitē kaphē
+
sukhōdakānupānāḥ syuḥ pittōṣmasahitē kaphē <br />
dhānyatumburuyūṣēṇa kalkaḥ sarvaviṣāpahaḥ||15||  
+
dhānyatumburuyūṣēṇa kalkaḥ sarvaviṣāpahaḥ||15|| <br />
  
jIvakarShabhakau vIrAmAtmaguptAM shatAvarIm|  
+
jIvakarShabhakau vIrAmAtmaguptAM shatAvarIm| <br />
kAkolIM shrAvaNIM medAM mahAmedAM madhUlikAm||13||  
+
kAkolIM shrAvaNIM medAM mahAmedAM madhUlikAm||13|| <br />
  
ekaikasho~abhisa~jcUrNya saha dhAmArgaveNa te|  
+
ekaikasho~abhisa~jcUrNya saha dhAmArgaveNa te| <br />
sharkarAmadhusaMyuktA lehA hRuddAhakAsinAm||14||  
+
sharkarAmadhusaMyuktA lehA hRuddAhakAsinAm||14|| <br />
  
sukhodakAnupAnAH syuH pittoShmasahite kaphe|15|  
+
sukhodakAnupAnAH syuH pittoShmasahite kaphe|15| <br />
  
dhAnyatumburuyUSheNa kalkaH sarvaviShApahaH||15||
+
dhAnyatumburuyUSheNa kalkaH sarvaviShApahaH||15||<br />
 +
</div></div>
  
''Jivaka'' (Microstylis musifera Ridley), ''rishabhaka'' (Microstylis wallichii Linn.), ''vira'' (Vetiveria zizanioides Linn.), ''atmagupta'' (Mucuna prurita Hook.), ''shatavari'' (Asparagus racemosus Wild.), ''kakoli'' (Roscoca procera Wall.), ''shravani'' (Sphaeranthus indicus Linn.), ''meda'' (Polygonatum airrhifolium Royle), ''mahameda'' (Polygonatum airrhifolium Royle and other species)  and ''madhulika'' (''jala mulethi, murva'') each powdered separately and mixed with ''dhamargava'' is taken with sugar and honey as linctus in case of heart burning and cough. ''Kapha'' associated with aggravated ''pitta'' it should be taken with lukewarm water.[13-14]
+
''Jivaka'' (Microstylis musifera Ridley), ''rishabhaka'' (Microstylis wallichii Linn.), ''vira'' (Vetiveria zizanioides Linn.), ''atmagupta'' (Mucuna prurita Hook.), ''shatavari'' (Asparagus racemosus Wild.), ''kakoli'' (Roscoca procera Wall.), ''shravani'' (Sphaeranthus indicus Linn.), ''meda'' (Polygonatum airrhifolium Royle), ''mahameda'' (Polygonatum airrhifolium Royle and other species)  and ''madhulika'' (''jala mulethi, murva'') each powdered separately and mixed with ''dhamargava'' is taken with sugar and honey as linctus in case of heart burning and cough. [[Kapha]] associated with aggravated ''pitta'' it should be taken with lukewarm water.[13-14]
  
 
Paste of ''dhamargava'' taken with the soup of the seeds of ''dhanyaka'' (Coriandrum sativum Linn. Tumburu (Zanthoxylum alatum Roxb.) alleviates all poisons. [15]
 
Paste of ''dhamargava'' taken with the soup of the seeds of ''dhanyaka'' (Coriandrum sativum Linn. Tumburu (Zanthoxylum alatum Roxb.) alleviates all poisons. [15]
 +
<div class="mw-collapsible mw-collapsed">
  
जात्याः सौमनसायिन्या रजन्याश्चोरकस्य च|  
+
जात्याः सौमनसायिन्या रजन्याश्चोरकस्य च| <br />
वृश्चीरस्य महाक्षुद्रसहाहैमवतस्य च||१६||  
+
वृश्चीरस्य महाक्षुद्रसहाहैमवतस्य च||१६|| <br />
  
बिम्ब्याः पुनर्नवाया वा कासमर्दस्य वा पृथक्  |  
+
बिम्ब्याः पुनर्नवाया वा कासमर्दस्य वा पृथक्  | <br />
एकं धामार्गवं द्वे वा कषाये परिमृद्य तु||१७||  
+
एकं धामार्गवं द्वे वा कषाये परिमृद्य तु||१७|| <br />
  
पूतं मनोविकारेषु पिबेद्वमनमुत्तमम्|१८|
+
पूतं मनोविकारेषु पिबेद्वमनमुत्तमम्|१८|<br />
  
तच्छृतक्षीरजं सर्पिः साधितं वा फलादिभिः||१८||  
+
तच्छृतक्षीरजं सर्पिः साधितं वा फलादिभिः||१८|| <br />
 +
<div class="mw-collapsible-content">
  
jātyāḥ saumanasāyinyā rajanyāścōrakasya ca|  
+
jātyāḥ saumanasāyinyā rajanyāścōrakasya ca| <br />
vr̥ścīrasya mahākṣudrasahāhaimavatasya ca||16||  
+
vr̥ścīrasya mahākṣudrasahāhaimavatasya ca||16|| <br />
  
bimbyāḥ punarnavāyā vā kāsamardasya vā pr̥thak |  
+
bimbyāḥ punarnavāyā vā kāsamardasya vā pr̥thak | <br />
ēkaṁ dhāmārgavaṁ dvē vā kaṣāyē parimr̥dya tu||17||  
+
ēkaṁ dhāmārgavaṁ dvē vā kaṣāyē parimr̥dya tu||17|| <br />
  
pūtaṁ manōvikārēṣu pibēdvamanamuttamam|  
+
pūtaṁ manōvikārēṣu pibēdvamanamuttamam| <br />
tacchr̥takṣīrajaṁ sarpiḥ sādhitaṁ vā phalādibhiḥ||18||  
+
tacchr̥takṣīrajaṁ sarpiḥ sādhitaṁ vā phalādibhiḥ||18|| <br />
  
jAtyAH saumanasAyinyA rajanyAshcorakasya ca|  
+
jAtyAH saumanasAyinyA rajanyAshcorakasya ca| <br />
vRushcIrasya mahAkShudrasahAhaimavatasya ca||16||  
+
vRushcIrasya mahAkShudrasahAhaimavatasya ca||16|| <br />
  
bimbyAH punarnavAyA vA kAsamardasya vA pRuthak |  
+
bimbyAH punarnavAyA vA kAsamardasya vA pRuthak | <br />
ekaM dhAmArgavaM dve vA kaShAye parimRudya tu||17||  
+
ekaM dhAmArgavaM dve vA kaShAye parimRudya tu||17|| <br />
  
pUtaM manovikAreShu pibedvamanamuttamam|18|  
+
pUtaM manovikAreShu pibedvamanamuttamam|18| <br />
  
tacchRutakShIrajaM sarpiH sAdhitaM vA phalAdibhiH||18||  
+
tacchRutakShIrajaM sarpiH sAdhitaM vA phalAdibhiH||18|| <br />
 +
</div></div>
  
 
Powder of one or two fruits of ''dhamargava'' is added in decoction prepared out of  any one of these drugs – ''jati'' (Jasminum grandiflorum Linn.), ''saumanasayini, Haridra'' (Curcuma longa Linn.), ''choraka'' (Angelica glauca Edgw.), ''vrischira, masaparni'' (Teramnus labialis Spreng), ''mudgaparni'' (Phaseolus trilobus Ait.), ''haimavata'' (Iris ensata Thumb.), ''bimbi'' (Coccinia indica W. & A.), ''punarnava'' (Boerhaavia diffusa Linn.) and ''kasmarda'' (Cassia occidentalis Linn.) , should be filtered and taken as an excellent emetic in mental disorders. [16,17]
 
