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Line 379: + + + + + + + + − Three recipes of Pramathya which are useful in the treatment of diarrhoea are as follow: − • Decoction of pippali, nāgara, dhānyaka, bhutika, abhayā and vachā for vataja atisara − • Decoction of hrivera, bhadra-mustā, bilva, nāgara and dhānyaka for pittaja atisara) − • Decoction of prasniparni, svadamstrā, samanga and kantakarika for kaphaja atisara − • Decoction of vachā and prativisha for vataja atisara − • Decoction of Mustā and parpataka for pittaja atisara − • Decoction of hrivera and sringavera for kaphaja atisara − [Note: Decoction should be prepared as per the procedure described for sandanga-pāniya in C.S.Ci.3-145.] [20-22] − + + + + + + + + + + + + + + + + + + − + + + + − • At appropriate meal time, if the patient feels hungry, light food should be given to eat. It enhances the appetite and stimulates agni and as a result the strength is promoted immediately.+ − • Depending upon the wholesomeness (sātmya) of the patient, light food along with buttermilk or kānji (a sour drink), yavagu (thick gruel), tarpana (roasted flour of serials mixed with water), or alcoholic drink or honey should be given. Then gradually yavagu (thick gruel), vilepi (a sticky gruel), khanda (a sour appetiser), yusha (vegetable soup) and boiled rice mixed with meat soup which are prepared by adding digestive, stimulants and astringent (constipative) drugs should be given. Ingredients which are dipana (digestive stimulant) and grāhi (constipating) are described in Caraka Samhita SutraSthana 4: 9 should be administered [23-25]+ − + + + + + + + + + + + + + + + + + + + − The following drugs are useful for the cure of vataja atisara (diarrhoea):+ − • Shālaparni, prashniparni, brhati, kantakarika, balā, svadamstrā, bilva, pāthā, nāgara, dhānyaka, shati, palāsha, hapushā, vacha, jiraka, pippali, yavani, pippali-mula, chitraka, hastipippali, vrikshāmla, sour pomegranate, hingu, vida and saindhava-these ingredients should be appropriately used in processing food preparations. Drugs belonging to the vata and kapha alleviative group and those drugs which are dipana (digestive stimulant), pachana (carminative), grahi (constipating), balya (promoter of strength) and rochana (appetiser) should be prescribed. [26-29]+ + + − Management of diarrhoea associated with pain: − आमेपरिणतेयस्तुविबद्धमतिसार्यते | सशूलपिच्छमल्पाल्पंबहुशःसप्रवाहिकम् ||३०|| + + + − + + + + + + + + +
→Recipes of pramathya
पिप्पलीनागरंधान्यंभूतीकमभयावचा |
पिप्पलीनागरंधान्यंभूतीकमभयावचा |
ह्रीवेरंभद्रमुस्तानिबिल्वंनागरधान्यकम् ||२०||
ह्रीवेरंभद्रमुस्तानिबिल्वंनागरधान्यकम् ||२०||
पृश्निपर्णीश्वदंष्ट्राचसमङ्गाकण्टकारिका |
पृश्निपर्णीश्वदंष्ट्राचसमङ्गाकण्टकारिका |
तिस्रःप्रमथ्याविहिताःश्लोकार्धैरतिसारिणाम् ||२१||
