Granthi Arbuda Shlipada Apachi Nadi Pratishedham (Therapy of tumors-cancer-filariasis-scrofula-sinus ulcer)

The 30^th chapter of Uttara Sthanam of Ashtanga Hridayam is known as as ‘Granthi Arbuda Shlipada Apachi Nadi Pratishedham’. This chapter offers with the reason of ‘Treatment of tumors-cancer-filariasis-scrofula-sinus ulcer’.

The subjects coated on this chapter embody –

•   Granthi Chikitsa– Therapy of Benign tumor
•   Arbuda Chikitsa– remedy of malignant tumor
•   Shlipada Chikitsa– Therapy of Filariasis
•   Apachi Chikitsa– Therapy of Scrofula
•   Use of Kanchanara
•   Nakulyadi Lepa
•   Shami Bijadi Lepa
•   Nimbadi Lepa
•   Kakadanyadi Taila
•   Langalikadi Taila
•   Bhadrasriyadi Taila
•   Vachadi Taila
•   Use of Sharapunkha
•   Uttama Karanyadi Taila
•   Katu Taila and Inguda Taila
•   Daha Karma – fireplace cauterization
•   Eradicating the tumor
•   Bhedana – excision
•   Nadi Vrana Chikitsa– remedy of sinus ulcers

Pledge by the creator(s)

अथातो ग्रन्थ्यर्बुदश्लीपदापचीनाडीप्रतिषेधं व्याख्यास्याम: ।
इति ह स्माहुरात्रेयादयो महर्षय: ।
After having provided prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of ‘Treatment of tumors-cancer-filariasis-scrofula-sinus ulcer’. Thus, say (pledge) Atreya and different sages.

Granthi Chikitsa: Therapy of Benign Tumor

ग्रन्थिष्वामेषु कर्तव्या यथास्वं शोफवत्क्रिया ।
बृहतीचित्रकव्याघ्रीकणासिद्धेन सर्पिषा ॥ १ ॥
स्नेहयेच्छुद्धिकामं च तीक्ष्णैः शुद्धस्य लेपनम् ।
संस्वेद्य बहुशो ग्रन्थिं विमृद्नीयात्पुनः पुनः ॥ २ ॥
एष वाते विशेषेण क्रमः पित्तास्रजे पुनः ।
जलौकसो हिमं सर्वं कफजे वातिको विधिः ॥ ३ ॥
For Granthi (benign tumor) which is unripe, the remedy is like that of any Shopha (swelling). The affected person requiring purificatory therapies, needs to be given oleation remedy first with ghee ready with bṛhatī – ­Solanum indicum, citraka – Plumbago zeylanica­, vyāghrī – Solanum xanthocarpum and kaṇā – Piper longum; after he will get purified, utility of paste of herbs of penetrating motion needs to be executed (on the tumor); tumor needs to be given fomentation many occasions and squeezed (by the arms) repeatedly. That is the tactic of remedy particularly for tumor of Vata origin; for these arising from Pitta and asrik (blood), utility of leeches (to suck blood) and all chilly therapies are useful; for Kapha origin, the remedy prescribed for that of Vata origin itself is appropriate.

Granthi Chikitsa: Therapy of Benign Tumor

तथाऽप्यपक्वं छित्त्वैनं स्थिते रक्तेऽग्निना दहेत् ।
साध्वशेषं सशेषो हि पुनराप्यायते ध्रुवम् ॥ ४ ॥
That which has not turn into ripe, regardless of all needs to be reduce (excised) and when bleeding stops it needs to be burnt by fireplace (thermal cautery), leaving no residue/remnant, as a result of such a residue/ remnant is bound to develop once more right into a tumor.

Granthi Chikitsa: Therapy of Benign Tumor

मांसव्रणोद्भवौ ग्रन्थी यापयेदेवमेव च ।
Each Mamsa Granthi (tumor of muscle tissue) and Vrana Granthi (tumor sequel to an ulcer) must also be handled in the identical (above) manner.

Granthi Chikitsa: Therapy of Benign Tumor

कार्यं मेदोभवेऽप्येतत्तप्तैः फलादिभिश्च तम् ॥ ५ ॥
प्रमृद्यात्तिलदिग्धेन छन्नं द्विगुणवाससा ।
शस्त्रेण पाटयित्वा वा दहेन्मेदसि सूद्धृते ॥ ६ ॥
Even in Medoja Granthi (tumor of fats tissue), the identical remedy needs to be executed. It needs to be given a coating of the paste of tila – Sesamum indicum, channaṃ – coated with two layers of material after which touched with heated steel plates and many others.; or or not it’s reduce (excised) utterly utilizing an instrument (knife), fats eliminated utterly and burnt by fireplace (thermal cautery).

Granthi Chikitsa: Therapy of Benign Tumor

सिराग्रन्थौ नवे पेयं तैलं साहचरं तथा ।
उपनाहोऽनिलहरैर्बस्तिकर्म सिराव्यधः ॥ ७ ॥
In Siragranthi (tumor of veins), which is new, Sahachara Taila needs to be given to drink; heat poultice with herbs which mitigate Vata; enema remedy and venesection needs to be executed.

Arbuda Chikitsa: Therapy of malignant tumor

अर्बुदे ग्रन्थिवत्कुर्यात्यथास्वं सुतरां हितम् ।
अजाशकृच्छिग्रुमूललाक्षासुरसकाञ्जिकैः वस्त्रबद्धैरुपस्वेद्य मर्दयित्वा प्रलेपयेत् ