Astanga Hrudaya
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ऊर्ध्वगं बलिनोऽवेगमेकदोषानुगं नवम् । रक्तपित्तं सुखे काले साधयेन्निरुपद्रवम् ॥ १ ॥
Raktapitta which is of upward direction (bleeding from the upper parts of the body such as nose, mouth, ears), seen in a strong person, with nil or mild bouts (of bleeding), produced by only one Dosha, of recent onset, appearing at a favorable time and having no complications (secondary affections) should be treated.
english translation
UrdhvagaM balino'vegamekadoSAnugaM navam । raktapittaM sukhe kAle sAdhayennirupadravam ॥ 1 ॥
hk transliteration by Sanscriptअधोगं यापयेद्रक्तं यच्च दोषद्वयानुगम् । शान्तं शान्तं पुनः कुप्यन्मार्गान्मार्गान्तरं च यत् ॥ २ ॥
Raktha which bleeds in downward direction (bleeding from the urethra, rectum, and Vagina), that produced by two Doshas, recurring often after subsiding, and changing from one channel (site) to other, frequently, should be controlled.
english translation
adhogaM yApayedraktaM yacca doSadvayAnugam । zAntaM zAntaM punaH kupyanmArgAnmArgAntaraM ca yat ॥ 2 ॥
hk transliteration by Sanscriptअतिप्रवृत्तं मन्दाग्नेस्त्रिदोषं द्विपथं त्यजेत् । ज्ञात्वा निदानमयनं मलावनुबलौ बलम् ॥ ३ ॥
That which bleeds heavily, found in a person who has poor digestion strength, produced by all the three Doshas and that manifesting in both upward and downward directions should be rejected. Having clearly determined the cause, direction, the mala (chief causative Dosha), anubala (secondary Doshas), the strength of the patient and the disease,
english translation
atipravRttaM mandAgnestridoSaM dvipathaM tyajet । jJAtvA nidAnamayanaM malAvanubalau balam ॥ 3 ॥
hk transliteration by Sanscriptदेशकालाद्यवस्थां च रक्तपित्ते प्रयोजयेत् । लङ्घनं बृंहणं वाऽऽदौ शोधनं शमनं तथा ॥ ४ ॥
habitat of the patient, afflicted organs in the body, duration of the disease, season etc. based on the stage of Rakta Pitta, treatment of raktapitta should be commenced either with Langhana (lightening therapies) and Brimhana (stoutening therapies) or Sodhana (purification therapies) and samana (Palliative therapies).
english translation
dezakAlAdyavasthAM ca raktapitte prayojayet । laGghanaM bRMhaNaM vA''dau zodhanaM zamanaM tathA ॥ 4 ॥
hk transliteration by Sanscriptसन्तर्पणोत्थं बलिनो बहुदोषस्य साधयेत् । ऊर्ध्वभागं विरेकेण वमनेन त्वधोगतम् ॥ ५ ॥
Raktapitta which is produced by Santarpana (over nourishment), in a strong person, caused by many Doshas should be treated by Vireka (purgation therapy) if it is of upward direction and by Vamana (emesis therapy) if it is of downward direction
english translation
santarpaNotthaM balino bahudoSasya sAdhayet । UrdhvabhAgaM virekeNa vamanena tvadhogatam ॥ 5 ॥
hk transliteration by Sanscript