Astanga Hrudaya
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उपक्रम्यस्य हि द्वित्वाद्द्विधैवोपक्रमो मतः। एकः सन्तर्पणस्तत्र द्वितीयश्चापतर्पणः॥१॥
Dvividha Upakarma- two kinds of therapy :- Because, that to be treated, the human body is of two types – Obese and lean, the treatment is also of two kinds. 1. Santarpana- nourishing, enriching. It is also called as Brihmana (Stoutening, increasing weight, imparting heaviness)
english translation
upakramyasya hi dvitvAddvidhaivopakramo mataH। ekaH santarpaNastatra dvitIyazcApatarpaNaH॥1॥
hk transliteration by Sanscriptबृंहणो लङ्घनश्चेति तत्पर्यायावुदाहृतौ। बृंहणं यद्बृहत्वाय लङ्घनं लाघवाय यत्॥२॥
2. Apartarpana –depleting, cleansing. It is also called as Langhana (fasting, losing weight, imparting lightness etc).
english translation
bRMhaNo laGghanazceti tatparyAyAvudAhRtau। bRMhaNaM yadbRhatvAya laGghanaM lAghavAya yat॥2॥
hk transliteration by Sanscriptदेहस्य भवतः प्रायो भौमापमितरच्च ते। स्नेहनं रूक्षणं कर्म स्वेदनं स्तम्भनं च यत्॥३॥
Generally, Brihmana treatment is dominant with Prithvi (Earth element) and ap (water element). Langhana is dominant with the rest three elements (Fire, air and ether). Functions such as Snehana (oleation/ lubrication) and Rukshana – (imparting dryness),
english translation
dehasya bhavataH prAyo bhaumApamitaracca te। snehanaM rUkSaNaM karma svedanaM stambhanaM ca yat॥3॥
hk transliteration by Sanscriptभूतानां तदपि द्वैध्याद्द्वितयं नातिवर्तते। शोधनं शमनं चेति द्विधा तत्रापि लङ्घनम्॥४॥
Swedana- (sweating therapy, sudation, diaphoresis), Sthambhana- (withholding, obstructing) are also of these two kinds- Brihmana and Langhana. Snehana and Sthambhana can be categorized as Brihmana and Rukshana and Swedana can be categorized as Langhana Thus all functions are not apart from two .Langhana therapy imparts lightness to the body. It makes the body thin and light. It is of two types. Shodhana – Purification procedures (Panchakarma) and Shamana- palliative treatment.
english translation
bhUtAnAM tadapi dvaidhyAddvitayaM nAtivartate। zodhanaM zamanaM ceti dvidhA tatrApi laGghanam॥4॥
hk transliteration by Sanscriptयदीरयेद्वहिर्दोषान् पञ्चधा शोधनं च तत्। निरूहो वमनं कायशिरोरेकोऽस्रविस्रुतिः॥५॥
Shodhana treatment expels imbalanced Doshas out of the body forcibly. It is of five kinds, viz Niruha- decoction enema, Vamana- emesis, vomiting therapy Kaya reka- Virechana – purgation for the body Shio reka – Shiro Virechana – nasya – purgation for the head, nasal instillation of medicines. Asra-visruti – Raktamokshana – blood letting .
english translation
yadIrayedvahirdoSAn paJcadhA zodhanaM ca tat। nirUho vamanaM kAyaziroreko'sravisrutiH॥5॥
hk transliteration by Sanscript