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{{#seo:
|title=Chhardi Chikitsa
|titlemode=append
|keywords=atisara, diarrhea, ama, nirama, sangrahi treatment, pichcha basti
|description=Chikitsa Sthana Chapter 20. Management of Chhardi (vomiting)
}}
<big>'''[[Chikitsa Sthana]] Chapter 20. Management of Chhardi (vomiting) </big>'''
<big>'''[[Chikitsa Sthana]] Chapter 20. Management of Chhardi (vomiting) </big>'''
=== Sanskrit Text, Transliteration and English Translation ===
=== Sanskrit Text, Transliteration and English Translation ===
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अथातश्छर्दिचिकित्सितं व्याख्यास्यामः||१||
अथातश्छर्दिचिकित्सितं व्याख्यास्यामः||१||
इति ह स्माह भगवानात्रेयः||२||
इति ह स्माह भगवानात्रेयः||२||
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athātaśchardicikitsitaṁ vyākhyāsyāmaḥ||1||
athātaśchardicikitsitaṁ vyākhyāsyāmaḥ||1||
iti ha smAha bhagavAnAtreyaH||2||
iti ha smAha bhagavAnAtreyaH||2||
</div></div>
We shall now expound the chapter entitled “the management of ''chhardi'' (vomiting)”. Thus, said Lord Atreya. [1-2]
We shall now expound the chapter entitled “the management of ''chhardi'' (vomiting)”. Thus, said Lord Atreya. [1-2]
<div class="mw-collapsible mw-collapsed">
यशस्विनं ब्रह्मतपोद्युतिभ्यां ज्वलन्तमग्न्यर्कसमप्रभावम्|
यशस्विनं ब्रह्मतपोद्युतिभ्यां ज्वलन्तमग्न्यर्कसमप्रभावम्|
पुनर्वसुं भूतहिते निविष्टं पप्रच्छ शिष्योऽत्रिजमग्निवेशः||३||
पुनर्वसुं भूतहिते निविष्टं पप्रच्छ शिष्योऽत्रिजमग्निवेशः||३||
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yaśasvinaṁ brahmatapōdyutibhyāṁ jvalantamagnyarkasamaprabhāvam|
yaśasvinaṁ brahmatapōdyutibhyāṁ jvalantamagnyarkasamaprabhāvam|
punarvasuM bhUtahite niviShTaM papraccha shiShyo~atrijamagniveshaH||3||
punarvasuM bhUtahite niviShTaM papraccha shiShyo~atrijamagniveshaH||3||
</div></div>
Agnivesha the disciple asked Punarvasu, the illustratious son of Atri, who was engrossed in the thinking of the well-being of humanity and who was dazzling with luster of divine knowledge and penance, who was endowed with the brilliance like that of fire and the sun, and who was dedicated to the well-being of all living beings [3]
Agnivesha the disciple asked Punarvasu, the illustratious son of Atri, who was engrossed in the thinking of the well-being of humanity and who was dazzling with luster of divine knowledge and penance, who was endowed with the brilliance like that of fire and the sun, and who was dedicated to the well-being of all living beings [3]
==== Queries by Agnivesha ====
==== Queries by Agnivesha ====
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याश्छर्दयः पञ्च पुरा त्वयोक्ता रोगाधिकारे भिषजां वरिष्ठ!|
याश्छर्दयः पञ्च पुरा त्वयोक्ता रोगाधिकारे भिषजां वरिष्ठ!|
याश्छर्दयः पञ्च पुरा मयोक्तास्ता विस्तरेण ब्रुवतो निबोध||५||
याश्छर्दयः पञ्च पुरा मयोक्तास्ता विस्तरेण ब्रुवतो निबोध||५||
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yāśchardayaḥ pañca purā tvayōktā rōgādhikārē bhiṣajāṁ variṣṭha!|
yāśchardayaḥ pañca purā tvayōktā rōgādhikārē bhiṣajāṁ variṣṭha!|
yAshchardayaH pa~jca purA mayoktAstA vistareNa bruvato nibodha||5||
yAshchardayaH pa~jca purA mayoktAstA vistareNa bruvato nibodha||5||
</div></div>
Oh! Revered Physician, please describe the treatment of the five types of ''chhardi'' (vomiting) mentioned by you earlier in the context of the enumeration of diseases (in Sutra 19:3-4) along with their etiology, signs and symptoms comprehensively, for the sake of well-being of humanity.
