अभयां नागरस्थाने दद्यात्तत्रैव विड्ग्रहे । छर्द्यादिषु च पैत्तेषु चतुर्गुणसितान्विताः ॥ २० ॥
If there is severe constipation or obstruction to feces (viḍgraha), abhayā – Terminalia chebula should be substituted in place of nāgara (śuṇṭhī). If vomiting and other symptoms arise from a pitta origin, the pills should instead be prepared by adding four times the quantity of refined sugar (sitā).
अभयां नागरस्थाने दद्यात्तत्रैव विड्ग्रहे । छर्द्यादिषु च पैत्तेषु चतुर्गुणसितान्विताः ॥ २० ॥
If there is severe constipation or obstruction to feces (viḍgraha), abhayā – Terminalia chebula should be substituted in place of nāgara (śuṇṭhī). If vomiting and other symptoms arise from a pitta origin, the pills should instead be prepared by adding four times the quantity of refined sugar (sitā).