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वयोबलशरीरादिभेदा हि बहवो मताः । तथाऽन्तःसन्धिमार्गाणां दोषाणां गूढचारिणाम् ॥३२१॥
[Viparitarthakari chikitsa (contradictory treatment)] On the basis of age, strength, physical characters etc there are innumerable types or combinations.To manage the Dosha which is deeply seated into the tissue, many procedures which seems to be opposite or contradictory as per the classical concepts may have to be advocated.
english translation
भवेत् कदाचित् कार्याऽपि विरुद्धाभिमता क्रिया । पित्तमन्तर्गतं गूढं स्वेदसेकोपनाहनैः ॥३२२॥
For example pitta which is ushna (hot) in nature is treated by sheeta (cold) procedures generally, but the deep seated vitiated pitta is to be treated by giving hot fomentation or poultice.
english translation
नीयते बहिरुष्णैर्हि तथोष्णं शमयन्ति ते । बाह्यैश्च शीतैः सेकाद्यैरूष्माऽन्तर्याति पीडितः ॥३२३॥
If cold procedures are implemented in this condition, it may worsen the condition. Similarly , deep seated kapha dosha is to be treated withsheeta procedures . Here,Lepas made out of sheeta dravyas like chandana may be applied.
english translation
सोऽन्तर्गूढं कफं हन्ति शीतं शीतैस्तथा जयेत् । श्लक्ष्णपिष्टो घनो लेपश्चन्दनस्यापि दाहकृत् ॥३२४॥
Even though chandana is a sheeta dravya,the lepa made out of superfine powder of chandana , if it is applied on the lesion, it will block the heat coming out of the skin. This accumulated heat creates burning at the site. In opposite, if lepa of agaru which is hot in nature is applied, it will impart coldness in that part.
english translation
त्वग्गतस्योष्मणो रोधाच्छीतकृच्चान्यथाऽगुरोः । छर्दिघ्नी मक्षिकाविष्ठा मक्षिकैव तु वामयेत् ॥३२५॥
Even though chandana is a sheeta dravya,the lepa made out of superfine powder of chandana , if it is applied on the lesion, it will block the heat coming out of the skin. This accumulated heat creates burning at the site. In opposite, if lepa of agaru which is hot in nature is applied, it will impart coldness in that part.
english translation