Astanga Hrudaya

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वाग्ग्रहानिलरोगेषु घृतमांसोपसाधिताम् । यवागूं तनुकां दद्यात्स्नेहस्वेदौ च कालवित् ॥ ३१ ॥

In case of obstruction to speech and such other disorders of Vata, thin gruel processed with ghee and meat should be given, oleation and sudation therapies suitable to the time (season) administration.

english translation

vAggrahAnilarogeSu ghRtamAMsopasAdhitAm । yavAgUM tanukAM dadyAtsnehasvedau ca kAlavit ॥ 31 ॥

hk transliteration by Sanscript

अतियोगाच्च भैषज्यं जीवं हरति शोणितम् । तज्जीवादानमित्युक्तमादत्ते जीवितं यतः ॥ ३२ ॥

Due to excessive administration or over-purification (atiyoga), the medicine drains the vital, life-supporting blood (jīvaṃ śoṇitam). This dangerous complication is termed jīvādāna (the draining of life-blood), as it literally takes away the life (jīvitam) of the patient.

english translation

atiyogAcca bhaiSajyaM jIvaM harati zoNitam । tajjIvAdAnamityuktamAdatte jIvitaM yataH ॥ 32 ॥

hk transliteration by Sanscript

शुने काकाय वा दद्यात्तेनान्नमसृजा सह । भुक्तेऽभुक्ते वदेज्जीवं पित्तं वा भेषजेरितम् ॥ ३३ ॥

To determine its nature, food mixed with this discharged blood should be offered to a dog or a crow. If the animal eats the food (bhukte), it is known to be pure life-blood (jīva); if the animal rejects it (abhukte), it is understood to be morbid Pitta (or blood severely contaminated by Pitta) provoked by the medicine.

english translation

zune kAkAya vA dadyAttenAnnamasRjA saha । bhukte'bhukte vadejjIvaM pittaM vA bheSajeritam ॥ 33 ॥

hk transliteration by Sanscript

शुक्लं वा भावितं वस्त्रमावानं कोष्णवारिणा । प्रक्षालितं विवर्णं स्यात्पित्ते शुद्धं तु शोणिते ॥ ३४ ॥

Alternatively, a piece of clean white cloth should be soaked in this blood. When washed with lukewarm water (koṣṇa-vāriṇā), if the cloth remains stained or discolored (vavarṇa), it is due to Pitta; if the stain washes out completely, leaving the cloth clean and white (śuddha), it is pure, uncontaminated blood (śoṇita).

english translation

zuklaM vA bhAvitaM vastramAvAnaM koSNavAriNA । prakSAlitaM vivarNaM syAtpitte zuddhaM tu zoNite ॥ 34 ॥

hk transliteration by Sanscript

तृष्णामूर्छामदार्तस्य कुर्यादामरणात्क्रियाम् । रक्तपित्तातिसारघ्नीं तस्याशु प्राणरक्षणीम् ॥ ३५ ॥

For a patient afflicted with intense thirst (tṛṣṇā), fainting (mūrchā), and severe intoxication/toxicity (mada), the physician must continuously administer life-saving therapies right up until the moment of death (ā-maraṇāt). These measures should specifically consist of treatments that cure bleeding disorders (rakta-pitta) and severe diarrhea (atisāra), as they quickly protect and preserve the patient's vital life-force (prāṇa-rakṣaṇīm).

english translation

tRSNAmUrchAmadArtasya kuryAdAmaraNAtkriyAm । raktapittAtisAraghnIM tasyAzu prANarakSaNIm ॥ 35 ॥

hk transliteration by Sanscript