Astanga Hrudaya
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न शोधयति यद्दोषान् समान्नोदीरयत्यपि। समीकरोति विषमान् शमनं तच्च सप्तधा॥६॥
Shamana – palliative treatment is that which does not expel the increased Doshas out of the body, it does not increase the normal Dosha, but makes the abnormal- Doshas normal. In short, Shamana treatment brings imbalanced Dosha to normalcy.
english translation
पाचनं दीपनं क्षुत्तृड्व्यायामातपमारुताः। बृंहणं शमनं त्वेव वायोः पित्तानिलस्य च॥७॥
Shamana 7 types – Pachana – digestive, carminatives, Deepana – hunger producing, stomachic, Kshut – withstanding hunger, avoidance of food, fasting Trut – withstanding thirst/avoidance of water drinking, avoiding liquid food intake Vyayama- physical activity, Aatapa- exposure to sunlight and Maruta- exposure of breeze. Brimhana- stoutening therapy also is Shamana only because it alleviates/ mitigates both Vata and Vata Pitta- combination. Treatment -> (A) Apatarpana/Langhana (Thinning)-> (A-1) Sodhana (Expel out Dosha)(Purification, Panchakarma) (A-2) Shamana(Palliative, Dosha Balance) -> (B) Santarpana/Brihmana (Nourishning). { Sodhana – A.1.1. Vamana (Therapeutic Vomiting, Emesis) A.1.2. Virechana (purgation therapy) A.1.3. Niruha (decoction enema) A.1.4. Nasya (Nasal administration) A.1.5. Raktamokshana (Blood letting)} { Shamana – A.2.1 Pachana (Digstive) A.2.2. Deepana (Hunger Producing) A.2.3. Kshut (Hunger tolerance) A.2.4. Trut (Thirst tolerance) A.2.5. Vyayama (exercise) A.2.6. Aatapa (Sun exposure) A.2.7. Maruta (Breeze exposure) }
english translation
बृंहयेद्व्याधिभैषज्यमद्यस्त्रीशोककर्शितान्। भाराध्वोरःक्षतक्षीणरूक्षदुर्बलवातलान्॥८॥
Brimhana- stoutening therapy should be given to persons who are Vyadhi karshita – emaciated by diseases, Bhaishajya Karshita – emaciated by medicines- therapies, Madya Karshita – emaciated by alcohol Stri Karshita – Emaciated by excess sexual activity Shoka karshita – Emaciated by grief, Bhara – who carries heavy loads frequently Adhva – who has walked / travelled a long distance Urakshata – person with chest injury KShatakseena – who is debilitated due to injury Ruksha – who has excess dryness Durbala – debilitated Vatala – Person with Vata body type.
english translation
गर्भिणीसूतिकाबालवृद्धान् ग्रीष्मेऽपरानपि। मांसक्षीरसितासर्पिर्मधुरस्निग्धबस्तिभिः॥९॥
Garbhini – pregnant Sutika –the women who has delivered, Bala – children, Vruddha – the aged and Greeshme – in the month of summer, even the other people, who are not indicated above should be given Nourishing therapy. Method of Brihmana - ; by the use of meat, milk, sugar, ghee, enema prepared sweet substances and fats(oil, ghee),
english translation
स्वप्नशय्यासुखाभ्यङ्गस्नाननिर्वृतिहर्षणैः। मेहामदोषातिस्निग्धज्वरोरुस्तम्भकुष्ठिनः॥१०॥
sleep, comfortable bed, oil- massage, bath, comforts, rest and happiness of the mind. Persons requiring thinning therapy – Langhaneeya – Langana- thinning, slimming therapy should be doneto Meha – diabetics Amadosha – persons suffering from Ama Atisnigdha –who has undergone excess oleation treatment Jvara – fever Urustambha – stiffness of the thighs, Kushta – skin diseases
english translation