Powder of one or two fruits of ''dhamargava'' is added in decoction prepared out of  any one of these drugs – ''jati'' (Jasminum grandiflorum Linn.), ''saumanasayini, Haridra'' (Curcuma longa Linn.), ''choraka'' (Angelica glauca Edgw.), ''vrischira, masaparni'' (Teramnus labialis Spreng), ''mudgaparni'' (Phaseolus trilobus Ait.), ''haimavata'' (Iris ensata Thumb.), ''bimbi'' (Coccinia indica W. & A.), ''punarnava'' (Boerhaavia diffusa Linn.) and ''kasmarda'' (Cassia occidentalis Linn.) , should be filtered and taken as an excellent emetic in mental disorders. [16,17]
Line 265: Line 319:
 
Ghee extracted from the milk boiled with the fruit of ''dhamargava'' should be prepared with ''phaladi'' (''madanaphala, jimutaka, ikshavaku, indrayava'' and ''kritavedhana'') drugs. [18]
 
Ghee extracted from the milk boiled with the fruit of ''dhamargava'' should be prepared with ''phaladi'' (''madanaphala, jimutaka, ikshavaku, indrayava'' and ''kritavedhana'') drugs. [18]
  
==== Summary ====
+
=== Summary ===
 +
<div class="mw-collapsible mw-collapsed">
  
तत्र श्लोकौ-  
+
तत्र श्लोकौ- <br />
  
पल्लवे नव चत्वारः क्षीर एकः सुरासवे|  
+
पल्लवे नव चत्वारः क्षीर एकः सुरासवे| <br />
कषाये विंशतिः कल्के दश द्वौ च शकृद्रसे||१९||  
+
कषाये विंशतिः कल्के दश द्वौ च शकृद्रसे||१९|| <br />
  
अन्न एकस्तथा घ्रेये दश लेहास्तथा घृतम्|  
+
अन्न एकस्तथा घ्रेये दश लेहास्तथा घृतम्| <br />
कल्पे धामार्गवस्योक्ताः षष्टिर्योगा महर्षिणा||२०||  
+
कल्पे धामार्गवस्योक्ताः षष्टिर्योगा महर्षिणा||२०|| <br />
 +
<div class="mw-collapsible-content">
  
tatra ślōkau-  
+
tatra ślōkau- <br />
  
pallavē nava catvāraḥ kṣīra ēkaḥ surāsavē|  
+
pallavē nava catvāraḥ kṣīra ēkaḥ surāsavē| <br />
kaṣāyē viṁśatiḥ kalkē daśa dvau ca śakr̥drasē||19||  
+
kaṣāyē viṁśatiḥ kalkē daśa dvau ca śakr̥drasē||19|| <br />
  
anna ēkastathā ghrēyē daśa lēhāstathā ghr̥tam|  
+
anna ēkastathā ghrēyē daśa lēhāstathā ghr̥tam| <br />
kalpē dhāmārgavasyōktāḥ ṣaṣṭiryōgā maharṣiṇā||20||  
+
kalpē dhāmārgavasyōktāḥ ṣaṣṭiryōgā maharṣiṇā||20|| <br />
  
tatra shlokau-  
+
tatra shlokau- <br />
  
pallave nava catvAraH kShIra ekaH surAsave|  
+
pallave nava catvAraH kShIra ekaH surAsave| <br />
kaShAye viMshatiH kalke dasha dvau ca shakRudrase||19||  
+
kaShAye viMshatiH kalke dasha dvau ca shakRudrase||19|| <br />
  
anna ekastathA ghreye dasha lehAstathA ghRutam|  
+
anna ekastathA ghreye dasha lehAstathA ghRutam| <br />
kalpe dhAmArgavasyoktAH ShaShTiryogA maharShiNA||20||  
+
kalpe dhAmArgavasyoktAH ShaShTiryogA maharShiNA||20|| <br />
 +
</div></div>
  
 
Now summing up verses –
 
Now summing up verses –
  
 
Nine preparations in tender leaves, four in milk, one in alcohol, twenty in decoction, one in paste, twelve with the juice of cow dung etc., one with food, one for inhalation, ten linctus preparations and one with ''ghrita'' – thus total sixty formulations have been described by the great sage in the chapter on preparations of ''dhamargava''.[19-20]
 
Nine preparations in tender leaves, four in milk, one in alcohol, twenty in decoction, one in paste, twelve with the juice of cow dung etc., one with food, one for inhalation, ten linctus preparations and one with ''ghrita'' – thus total sixty formulations have been described by the great sage in the chapter on preparations of ''dhamargava''.[19-20]
 +
<div class="mw-collapsible mw-collapsed">
  
 
इत्यग्निवेशकृते तन्त्रे चरकप्रतिसंस्कृतेऽप्राप्ते दृढबलसम्पूरिते कल्पस्थाने धामार्गवकल्पो नाम चतुर्थोऽध्यायः||४||  
 
इत्यग्निवेशकृते तन्त्रे चरकप्रतिसंस्कृतेऽप्राप्ते दृढबलसम्पूरिते कल्पस्थाने धामार्गवकल्पो नाम चतुर्थोऽध्यायः||४||  
 +
<div class="mw-collapsible-content">
  
 
ityagnivēśakr̥tē tantrē carakapratisaṁskr̥tē'prāptē dr̥ḍhabalasampūritē kalpasthānē dhāmārgavakalpō nāma caturthō'dhyāyaḥ||4||  
 
ityagnivēśakr̥tē tantrē carakapratisaṁskr̥tē'prāptē dr̥ḍhabalasampūritē kalpasthānē dhāmārgavakalpō nāma caturthō'dhyāyaḥ||4||  
  
 
ityagniveshakRute tantre carakapratisaMskRute~aprApte dRuDhabalasampUrite kalpasthAne dhAmArgavakalpo nAma caturtho~adhyAyaH||4||  
 
ityagniveshakRute tantre carakapratisaMskRute~aprApte dRuDhabalasampUrite kalpasthAne dhAmArgavakalpo nAma caturtho~adhyAyaH||4||  
 +
</div></div>
  
 
Thus ends the fourth chapter on pharmaceutical preparations of ''dhamargava'' in [[Kalpa Sthana]] in the treatise composed by Dridhabala as it was not available. [4]
 
Thus ends the fourth chapter on pharmaceutical preparations of ''dhamargava'' in [[Kalpa Sthana]] in the treatise composed by Dridhabala as it was not available. [4]
  
=== Tattva Vimarsha (Fundamental Principles) ===
+
== Tattva Vimarsha (Fundamental Principles) ==
  
 
''Dhamargava'' (Luffa cylindrica) is useful in therapeutic emesis.
 
''Dhamargava'' (Luffa cylindrica) is useful in therapeutic emesis.
  
=== ''Vidhi Vimarsha'' / Applied Inferences===
+
== Vidhi Vimarsha (Applied Inferences ) ==
  
Punarvasu Atreya has expounded the use of ''dhamargava'' for inducing ''vamana'' (emesis), because it has properties similar to that of ''vamaka dravyas'' with predominance of ''agni'' and ''vayu mahabhuta''. These ''mahabhutas'' have property to move upwards, to remove ''doshas'' easily from mouth.
+
Punarvasu Atreya has expounded the use of ''dhamargava'' for inducing [[vamana]](emesis), because it has properties similar to that of ''vamaka dravyas'' with predominance of [[agni]] and [[vayu]] [[mahabhuta]]. These [[mahabhuta]] have property to move upwards, to remove [[dosha]] easily from mouth.
  
