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The skillful physician should administer the decoctions of tested efficacy for the cure of ''visarpa'' made up of ''musta'' (Cyperus rotundus linn), ''nimba'' (Azadirachta indica) and ''patola'' (Trichosanthes dioica Roxb) or ''chandana'' (Santalum album linn) and utpal (Nymphaea nouchali) or ''sariva'' (Hemidesmus indicus), ''amalaki'' (Emblica officinalis), ''ushira'' (Vetiveria zizanioidis Linn) and ''musta'' (Cyperus rotundus linn).  
 
The skillful physician should administer the decoctions of tested efficacy for the cure of ''visarpa'' made up of ''musta'' (Cyperus rotundus linn), ''nimba'' (Azadirachta indica) and ''patola'' (Trichosanthes dioica Roxb) or ''chandana'' (Santalum album linn) and utpal (Nymphaea nouchali) or ''sariva'' (Hemidesmus indicus), ''amalaki'' (Emblica officinalis), ''ushira'' (Vetiveria zizanioidis Linn) and ''musta'' (Cyperus rotundus linn).  
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''Kiratatikta'' (Swertia chirayita), ''lodhra'' (Symplocos racemosa), ''chandana'' (Santalum album linn), duralabha (Fagonia cretica), shunthi (Zingiber officinale), padmakinjalka (Prunus cerasoides), utpala (Nymphaea nouchali), bibhitaka (Terminalia bellirica), madhuka (Glycyrrhiza glabra Linn) and nagapushpa (Mesua ferrea Linn), this formulation physician may administer for the alleviation of visarpa.  
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''Kiratatikta'' (Swertia chirayita), ''lodhra'' (Symplocos racemosa), ''chandana'' (Santalum album linn), ''duralabha'' (Fagonia cretica), ''shunthi'' (Zingiber officinale), ''padmakinjalka'' (Prunus cerasoides), ''utpala'' (Nymphaea nouchali), ''bibhitaka'' (Terminalia bellirica), ''madhuka'' (Glycyrrhiza glabra Linn) and ''nagapushpa'' (Mesua ferrea Linn), this formulation physician may administer for the alleviation of ''visarpa''.  
Prapaundrika (Nelumbo nucifera), madhuka (Glycyrrhiza glabra Linn), padmakinjalka (Prunus cerasoides), utpala (Nymphaea nouchali), nagapuspa (Mesua ferrea Linn), and lodhra (Symplocos racemosa), should be taken by the above method.  
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Draksha (Vitis vinifera Linn), parpataka (Carthmus tinctorius), shunthi (Zingiber officinale), guduchi (Tinospora cordifolia) and dhanvayasa (fagonia cretica) kept for the whole night in the water (shitakashaya), should be administered to alleviate morbid thirst and visarpa.  
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''Prapaundrika'' (Nelumbo nucifera), ''madhuka'' (Glycyrrhiza glabra Linn), ''padmakinjalka'' (Prunus cerasoides), ''utpala'' (Nymphaea nouchali), ''nagapuspa'' (Mesua ferrea Linn), and ''lodhra'' (Symplocos racemosa), should be taken by the above method.  
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''Draksha'' (Vitis vinifera Linn), ''parpataka'' (Carthmus tinctorius), ''shunthi'' (Zingiber officinale), ''guduchi'' (Tinospora cordifolia) and ''dhanvayasa'' (fagonia cretica) kept for the whole night in the water (''shitakashaya''), should be administered to alleviate morbid thirst and ''visarpa''.  
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Patōla (Trichosanthes dioica Roxb.), pichumarda (Azadirachta indica), darvi (Berberis aristata), katuki (Picrorhiza kurroa), rohini (Terminalia chebula), yasti (Glycyrrhiza glabra Linn.), and trayamana (Gentiana kurroo) should be administered to alleviate visarpa.  
 
Patōla (Trichosanthes dioica Roxb.), pichumarda (Azadirachta indica), darvi (Berberis aristata), katuki (Picrorhiza kurroa), rohini (Terminalia chebula), yasti (Glycyrrhiza glabra Linn.), and trayamana (Gentiana kurroo) should be administered to alleviate visarpa.  
 
Physician should administer patoladi kashaya with triphala (Haritaki -Terminalia chebula, Bibhitaki-Terminalia bellirica, and amalaki- Emblica officinalis) and masur (lentil pulse) mixed with ghee.  
 
Physician should administer patoladi kashaya with triphala (Haritaki -Terminalia chebula, Bibhitaki-Terminalia bellirica, and amalaki- Emblica officinalis) and masur (lentil pulse) mixed with ghee.  
 
Physician should administer patola patra (Trichosanthes dioica Roxb.), mudga (green gram) and amalaki juice (Emblica officinalis) mixed with ghee. (54-61)
 
Physician should administer patola patra (Trichosanthes dioica Roxb.), mudga (green gram) and amalaki juice (Emblica officinalis) mixed with ghee. (54-61)
Formulations for dosha situtated in koshtha, pitta dominant visarpa and virechana:
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==== Formulations for dosha situtated in koshtha, pitta dominant visarpa and Virechana ====
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यच्च सर्पिर्महातिक्तं पित्तकुष्ठनिबर्हणम् |  
 
यच्च सर्पिर्महातिक्तं पित्तकुष्ठनिबर्हणम् |  
 
निर्दिष्टं तदपि प्राज्ञो दद्याद्वीसर्पशान्तये ||६२||  
 
निर्दिष्टं तदपि प्राज्ञो दद्याद्वीसर्पशान्तये ||६२||  

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