Oh! Revered Physician, please describe the treatment of the five types of ''chhardi'' (vomiting) mentioned by you earlier in the context of the enumeration of diseases (in Sutra 19:3-4) along with their etiology, signs and symptoms comprehensively, for the sake of well-being of humanity.
==== Classification and premonitory symptoms ====
==== Classification and premonitory symptoms ====
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दोषैः पृथक्त्रिप्रभवाश्चतस्रो [१] द्बिष्टार्थयोगादपि पञ्चमी स्यात्|
दोषैः पृथक्त्रिप्रभवाश्चतस्रो [१] द्बिष्टार्थयोगादपि पञ्चमी स्यात्|
तासां हृदुत्क्लेशकफप्रसेकौ द्वेषोऽशने चैव हि पूर्वरूपम्||६|
तासां हृदुत्क्लेशकफप्रसेकौ द्वेषोऽशने चैव हि पूर्वरूपम्||६|
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dōṣaiḥ pr̥thaktriprabhavāścatasrō dbiṣṭārthayōgādapi pañcamī syāt|
dōṣaiḥ pr̥thaktriprabhavāścatasrō dbiṣṭārthayōgādapi pañcamī syāt|
tAsAM hRudutkleshakaphaprasekau dveSho~ashane caiva hi pUrvarUpam||6||
tAsAM hRudutkleshakaphaprasekau dveSho~ashane caiva hi pUrvarUpam||6||
</div></div>
''Chhardi'' (vomiting) is of five types; three types of vomiting caused by a ''dosha'' each i.e. ''vatika, paittika, kaphaja,'' fourth is ''sannipatika'' and fifth is ''dvistartha-yogaja-chhardi'' (that results from contact with unpleasant sense objects).
''Chhardi'' (vomiting) is of five types; three types of vomiting caused by a ''dosha'' each i.e. ''vatika, paittika, kaphaja,'' fourth is ''sannipatika'' and fifth is ''dvistartha-yogaja-chhardi'' (that results from contact with unpleasant sense objects).
==== ''Vataja chhardi'' ====
==== ''Vataja chhardi'' ====
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व्यायामतीक्ष्णौषधशोकरोगभयोपवासाद्यतिकर्शितस्य|
व्यायामतीक्ष्णौषधशोकरोगभयोपवासाद्यतिकर्शितस्य|
कृच्छ्रेण चाल्पं महता च वेगेनार्तोऽनिलाच्छर्दयतीह दुःखम्||९||
कृच्छ्रेण चाल्पं महता च वेगेनार्तोऽनिलाच्छर्दयतीह दुःखम्||९||
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vyāyāmatīkṣṇauṣadhaśōkarōgabhayōpavāsādyatikarśitasya|
vyāyāmatīkṣṇauṣadhaśōkarōgabhayōpavāsādyatikarśitasya|
kRucchreNa cAlpaM mahatA ca vegenArto~anilAcchardayatIha duHkham||9||
kRucchreNa cAlpaM mahatA ca vegenArto~anilAcchardayatIha duHkham||9||
</div></div>
In a person extremely emaciated because of disease, excessive intake of medicines having ''tikshna'' (sharply acting) attributes and indulging in grief, fear, fasting, etc. ''vata'' gets excessively aggravated in the ''maha-srotas'' (gastrointestinal tract), vitiates the local ''doshas'' and pushes them upwards. These ''doshas'' cause agitation in the ''amashaya'' (stomach), and after afflicting the ''marma'' (vital organs-heart) gives rise to ''chhardi'' (vomiting). This ''vataja'' type of vomiting is characterized by the following signs and symptoms:
In a person extremely emaciated because of disease, excessive intake of medicines having ''tikshna'' (sharply acting) attributes and indulging in grief, fear, fasting, etc. ''vata'' gets excessively aggravated in the ''maha-srotas'' (gastrointestinal tract), vitiates the local ''doshas'' and pushes them upwards. These ''doshas'' cause agitation in the ''amashaya'' (stomach), and after afflicting the ''marma'' (vital organs-heart) gives rise to ''chhardi'' (vomiting). This ''vataja'' type of vomiting is characterized by the following signs and symptoms:
==== ''Pittaja chhardi'' ====
==== ''Pittaja chhardi'' ====
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अजीर्णकट्वम्लविदाह्यशीतैरामाशये पित्तमुदीर्णवेगम्|
अजीर्णकट्वम्लविदाह्यशीतैरामाशये पित्तमुदीर्णवेगम्|
पीतं भृशोष्णं हरितं सतिक्तं धूम्रं च पित्तेन वमेत् सदाहम्||११||
पीतं भृशोष्णं हरितं सतिक्तं धूम्रं च पित्तेन वमेत् सदाहम्||११||
