Astanga Hrudaya
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जघन्यमध्यप्रवरे तु वेगा श्चत्वार इष्टा वमने षडष्टौ। दशैव ते द्वित्रिगुणा विरेके प्रस्थस्तथा स्याद्द्विचतुर्गुणश्च॥३१॥
Vega Samkhya- Mana- Number of Bouts and quantity:- For Vamana, Heenayoga – Minimum bouts – 4 bouts Madhyama vega – Moderate – 6 bouts Atiyoga – Maximum bouts – 8 bouts For Virechana – Heenayoga – 10 bouts of purgation or half prastha of purgated material (384 grams) Madhyamayoga – 20 bouts – 1 prastha of material (768 grams) Atiyoga – 30 bouts. – 2 prastha (1,536 grams).
english translation
पित्तावसानं वमनं विरेकादर्द्धं, कफान्तं च विरेकमाहुः। द्वित्रान् सविट्कानपनीय वेगान् मेयं विरेके, वमने तु पीतम्॥३२॥
Vomiting therapy is allowed till the expulsions of pitta or half of purgations Purgation therapy is allowed till Kapha comes out; Measurement to be done after rejecting 2 – 3 bouts, containing faeces in case of Vamana and after rejecting the medicine- emetic Drug in case of Vamana.
english translation
अथैनं वामितं भूयः स्नेहस्वेदोपपादितम्। श्लेष्मकाले गते ज्ञात्वा कोष्ठं सम्यग्विरेचयेत्॥३३॥
Virechana Vidhi- Purgation therapy procedure - After Vamana therapy, patient is given Samsarjana regimen. After that, he is again given Snehana and Swedana treatment. After that, in the morning, after Kapha time has lapsed (after around 9 – 10 am,) Virechana drug should be given. should be given the Purgation medicine. The kind and quantity of purgation medicine should be determining the nature of his Kostha (alimentary tract, bowels).
english translation
बहुपित्तो मृदुः कोष्ठः क्षीरेणापि विरिच्यते। प्रभूतमारुतः क्रूरः कृच्छ्राच्छ्यामादिकैरपि॥३४॥
A person with Mrudukoshta (soft intestines), even milk will induce purgation. For a person with Krurakoshta, (hard bowels, intestines), even Trivrit (a purgative herb) might cause purgation with great difficulty.
english translation
कषायमधुरैः पित्ते विरेकः, कटुकैः कफे। स्निग्धोष्णलवणैर्वायौअप्रवृत्तौ तु पाययेत्॥३५॥
For Pitta disease, Kashaya – astringent and Madhura – sweet drugs should be used for purgation. For Kapha disease, Katu (pungent) herbs should be given for purgation. For Vata, drugs with Snigdha – unctuous, oily, Ushna (hot) and Lavana (salt) taste b given to induce purgation.
english translation