Astanga Hrudaya
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वातशोणितिनो रक्तं स्निग्धस्य बहुशो हरेत् । अल्पाल्पं पालयन् वायुं यथादोषं यथाबलम् ॥ १ ॥
The blood of the patient of Vatasonita (gout) should be let out, in small quantities, at many times after giving him oleation therapy, protecting him from (aggravation of) Vata; bloodletting being appropriate to the Dosha and strength (of the body).
english translation
स्ग्रागतोददाहेषु जलौकोभिर्विनिहरत् । शृङ्गतुम्बैश्चिमिचिमाकण्डूरुग्दूयनान्वितम् ॥ २ ॥
When pain, redness, pricking painand burning sensation are present, blood should be sucked by leeches. When tingling sensation, itching, pain and burning sensation are present, by using the (sucking horn or ground),
english translation
प्रच्छानेन सिराभिर्वा देशाद्देशान्तरं व्रजत् । अङ्गग्लानी तु न स्राव्यं रूक्षे वातोत्तरे च यत् ॥ ३ ॥
when the disease / lesion is found spreading from place to place, by either scratching the skin or venesection. Blood should not be let out when there is debility of the body, dryness and predominance of Vata.
english translation
गम्भीरं श्वयचुं स्तम्भं कम्पं स्नायुसिरामयान् । ग्लानिमन्यांश्च वातोत्थान् कुर्याद्वायुरसृक्क्षयात् ॥ ४ ॥
Vata getting aggravated by loss of blood (from Blood-letting) produces profound swelling, stiffness, tremors, diseases of tendons, and Veins, debility and many other disorders of Vata origin.
english translation
विरेच्यः स्नेहयित्वा तु स्नेहयुक्तैर्विरचनैः । वातोत्तरे वातरक्ते पुराणं पाययेद्भुतम् ॥ ५ ॥
He who is suitable for purgation therapy should be given oleation therapy first and then administered purgative herbs mixed with fats (medicated Ghee/ oil) Vataja Vatarakta Chikitsa In Vatarakta (gout) having predominance of Vata, the patient should be made to drink old ghee.
english translation