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ajīrṇakaṭvamlavidāhyaśītairāmāśayē pittamudīrṇavēgam|
ajīrṇakaṭvamlavidāhyaśītairāmāśayē pittamudīrṇavēgam|
pItaM bhRushoShNaM haritaM satiktaM dhUmraM ca pittena vamet sadAham||11||
pItaM bhRushoShNaM haritaM satiktaM dhUmraM ca pittena vamet sadAham||11||
</div></div>
As a result of intake of food before the previous meal is digested, or taking pungent, sour, ''vidahi'' (which cause burning sensation) and cold diet, the ''pitta'' in the stomach gets aggravated. This aggravated ''pitta'' spreads through the ''rasayani'' (channels) and stresses the vital organs located in the upper part of the body which results in vomiting:
As a result of intake of food before the previous meal is digested, or taking pungent, sour, ''vidahi'' (which cause burning sensation) and cold diet, the ''pitta'' in the stomach gets aggravated. This aggravated ''pitta'' spreads through the ''rasayani'' (channels) and stresses the vital organs located in the upper part of the body which results in vomiting:
==== ''Kaphaja chhardi'' ====
==== ''Kaphaja chhardi'' ====
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स्निग्धातिगुर्वामविदाहिभोज्यैः स्वप्नादिभिश्चैव कफोऽतिवृद्धः|
स्निग्धातिगुर्वामविदाहिभोज्यैः स्वप्नादिभिश्चैव कफोऽतिवृद्धः|
स्निग्धं घनं स्वादु कफाद्विशुद्धं सलोमहर्षोऽल्परुजं वमेत्तु||१३||
स्निग्धं घनं स्वादु कफाद्विशुद्धं सलोमहर्षोऽल्परुजं वमेत्तु||१३||
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snigdhātigurvāmavidāhibhōjyaiḥ svapnādibhiścaiva kaphō'tivr̥ddhaḥ|
snigdhātigurvāmavidāhibhōjyaiḥ svapnādibhiścaiva kaphō'tivr̥ddhaḥ|
snigdhaM ghanaM svAdu kaphAdvishuddhaM salomaharSho~alparujaM vamettu||13||
snigdhaM ghanaM svAdu kaphAdvishuddhaM salomaharSho~alparujaM vamettu||13||
</div></div>
As a result of the intake of unctuous, excessively heavy, ''ama'' (raw/uncooked) and ''vidahi'' (causing burning sensation) food and because of excessive sleep and similar other factors, ''kapha'' gets excessively aggravated. This ''kapha'' occludes the chest, head, vital organs and all the (concerned) channels to cause ''chhardi'' (vomiting). The signs and symptoms of this ''kaphaja'' type of ''chhardi'' are as follows:
As a result of the intake of unctuous, excessively heavy, ''ama'' (raw/uncooked) and ''vidahi'' (causing burning sensation) food and because of excessive sleep and similar other factors, ''kapha'' gets excessively aggravated. This ''kapha'' occludes the chest, head, vital organs and all the (concerned) channels to cause ''chhardi'' (vomiting). The signs and symptoms of this ''kaphaja'' type of ''chhardi'' are as follows:
==== ''Tridoshaja chhardi'' ====
==== ''Tridoshaja chhardi'' ====
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समश्नतः सर्वरसान् प्रसक्तमामप्रदोषर्तुविपर्ययैश्च|
समश्नतः सर्वरसान् प्रसक्तमामप्रदोषर्तुविपर्ययैश्च|
छर्दिस्त्रिदोषाल्लवणाम्लनीलसान्द्रोष्णरक्तं वमतां नृणां स्यात्||१५||
छर्दिस्त्रिदोषाल्लवणाम्लनीलसान्द्रोष्णरक्तं वमतां नृणां स्यात्||१५||
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samaśnataḥ sarvarasān prasaktamāmapradōṣartuviparyayaiśca|
samaśnataḥ sarvarasān prasaktamāmapradōṣartuviparyayaiśca|
chardistridoShAllavaNAmlanIlasAndroShNaraktaM vamatAM nRuNAM syAt||15||
chardistridoShAllavaNAmlanIlasAndroShNaraktaM vamatAM nRuNAM syAt||15||
</div></div>
Because of constant indulgence in diet consisting of wholesome and unwholesome diet together, having all categories of taste together because of ''ama-dosha'' (ailments caused by improper digestion) and because of seasonal perversions, all the three ''doshas'' get simultaneously aggravated and cause ''sannipatika chhardi''.
