Astanga Hrudaya
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अन्ये दोषेभ्य एवातिदुष्टेभ्योऽन्योन्यमूर्च्छनात्। कोद्रवेभ्यो विषस्येव वदन्त्यामस्य सम्भवम्॥२६॥
Other authors opine that Ama gets formed from intimate mixing with one another of greatly increased Doshas.
english translation
anye doSebhya evAtiduSTebhyo'nyonyamUrcchanAt। kodravebhyo viSasyeva vadantyAmasya sambhavam॥26॥
hk transliteration by Sanscriptआमेन तेन सम्पृक्ता दोषा दूष्याश्च दूषिताः। सामा इत्युपदिश्यन्ते ये च रोगास्तदुद्भवाः॥२७॥
The Doshas and Dusyas (the Dhatus and Malas) which get mixed with this Ama are designated as Sama – mixed with Ama; The diseases originating from this Saama dosha are called as Saama Vyadhi.
english translation
Amena tena sampRktA doSA dUSyAzca dUSitAH। sAmA ityupadizyante ye ca rogAstadudbhavAH॥27॥
hk transliteration by Sanscriptसर्वदेहप्रविसृतान् सामान् दोषान् न निर्हरेत्। लीनान् धातुष्वनुत्क्लिष्टान् फलादामाद्रसानिव॥२८॥
Saama Dosha chikitsa—treatment of Sama Doshas :-The Sama Doshas which are spread all over the body, which are lurking in the Dhatus and which are not moving out of their places of accumulation, should not be forced out by purification Panchakarma therapies like emesis, purgations etc.
english translation
sarvadehapravisRtAn sAmAn doSAn na nirharet। lInAn dhAtuSvanutkliSTAn phalAdAmAdrasAniva॥28॥
hk transliteration by Sanscriptआश्रयस्य हि नाशाय ते स्युर्दुर्निर्हरत्वतः।पाचनैर्दीपनैः स्नेहैस्तान् स्वेदैश्च परिष्कृतान्॥२९॥
Just as attempts of extracting juice from an unripe fruit leads to destruction, the dwelling place itself will get destroyed if Doshas are tried to expel out along with Ama. Right approach in Sama Dosha treatment - Sama Doshas should be treated first with drugs which are digestive and which increase hunger;
english translation
Azrayasya hi nAzAya te syurdurnirharatvataH।pAcanairdIpanaiH snehaistAn svedaizca pariSkRtAn॥29॥
hk transliteration by Sanscriptशोधयेच्छोधनैः काले यथासन्नं यथाबलम्। हन्त्याशु युक्तं वक्क्रेण द्रव्यमामाशयान्मलान्॥३०॥
next with oleation and sudation therapies (Snehana, Svedana) and - finally they should be expelled out with Shodhana therapies- emesis, purgation at the proper time, and in accordance with the strength of the patient. Drugs administered through the mouth, bring out the Malas- Doshas from the Amasaya- stomach and small intestines;
english translation
zodhayecchodhanaiH kAle yathAsannaM yathAbalam। hantyAzu yuktaM vakkreNa dravyamAmAzayAnmalAn॥30॥
hk transliteration by Sanscript