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Charak Samhita

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अथातः पञ्चकर्मीयां सिद्धिं व्याख्यास्यामः॥१॥

Now we shall expound the chapter "Panchakarmiya Siddhi" (Successful administration of Panchakarma therapies).

english translation

इति ह स्माह भगवानात्रेयः॥२॥

Thus said Lord Atreya.

english translation

येषां यस्मात् पञ्चकर्माण्यग्निवेश न कारयेत्। येषां च कारयेत्तानि तत् सर्वं सम्प्रवक्ष्यते॥३॥

O! Agnivesha, we will now describe about the patients for whom Panchakarma therapies are contra-indicated with proper reasoning and the patients for whom Panchakarma are indicated.

english translation

चण्डः साहसिको भीरुः कृतघ्नो व्यग्र एव च। सद्राजभिषजां द्वेष्टा तद्द्विष्टः शोकपीडितः॥४॥

[Persons who are generally anupakramya (unsuitable for treatment)] The wise physician should not treat the following types of patients: 1. Who is fierceful or aggressive, adventurous, fearful, ungrateful and fickle minded; 2. Who hates good persons, kings and physicians and who is intensely disliked by them; 3. Who is afflicted with grief;

english translation

यादृच्छिको मुमूर्षुश्च विहीनः करणैश्च यः। वैरी वैद्यविदग्धश्च श्रद्धाहीनः सुशङ्कितः॥५॥

4. Who does not believe in God (nastika) 5. Who is in the end stage of disease and is predicted to die soon; 6. Who is not in position to collect the essential items (karana) for the treatment; 7. Who is enemy or hostile to the physician;

english translation