Charak Samhita
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रूक्षव्यायामजं गुल्मं वातिकं तीव्रवेदनम्। बद्धविण्मारुतं स्नेहैरादितः समुपाचरेत् ॥२१॥
॥ Treatment of vata-gulma॥ As vata gulma is produced due to excessive dryness and exercise and is associated with severe pain and retention of feces and flatus, therefore in the beginning snehana (unctuous) therapy should be prescribed
english translation
rUkSavyAyAmajaM gulmaM vAtikaM tIvravedanam। baddhaviNmArutaM snehairAditaH samupAcaret ॥21॥
hk transliteration by Sanscriptभोजनाभ्यञ्जनैः पानैर्निरूहैः सानुवासनैः। स्निग्धस्य भिषजा स्वेदः कर्तव्यो गुल्मशान्तये ॥२२॥
॥ Snehana for vata-gulma॥ Snehana is performed by administration of unctuous substances in the form of food and drink, oil massage and anuvasana basti along with niruha basti. After proper snehana, physician should subject the patient to swedana therapy
english translation
bhojanAbhyaJjanaiH pAnairnirUhaiH sAnuvAsanaiH। snigdhasya bhiSajA svedaH kartavyo gulmazAntaye ॥22॥
hk transliteration by Sanscriptस्रोतसां मार्दवं कृत्वा जित्वा मारुतमुल्बणम्। भित्त्वा विबन्धं स्निग्धस्य स्वेदो गुल्ममपोहति ॥२३॥
॥ Benefit of swedana therapy for vata-gulma॥ Swedana therapy administered to a patient who has already undergone oil massage produces softness in the channels leading to alleviation of vata. Thus by breaking the obstruction and opening the channels the vata-gulma is cured
english translation
srotasAM mArdavaM kRtvA jitvA mArutamulbaNam। bhittvA vibandhaM snigdhasya svedo gulmamapohati ॥23॥
hk transliteration by Sanscriptस्नेहपानं हितं गुल्मे विशेषेणोर्ध्वनाभिजे। पक्वाशयगते बस्तिरुभयं जठराश्रये ॥२४॥
॥ Mode of Administration of sneha according to sites of vata gulma॥ Oral administration of unctuous substances is beneficial in vata gulma particularly if it is situated above the umbilicus i.e. in stomach. Anuvasana (unctuous) basti is beneficial if gulma is situated in colon and both oral administration of unctuous substances and unctuous basti are beneficial if it is situated in the middle of jathara i.e. in small intestine
english translation
snehapAnaM hitaM gulme vizeSeNordhvanAbhije। pakvAzayagate bastirubhayaM jaTharAzraye ॥24॥
hk transliteration by Sanscriptदीप्तेऽग्नौ वातिके गुल्मे विबन्धेऽनिलवर्चसोः। बृंहणान्यन्नपानानि स्निग्धोष्णानि प्रयोजयेत् ॥२५॥
In vata gulma if the retention of feces and flatus is present but digestion is good then unctuous, hot and nourishing (brimhana) diet and drinks should be given
english translation
dIpte'gnau vAtike gulme vibandhe'nilavarcasoH। bRMhaNAnyannapAnAni snigdhoSNAni prayojayet ॥25॥
hk transliteration by Sanscript