''Dhamargava'' has ''tikta rasa'', ''laghu, ruksha, tikshna guna'', ''ushna veerya'' and ''katu vipaka'' - all these properties are helpful in removing the ''kapha''. It has ''ruksha'' and ''tikshna guna'', which are the properties of ''vayu'' and ''agni mahabhuta''. It has ''katu vipaka'' and ''ushna veerya'' which increases the ''pitta'' i.e. ''agni mahabhuta''. The ''ubhaytobhagahara'' (emetic and purgative) action of ''dhamargava'' is due to its ''prabhava''. Looking at the above facts ''dharmargava'' should be considered as a drug of choice for ''shodhana'' in ''kapha vyadhis''. This potency is found in its tender leaves, flowers and fruits so these are used for inducing ''vamana''. Total sixty preparations are made using different medium to potentiate the effect of drug by considering ''dushyadi'' factors.
+
''Dhamargava'' has ''tikta rasa'', ''laghu, ruksha, tikshna [[guna]], ''ushna veerya'' and ''katu vipaka'' - all these properties are helpful in removing the [[kapha]]. It has ''ruksha'' and tikshna [[guna]], which are the properties of [[vayu]] and [[agni]] [[mahabhuta]]. It has ''katu vipaka'' and ''ushna veerya'' which increases the [[pitta]] i.e. [[agni]] [[mahabhuta]]. The ''ubhaytobhagahara'' (emetic and purgative) action of ''dhamargava'' is due to its ''prabhava''. Looking at the above facts ''dharmargava'' should be considered as a drug of choice for ''shodhana'' in [[kapha]] vyadhis. This potency is found in its tender leaves, flowers and fruits so these are used for inducing [[vamana]]. Total sixty preparations are made using different medium to potentiate the effect of drug by considering ''dushyadi'' factors.
  
==== Pharmacological actions ====
+
=== Pharmacological actions ===
  
===== Anti-inflammatory activity =====
+
==== Anti-inflammatory activity ====
  
 
Carrageenan induced paw edema was taken as a proto type of exudative phase of acute inflammation. Inflammatory stimuli microbes, chemicals and necrosis of cells activate different mediators through a common trigger mechanism. The development of carrageenan induced edema is believed to be biphasic. The early phase is attributed to the release of histamine and serotonin and the delayed phase is sustained by the leukotrienes and prostaglandins.  
 
Carrageenan induced paw edema was taken as a proto type of exudative phase of acute inflammation. Inflammatory stimuli microbes, chemicals and necrosis of cells activate different mediators through a common trigger mechanism. The development of carrageenan induced edema is believed to be biphasic. The early phase is attributed to the release of histamine and serotonin and the delayed phase is sustained by the leukotrienes and prostaglandins.  
  
Non-steroidal anti-inflammatory agents inhibit cyclo-oxygenase (COX-2) enzymes involved in prostaglandin synthesis. [14] Based on these reports it is possible that the inhibitory effect of fruit peel of Luffa cylindrica (L.) Roem., on carrageenan-induced inflammation in rats could be due to inhibition of cyclooxygenase leading to inhibition of prostaglandin synthesis.
+
Non-steroidal anti-inflammatory agents inhibit cyclo-oxygenase (COX-2) enzymes involved in prostaglandin synthesis.<ref>Robinson, D. R. (1997). Regulation of prostaglandin synthesis by anti inflammatory drugs. Journal of Rheumatology Supplement 47, 32-39.</ref>. Based on these reports it is possible that the inhibitory effect of fruit peel of Luffa cylindrica (L.) Roem., on carrageenan-induced inflammation in rats could be due to inhibition of cyclooxygenase leading to inhibition of prostaglandin synthesis.
  
Although the cyclooxygenase and lipoxygenase pathways are both involved in the inflammatory process, inhibitors of cyclooxygenase are more effective in inhibiting carrageenan-induced inflammation than lipoxygenase inhibitors [15] Luffa cylindrica extracts may act by suppressing the later phase of the inflammatory process by the inhibition of cyclooxygenase.
+
Although the cyclooxygenase and lipoxygenase pathways are both involved in the inflammatory process, inhibitors of cyclooxygenase are more effective in inhibiting carrageenan-induced inflammation than lipoxygenase inhibitors <ref>Flower, R. J., Moncada, S. &Vane, J. R. (1980). Gilman AG Goodman LS and Gilman A (Eds), The pharmalogical basic of therapeutics, 6th ed., Macmillan & Co. New York, pp. 701-705</ref> Luffa cylindrica extracts may act by suppressing the later phase of the inflammatory process by the inhibition of cyclooxygenase.
  
Flavonoids possess anti-emetic [16] and anti-inflammatory [17] activity. The ethanol extract of Luffa cylindrica peel contain the highest level of total flavonoids. [18] Therefore, it may be said that flavonoids may play important role in anti-emetic and anti-inflammatory effect of the extract besides other compounds. The present study is on preliminary level and results need to be verified in other experimental models and the compound(s) related activity is required to further specify the responsible anti-emetic and anti-inflammatory phytochemical.
+
Flavonoids possess anti-emetic <ref>16. Kinoshita, K., Kawai, T., Imaizumi, T., Akita, Y., Koyama, K. & Takahashi, K. (1996). Anti emetic principles of Inula linariaefolia flowers and Forsythia suspensa fruits. Phytomedicine, 3, 51-58.</ref> and anti-inflammatory <ref>17. Rotelli, A. E., Guardia, T., Juárez, A. O., de la Rocha, N. E. & Pelzer, L. E. (2003). Comparative study of flavonoids in experimental models of inflammation. Pharmacological Research, 48, 601–606.</ref>activity. The ethanol extract of Luffa cylindrica peel contain the highest level of total flavonoids.<ref>Kao, T. H., Huang, C. W. & Chen, B. H. (2012). Functional components in Luffa cylindrical and their effects on anti-inflammation of macrophage cells. Food Chemistry,135,386–395.</ref>.Therefore, it may be said that flavonoids may play important role in anti-emetic and anti-inflammatory effect of the extract besides other compounds. The present study is on preliminary level and results need to be verified in other experimental models and the compound(s) related activity is required to further specify the responsible anti-emetic and anti-inflammatory phytochemical.
  
===== Antiemetic Activity =====
+
==== Antiemetic Activity ====
  
The ethanol extract of fruit peel of Luffa cylindrica showed significant ( p < 0.001) antiemetic effect in young chicks. The protective effect of the extract against copper sulfate induced retching in young chicks is possibly by peripheral action as the oral copper sulfate induces emesis by peripheral action through excitation of visceral afferent nerve fibers of the Gastro Intestinal Tract (GIT). [19] It has also been established that the peripheral 5-Hydroxy Tryptamine 3 (5-HT3), 5-Hydroxy tryptamine 4 (5-HT4) [20] or Neoro Kynin 1 (NK1) [21] receptors are involved in emesis. Therefore, it may be said that the ethanol extract of Luffa cylindrica fruit peel produced anti-emetic activity by receptor antagonism and has peripheral anti-emetic action.
+
The ethanol extract of fruit peel of Luffa cylindrica showed significant ( p < 0.001) antiemetic effect in young chicks. The protective effect of the extract against copper sulfate induced retching in young chicks is possibly by peripheral action as the oral copper sulfate induces emesis by peripheral action through excitation of visceral afferent nerve fibers of the Gastro Intestinal Tract (GIT).<ref>Bowman, W. C. & Rand M. J. (1980). Textbook of pharmacology, Oxford, Blackwell Scientific Publication.</ref>.It has also been established that the peripheral 5-Hydroxy Tryptamine 3 (5-HT3), 5-Hydroxy tryptamine 4 (5-HT4)<ref>20. Fukui, H., Yamamoto, M., Sasaki, S. & Sato, S. (1993). Involvement of 5-HT3 receptors and vagal afferents in copper sulfate- and cisplatin-induced emesis in monkeys. European Journal of Pharmacology, 249, 13-18.</ref>  or Neoro Kynin 1 (NK1)<ref>Ariumi, H., Saito, R., Nago, S., Hyakusoku, M., Takano, Y. & Kamiya, H-O. (2000). The role of tachykinin NK1 receptors in the area postrema of ferrets in emesis. Neuroscience Letters, 286,123-126.</ref>receptors are involved in emesis. Therefore, it may be said that the ethanol extract of Luffa cylindrica fruit peel produced anti-emetic activity by receptor antagonism and has peripheral anti-emetic action.
  
 
Anti-emetic activity by using copper sulfate proposed 5-HT3, 5-HT4 or NK1 receptors antagonism. Therefore it may be said that the extract was able to effectively prevent its effect and has a peripheral anti-emetic action.
 
