Astanga Hrudaya

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सन्तर्पणोत्थं 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