तिस्रःप्रमथ्याविहिताःश्लोकार्धैरतिसारिणाम् ||२१||
वचाप्रतिविषाभ्यांवामुस्तपर्पटकेनवा |
वचाप्रतिविषाभ्यांवामुस्तपर्पटकेनवा |
ह्रीवेरशृङ्गवेराभ्यांपक्वंवापाययेज्जलम् ||२२||
ह्रीवेरशृङ्गवेराभ्यांपक्वंवापाययेज्जलम् ||२२||
pippalī nāgaraṁ dhānyaṁ bhūtīkamabhayā vacā|
pippalī nāgaraṁ dhānyaṁ bhūtīkamabhayā vacā|
hrīvēraṁ bhadramustāni bilvaṁ nāgaradhānyakam||20||
hrīvēraṁ bhadramustāni bilvaṁ nāgaradhānyakam||20||
pr̥śniparṇī śvadaṁṣṭrā ca samaṅgā kaṇṭakārikā|
pr̥śniparṇī śvadaṁṣṭrā ca samaṅgā kaṇṭakārikā|
tisraḥ pramathyā vihitāḥ ślōkārdhairatisāriṇām||21||
tisraḥ pramathyā vihitāḥ ślōkārdhairatisāriṇām||21||
vacāprativiṣābhyāṁ vā mustaparpaṭakēna vā|
vacāprativiṣābhyāṁ vā mustaparpaṭakēna vā|
hrīvēraśr̥ṅgavērābhyāṁ pakvaṁ vā pāyayējjalam||22||
hrīvēraśr̥ṅgavērābhyāṁ pakvaṁ vā pāyayējjalam||22||
pippalI nAgaraM dhAnyaM bhUtIkamabhayA vacA|
pippalI nAgaraM dhAnyaM bhUtIkamabhayA vacA|
hrIveraM bhadramustAni bilvaM nAgaradhAnyakam||20||
hrIveraM bhadramustAni bilvaM nAgaradhAnyakam||20||
pRushniparNI shvadaMShTrA ca sama~ggA kaNTakArikA|
pRushniparNI shvadaMShTrA ca sama~ggA kaNTakArikA|
tisraH pramathyA vihitAH shlokArdhairatisAriNAm||21||
tisraH pramathyA vihitAH shlokArdhairatisAriNAm||21||
vacAprativiShAbhyAM vA mustaparpaTakena vA|
vacAprativiShAbhyAM vA mustaparpaTakena vA|
hrIverashRu~ggaverAbhyAM pakvaM vA pAyayejjalam||22||
hrIverashRu~ggaverAbhyAM pakvaM vA pAyayejjalam||22||
Diet and drinks for atisara patient:
Three recipes of ''pramathya'' which are useful in the treatment of diarrhea are as follow:
*Decoction of pippali, nāgara, dhānyaka, bhutika, abhayā and vachā for vataja atisara
*Decoction of hrivera, bhadra-mustā, bilva, nāgara and dhānyaka for pittaja atisara)
*Decoction of prasniparni, svadamstrā, samanga and kantakarika for kaphaja atisara
*Decoction of vachā and prativisha for vataja atisara
*Decoction of Mustā and parpataka for pittaja atisara
*Decoction of hrivera and sringavera for kaphaja atisara
[Note: Decoction should be prepared as per the procedure described for ''sandanga-paniya'' in C.S.Ci.3-145.] [20-22]
==== Diet and drinks for ''atisara'' patient ====
युक्तेऽन्नकालेक्षुत्क्षामंलघून्यन्नानिभोजयेत् |
युक्तेऽन्नकालेक्षुत्क्षामंलघून्यन्नानिभोजयेत् |
तथासशीघ्रमाप्नोतिरुचिमग्निबलंबलम् ||२३||
तथासशीघ्रमाप्नोतिरुचिमग्निबलंबलम् ||२३||
तक्रेणावन्तिसोमेनयवाग्वातर्पणेनवा |
तक्रेणावन्तिसोमेनयवाग्वातर्पणेनवा |
सुरयामधुनाचादौयथासात्म्यमुपाचरेत् ||२४||
सुरयामधुनाचादौयथासात्म्यमुपाचरेत् ||२४||
यवागूभिर्विलेपीभिःखडैर्यूषैरसौदनैः |
यवागूभिर्विलेपीभिःखडैर्यूषैरसौदनैः |
दीपनग्राहिसंयुक्तैःक्रमश्चस्यादतःपरम् ||२५||
दीपनग्राहिसंयुक्तैःक्रमश्चस्यादतःपरम् ||२५||
yuktē'nnakālē kṣutkṣāmaṁ laghūnyannāni bhōjayēt|
yuktē'nnakālē kṣutkṣāmaṁ laghūnyannāni bhōjayēt|
