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Astanga Hrudaya

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फलतैलयुतैः साम्लैर्बस्तिभिस्तं विनिर्हरेत्। छर्दिमूर्च्छारुचिग्लानिशूलनिद्राङ्गमर्दनैः॥३६॥

also prepared with sesame oil and sour liquids. By the appearance of vomiting, fainting, loss of taste/appetite, exhaustion, colic, sleep, bodyache,

english translation

आमलिङ्गैः सदाहैस्तं विद्यादत्यशनावृतम्। कटूनां लवणानां च क्वाथैश्चूर्णैश्च पाचनम्॥३७॥

symptoms of accumulation of Ama and burning sensation, it should be understood that the fat (enema liquid) is enveloped by excess of food. Then the excess of food should get digested by administration of decoctions or powders of herbs which are pungent and salty,

english translation

मृदुर्विरेकः सर्वं च तत्रामविहितं हितम्। विण्मूत्रानिलसङ्गार्तिगुरुत्वाध्मानहृद्ग्रहैः॥३८॥

mild purgatives and all treatments which are good for removal of Ama. By the appearance of obstruction of feces, urine and flatus, pain, feeling of heaviness, flatulence, and catching pain in the region of the heart,

english translation

स्नेहं विडावृतं ज्ञात्वा स्नेहस्वेदैः सवर्तिभिः। श्यामाबिल्वादिसिद्धैश्च निरुहैः सानुवासनैः॥३९॥

it should be understood that the fat (enema liquid) is enveloped by feces. It should be removed out by oleation and sudation therapies, use of rectal suppositories, administering decoction- enema and oil enema prepared with śyāmā – Ipomoea petaloides bilvādi – bilvadi Pancamula – Bilva – Aegle marmelos, Agnimantha – Premna mucronata, Shyonaka – Oroxylum indicum, Patala – Stereospermum suaveolens, Gambhari – Gmelina arborea

english translation

निर्हरेद्विधिना सम्यगुदावर्तहरेण च । अभुक्ते शूनपायौ वा पेयामात्राशितस्य वा॥४०॥

and other treatments which remove Udavarta (upward movement of Vata inside the abdomen). Oil enema administered to rectal region to the person who has not consumed his food, who has swelling of the rectum, or who has consumed only Peya (thin gruel) as food;

english translation