Astanga Hrudaya
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त्रिविधं त्रिविधे दोषे तत्समीक्ष्य प्रयोजयेत्। तत्राल्पे लङ्घनं पथ्यं, मध्ये लङ्ह्घनपाचनम्॥२१॥
three kinds of Apatarpana, appropriate to the three Doshas should be adopted after careful consideration of all aspects. If Ama is little, only Langhana (fasting) will be suitable, If it is moderate Langhana (fasting) and Pachana – digestive drugs are needed;
english translation
trividhaM trividhe doSe tatsamIkSya prayojayet। tatrAlpe laGghanaM pathyaM, madhye laGhghanapAcanam॥21॥
hk transliteration by Sanscriptप्रभूते शोधनं, तद्धि मूलादुन्मूलयेन्मलान्। एवमन्यानपि व्याधीन् स्वनिदानविपर्ययात्॥२२॥
If it is severe, then Shodhana (purification Panchakarma therapy) is necessary; for these will expel out the Dosha and Ama from the very root.
english translation
prabhUte zodhanaM, taddhi mUlAdunmUlayenmalAn। evamanyAnapi vyAdhIn svanidAnaviparyayAt॥22॥
hk transliteration by Sanscriptचिकित्सेदनुबन्धे तु सति हेतुविपर्ययम्। त्यक्त्वा यथायथं वैद्यो युञ्ज्याद्व्याधिविपर्ययम्॥२३॥
Treatment principle for diseases Even the other diseases should be treated by adopting treatments which are opposite of their causative factors. It is called as Hetu Viparyaya Chikitsa. Hetu means causative factors. If, however, the diseases reoccur or persist for long time then the Hetu Viparyaya should be given up and disease specific treatment should be adopted. It is called as Vyadhi Viparyaya Chikitsa.
english translation
cikitsedanubandhe tu sati hetuviparyayam। tyaktvA yathAyathaM vaidyo yuJjyAdvyAdhiviparyayam॥23॥
hk transliteration by Sanscriptतदर्थकारि वा, पक्वे दोषे त्विद्धे च पावके। हितमभ्यञ्जनस्नेहपानबस्त्यादि युक्तितः॥२४॥
Or Tadarthakari Chikitsa (therapies which, though not actually opposite of either the cause or the diseases still produce the desired result) should be adopted; When the Doshas have returned to normal, when the Ama is completely relieved, when digestion activity is completely restored to normalcy, then oil-bath, drinking of oil (oleation therapies) and enema therapy, etc. should be administered appropriately. To gain the lost strength in the patient.
english translation
tadarthakAri vA, pakve doSe tviddhe ca pAvake। hitamabhyaJjanasnehapAnabastyAdi yuktitaH॥24॥
hk transliteration by Sanscriptअजीर्णं च कफादामं तत्र शोफोऽक्षिगण्डयोः। सद्योभुक्त इवोद्गारः प्रसेकोत्क्लेशगौरवम्॥२५॥
Ajirna Bheda – different kinds of indigestion – Vitiation of Kapha causes ”Ama Ajeerna” It is characterized with swelling of the eyes socket and cheeks, belching similar to those which come up immediately after meals, excess salivation, nausea and heaviness of the body.
english translation
ajIrNaM ca kaphAdAmaM tatra zopho'kSigaNDayoH। sadyobhukta ivodgAraH prasekotklezagauravam॥25॥
hk transliteration by Sanscript