tathā sa śīghramāpnōti rucimagnibalaṁ balam||23||
tathā sa śīghramāpnōti rucimagnibalaṁ balam||23||
takrēṇāvantisōmēna yavāgvā tarpaṇēna vā|
takrēṇāvantisōmēna yavāgvā tarpaṇēna vā|
surayā madhunā cādau yathāsātmyamupācarēt||24||
surayā madhunā cādau yathāsātmyamupācarēt||24||
yavāgūbhirvilēpībhiḥ khaḍairyūṣai rasaudanaiḥ|
yavāgūbhirvilēpībhiḥ khaḍairyūṣai rasaudanaiḥ|
dīpanagrāhisaṁyuktaiḥ kramaśca syādataḥ param||25||
dīpanagrāhisaṁyuktaiḥ kramaśca syādataḥ param||25||
yukte~annakAle kShutkShAmaM laghUnyannAni bhojayet|
yukte~annakAle kShutkShAmaM laghUnyannAni bhojayet|
tathA sa shIghramApnoti rucimagnibalaM balam||23||
tathA sa shIghramApnoti rucimagnibalaM balam||23||
takreNAvantisomena yavAgvA tarpaNena vA|
takreNAvantisomena yavAgvA tarpaNena vA|
surayA madhunA cAdau yathAsAtmyamupAcaret||24||
surayA madhunA cAdau yathAsAtmyamupAcaret||24||
yavAgUbhirvilepIbhiH khaDairyUShai rasaudanaiH|
yavAgUbhirvilepIbhiH khaDairyUShai rasaudanaiH|
dIpanagrAhisaMyuktaiH kramashca syAdataH param||25||
dIpanagrAhisaMyuktaiH kramashca syAdataH param||25||
*At appropriate meal time, if the patient feels hungry, light food should be given to eat. It enhances the appetite and stimulates agni and as a result the strength is promoted immediately.
Treatment of vataja atisara:
*Depending upon the wholesomeness (''satmya'') of the patient, light food along with buttermilk or ''kanji'' (a sour drink), ''yavagu'' (thick gruel), ''tarpana'' (roasted flour of serials mixed with water), or alcoholic drink or honey should be given. Then gradually ''yavagu'' (thick gruel), ''vilepi'' (a sticky gruel), ''khanda'' (a sour appetiser), ''yusha'' (vegetable soup) and boiled rice mixed with meat soup which are prepared by adding digestive, stimulants and astringent (constipative) drugs should be given.
Ingredients which are ''dipana'' (digestive stimulant) and ''grahi'' (constipating) are described in [[Caraka Samhita]] [[Sutra Sthana]] 4: 9 should be administered [23-25]
==== Treatment of ''vataja atisara'' ====
शालपर्णींपृश्निपर्णींबृहतींकण्टकारिकाम् |
शालपर्णींपृश्निपर्णींबृहतींकण्टकारिकाम् |
बलांश्वदंष्ट्रांबिल्वानिपाठांनागरधान्यकम् ||२६||
बलांश्वदंष्ट्रांबिल्वानिपाठांनागरधान्यकम् ||२६||
शटींपलाशंहपुषांवचांजीरकपिप्पलीम् |
शटींपलाशंहपुषांवचांजीरकपिप्पलीम् |
यवानींपिप्पलीमूलंचित्रकंहस्तिपिप्पलीम् ||२७||
यवानींपिप्पलीमूलंचित्रकंहस्तिपिप्पलीम् ||२७||
वृक्षाम्लंदाडिमाम्लंचसहिङ्गुबिडसैन्धवम् |
वृक्षाम्लंदाडिमाम्लंचसहिङ्गुबिडसैन्धवम् |
प्रयोजयेदन्नपानेविधिनासूपकल्पितम् ||२८||
प्रयोजयेदन्नपानेविधिनासूपकल्पितम् ||२८||
वातश्लेष्महरोह्येषगणोदीपनपाचनः |
वातश्लेष्महरोह्येषगणोदीपनपाचनः |
ग्राहीबल्योरोचनश्चतस्माच्छस्तोऽतिसारिणाम् ||२९||
ग्राहीबल्योरोचनश्चतस्माच्छस्तोऽतिसारिणाम् ||२९||
śālaparṇīṁ pr̥śniparṇīṁ br̥hatīṁ kaṇṭakārikām|
śālaparṇīṁ pr̥śniparṇīṁ br̥hatīṁ kaṇṭakārikām|
