Astanga Hrudaya

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सुविरिक्तस्य यस्य स्यादाध्मानं पुनरेव तम् । सुस्निग्धैरम्ललवणैर्निरूहैः समुपाचरेत् ॥ ५१ ॥

He who develops distension of the abdomen even after proper purgation should be treated with administration of decoction enema with the liquid containing fats, sours and salts.

english translation

सोपस्तम्भोऽपि वा वायुराध्मापयति यं नरम् । तीक्ष्णाः सक्षारगोमूत्राः शस्यन्ते तस्य वस्तयः ॥ ५२ ॥

When vata which is obstructed found to produce distension of the abdomen, then for such a person strong enemas with liquid mixed with alkalics and cow urine are ideally suited.

english translation

इति सामान्यतः प्रोक्ताः सिद्धा जठरिणां क्रियाः । वातोदरेऽथ बलिनं विदार्यादिशृतं घृतम् ॥ ५३ ॥

Thus were described the general lines of treatment of proven efficacy for the management of patients suffering from abdominal enlargement (udara roga). In abdominal enlargement arising from vāta (vātodara), if the patient is strong, they should be made to drink ghee boiled with the decoction of herbs belonging to the Vidāryādi Gaṇa.

english translation

पाययेत ततः स्निग्धं स्वेदिताङ्गं विरेचयेत् । बहुशस्तैल्वकेनैनं सर्पिषा मिश्रकेण वा ॥ ५४ ॥

After administering proper oleation (snigdha) and sudation (svayathu/fomentation) therapies to the body, the patient should be given purgative therapy repeatedly, using either Tilvaka Ghṛta or Miśraka Sneha.

english translation

कृते संसर्जने क्षीरं बलार्थमवचारयेत् । प्रागुत्क्लेशान्निवर्त्यं च बले लब्धे क्रमात्पयः ॥ ५५ ॥

After regimen of liquid diet, milk should be consumed, to regain strength before the appearance of nausea; after obtaining strength, milk should be consumed gradually.

english translation