Anti-emetic activity by using copper sulfate proposed 5-HT3, 5-HT4 or NK1 receptors antagonism. Therefore it may be said that the extract was able to effectively prevent its effect and has a peripheral anti-emetic action.
  
===== Anti-fungal Activity =====
+
==== Anti-fungal Activity ====
  
In vitro, luffacylin inhibited Mycosphaerella arachidicola and Fusarium oxysporum. [22]
+
In vitro, luffacylin inhibited Mycosphaerella arachidicola and Fusarium oxysporum.<ref>A.Parkash, TB.Ng, WW.Tso. Peptides. 2002; 23(6): 1019-1024. </ref>
  
==== Analgesia and sedation ====
+
=== Analgesia and sedation ===
  
In mice, intraperitoneal administration of water decoction of sigualuo inhibited acetic acid induced writhing, raised the pain threshold in hot plate and electric shock tests, reduced spontaneous activities, and synergized the effects of pentobarbital sodium. [23-25]
+
In mice, intraperitoneal administration of water decoction of sigualuo inhibited acetic acid induced writhing, raised the pain threshold in hot plate and electric shock tests, reduced spontaneous activities, and synergized the effects of pentobarbital sodium. <ref>Muthumani.P et al. Research Journal of Pharmaceutical, Biological and ChemicalSciences. October – December 2010;1(4):11-22.</ref> <ref>Muthumani.P et al. Research Journal of Pharmaceutical, Biological and ChemicalSciences. October – December 2010;1(4):11-22</ref> <ref>B.Kang, Y.J.Zhang, H.Z.Li. Res Trad Chinese Med 1992; 5: 45-47</ref> <ref>B.Kang, Y.J.Zhang, G.Z. Li. Chinese J Pracl Chinese With Modern Med. 1993; 6(4): 227-228</ref>
  
==== Collection of fruits ====
+
=== Milk preparations ===
 
Fruits of ''dhamargava'' are plucked in spring or autumn season when there are abundant flowers that are growing on flat, even lands that are well nurtured by the ''kusha'' and ''rohisa''. These plants should not be grown directly in sun, and neither along the river bank nor has chasms and crevices or anthills. The fruits themselves ought to be fully developed, ripen and with their juice well formed. A wise physician picking up such fruits should place them covered in a granary of ''yava'' or that of the husks for seven nights. [26]
 
 
 
==== ''Kovidaradi gana'' ====
 
 
 
''Kovidaradi'' drugs include ''rakta kanchanara'' (Bauhinia variegata Linn.), ''shweta kanchanara'' (Bauhinia purpurea Linn.), ''kadamba'' (Anthocephalus indicus Miq.), ''jalaveta'' (Salix tetrasperma), ''kundaru'' (Boswellia serrata Roxb.), ''shanapushpi'' (Crotolaria verrucosa Linn.), ''madara'' (Calotropis procera Ait. R. Br.), ''apamarga'' (Achyranthes aspera Linn.). Total nine preparations are enlisted depending on nine decoction prepared. Out of which eight decoctions are prepared from each eight drugs of ''kovidaradi gana'' and one decoction prepared from ''madhuka'' (Glycyrrhiza glabra Linn). [verse 5-6]
 
 
 
==== Milk preparations ====
 
  
 
#Fortifying the milk by using the flowers of ''dhamargava''  
 
#Fortifying the milk by using the flowers of ''dhamargava''  
Line 353: Line 405:
 
#Cream prepared by boiling the villous fruits of ''dhamargava'' in milk  
 
#Cream prepared by boiling the villous fruits of ''dhamargava'' in milk  
 
#Cream scooped out of curd which is prepared by curdling the milk after boiling it with fresh fruits of ''dhamargava''.  
 
#Cream scooped out of curd which is prepared by curdling the milk after boiling it with fresh fruits of ''dhamargava''.  
#Soaking crushed fruit of ''dhamargava'' in wine for a night and drinking it in morning after thorough maceration and filtering before administering. [verse 7]
+
#Soaking crushed fruit of ''dhamargava'' in wine for a night and drinking it in morning after thorough maceration and filtering before administering.
 
 
==== Emetic preparation ====
 
  
Pluck the flower of ''pundarika'' (sacred lotus), ''nalada'' (''khaskhas'' grass variety of lotus Nymphaea alba Linn.) and ''kumuda'' (Indian red water lily) and sprinkle it with fine powder prepared out of ''dhamargava'' fruit. After dusting the flower with powder of ''dhamargava'' give to the patient to inhale the smell. A mixture of this sort will go quickly to the heart (i.e. the sensory feeling area of the brain) and its veins when smelt. Patient should smell it repeatedly this process hastens the emesis. It is by such a formulation alone (''anenaiva kalpana'') that a person vomits out comfortably. [27] [verse 10]
+
=== Emetic preparation ===
  
=== Glossary ===
+
Pluck the flower of ''pundarika'' (sacred lotus), ''nalada'' (''khaskhas'' grass variety of lotus Nymphaea alba Linn.) and ''kumuda'' (Indian red water lily) and sprinkle it with fine powder prepared out of ''dhamargava'' fruit. After dusting the flower with powder of ''dhamargava'' give to the patient to inhale the smell. A mixture of this sort will go quickly to the heart (i.e. the sensory feeling area of the brain) and its veins when smelt. Patient should smell it repeatedly this process hastens the emesis. It is by such a formulation alone (''anenaiva kalpana'') that a person vomits out comfortably.[ Cha. Sa. [[Kalpa Sthana]] 4/11]
  
#pravāla (pravAla; प्रवाल) – Tender Leaves.
+
<big>'''[[Special:ContactMe|Send us your suggestions and feedback on this page.]]'''</big>
#āñjalimātrē (A~jjalimAtre ; अञ्जलिमात्रे) – 160 ml  [28]
 
  
=== References ===
+
== References ==
  
#Dravyaguna- Vigyana, Vol.II, written by Prof. P.V. Sharma, Chaukhambha Bharati Academy, Varanasi, Reprint 1998,  382.
 
#Agnivesha, Charaka, Dridhabala, Charaka samhita, Sutra sthana, Dirghanajivatiya Adhyaya 1/82, Hindi Commentary by Pandit Kashi Nath Shastri, Dr. Gorakhanath Chaturvedi, , Chaukhambha Bharati Academy, Varanasi, Reprint 2005, 43.
 
#Ibidem Charaka Samhita (2) Dirghanajivatiya Adhyaya 1/85; 43.
 
#Ibidem Charaka Samhita (2) Apamargatanduliya Adhyaya 2/7;52.
 
#Agnivesha, Charaka, Dridhabala, Charaka samhita Sidhhisthana, Vasti Sidhhi Adhyaya 10/25-27, Hindi Commentary by  Pandit Kashi Nath Shastri, Dr. Gorakhanath Chaturvedi,  Chaukhambha Bharati Academy, Reprint2012,Varanasi,  1080.
 
#Ibidem Charaka Samhita (5) Phala Matra Siddhi Adhyaya 11/7;1084.
 
#Ibidem Charaka Samhita (5) Phala Matra Siddhi Adhyaya 11/12;1085. ,
 
#Indian Medicinal Plants, Vol.II by Kirtikar and Basu, second edition 1998, 1120.
 
#The Wealth of India, Vol. VI L-M, Reprinted 2009,  179.
 
#Indian Medicinal Plants, Vol.II, by Kirtikar and Basu, second edition 1998, pp1120.
 
#Ibidem  Dravyaguna Vigyana Vol.II,(1) 382.
 
#Ibidem  (9), 180.
 
#Ibidem (11), 382.
 
#Robinson, D. R. (1997). Regulation of prostaglandin synthesis by anti inflammatory drugs. Journal of Rheumatology Supplement 47, 32-39.
 
#Flower, R. J., Moncada, S. &Vane, J. R. (1980). Gilman AG Goodman LS and Gilman A (Eds), The pharmalogical basic of therapeutics, 6th ed., Macmillan & Co. New York, pp. 701-705.
 