balāṁ śvadaṁṣṭrāṁ bilvāni pāṭhāṁ nāgaradhānyakam||26||
balāṁ śvadaṁṣṭrāṁ bilvāni pāṭhāṁ nāgaradhānyakam||26||
śaṭīṁ palāśaṁ hapuṣāṁ vacāṁ jīrakapippalīm|
śaṭīṁ palāśaṁ hapuṣāṁ vacāṁ jīrakapippalīm|
yavānīṁ pippalīmūlaṁ citrakaṁ hastipippalīm||27||
yavānīṁ pippalīmūlaṁ citrakaṁ hastipippalīm||27||
vr̥kṣāmlaṁ dāḍimāmlaṁ ca sahiṅgu biḍasaindhavam|
vr̥kṣāmlaṁ dāḍimāmlaṁ ca sahiṅgu biḍasaindhavam|
prayōjayēdannapānē vidhinā sūpakalpitam||28||
prayōjayēdannapānē vidhinā sūpakalpitam||28||
vātaślēṣmaharō hyēṣa gaṇō dīpanapācanaḥ|
vātaślēṣmaharō hyēṣa gaṇō dīpanapācanaḥ|
grāhī balyō rōcanaśca tasmācchastō'tisāriṇām||29||
grāhī balyō rōcanaśca tasmācchastō'tisāriṇām||29||
shAlaparNIM pRushniparNIM bRuhatIM kaNTakArikAm|
shAlaparNIM pRushniparNIM bRuhatIM kaNTakArikAm|
balAM shvadaMShTrAM bilvAni pAThAM nAgaradhAnyakam||26||
balAM shvadaMShTrAM bilvAni pAThAM nAgaradhAnyakam||26||
shaTIM palAshaM hapuShAM vacAM jIrakapippalIm|
shaTIM palAshaM hapuShAM vacAM jIrakapippalIm|
yavAnIM pippalImUlaM citrakaM hastipippalIm||27||
yavAnIM pippalImUlaM citrakaM hastipippalIm||27||
vRukShAmlaM dADimAmlaM ca sahi~ggu biDasaindhavam|
vRukShAmlaM dADimAmlaM ca sahi~ggu biDasaindhavam|
prayojayedannapAne vidhinA sUpakalpitam||28||
prayojayedannapAne vidhinA sUpakalpitam||28||
vAtashleShmaharo hyeSha gaNo dIpanapAcanaH|
vAtashleShmaharo hyeSha gaNo dIpanapAcanaH|
grAhI balyo rocanashca tasmAcchasto~atisAriNAm||29||
grAhI balyo rocanashca tasmAcchasto~atisAriNAm||29||
The following drugs are useful for the cure of ''vataja atisara'' (diarrhea):
• Shālaparni, prashniparni, brhati, kantakarika, balā, svadamstrā, bilva, pāthā, nāgara, dhānyaka, shati, palāsha, hapushā, vacha, jiraka, pippali, yavani, pippali-mula, chitraka, hastipippali, vrikshāmla, sour pomegranate, hingu, vida and saindhava-these ingredients should be appropriately used in processing food preparations. Drugs belonging to the vata and kapha alleviative group and those drugs which are dipana (digestive stimulant), pachana (carminative), grahi (constipating), balya (promoter of strength) and rochana (appetiser) should be prescribed. [26-29]
Management of diarrhea associated with pain:
आमेपरिणतेयस्तुविबद्धमतिसार्यते |
सशूलपिच्छमल्पाल्पंबहुशःसप्रवाहिकम् ||३०||
यूषेणमूलकानांतंबदराणामथापिवा |
यूषेणमूलकानांतंबदराणामथापिवा |
उपोदिकायाःक्षीरिण्यायवान्यावास्तुकस्यवा ||३१||
उपोदिकायाःक्षीरिण्यायवान्यावास्तुकस्यवा ||३१||
सुवर्चलायाश्चञ्चोर्वाशाकेनावल्गुजस्यवा |
सुवर्चलायाश्चञ्चोर्वाशाकेनावल्गुजस्यवा |
शट्याःकर्कारुकाणांवाजीवन्त्याश्चिर्भटस्यवा ||३२||
शट्याःकर्कारुकाणांवाजीवन्त्याश्चिर्भटस्यवा ||३२||
लोणिकायाःसपाठायाःशुष्कशाकेनवापुनः |
लोणिकायाःसपाठायाःशुष्कशाकेनवापुनः |
दधिदाडिमसिद्धेनबहुस्नेहेनभोजयेत् ||३३||
दधिदाडिमसिद्धेनबहुस्नेहेनभोजयेत् ||३३||