Because of constant indulgence in diet consisting of wholesome and unwholesome diet together, having all categories of taste together because of ''ama-dosha'' (ailments caused by improper digestion) and because of seasonal perversions, all the three ''doshas'' get simultaneously aggravated and cause ''sannipatika chhardi''.
==== Bad prognostic symptoms ====
==== Bad prognostic symptoms ====
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विट्स्वेदमूत्राम्बुवहानि वायुः स्रोतांसि संरुध्य यदोर्ध्वमेति|
विट्स्वेदमूत्राम्बुवहानि वायुः स्रोतांसि संरुध्य यदोर्ध्वमेति|
प्रच्छर्दयेद्दुष्टमिहातिवेगात्तयाऽर्दितश्चाशु विनाशमेति||१७||
प्रच्छर्दयेद्दुष्टमिहातिवेगात्तयाऽर्दितश्चाशु विनाशमेति||१७||
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viṭsvēdamūtrāmbuvahāni vāyuḥ srōtāṁsi saṁrudhya yadōrdhvamēti|
viṭsvēdamūtrāmbuvahāni vāyuḥ srōtāṁsi saṁrudhya yadōrdhvamēti|
pracchardayedduShTamihAtivegAttayA~arditashcAshu vinAshameti||17||
pracchardayedduShTamihAtivegAttayA~arditashcAshu vinAshameti||17||
</div></div>
When the morbid ''vata'' occludes the channels carrying faeces, sweat, urine and body fluids and moves upwards, then the morbid matter from the ''koshtha'' (gastrointestinal tract), gets incited to cause vomiting, that has the following characteristics:
When the morbid ''vata'' occludes the channels carrying faeces, sweat, urine and body fluids and moves upwards, then the morbid matter from the ''koshtha'' (gastrointestinal tract), gets incited to cause vomiting, that has the following characteristics:
==== ''Dvishtharthasamyogaja chhardi'' ====
==== ''Dvishtharthasamyogaja chhardi'' ====
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द्विष्टप्रतीपाशुचिपूत्यमेध्यबीभत्सगन्धाशनदर्शनैश्च|
द्विष्टप्रतीपाशुचिपूत्यमेध्यबीभत्सगन्धाशनदर्शनैश्च|
यच्छर्दयेत्तप्तमना मनोध्नैर्द्विष्टार्थसंयोगभवा मता सा||१८||
यच्छर्दयेत्तप्तमना मनोध्नैर्द्विष्टार्थसंयोगभवा मता सा||१८||
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dviṣṭapratīpāśucipūtyamēdhyabībhatsagandhāśanadarśanaiśca|
dviṣṭapratīpāśucipūtyamēdhyabībhatsagandhāśanadarśanaiśca|
yacchardayettaptamanA manodhnairdviShTArthasaMyogabhavA matA sA||18||
yacchardayettaptamanA manodhnairdviShTArthasaMyogabhavA matA sA||18||
</div></div>
As a result of mental disgust occasioned by senses contact with despicable, antagonistic, unclean, putrid, unholy and loathsome odors, diet or sights, the ''chhardi''(vomiting) is known as vomiting induced by contact with hateful things [18]
As a result of mental disgust occasioned by senses contact with despicable, antagonistic, unclean, putrid, unholy and loathsome odors, diet or sights, the ''chhardi''(vomiting) is known as vomiting induced by contact with hateful things [18]
==== Symptoms of incurable ''chhardi'' ====
==== Symptoms of incurable ''chhardi'' ====
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क्षीणस्य या छर्दिरतिप्रवृद्धा सोपद्रवा शोणितपूययुक्ता|
क्षीणस्य या छर्दिरतिप्रवृद्धा सोपद्रवा शोणितपूययुक्ता|
सचन्द्रिकां तां प्रवदन्त्यसाध्यां साध्यां चिकित्सेदनुपद्रवां च||१९||
सचन्द्रिकां तां प्रवदन्त्यसाध्यां साध्यां चिकित्सेदनुपद्रवां च||१९||
