Progress:63.6%
मारुताशयसम्भूतेऽप्यादितः स्याद्विरूक्षणम् । रक्तपित्तान्वयेऽप्यादौ स्नेहनं न हितं मतम् ॥४६॥
In addition, raktamokshana (blood letting) and virechana (purgation therapy) are specially indicated. If sama (with ama dosha) visarpa is arouse from vatashaya (pelvis and lower part of body) ununctuous measures are indicated in the beginning.
english translation
वातोल्बणे तिक्तघृतं पैत्तिके च प्रशस्यते । लघुदोषे, महादोषे पैत्तिके स्याद्विरेचनम् ॥४७॥
Even in association with rakta-pitta uncting measure is not regarded as beneficial in the beginning. In vataja visarpa and paittika visarpa of mild aggravated dosha tiktaka ghritam is beneficial.
english translation
न घृतं बहुदोषाय देयं यन्न [१] विरेचयेत् । तेन दोषो ह्युपष्टब्धस्त्वङ्मांसरुधिरं पचेत् ॥४८॥
But if the pitta dosha is excessively aggravated then virechana should be given. In the condition of excessively aggravated dosha, ghee should not be given at first which does not cause virechana.
english translation
तस्माद्विरेकमेवादौ शस्तं विद्याद्विसर्पिणः । रुधिरस्यावसेकं च तद्ध्यस्याश्रयसञ्ज्ञितम् ॥४९॥
Because non purgating ghee occlude the dosha resulting in decomposed skin, flesh and blood. Hence in visarpa, virechana followed by raktamokshana is recommended because the disorder is located in blood.
english translation
इति वीसर्पनुत् प्रोक्तं समासेन चिकित्सितम् । एतदेव पुनः सर्वं व्यासतः सम्प्रवक्ष्यते ॥५०॥
[Formulations used in visarpa] Thus the treatment principles of visarpa have been described in brief. The same is being detailed further.
english translation