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पित्तं वा यदि संवृद्धं सन्तापं वातगुल्मिनः। कुर्याद्विरेच्यः स भवेत् सस्नेहैरानुलोमिकैः ॥३१॥
[Virechana in vata gulma] In vata gulma if increased pitta causes burning sensation then virechana should be done with laxative drugs mixed with unctuous substances
english translation
गुल्मो यद्यनिलादीनां कृते सम्यग्भिषग्जिते। न प्रशाम्यति रक्तस्य सोऽवसेकात् प्रशाम्यति ॥३२॥
[Blood-letting in vata gulma] If gulma does not subside even after proper treatment of vata etc. mentioned above then bloodletting is advised to cure it
english translation
स्निग्धोष्णेनोदिते गुल्मे पैत्तिके स्रंसनं हितम्। रूक्षोष्णेन तु सम्भूते सर्पिः प्रशमनं परम् ॥३३॥
[Treatment of pitta dominant gulma] If pitta gulma is caused by indulging in unctuous and hot substances then virechana is beneficial. But if it is caused by indulging in dry and hot substances then ghee is a choice of drug
english translation
पित्तं वा पित्तगुल्मं वा ज्ञात्वा पक्वाशयस्थितम्। कालविन्निर्हरेत् सद्यः सतिक्तैः क्षीरबस्तिभिः ॥३४॥
If pitta or pitta-gulma is situated in colon, the physician expert in proper and timely treatment should eliminate it by giving kshira-basti mixed with bitter drugs immediately.
english translation
पयसा वा सुखोष्णेन सतिक्तेन विरेचयेत्। भिषगग्निबलापेक्षी सर्पिषा तैल्वकेन वा ॥३५॥
The physician aiming to increase the digestive power should perform virechana with milk mixed with bitter drugs or with tilvaka ghrita
english translation