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kṣīṇasya yā chardiratipravr̥ddhā sōpadravā śōṇitapūyayuktā|
kṣīṇasya yā chardiratipravr̥ddhā sōpadravā śōṇitapūyayuktā|
sacandrikAM tAM pravadantyasAdhyAM sAdhyAM cikitsedanupadravAM ca||19||
sacandrikAM tAM pravadantyasAdhyAM sAdhyAM cikitsedanupadravAM ca||19||
</div></div>
Vomiting that occurs in an emaciated person, that continues incessantly, that is associated with complications, and vomitus that contains blood, pus and ''chandrika'' (circular shiny patches with variegated color) is incurable. The physician should treat only curable types that are not associated with complications [19]
Vomiting that occurs in an emaciated person, that continues incessantly, that is associated with complications, and vomitus that contains blood, pus and ''chandrika'' (circular shiny patches with variegated color) is incurable. The physician should treat only curable types that are not associated with complications [19]
==== Principles of treatment ====
==== Principles of treatment ====
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आमाशयोत्क्लेशभवा हि सर्वाश्छर्द्यो मता लङ्घनमेव तस्मात्|
आमाशयोत्क्लेशभवा हि सर्वाश्छर्द्यो मता लङ्घनमेव तस्मात्|
प्राक्कारयेन्मारुतजां विमुच्य संशोधनं वा कफपित्तहारि||२०||
प्राक्कारयेन्मारुतजां विमुच्य संशोधनं वा कफपित्तहारि||२०||
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āmāśayōtklēśabhavā hi sarvāśchardyō matā laṅghanamēva tasmāt|
āmāśayōtklēśabhavā hi sarvāśchardyō matā laṅghanamēva tasmāt|
prAkkArayenmArutajAM vimucya saMshodhanaM vA kaphapittahAri||20||
prAkkArayenmArutajAM vimucya saMshodhanaM vA kaphapittahAri||20||
</div></div>
As all the types of vomiting are considered originating from the agitations of the ''doshas'' in the stomach, fasting therapy should first be prescribed or purificatory procedure curative of ''kapha'' and ''pitta'' should be administered except in cases of ''vata'' dominance. [20]
As all the types of vomiting are considered originating from the agitations of the ''doshas'' in the stomach, fasting therapy should first be prescribed or purificatory procedure curative of ''kapha'' and ''pitta'' should be administered except in cases of ''vata'' dominance. [20]
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चूर्णानि लिह्यान्मधुनाऽभयानां हृद्यानि वा यानि विरेचनानि|
चूर्णानि लिह्यान्मधुनाऽभयानां हृद्यानि वा यानि विरेचनानि|
रसैर्मनोज्ञैर्लघुभिर्विशुष्कैर्भक्ष्यैः सभोज्यैर्विविधैश्च पानैः||२२||
रसैर्मनोज्ञैर्लघुभिर्विशुष्कैर्भक्ष्यैः सभोज्यैर्विविधैश्च पानैः||२२||
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cūrṇāni lihyānmadhunā'bhayānāṁ hr̥dyāni vā yāni virēcanāni|
cūrṇāni lihyānmadhunā'bhayānāṁ hr̥dyāni vā yāni virēcanāni|
rasairmanoj~jairlaghubhirvishuShkairbhakShyaiH sabhojyairvividhaishca pAnaiH||22||
rasairmanoj~jairlaghubhirvishuShkairbhakShyaiH sabhojyairvividhaishca pAnaiH||22||
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The patient shall take powder of ''abhaya'' (chebulic myrobalans) with honey or such other palatable purgatives skillfully combined with ''madya'' (alcohol) or ''dugdha'' (milk). These recipes cause downward movement of the aggravated ''doshas'' that are impelled to move upwards.
