[Management of apatantraka (opisthotomus)] The aggravated kapha vata doshas cause obstruction to shvasana (breathing) which should be cleared by tikshna pradhamana nasya (powder blowing into nostrils). This restores the sanjna (consciousness).
मरिचं शिग्रुबीजानि विडङ्गं च फणिज्झकम्| एतानि सूक्ष्मचूर्णानि दद्याच्छीर्षविरेचनम्||१७||
Sirsha virechana (purification of head) should be given using very fine powder of maricha (black peper/Piper indicum), shigrubija (seeds of Moringa olifera), vidanga (Embelia ribes) and phaninjjaka (Marubaka- Origanum majorana).
In hridgraha (stiffness or tightness in Heart) and apatantraka one should consume tumburu (Zanthoxylum alatum), abhaya (Terminalia chebula fruit), hingu (Asafoetida), pushkara (Inula racemosa), three types of lavana (saindhava, sauvarcala and bida lavana) with decoction of yava (Hordeum vulgare).
हिङ्ग्वम्लवेतसं शुण्ठीं ससौवर्चलदाडिमम्| पिबेद्वातकफघ्नं च कर्म हृद्रोगनुद्धितम्||१९||
Consume hingu (Asafoetida), amlavetasa (Garcinia pedunculata), sunthi (Zingiber officinale), with sauvarchala (sorchal salt) and dadima (juice of pomergranate/ Punica granatum) and employ treatment that alleviates vata kapha doshas and which cures hridroga (cardiac disorders).