Astanga Hrudaya
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गृहधूमो वचा कुष्ठं शताह्वा रजनीद्वयम् । प्रलेपः शूलनुद्वातरक्ते वातकफोत्तरे ॥ ३६ ॥
The external application of a paste (pralepa) made of chimney soot (gribhadhuma), vacā – Acorus calamus, kuṣṭhaṃ – Saussurea lappa, śatāhvā – Anethum sowa, and the two types of Rajani (Haridra – Curcuma longa and Daruharidra – Berberis aristata) relieves severe pain in Vatarakta (gout) when there is a predominance of Vata and Kapha.
english translation
gRhadhUmo vacA kuSThaM zatAhvA rajanIdvayam । pralepaH zUlanudvAtarakte vAtakaphottare ॥ 36 ॥
hk transliteration by Sanscriptमधुशिग्रोर्हितं तद्वद्बीजं धान्याम्लसंयुतम् । मुहूर्तलिप्तमम्लैश्च सिञ्चेद्वातकफोत्तरे ॥ ३७ ॥
Similarly, the application of the seeds of madhuśigru – Moringa oleifera, processed or ground with Dhanyamla (fermented grain liquid), is highly beneficial. In conditions dominated by Vata and Kapha, this paste should be allowed to remain on the skin for a muhurta (approximately 48 minutes) and then gently sprinkled or washed over with warm, sour liquids (amla dravya).
english translation
madhuzigrorhitaM tadvadbIjaM dhAnyAmlasaMyutam । muhUrtaliptamamlaizca siJcedvAtakaphottare ॥ 37 ॥
hk transliteration by Sanscriptउत्तानं लेपनाभ्यङ्गपरिषेकावगाहनैः । विरेकास्थापनस्नेहपानैर्गम्भीरमाचरेत् ॥ ३८ ॥
The Uttana Kind (superficial) of Vatarakta should be treated with application of pastes, anointing with fats, pouring liquids, and immersing the body in liquids and in Gambhira kind – deep seated, administer purgation, decoction enema and drinking of fats.
english translation
uttAnaM lepanAbhyaGgapariSekAvagAhanaiH । virekAsthApanasnehapAnairgambhIramAcaret ॥ 38 ॥
hk transliteration by Sanscriptवातश्लेष्मोत्तरे कोष्णा लेपाद्यास्तत्र शीतलैः । विदाहशोफरुक्कण्डूविवृद्धिः स्तम्भनाद्भवेत् ॥ ३९ ॥
When Vata and Kapha are predominant, warm application of paste etc. are beneficial; if cold applications are made, burning sensation, swelling, pain and itching will increase due to rigidity (caused by cold).
english translation
vAtazleSmottare koSNA lepAdyAstatra zItalaiH । vidAhazopharukkaNDUvivRddhiH stambhanAdbhavet ॥ 39 ॥
hk transliteration by Sanscriptपित्तरक्तोत्तरे वातरक्ते लेपादयो हिमाः । उष्णैः प्लोषोषरुग्रागस्वेदावदरणोद्भवः ॥ ४० ॥
In gout, when there is predominance of Pitta and Rakta cold application are beneficial, blisters, blebs, localised burning sensation, pain, redness, sweating, and laceration, abrasion will develop by heat (of warm application).
english translation
pittaraktottare vAtarakte lepAdayo himAH । uSNaiH ploSoSarugrAgasvedAvadaraNodbhavaH ॥ 40 ॥
hk transliteration by Sanscript