The patient shall take powder of ''abhaya'' (chebulic myrobalans) with honey or such other palatable purgatives skillfully combined with ''madya'' (alcohol) or ''dugdha'' (milk). These recipes cause downward movement of the aggravated ''doshas'' that are impelled to move upwards.
==== Treatment of ''vataja chhardi'' ====
==== Treatment of ''vataja chhardi'' ====
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सुसंस्कृतास्तित्तिरिबर्हिलावरसा व्यपोहन्त्यनिलप्रवृत्ताम्|
सुसंस्कृतास्तित्तिरिबर्हिलावरसा व्यपोहन्त्यनिलप्रवृत्ताम्|
स्निग्धानि हृद्यानि च भोजनानि रसैः सयूषैर्दधिदाडिमाम्लैः||२५||
स्निग्धानि हृद्यानि च भोजनानि रसैः सयूषैर्दधिदाडिमाम्लैः||२५||
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susaṁskr̥tāstittiribarhilāvarasā vyapōhantyanilapravr̥ttām|
susaṁskr̥tāstittiribarhilāvarasā vyapōhantyanilapravr̥ttām|
snigdhAni hRudyAni ca bhojanAni rasaiH sayUShairdadhidADimAmlaiH||25||
snigdhAni hRudyAni ca bhojanAni rasaiH sayUShairdadhidADimAmlaiH||25||
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The following recipes are useful in ''vataja'' type of vomiting (''chhardi''):
The following recipes are useful in ''vataja'' type of vomiting (''chhardi''):
==== Treatment of ''pittaja chhardi'' ====
==== Treatment of ''pittaja chhardi'' ====
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पित्तात्मिकायामनुलोमनार्थं द्राक्षाविदारीक्षुरसैस्त्रिवृत् स्यात्|
पित्तात्मिकायामनुलोमनार्थं द्राक्षाविदारीक्षुरसैस्त्रिवृत् स्यात्|
शीताम्बुना गैरिकशालिचूर्णं मूर्वां तथा तण्डुलधावनेन||३३||
शीताम्बुना गैरिकशालिचूर्णं मूर्वां तथा तण्डुलधावनेन||३३||
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pittātmikāyāmanulōmanārthaṁ drākṣāvidārīkṣurasaistrivr̥t syāt|
pittātmikāyāmanulōmanārthaṁ drākṣāvidārīkṣurasaistrivr̥t syāt|
shItAmbunA gairikashAlicUrNaM mUrvAM tathA taNDuladhAvanena||33||
shItAmbunA gairikashAlicUrNaM mUrvAM tathA taNDuladhAvanena||33||
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The patient of ''pittaja'' type of ''chhardi'' should be given ''trivrit'' (Operculina turpethum) along with the juice of ''draksha'' (grapes/Vitis vinifera), ''vidari'' (Purera tuberosa) and ''ikshu'' (sugar-cane/Saccharaum officinarum) for causing downward movement of the morbid matter (laxation). When aggravated pitta is located in site of ''kapha'' (chest/stomach), then drugs having sweet taste should be administered for elimination of ''pitta'' (through emetic therapy).
The patient of ''pittaja'' type of ''chhardi'' should be given ''trivrit'' (Operculina turpethum) along with the juice of ''draksha'' (grapes/Vitis vinifera), ''vidari'' (Purera tuberosa) and ''ikshu'' (sugar-cane/Saccharaum officinarum) for causing downward movement of the morbid matter (laxation). When aggravated pitta is located in site of ''kapha'' (chest/stomach), then drugs having sweet taste should be administered for elimination of ''pitta'' (through emetic therapy).