#Kinoshita, K., Kawai, T., Imaizumi, T., Akita, Y., Koyama, K. & Takahashi, K. (1996). Anti emetic principles of Inula linariaefolia flowers and Forsythia suspensa fruits. Phytomedicine, 3, 51-58.
 
#Rotelli, A. E., Guardia, T., Juárez, A. O., de la Rocha, N. E. & Pelzer, L. E. (2003). Comparative study of flavonoids in experimental models of inflammation. Pharmacological Research, 48, 601–606.
 
#Kao, T. H., Huang, C. W. & Chen, B. H. (2012). Functional components in Luffa cylindrical and their effects on anti-inflammation of macrophage cells. Food Chemistry,135,386–395.
 
#Bowman, W. C. & Rand M. J. (1980). Textbook of pharmacology, Oxford, Blackwell Scientific Publication.
 
#Fukui, H., Yamamoto, M., Sasaki, S. & Sato, S. (1993). Involvement of 5-HT3 receptors and vagal afferents in copper sulfate- and cisplatin-induced emesis in monkeys. European Journal of Pharmacology, 249, 13-18.
 
#Ariumi, H., Saito, R., Nago, S., Hyakusoku, M., Takano, Y. & Kamiya, H-O. (2000). The role of tachykinin NK1 receptors in the area postrema of ferrets in emesis. Neuroscience Letters, 286,123-126.
 
#A.Parkash, TB.Ng, WW.Tso. Peptides. 2002; 23(6): 1019-1024.
 
#Muthumani.P et al. Research Journal of Pharmaceutical, Biological and ChemicalSciences. October – December 2010;1(4):11-22.
 
#B.Kang, Y.J.Zhang, H.Z.Li. Res Trad Chinese Med 1992; 5: 45-47.
 
#B.Kang, Y.J.Zhang, G.Z. Li. Chinese J Pracl Chinese With Modern Med. 1993;  6(4): 227-228.
 
#Bhela – Samhita, Kalpasthana, Dhamargava Kalpa Adhyaya, 4/1-4, English Commentary by K. H. Krishnamurthy, editor Prof.P.V. Sharma,  Chaukhambha Visvabharati, Varanasi Reprint 2008, 493..
 
#Ibidem, Bhela – Samhita,(26), Dhamargava Kalpa Adhyaya, 4/14-16; 495.
 
#Agnivesha, Charaka, Dridhabala, Charaka samhita, Kalpa  sthana, Dhamargava Kalpa Adhyaya, 4/11, English Translation  and edited by Prof. P.V. Sharma, . Chaukhambha Orientalia, Varanasi Reprint 2011, 551.
 
 
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Latest revision as of 10:37, 23 February 2024

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Kalpa Sthana Chapter 4.Pharmaceutical preparations of Dhamargava

Dhamargava Kalpa Adhyaya
Section/Chapter Kalpa Sthana Chapter 4
Preceding Chapter Ikshvaku Kalpa Adhyaya
Succeeding Chapter Vatsaka Kalpa Adhyaya
Other Sections Sutra Sthana, Nidana Sthana, Vimana Sthana, Sharira Sthana, Indriya Sthana, Chikitsa Sthana, Siddhi Sthana
Translator and commentator Dwivedi K.N., Sharma P.
Reviewer Sawant B., Nishteswar K.
Editors Nishteswar K., Sawant B., Deole Y.S., Basisht G.
Year of publication 2020
Publisher Charak Samhita Research, Training and Skill Development Centre
DOI 10.47468/CSNE.2020.e01.s07.005

Abstract

This chapter describes the use of dhamargava (Luffa cylindrica) for the purpose of inducing vamana (emesis). For this, its tender leaves, fruits and flowers are used. Total 60 preparations by using different medium like milk, juice of cow dung, horse dung, ghee, alcohol and decoction of various drugs like dhanyaka, tumburu etc. In this reference vati (pill) is prepared of the size of kola (jujuba). In one preparation emesis is induced after inhaling the powdered fruit sprinkled over the flower of water lily etc. Dhamargava is used to treat gara visha (poisoning), gulma(Lump in abdomen), udara roga ( swellings in abdomen including ascitis), kasa (cough), mano vikara (mental disorders) and various chronic and deep seated diseases.

Keywords: Dhamargava, Vamana, Luffa cylindrica, Gara visha.

Introduction

Dhamargava is a vamaka (emetic) drug. Its synonyms are karkotaki, kothaphala, mahajalini and rajakoshataki. Its tender leaves, flowers and fruits are used for inducing vamana (emesis). Two types of dhamargava are found one is tikta (bitter) and other madhura (sweet). Tikta variety is wild and used as aushadha (medicine). Madhura variety is used as shaka (vegetable).[1]Predominant mahabhuta in vamaka drugs are agni and vayu. By its ubhaytobhagahara (upper and lower) prabhava it is vamaka in nature.

Dhamargava is one of nineteen phalini dravyas. [Cha. Sa.Sutra Sthana 1/82] It is used in vamana and asthapana basti.[Cha.Sa. Sutra Sthana 1/85] It is also explained in vamaka dravyas.[Cha. Sa. Sutra Sthana 2/7]. It is used as drug of pakvashaya shodhana basti. [Cha. Sa. Siddhi Sthana 10/25-27]

Rishi Gautam gives his opinion that dhamargava is best drug because of its kapha-pitta nashaka property.[Cha. Sa. Siddhi Sthana 11/7]. According to Maharshi Atreya fruit of dhamargava is best for pandu (anemia) roga.[Cha. Sa. Siddhi Sthana 11/12]

Latin name: Luffa cylindrica (Linn.) M.J. Roem.

Family: Cucurbitaceae

Synonyms: Luffa aegyptiaca Mill., Luffa pentandra Roxb.[2]

Sanskrit synonyms: Rajakoshataki, dirgha pattolika.[3]

English name: Sponge gourd, Smooth luffa.

Botanical Description:

Monoecious, climbing to a considerable height; stems stout, 5- angled, twisted, glabrous or slightly pubescent, often scabrous at the angles. Tendrils usually 3-fid. Leaves orbicular – reniform in outline, 10-20cm. long, often broader than long, palmately 5- (rarely 7) lobed, the lobes acute or acuminate, lobulate and distantly denticulate. Petioles 2.5-10 cm. long, angular slightly scabrous. Male flowers in axillary 4-20, flowered racemes, usually crowded near the top of the raceme. Stamens 5, distinct. Female flowers solitary, usually from the same axils as the males; peduncles stout, 2.5-7.5 cm. long. Fruit 12.5- 30 cm. long cylindric or somewhat trigonous, blunt at the end, marked with longitudinal lines. Seeds black or grey, 10 by 6mm, much compressed, narrowly winged, smooth or slightly tuberculate.[4]

Distribution: Cultivated throughout the greater part of India, as well as in Africa and America, believed to be indigenous to India.

  • Rasa: Tikta
  • Guna: Laghu, Ruksha, Tikshna
  • Veerya: Ushna
  • Vipaka: Katu
  • Prabhava: Ubhaytobhagahara.[5]
  • Actions and uses: Apakva phala is used for mutrajanana (diuretic) and stanyajanan (glactagogue). Pakva phala is kriminashaka (anthelmintic), and vatanulomaka (carminative). Its swarasa is virechaka (purgative). The mature seeds are vamaka (emetic).

Chemical Constituents: A substance like Colocynthine extract and one Luffein extract is found in it. In seeds fixed oil is found, one bitter substance and saponin is found. The fruit contains triterpenoid saponins: lucyosides A, B, C, D, E, F, G, H, I, J, K, L, M.

Sanskrit Text, Transliteration with English Translation

अथातो धामार्गवकल्पं व्याख्यास्यामः||१||

इति ह स्माह भगवानात्रेयः||२||

athātō dhāmārgavakalpaṁ vyākhyāsyāmaḥ||1||

iti ha smāha bhagavānātrēyaḥ||2||

athAto dhAmArgavakalpaM vyAkhyAsyAmaH||1||

iti ha smAha bhagavAnAtreyaH||2||

Now we shall expound the chapter "Dhamargava kalpa" (Pharmaceutical preparations of Dhamargava). Thus said Lord Atreya.[1-2]

Note: Dhamargava is sponge gourd.

