Astanga Hrudaya
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प्रवाहिकापरिस्राववेदनापरिकर्तने । पीतौषधस्य वेगानां निग्रहान्मारुतादयः ॥ १६ ॥
This formulation is highly effective for curing dysentery (pravāhikā), slimy discharge from the rectum (paristrāva), localized pain (vedanā), and cutting/shearing pain in the anal region (parikartikā). If a patient, after consuming the medicine, forcefully suppresses the arising urges (of vomiting or purgation), Vata and the other doshas become highly aggravated.
english translation
pravAhikAparisrAvavedanAparikartane । pItauSadhasya vegAnAM nigrahAnmArutAdayaH ॥ 16 ॥
hk transliteration by Sanscriptकुपिता हृदयं गत्वा घोरं कुर्वन्ति हृद्ग्रहम् । हिध्मापार्श्वरुजाकासदैन्यलालाक्षिविभ्रमैः ॥ १७ ॥
These aggravated doshas travel to the heart and produce a severe, terrifying cardiac oppression (hṛdgraha), accompanied by hiccup (hidhmā), pain in the flanks (pārśva-rujā), cough (kāsa), a state of helplessness/depression (dainya), excessive salivation (lālā), and erratic rolling or distortion of the eyes (akṣi-vibhrama).
english translation
kupitA hRdayaM gatvA ghoraM kurvanti hRdgraham । hidhmApArzvarujAkAsadainyalAlAkSivibhramaiH ॥ 17 ॥
hk transliteration by Sanscriptजिह्वां खादति निःसञ्ज्ञो दन्तान् कटकटाययन् । न गच्छेद्विभ्रमं तत्र वामयेदाशु तं भिषक् ॥ १८ ॥
The patient bites his own tongue, loses consciousness (niḥsañjña), and grinds his teeth (dantān kaṭakaṭāyayan). Encountering this, the physician should not panic or become confused, but should immediately induce therapeutic vomiting (vamaṇa).
english translation
jihvAM khAdati niHsaJjJo dantAn kaTakaTAyayan । na gacchedvibhramaM tatra vAmayedAzu taM bhiSak ॥ 18 ॥
hk transliteration by Sanscriptमधुरैः पित्तमूर्छार्तं कटुभिः कफमूर्छितम् । पाचनीयैस्ततश्चास्य दोषशेषं विपाचयेत् ॥ १९ ॥
If the fainting/unconsciousness is dominated by Pitta, emetics of sweet (madhura) taste should be used; if it is dominated by Kapha, emetics of pungent (kaṭu) taste should be administered. Following this, the remaining residual doshas should be digested and neutralized using carminative/digestive (pācanīya) formulations.
english translation
madhuraiH pittamUrchArtaM kaTubhiH kaphamUrchitam । pAcanIyaistatazcAsya doSazeSaM vipAcayet ॥ 19 ॥
hk transliteration by Sanscriptकायाग्निं च बलं चास्य क्रमेणाभिप्रवर्धयेत् । पवनेनातिवमतो हृदयं यस्य पीड्यते ॥ २० ॥
Thereafter, the patient's digestive fire (kāyāgni) and bodily strength (bala) should be gradually built up and enhanced in a systematic, step-by-step manner. If a patient suffers from distressing pain in the heart (hṛdaya-pīḍā) due to excessive vomiting caused by aggravated Vata,
english translation
kAyAgniM ca balaM cAsya krameNAbhipravardhayet । pavanenAtivamato hRdayaM yasya pIDyate ॥ 20 ॥
hk transliteration by Sanscript