Astanga Hrudaya
Progress:36.2%
वमनं मृदुकोष्ठेन क्षुद्वताऽल्पकफेन वा । अतितीक्ष्णहिमस्तोकमजीर्णे दुर्बलेन वा ॥ १ ॥
If an emetic medicine is administered to a person who has soft bowels (mṛdu-koṣṭha), who is hungry, or who has only a slight increase of Kapha; or if the formulation itself is excessively strong (ati-tīkṣṇa), too cold (hima), or insufficient in quantity (stoka); or if it is consumed by someone suffering from indigestion (ajīrṇa) or physical debility (durbala),
english translation
vamanaM mRdukoSThena kSudvatA'lpakaphena vA । atitIkSNahimastokamajIrNe durbalena vA ॥ 1 ॥
hk transliteration by Sanscriptपीतं प्रयात्यधस्तस्मिन्निष्टहानिर्मलोदयः । वामयेत्तं पुनः स्निग्धं स्मरन् पूर्वमतिक्रमम् ॥ २ ॥
the consumed medicine moves downward (causing purgation instead of vomiting). Because of this, the intended purpose of therapy is lost (iṣṭa-hāni), and there is an accumulation or aggravation of morbid doshas (malodaya). Such a patient must undergo oleation therapy (snehana) again, and keeping in mind the previous errors, should be administered the emetic treatment properly.
english translation
pItaM prayAtyadhastasminniSTahAnirmalodayaH । vAmayettaM punaH snigdhaM smaran pUrvamatikramam ॥ 2 ॥
hk transliteration by Sanscriptअजीर्णिनः श्लेष्मवतो व्रजत्यूर्ध्वं विरेचनम् । अतितीक्ष्णोष्णलवणमहृद्यमतिभूरि वा ॥ ३ ॥
If a purgative medicine is administered to a person suffering from indigestion (ajīrṇinaḥ) or an excessive accumulation of Kapha; or if the formulation itself is excessively strong (ati-tīkṣṇa), very hot in potency (uṣṇa), highly salty (lavaṇa), unpleasant to the heart/palate (ahṛdya), or given in too large a quantity (atibhūri), it moves upward (causing vomiting instead of purgation).
english translation
ajIrNinaH zleSmavato vrajatyUrdhvaM virecanam । atitIkSNoSNalavaNamahRdyamatibhUri vA ॥ 3 ॥
hk transliteration by Sanscriptतत्र पूर्वोदिता व्यापत्सिद्धिश्च न तथापि चेत् । आशये तिष्ठति ततस्तृतीयं नावचारयेत् ॥ ४ ॥
In that event, the complications (vyāpat) and their management (siddhi) are exactly as described previously (for emetics running downward). If, even after repeating the process properly, the medicine does not remain in the stomach/alimentary tract (āśaya), then a third dose should not be administered;
english translation
tatra pUrvoditA vyApatsiddhizca na tathApi cet । Azaye tiSThati tatastRtIyaM nAvacArayet ॥ 4 ॥
hk transliteration by Sanscriptअन्यत्र सात्म्याद्धृद्याद्वा भेषजान्निरपायतः । अस्निग्धस्विन्नदेहस्य पुराणं रूक्षमौषधम् ॥ ५ ॥
except when the medicine is highly habituated to the patient (sātmya), pleasant/agreeable to the heart (hṛdya), and completely harmless (nirapāyata). If an old and dry (non-unctuous) medicine is administered to an individual whose body has not undergone proper oleation (snehana) and sudation (swedana) therapies,
english translation
anyatra sAtmyAddhRdyAdvA bheSajAnnirapAyataH । asnigdhasvinnadehasya purANaM rUkSamauSadham ॥ 5 ॥
hk transliteration by Sanscript