Astanga Hrudaya

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अवपीडाश्च विविधाः सर्षपाः स्नेहसंयुताः । कटुतैलेन चाभ्यङ्गो ध्मापयेच्चास्य तद्रजः ॥ ४१ ॥

Various kinds of avapīḍa (nasal drops prepared from expressed juice or paste of herbs) and sarṣapa (mustard seeds) combined with unctuous substances (fats) should be used. Massage (abhyanga) with kaṭu taila (mustard oil) should be administered, and its powder (mustard seed powder) should be insufflated (blown) into the nose.

english translation

avapIDAzca vividhAH sarSapAH snehasaMyutAH । kaTutailena cAbhyaGgo dhmApayeccAsya tadrajaH ॥ 41 ॥

hk transliteration by Sanscript

सहिङ्गुस्तीक्ष्णधूमश्च सूत्रस्थानोदितो हितः । शृगालशल्यकोलूकजलौकावृषबस्तजैः ॥ ४२ ॥

Additionally, strong/penetrating inhalation therapies (teekshna dhuma) along with hiṅgu (Asafoetida) as described in the Sutrasthana are beneficial.

english translation

sahiGgustIkSNadhUmazca sUtrasthAnodito hitaH । zRgAlazalyakolUkajalaukAvRSabastajaiH ॥ 42 ॥

hk transliteration by Sanscript

मूत्रपित्तशकृद्रोमनखचर्मभिराचरेत् । धूपधूमाञ्जनाभ्यङ्गप्रदेहपरिषेचनम् ॥ ४३ ॥

The urine, bile, feces, hair, nails/claws, and skin of the jackal, porcupine, owl, leech (jalauka), bull, and goat should be utilized to perform fumigation (dhupa), inhalation of medicated smoke (dhuma), eye salve (anjana), oil massage (abhyanga), warm paste application (pradeha), and therapeutic pouring of liquids (parishechana).

english translation

mUtrapittazakRdromanakhacarmabhirAcaret । dhUpadhUmAJjanAbhyaGgapradehapariSecanam ॥ 43 ॥

hk transliteration by Sanscript

धूपयेत्सततं चैनं श्वगोमत्स्यैः सुपूतिभिः । वातश्लेष्मात्मके प्रायः पैत्तिके तु प्रशस्यते ॥ ४४ ॥

In insanity dominated by Vata and Kapha, the patient should be constantly fumigated with highly putrid (foul-smelling) flesh of dogs, cows, and fish. Generally, in insanity dominated by Pitta,

english translation

dhUpayetsatataM cainaM zvagomatsyaiH supUtibhiH । vAtazleSmAtmake prAyaH paittike tu prazasyate ॥ 44 ॥

hk transliteration by Sanscript

तिक्तकं जीवनीयं च सर्पिः स्नेहश्च मिश्रकः । शीतानि चान्नपानानि मधुराणि लघूनि च ॥ ४५ ॥

the administration of Tiktaka Ghrita, Jivaniya Ghrita, or Mishraka Sneha (mixed fats) is highly praised, along with foods and drinks that are cooling, sweet, and light to digest.

english translation

tiktakaM jIvanIyaM ca sarpiH snehazca mizrakaH । zItAni cAnnapAnAni madhurANi laghUni ca ॥ 45 ॥

hk transliteration by Sanscript