Astanga Hrudaya
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वमितं क्षामता दाहः कण्ठशोषस्तमो भ्रमः। घोरा वाय्वामया मृत्युर्जीवशोणितनिर्गमात्॥२६॥
In Atiyoga- excess bouts the vomited materials will be frothy, with glistering particles and blood; The patient will experience weakness, burning sensation, dryness of the throat, giddiness, powerful disease of vata origin and even death due to discharge of life supporting blood.
english translation
vamitaM kSAmatA dAhaH kaNThazoSastamo bhramaH। ghorA vAyvAmayA mRtyurjIvazoNitanirgamAt॥26॥
hk transliteration by Sanscriptसम्यग्योगेन वमितं क्षणमाश्वास्य पाययेत्। धूमत्रयस्यान्यतमं स्नेहाचारमथादिशेत्॥२७॥
Care after vomiting therapy - Vamanottara Upachara- After the patient had proper bouts of vomiting, he should be comforted with encouraging words, made to inhale any one kinds of smoke (Dhuma)- mild, medium, or strong, and then allowed to follow the regimen of after-care of oleation therapy.
english translation
samyagyogena vamitaM kSaNamAzvAsya pAyayet। dhUmatrayasyAnyatamaM snehAcAramathAdizet॥27॥
hk transliteration by Sanscriptततः सायं प्रभाते वा क्षुद्वान् स्नातः सुखाम्बुना। भुञ्जानो रक्तशाल्यन्नं भजेत्पेयादिकं क्रमम्॥२८॥
Then, either in the evening or next morning, after feeling hungry, after bath with warm water, he can eat mass prepared with red rice or if he not feeling hungry he should adhere to the following regimen of Peya (Thin gruel) etc. 28 This regimen is called as Samsarjana Karma.
english translation
tataH sAyaM prabhAte vA kSudvAn snAtaH sukhAmbunA। bhuJjAno raktazAlyannaM bhajetpeyAdikaM kramam॥28॥
hk transliteration by Sanscriptपेयां विलेपीमकृतं कृतं च यूषं रसं त्रीनुभयं तथैकम्। क्रमेण सेवेत नरोऽन्नकालान् प्रधानमध्यावरशुद्धिशुद्धः॥२९॥
Samsarjana – Peyadi Ahara Karma- Regimen of liquid Diet - Persons who have had the maximum, medium and minimum purificatory therapies, should consume Peya- thin Gruel, Vilepi- thick Gruel, Akruta Yusa- soup not processed with fat, salt, sours etc. Krutayusa- Soup processed with fat, salt and Sours and Rasa- meat juice- in Successive order, for three, two and one Annakala- time of meal respectively. ॥ Note: Eating periods = Anna Kala. Each day has two anna kala. – morning and evening. If the maximum vomiting bouts were observed (Ati Yoga), Then, the patient should take Peya, Vilepi, Akruta Yusha, Kruta Yusha and Mamsarasa – three eating periods (Annakala) each. The patient will not have any food except these. Likewise, for the medium vomiting bouts, the number of eating periods Is two each and for lesser bouts (Heena Yoga), the number of eating periods (Anna kala) is one each॥
english translation
peyAM vilepImakRtaM kRtaM ca yUSaM rasaM trInubhayaM tathaikam। krameNa seveta naro'nnakAlAn pradhAnamadhyAvarazuddhizuddhaH॥29॥
hk transliteration by Sanscriptयथाऽणुरग्निस्तृणगोमयाद्यैः सन्धुक्ष्यमाणो भवति क्रमेण। महान् स्थिरः सर्वपचस्तथैव शुद्धस्य पेयादिभिरन्तराग्निः॥३०॥
Benefits of Samsarjana Karma – Just as a spark of fire after being fed by grass, powder of dry cow dung etc, gets augmented gradually and becomes great, steady, and capable of burning everything, similarly, the internal digestion fire, by the Samsarjana regimen, in the patient who has undergone Vamana karma, gains strength.
english translation
yathA'NuragnistRNagomayAdyaiH sandhukSyamANo bhavati krameNa। mahAn sthiraH sarvapacastathaiva zuddhasya peyAdibhirantarAgniH॥30॥
hk transliteration by Sanscript