Synonyms

कर्कोटकी कोठफला महाजालिनिरेव च|
धामार्गवस्य पर्याया राजकोशातकी तथा||३||

karkōṭakī kōṭhaphalā mahājālinirēva ca|
dhāmārgavasya paryāyā rājakōśātakī tathā||3||

karkoTakI koThaphalA mahAjAlinireva ca|
dhAmArgavasya paryAyA rAjakoshAtakI tathA||3||

Karkotaki, kothaphala, mahajalini and rajakosataki are the synonyms of dhamargava.[3]

Indications

गरे गुल्मोदरे कासे वाते श्लेष्माशयस्थिते|
कफे च कण्ठवक्रस्थे कफसञ्चयजेषु च||४||

रोगेष्वेषु प्रयोज्यं स्यात् स्थिराश्च गुरवश्च ये
फलं पुष्पं प्रवालं च विधिना तस्य संहरेत्||५||

garē gulmōdarē kāsē vātē ślēṣmāśayasthitē|
kaphē ca kaṇṭhavakrasthē kaphasañcayajēṣu ca||4||

rōgēṣvēṣu prayōjyaṁ syāt sthirāśca guravaśca yē
phalaṁ puṣpaṁ pravālaṁ ca vidhinā tasya saṁharēt||5||

gare gulmodare kAse vAte shleShmAshayasthite|
kaphe ca kaNThavakrasthe kaphasa~jcayajeShu ca||4||

rogeShveShu prayojyaM syAt sthirAshca guravashca ye|5|

phalaM puShpaM pravAlaM ca vidhinA tasya saMharet||5||

It should be used in conditions of gara (artificial poison), gulma, udara (GIT problems), kasa (cough), vata situated in the seat of kapha, kapha located in throat and mouth, diseases caused by accumulation of kapha and other stable and severe diseases.[4]

Fruits, flowers and tender leaves of the plant should be collected by the method said earlier. [5]

Different preparations

प्रवालस्वरसं शुष्कं कृत्वा च गुलिकाः पृथक्|
कोविदारादिभिः पेयाः कषायैर्मधुकस्य च||६||

pravālasvarasaṁ śuṣkaṁ kr̥tvā ca gulikāḥ pr̥thak|
kōvidārādibhiḥ pēyāḥ kaṣāyairmadhukasya ca||6||

pravAlasvarasaM shuShkaM kRutvA ca gulikAH pRuthak|
kovidArAdibhiH peyAH kaShAyairmadhukasya ca||6||

The juice of tender leaves is dried and made into pills which should be administered along with the decoction prepared out of any one of the drug from kovidaradi gana or madhuka (Glycyrrhiza glabra Linn.) [6]

  • Note: Kovidaradi gana: Kovidaradi drugs include rakta kanchanara (Bauhinia variegata Linn.), shweta kanchanara (Bauhinia purpurea Linn.), kadamba (Anthocephalus indicus Miq.), jalaveta (Salix tetrasperma), kundaru (Boswellia serrata Roxb.), shanapushpi (Crotolaria verrucosa Linn.), madara (Calotropis procera Ait. R. Br.), apamarga (Achyranthes aspera Linn.). Total nine preparations are enlisted depending on nine decoction prepared. Out of which eight decoctions are prepared from each eight drugs of kovidaradi gana and one decoction prepared from madhuka (Glycyrrhiza glabra Linn).

पुष्पादिषु पयोयोगाश्चत्वारः पञ्चमी सुरा| पूर्ववत्...|७|

puṣpādiṣu payōyōgāścatvāraḥ pañcamī surā| pūrvavat...|7|

puShpAdiShu payoyogAshcatvAraH pa~jcamI surA| pUrvavat...|7|

Four preparations are of milk using flower etc. and the fifth one employs wine as said earlier. [7]

... जीर्णशुष्काणामतः कल्पः प्रवक्ष्यते||७||

मधुकस्य कषायेण बीजकण्ठोद्धृतं फलम्|
सगुडं व्युषितं रात्रिं कोविदारादिभिस्तथा||८||

दद्याद्गुल्मोदरार्तेभ्यो ये चाप्यन्ये कफामयाः|९|

दद्यादन्नेन संयुक्तं छर्दिहृद्रोगशान्तये||९||

... jīrṇaśuṣkāṇāmataḥ kalpaḥ pravakṣyatē||7||

madhukasya kaṣāyēṇa bījakaṇṭhōddhr̥taṁ phalam|
saguḍaṁ vyuṣitaṁ rātriṁ kōvidārādibhistathā||8||

dadyādgulmōdarārtēbhyō yē cāpyanyē kaphāmayāḥ|9|

dadyādannēna saṁyuktaṁ chardihr̥drōgaśāntayē||9||

... jIrNashuShkANAmataH kalpaH pravakShyate||7||

madhukasya kaShAyeNa bIjakaNThoddhRutaM phalam|
saguDaM vyuShitaM rAtriM kovidArAdibhistathA||8||

dadyAdgulmodarArtebhyo ye cApyanye kaphAmayAH|9|

dadyAdannena saMyuktaM chardihRudrogashAntaye||9||

Now, I would say the preparations of over ripened and dry fruits. The meshy /fibrous fruit core containing seeds should be taken out and the fruit should be stuffed with jiggery for the whole night. Next morning it should be given with the decoction of madhuka or any one of the kovidaradi drugs in the ailments like gulma, udara and the disorders of kapha.[7-8]

The fruit should be given mixed with food to alleviate vomiting and heart disease. [9]

Note: Collection of fruits: Fruits of dhamargava are plucked in spring or autumn season when there are abundant flowers that are growing on flat, even lands that are well nurtured by the kusha and rohisa. These plants should not be grown directly in sun, and neither along the river bank nor has chasms and crevices or anthills. The fruits themselves ought to be fully developed, ripen and with their juice well formed. A wise physician picking up such fruits should place them covered in a granary of yava or that of the husks for seven nights. (Bhela Samhita) [6]

चूर्णैर्वाऽप्युत्पलादीनि भावितानि प्रभूतशः|
रसक्षीरयवाग्वादितृप्तो घ्रात्वा वमेत् सुखम्||१०||

cūrṇairvā'pyutpalādīni bhāvitāni prabhūtaśaḥ|
rasakṣīrayavāgvāditr̥ptō ghrātvā vamēt sukham||10||

cUrNairvA~apyutpalAdIni bhAvitAni prabhUtashaH|
rasakShIrayavAgvAditRupto ghrAtvA vamet sukham||10||

One after being saturated with meat soup, milk, gruel etc. vomits easily by inhaling the flowers of water lily etc. impregnated profusely with the fine powder of dhamargava fruits.[10]

चूर्णीकृतस्य वर्तिं वा कृत्वा बदरसम्मिताम्|
विनीयाञ्जलिमात्रे तु पिबेद्गोऽश्वशकृद्रसे ||११||

पृषतर्ष्यकुरङ्गाह्वगजोष्ट्राश्वतराविके|
श्वदंष्ट्रखरखङ्गानां चैवं पेया शकृद्रसे ||१२||

cūrṇīkr̥tasya vartiṁ vā kr̥tvā badarasammitām|
vinīyāñjalimātrē tu pibēdgō'śvaśakr̥drasē ||11||

pr̥ṣatarṣyakuraṅgāhvagajōṣṭrāśvatarāvikē|
śvadaṁṣṭrakharakhaṅgānāṁ caivaṁ pēyā śakr̥drasē ||12||

cUrNIkRutasya vartiM vA kRutvA badarasammitAm|
vinIyA~jjalimAtre tu pibedgo~ashvashakRudrase ||11||

pRuShatarShyakura~ggAhvagajoShTrAshvatarAvike|
shvadaMShTrakharakha~ggAnAM caivaM peyA shakRudrase ||12||