==== Treatment of ''kaphaja chhardi'' ====
==== Treatment of ''kaphaja chhardi'' ====
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कफात्मिकायां वमनं प्रशस्तं सपिप्पलीसर्षपनिम्बतोयैः|
कफात्मिकायां वमनं प्रशस्तं सपिप्पलीसर्षपनिम्बतोयैः|
क्षौद्रेण चूर्णं मरिचैश्च युक्तं लिहञ्जयेच्छर्दिमुदीर्णवेगाम्||३९||
क्षौद्रेण चूर्णं मरिचैश्च युक्तं लिहञ्जयेच्छर्दिमुदीर्णवेगाम्||३९||
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kaphātmikāyāṁ vamanaṁ praśastaṁ sapippalīsarṣapanimbatōyaiḥ|
kaphātmikāyāṁ vamanaṁ praśastaṁ sapippalīsarṣapanimbatōyaiḥ|
kShaudreNa cUrNaM maricaishca yuktaM liha~jjayecchardimudIrNavegAm||39||
kShaudreNa cUrNaM maricaishca yuktaM liha~jjayecchardimudIrNavegAm||39||
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''Vamana'' (therapeutic emesis) is supposed to be the most suitable therapy in ''kaphaja'' type of ''chhardi'' (vomiting). In order to clean the seat of ''kapha'' and ''amashaya'', the patient should be given the decoction of ''pippali, sarsapa'' (yellow sarson/Indian colza/Brassica campestris) and ''nimba'' (neem tree/Margosa/Indian lilac/Azadirachta indica) added with powder of ''pinditaka'' (madanaphala/emetic nut/bushy gardenia/Randia dumetorum) and ''saindhava'' (rock-salt).
''Vamana'' (therapeutic emesis) is supposed to be the most suitable therapy in ''kaphaja'' type of ''chhardi'' (vomiting). In order to clean the seat of ''kapha'' and ''amashaya'', the patient should be given the decoction of ''pippali, sarsapa'' (yellow sarson/Indian colza/Brassica campestris) and ''nimba'' (neem tree/Margosa/Indian lilac/Azadirachta indica) added with powder of ''pinditaka'' (madanaphala/emetic nut/bushy gardenia/Randia dumetorum) and ''saindhava'' (rock-salt).
==== Treatment of ''sannipatika chhardi'' ====
==== Treatment of ''sannipatika chhardi'' ====
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यैषा पृथक्त्वेन मया क्रियोक्ता तां सन्निपातेऽपि समस्य [१] बुद्ध्या|
यैषा पृथक्त्वेन मया क्रियोक्ता तां सन्निपातेऽपि समस्य [१] बुद्ध्या|
दोषर्तुरोगाग्निबलान्यवेक्ष्य प्रयोजयेच्छास्त्रविदप्रमत्तः||४०||
दोषर्तुरोगाग्निबलान्यवेक्ष्य प्रयोजयेच्छास्त्रविदप्रमत्तः||४०||
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yaiṣā pr̥thaktvēna mayā kriyōktā tāṁ sannipātē'pi samasya buddhyā|
yaiṣā pr̥thaktvēna mayā kriyōktā tāṁ sannipātē'pi samasya buddhyā|
doSharturogAgnibalAnyavekShya prayojayecchAstravidapramattaH||40||
doSharturogAgnibalAnyavekShya prayojayecchAstravidapramattaH||40||
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Judicious synthesis of the separate lines of treatment indicated by me for the derangement of individual humors should be employed by the learned physician for the patient suffering from ''sannipatika chhardi'' after carefully examining the relative preponderance of the ''doshas'' involved, the season when the disease has occurred, the stage of the disease and the power of digestion of the patient [40]
Judicious synthesis of the separate lines of treatment indicated by me for the derangement of individual humors should be employed by the learned physician for the patient suffering from ''sannipatika chhardi'' after carefully examining the relative preponderance of the ''doshas'' involved, the season when the disease has occurred, the stage of the disease and the power of digestion of the patient [40]
==== Treatment of ''dvishtarathasamyogaja (manobhighataja) chhardi'' ====
==== Treatment of ''dvishtarathasamyogaja (manobhighataja) chhardi'' ====
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मनोभिघाते तु मनोनुकूला वाचः समाश्वासनहर्षणानि|
मनोभिघाते तु मनोनुकूला वाचः समाश्वासनहर्षणानि|
तदेव दद्यात् प्रशमाय तस्यास्तज्जो हि रोगः सुख एव जेतुम्||४४||
तदेव दद्यात् प्रशमाय तस्यास्तज्जो हि रोगः सुख एव जेतुम्||४४||
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manōbhighātē tu manōnukūlā vācaḥ samāśvāsanaharṣaṇāni|
manōbhighātē tu manōnukūlā vācaḥ samāśvāsanaharṣaṇāni|