āmē pariṇatē yastu vibaddhamatisāryatē|
āmē pariṇatē yastu vibaddhamatisāryatē|
saśūlapicchamalpālpaṁ bahuśaḥ sapravāhikam||30||
saśūlapicchamalpālpaṁ bahuśaḥ sapravāhikam||30||
yūṣēṇa mūlakānāṁ taṁ badarāṇāmathāpi vā|
yūṣēṇa mūlakānāṁ taṁ badarāṇāmathāpi vā|
upōdikāyāḥ kṣīriṇyā yavānyā vāstukasya vā||31||
upōdikāyāḥ kṣīriṇyā yavānyā vāstukasya vā||31||
suvarcalāyāścañcōrvā śākēnāvalgujasya vā|
suvarcalāyāścañcōrvā śākēnāvalgujasya vā|
śaṭyāḥ karkārukāṇāṁ vā jīvantyāścirbhaṭasya vā||32||
śaṭyāḥ karkārukāṇāṁ vā jīvantyāścirbhaṭasya vā||32||
lōṇikāyāḥ sapāṭhāyāḥ śuṣkaśākēna vā punaḥ|
lōṇikāyāḥ sapāṭhāyāḥ śuṣkaśākēna vā punaḥ|
dadhidāḍimasiddhēna bahusnēhēna bhōjayēt||33||
dadhidāḍimasiddhēna bahusnēhēna bhōjayēt||33||
Ame pariNate yastu vibaddhamatisAryate|
Ame pariNate yastu vibaddhamatisAryate|
sashUlapicchamalpAlpaM bahushaH sapravAhikam||30||
sashUlapicchamalpAlpaM bahushaH sapravAhikam||30||
yUSheNa mUlakAnAM taM badarANAmathApi vA|
yUSheNa mUlakAnAM taM badarANAmathApi vA|
upodikAyAH kShIriNyA yavAnyA vAstukasya vA||31||
upodikAyAH kShIriNyA yavAnyA vAstukasya vA||31||
suvarcalAyAshca~jcorvA shAkenAvalgujasya vA|
suvarcalAyAshca~jcorvA shAkenAvalgujasya vA|
shaTyAH karkArukANAM vA jIvantyAshcirbhaTasya vA||32||
shaTyAH karkArukANAM vA jIvantyAshcirbhaTasya vA||32||
loNikAyAH sapAThAyAH shuShkashAkena vA punaH|
loNikAyAH sapAThAyAH shuShkashAkena vA punaH|
dadhidADimasiddhena bahusnehena bhojayet||33||
dadhidADimasiddhena bahusnehena bhojayet||33||
After the maturity of ama (product of indigestion), if the patient experiences loose motions along with scybalous faeces associated with colic pain and mucus very frequently in small quantities, and if there is griping pain, then he should be given food along with the soup of mulaka, badara, upodikā, kshirini, yavāni, vāstuka, suvarchala, chanchu (nadika), leaves of avalguja, shati, karkaruka, jivanti, chirbhata (karkati), lonika, pāthā or shushka-shāka (kāsamarda according to Chakrapani). These soups should be cooked along with curd (yoghurt) and dadima, and added with ghee in copious quantities [30-33]
After the maturity of ama (product of indigestion), if the patient experiences loose motions along with scybalous faeces associated with colic pain and mucus very frequently in small quantities, and if there is griping pain, then he should be given food along with the soup of mulaka, badara, upodikā, kshirini, yavāni, vāstuka, suvarchala, chanchu (nadika), leaves of avalguja, shati, karkaruka, jivanti, chirbhata (karkati), lonika, pāthā or shushka-shāka (kāsamarda according to Chakrapani). These soups should be cooked along with curd (yoghurt) and dadima, and added with ghee in copious quantities [30-33]
Treatment of pravāhikā (dysentery):
Treatment of pravāhikā (dysentery):