Caplets of the size of kola (jujuba) fruit made of the powder of fruits should be taken after dissolving in 160 ml of the juice of cow dung or horse dung. Similarly it should be taken in the juice of feces of (prasata, rsya, kuranga, gaja, ustra, ashvatara, avi, shvadanstra, khara and khadaganama).[11-12]

जीवकर्षभकौ वीरामात्मगुप्तां शतावरीम्|
काकोलीं श्रावणीं मेदां महामेदां मधूलिकाम्||१३||

एकैकशोऽभिसञ्चूर्ण्य सह धामार्गवेण ते|
शर्करामधुसंयुक्ता लेहा हृद्दाहकासिनाम्||१४||

सुखोदकानुपानाः स्युः पित्तोष्मसहिते कफे
धान्यतुम्बुरुयूषेण कल्कः सर्वविषापहः||१५||

jīvakarṣabhakau vīrāmātmaguptāṁ śatāvarīm|
kākōlīṁ śrāvaṇīṁ mēdāṁ mahāmēdāṁ madhūlikām||13||

ēkaikaśō'bhisañcūrṇya saha dhāmārgavēṇa tē|
śarkarāmadhusaṁyuktā lēhā hr̥ddāhakāsinām||14||

sukhōdakānupānāḥ syuḥ pittōṣmasahitē kaphē
dhānyatumburuyūṣēṇa kalkaḥ sarvaviṣāpahaḥ||15||

jIvakarShabhakau vIrAmAtmaguptAM shatAvarIm|
kAkolIM shrAvaNIM medAM mahAmedAM madhUlikAm||13||

ekaikasho~abhisa~jcUrNya saha dhAmArgaveNa te|
sharkarAmadhusaMyuktA lehA hRuddAhakAsinAm||14||

sukhodakAnupAnAH syuH pittoShmasahite kaphe|15|

dhAnyatumburuyUSheNa kalkaH sarvaviShApahaH||15||

Jivaka (Microstylis musifera Ridley), rishabhaka (Microstylis wallichii Linn.), vira (Vetiveria zizanioides Linn.), atmagupta (Mucuna prurita Hook.), shatavari (Asparagus racemosus Wild.), kakoli (Roscoca procera Wall.), shravani (Sphaeranthus indicus Linn.), meda (Polygonatum airrhifolium Royle), mahameda (Polygonatum airrhifolium Royle and other species) and madhulika (jala mulethi, murva) each powdered separately and mixed with dhamargava is taken with sugar and honey as linctus in case of heart burning and cough. Kapha associated with aggravated pitta it should be taken with lukewarm water.[13-14]

Paste of dhamargava taken with the soup of the seeds of dhanyaka (Coriandrum sativum Linn. Tumburu (Zanthoxylum alatum Roxb.) alleviates all poisons. [15]

जात्याः सौमनसायिन्या रजन्याश्चोरकस्य च|
वृश्चीरस्य महाक्षुद्रसहाहैमवतस्य च||१६||

बिम्ब्याः पुनर्नवाया वा कासमर्दस्य वा पृथक् |
एकं धामार्गवं द्वे वा कषाये परिमृद्य तु||१७||

पूतं मनोविकारेषु पिबेद्वमनमुत्तमम्|१८|

तच्छृतक्षीरजं सर्पिः साधितं वा फलादिभिः||१८||

jātyāḥ saumanasāyinyā rajanyāścōrakasya ca|
vr̥ścīrasya mahākṣudrasahāhaimavatasya ca||16||

bimbyāḥ punarnavāyā vā kāsamardasya vā pr̥thak |
ēkaṁ dhāmārgavaṁ dvē vā kaṣāyē parimr̥dya tu||17||

pūtaṁ manōvikārēṣu pibēdvamanamuttamam|
tacchr̥takṣīrajaṁ sarpiḥ sādhitaṁ vā phalādibhiḥ||18||

jAtyAH saumanasAyinyA rajanyAshcorakasya ca|
vRushcIrasya mahAkShudrasahAhaimavatasya ca||16||

bimbyAH punarnavAyA vA kAsamardasya vA pRuthak |
ekaM dhAmArgavaM dve vA kaShAye parimRudya tu||17||

pUtaM manovikAreShu pibedvamanamuttamam|18|

tacchRutakShIrajaM sarpiH sAdhitaM vA phalAdibhiH||18||

Powder of one or two fruits of dhamargava is added in decoction prepared out of any one of these drugs – jati (Jasminum grandiflorum Linn.), saumanasayini, Haridra (Curcuma longa Linn.), choraka (Angelica glauca Edgw.), vrischira, masaparni (Teramnus labialis Spreng), mudgaparni (Phaseolus trilobus Ait.), haimavata (Iris ensata Thumb.), bimbi (Coccinia indica W. & A.), punarnava (Boerhaavia diffusa Linn.) and kasmarda (Cassia occidentalis Linn.) , should be filtered and taken as an excellent emetic in mental disorders. [16,17]

Ghee extracted from the milk boiled with the fruit of dhamargava should be prepared with phaladi (madanaphala, jimutaka, ikshavaku, indrayava and kritavedhana) drugs. [18]

Summary

तत्र श्लोकौ-

पल्लवे नव चत्वारः क्षीर एकः सुरासवे|
कषाये विंशतिः कल्के दश द्वौ च शकृद्रसे||१९||

अन्न एकस्तथा घ्रेये दश लेहास्तथा घृतम्|
कल्पे धामार्गवस्योक्ताः षष्टिर्योगा महर्षिणा||२०||

tatra ślōkau-

pallavē nava catvāraḥ kṣīra ēkaḥ surāsavē|
kaṣāyē viṁśatiḥ kalkē daśa dvau ca śakr̥drasē||19||

anna ēkastathā ghrēyē daśa lēhāstathā ghr̥tam|
kalpē dhāmārgavasyōktāḥ ṣaṣṭiryōgā maharṣiṇā||20||

tatra shlokau-

pallave nava catvAraH kShIra ekaH surAsave|
kaShAye viMshatiH kalke dasha dvau ca shakRudrase||19||

anna ekastathA ghreye dasha lehAstathA ghRutam|
kalpe dhAmArgavasyoktAH ShaShTiryogA maharShiNA||20||

Now summing up verses –

Nine preparations in tender leaves, four in milk, one in alcohol, twenty in decoction, one in paste, twelve with the juice of cow dung etc., one with food, one for inhalation, ten linctus preparations and one with ghrita – thus total sixty formulations have been described by the great sage in the chapter on preparations of dhamargava.[19-20]

इत्यग्निवेशकृते तन्त्रे चरकप्रतिसंस्कृतेऽप्राप्ते दृढबलसम्पूरिते कल्पस्थाने धामार्गवकल्पो नाम चतुर्थोऽध्यायः||४||

ityagnivēśakr̥tē tantrē carakapratisaṁskr̥tē'prāptē dr̥ḍhabalasampūritē kalpasthānē dhāmārgavakalpō nāma caturthō'dhyāyaḥ||4||

ityagniveshakRute tantre carakapratisaMskRute~aprApte dRuDhabalasampUrite kalpasthAne dhAmArgavakalpo nAma caturtho~adhyAyaH||4||

Thus ends the fourth chapter on pharmaceutical preparations of dhamargava in Kalpa Sthana in the treatise composed by Dridhabala as it was not available. [4]

Tattva Vimarsha (Fundamental Principles)

Dhamargava (Luffa cylindrica) is useful in therapeutic emesis.

Vidhi Vimarsha (Applied Inferences )

Punarvasu Atreya has expounded the use of dhamargava for inducing vamana(emesis), because it has properties similar to that of vamaka dravyas with predominance of agni and vayu mahabhuta. These mahabhuta have property to move upwards, to remove dosha easily from mouth.

