Astanga Hrudaya
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पक्वेन वटकाः कार्या गुडेन सितयापि वा । परं हि वह्निसम्पर्काल्लघिमानं भजन्ति ते ॥ २१ ॥
These pills (vaṭakas) should be made by cooking the formulation with either jaggery or sugar over a fire, because processing them through direct contact with heat makes the medicine exceptionally light (laghu) and easy to digest.
english translation
अथैनं परिपक्वामं मारुतग्रहणीगदम् । दीपनीययुतं सर्पिः पाययेदल्पशो भिषक् ॥२२॥
Next, when the Ama gets digested, in duodenal disease of Vata origin, the physician should make the patient consume little quantity of ghee processed with herbs that increase digestive power;
english translation
किञ्चित्सन्धुक्षिते त्वग्नौ सक्तविण्मूत्रमारुतम् । द्व्यहं त्र्यहं वा संस्नेह्य स्विन्नाभ्यक्तं निरूहयेत्॥२३॥
After the digestive power gets slightly increased and if there is obstruction to feces, urine and flatus, decoction enema should be administered, once in two days or once in three days. After giving oleation and sudation therapies;
english translation
तत एरण्डतैलेन सर्पिषा तैल्वकेन वा । सक्षारेणानिले शान्ते स्रस्तदोषं विरेचयेत् ॥ २४ ॥
when Vata gets mitigated and other Doshas are being eliminated out, the person should be given purgation therapy using either castor oil or tilvaka Ghrta (chapter 21), mixed with alkali.
english translation
शुद्धरूक्षाशयं बद्धवर्चस्कं चानुवासयेत् । दीपनीयाम्लवातघ्नसिद्धतैलेन तं ततः ॥ २५ ॥
The patient who has developed constipation due to purification and consequent dryness of the alimentary tract should be given anuvasana (oil enema) with oil prepared from digestion, kindling, sour and anti-vata herbs.
english translation