tadeva dadyAt prashamAya tasyAstajjo hi rogaH sukha eva jetum||44||
tadeva dadyAt prashamAya tasyAstajjo hi rogaH sukha eva jetum||44||
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In case of vomiting caused by mental disgust the following measures should be resorted to:
In case of vomiting caused by mental disgust the following measures should be resorted to:
==== Treatment of complications ====
==== Treatment of complications ====
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छर्द्युत्थितानां च चिकित्सितात् स्वाच्चिकित्सितं कार्यमुपद्रवाणाम्|
छर्द्युत्थितानां च चिकित्सितात् स्वाच्चिकित्सितं कार्यमुपद्रवाणाम्|
अतिप्रवृत्तासु विरेचनस्य कर्मातियोगे विहितं विधेयम्||४५||
अतिप्रवृत्तासु विरेचनस्य कर्मातियोगे विहितं विधेयम्||४५||
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chardyutthitānāṁ ca cikitsitāt svāccikitsitaṁ kāryamupadravāṇām|
chardyutthitānāṁ ca cikitsitāt svāccikitsitaṁ kāryamupadravāṇām|
atipravRuttAsu virecanasya karmAtiyoge vihitaM vidheyam||45||
atipravRuttAsu virecanasya karmAtiyoge vihitaM vidheyam||45||
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The treatment of complications arising from vomiting should be done according to the lines suggested in respect of each of those ailments. In case of excessive vomiting; treatment that is suggested in [[Siddhi Sthana]] (6/52-56) for excessive purgation should be carried out [45]
The treatment of complications arising from vomiting should be done according to the lines suggested in respect of each of those ailments. In case of excessive vomiting; treatment that is suggested in [[Siddhi Sthana]] (6/52-56) for excessive purgation should be carried out [45]
==== Treatment of chronic ''chhardi'' ====
==== Treatment of chronic ''chhardi'' ====
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वमिप्रसङ्गात् पवनोऽप्यवश्यं धातुक्षयाद्धृद्धिमुपैति तस्मात्|
वमिप्रसङ्गात् पवनोऽप्यवश्यं धातुक्षयाद्धृद्धिमुपैति तस्मात्|
वृष्यास्तथा मांसरसाः सलेहाश्चिरप्रसक्तां च वमिं जयन्ति||४७||
वृष्यास्तथा मांसरसाः सलेहाश्चिरप्रसक्तां च वमिं जयन्ति||४७||
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vamiprasaṅgāt pavanō'pyavaśyaṁ dhātukṣayāddhr̥ddhimupaiti tasmāt|
vamiprasaṅgāt pavanō'pyavaśyaṁ dhātukṣayāddhr̥ddhimupaiti tasmāt|
vRuShyAstathA mAMsarasAH salehAshciraprasaktAM ca vamiM jayanti||47||
vRuShyAstathA mAMsarasAH salehAshciraprasaktAM ca vamiM jayanti||47||
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In persistent vomiting vāta invariably gets aggravated because of loss of tissue elements. Therefore, in case of chronic vomiting medications that are bulk promoting, ''vata'' pacifying, ''upastambhana'' (astringents) and ''brimhana'' (nutritive) should be administered.
In persistent vomiting vāta invariably gets aggravated because of loss of tissue elements. Therefore, in case of chronic vomiting medications that are bulk promoting, ''vata'' pacifying, ''upastambhana'' (astringents) and ''brimhana'' (nutritive) should be administered.
==== Summary ====
==== Summary ====
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तत्र श्लोकः-
तत्र श्लोकः-
छर्दीनां प्रशमार्थं प्राह चिकित्सितं मुनिवर्यः||४८||
छर्दीनां प्रशमार्थं प्राह चिकित्सितं मुनिवर्यः||४८||
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tatra ślōkaḥ-
tatra ślōkaḥ-
chardInAM prashamArthaM prAha cikitsitaM munivaryaH||48||
chardInAM prashamArthaM prAha cikitsitaM munivaryaH||48||
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To sum up, in this chapter the predisposing factors, numerals of the vomiting, symptoms, complications, prognosis, formulations and other measures of management for the relief of vomiting are described by the foremost of the sages [48]
To sum up, in this chapter the predisposing factors, numerals of the vomiting, symptoms, complications, prognosis, formulations and other measures of management for the relief of vomiting are described by the foremost of the sages [48]