Dhamargava has tikta rasa, laghu, ruksha, tikshna guna, ushna veerya and katu vipaka - all these properties are helpful in removing the kapha. It has ruksha and tikshna guna, which are the properties of vayu and agni mahabhuta. It has katu vipaka and ushna veerya which increases the pitta i.e. agni mahabhuta. The ubhaytobhagahara (emetic and purgative) action of dhamargava is due to its prabhava. Looking at the above facts dharmargava should be considered as a drug of choice for shodhana in kapha vyadhis. This potency is found in its tender leaves, flowers and fruits so these are used for inducing vamana. Total sixty preparations are made using different medium to potentiate the effect of drug by considering dushyadi factors.

Pharmacological actions

Anti-inflammatory activity

Carrageenan induced paw edema was taken as a proto type of exudative phase of acute inflammation. Inflammatory stimuli microbes, chemicals and necrosis of cells activate different mediators through a common trigger mechanism. The development of carrageenan induced edema is believed to be biphasic. The early phase is attributed to the release of histamine and serotonin and the delayed phase is sustained by the leukotrienes and prostaglandins.

Non-steroidal anti-inflammatory agents inhibit cyclo-oxygenase (COX-2) enzymes involved in prostaglandin synthesis.[7]. Based on these reports it is possible that the inhibitory effect of fruit peel of Luffa cylindrica (L.) Roem., on carrageenan-induced inflammation in rats could be due to inhibition of cyclooxygenase leading to inhibition of prostaglandin synthesis.

Although the cyclooxygenase and lipoxygenase pathways are both involved in the inflammatory process, inhibitors of cyclooxygenase are more effective in inhibiting carrageenan-induced inflammation than lipoxygenase inhibitors [8] Luffa cylindrica extracts may act by suppressing the later phase of the inflammatory process by the inhibition of cyclooxygenase.

Flavonoids possess anti-emetic [9] and anti-inflammatory [10]activity. The ethanol extract of Luffa cylindrica peel contain the highest level of total flavonoids.[11].Therefore, it may be said that flavonoids may play important role in anti-emetic and anti-inflammatory effect of the extract besides other compounds. The present study is on preliminary level and results need to be verified in other experimental models and the compound(s) related activity is required to further specify the responsible anti-emetic and anti-inflammatory phytochemical.

Antiemetic Activity

The ethanol extract of fruit peel of Luffa cylindrica showed significant ( p < 0.001) antiemetic effect in young chicks. The protective effect of the extract against copper sulfate induced retching in young chicks is possibly by peripheral action as the oral copper sulfate induces emesis by peripheral action through excitation of visceral afferent nerve fibers of the Gastro Intestinal Tract (GIT).[12].It has also been established that the peripheral 5-Hydroxy Tryptamine 3 (5-HT3), 5-Hydroxy tryptamine 4 (5-HT4)[13] or Neoro Kynin 1 (NK1)[14]receptors are involved in emesis. Therefore, it may be said that the ethanol extract of Luffa cylindrica fruit peel produced anti-emetic activity by receptor antagonism and has peripheral anti-emetic action.

Anti-emetic activity by using copper sulfate proposed 5-HT3, 5-HT4 or NK1 receptors antagonism. Therefore it may be said that the extract was able to effectively prevent its effect and has a peripheral anti-emetic action.

Anti-fungal Activity

In vitro, luffacylin inhibited Mycosphaerella arachidicola and Fusarium oxysporum.[15]

Analgesia and sedation

In mice, intraperitoneal administration of water decoction of sigualuo inhibited acetic acid induced writhing, raised the pain threshold in hot plate and electric shock tests, reduced spontaneous activities, and synergized the effects of pentobarbital sodium. [16] [17] [18] [19]

Milk preparations

  1. Fortifying the milk by using the flowers of dhamargava
  2. Preparing peya from fresh fruit of dhamargava and milk.
  3. Cream prepared by boiling the villous fruits of dhamargava in milk
  4. Cream scooped out of curd which is prepared by curdling the milk after boiling it with fresh fruits of dhamargava.
  5. Soaking crushed fruit of dhamargava in wine for a night and drinking it in morning after thorough maceration and filtering before administering.

Emetic preparation

Pluck the flower of pundarika (sacred lotus), nalada (khaskhas grass variety of lotus Nymphaea alba Linn.) and kumuda (Indian red water lily) and sprinkle it with fine powder prepared out of dhamargava fruit. After dusting the flower with powder of dhamargava give to the patient to inhale the smell. A mixture of this sort will go quickly to the heart (i.e. the sensory feeling area of the brain) and its veins when smelt. Patient should smell it repeatedly this process hastens the emesis. It is by such a formulation alone (anenaiva kalpana) that a person vomits out comfortably.[ Cha. Sa. Kalpa Sthana 4/11]

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References

  1. Dravyaguna- Vigyana, Vol.II, written by Prof. P.V. Sharma, Chaukhambha Bharati Academy, Varanasi, Reprint 1998, 382.
  2. Indian Medicinal Plants, Vol.II by Kirtikar and Basu, second edition 1998, 1120
  3. The Wealth of India, Vol. VI L-M, Reprinted 2009, 179.
  4. Indian Medicinal Plants, Vol.II, by Kirtikar and Basu, second edition 1998, pp1120.
  5. Ibidem Dravyaguna Vigyana Vol.II,(1) 382.
  6. Bhela,Kalpa sthana,chapter 4,Dhamargava Kalpa Adhyaya,Verse1-4 In:K. H. Krishnamurthy,Prof.P.V. Sharma,editors Bhela Samhita, Kalpa sthana, Dhamargava Kalpa Adhyaya, 4/1-4, English Commentary by K. H. Krishnamurthy, editor Prof.P.V. Sharma, Chaukhambha Visvabharati, Varanasi Reprint 2008, 493.
  7. Robinson, D. R. (1997). Regulation of prostaglandin synthesis by anti inflammatory drugs. Journal of Rheumatology Supplement 47, 32-39.
  8. Flower, R. J., Moncada, S. &Vane, J. R. (1980). Gilman AG Goodman LS and Gilman A (Eds), The pharmalogical basic of therapeutics, 6th ed., Macmillan & Co. New York, pp. 701-705
  9. 16. Kinoshita, K., Kawai, T., Imaizumi, T., Akita, Y., Koyama, K. & Takahashi, K. (1996). Anti emetic principles of Inula linariaefolia flowers and Forsythia suspensa fruits. Phytomedicine, 3, 51-58.
  10. 17. Rotelli, A. E., Guardia, T., Juárez, A. O., de la Rocha, N. E. & Pelzer, L. E. (2003). Comparative study of flavonoids in experimental models of inflammation. Pharmacological Research, 48, 601–606.
  11. Kao, T. H., Huang, C. W. & Chen, B. H. (2012). Functional components in Luffa cylindrical and their effects on anti-inflammation of macrophage cells. Food Chemistry,135,386–395.
  12. Bowman, W. C. & Rand M. J. (1980). Textbook of pharmacology, Oxford, Blackwell Scientific Publication.
  13. 20. Fukui, H., Yamamoto, M., Sasaki, S. & Sato, S. (1993). Involvement of 5-HT3 receptors and vagal afferents in copper sulfate- and cisplatin-induced emesis in monkeys. European Journal of Pharmacology, 249, 13-18.
  14. Ariumi, H., Saito, R., Nago, S., Hyakusoku, M., Takano, Y. & Kamiya, H-O. (2000). The role of tachykinin NK1 receptors in the area postrema of ferrets in emesis. Neuroscience Letters, 286,123-126.
  15. A.Parkash, TB.Ng, WW.Tso. Peptides. 2002; 23(6): 1019-1024.
  16. Muthumani.P et al. Research Journal of Pharmaceutical, Biological and ChemicalSciences. October – December 2010;1(4):11-22.
  17. Muthumani.P et al. Research Journal of Pharmaceutical, Biological and ChemicalSciences. October – December 2010;1(4):11-22
  18. B.Kang, Y.J.Zhang, H.Z.Li. Res Trad Chinese Med 1992; 5: 45-47
  19. B.Kang, Y.J.Zhang, G.Z. Li. Chinese J Pracl Chinese With Modern Med. 1993; 6(4): 227-228