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लिङ्गैः प्लीह्न्यधिकान् [१] दृष्ट्वा रक्तं चापि स्वलक्षणैः। चिकित्सां सम्प्रकुर्वीत यथादोषं यथाबलम् ॥७६॥
Predominance of kapha is judged by the symptoms like heaviness, lack of taste in the mouth and hardness of the abdomen. Presence of symptoms indicative of morbidity of rakta as mentioned in Vidhishonitiya Adhyaya point towards the dominance of morbid rakta in the pathogenesis of plihodara. Hence, plihodara should be treated according to the dominance of dosha involved
english translation
स्नेहं स्वेदं विरेकं च निरूहमनुवासनम्। समीक्ष्य कारयेद्बाहौ वामे वा व्यधयेत् सिराम् ॥७७॥
[Treatment of plihodara] With the due analysis of the pathogenesis, plihodara should be treated by measures like oral medication of sneha (medicated unctuous substance), sudation, virechana (therapeutic purgation), niruha (decoction enema) and anuvasana basti (oil enema) and raktamokshana (blood-letting) by sectioning the vein located in the left arm
english translation
षट्पलं पाययेत् सर्पिः पिप्पलीर्वा प्रयोजयेत्। सगुडामभयां वाऽपि क्षारारिष्टगणांस्तथा ॥७८॥
Patient of plihodara is treated by oral medication of shatpala ghrita, pippali (Piper longum), combination of molasses and haritaki (Emblica officinalis), kshara (alkali obtained from ash of herbs) or arishta (fermented decoctions)
english translation
एष क्रियाक्रमः प्रोक्तो योगान् संशमनाञ्छृणु। पिप्पली नागरं दन्ती चित्रकं द्विगुणाभयम् ॥७९॥
Thus is the description of principles of treatment of plihodara; now listen to the medications [Pippalyadi churna] Take one part each of the fine sieved powder of pippali (Piper longum), nagara (Zingiber officinale), danti (Baliospermum montanum), chitraka (Plumbago zeylanica) and
english translation
विडङ्गांशयुतं चूर्णमेतदुष्णाम्बुना पिबेत्। विडङ्गं चित्रकं शुण्ठीं सघृतां सैन्धवं वचाम् ॥८०॥
vidanga (Embelia ribes), and add it to two parts of abhaya (Terminalia chebula). It is to be orally given with warm water [Vidangadi kshara] Take powder of vidanga (Embelia ribes), chitraka (Plumbago zeylanica), shunthi (Zingiber officinale Rosc), saindhava (rock salt) and vacha (Acorus calamus)
english translation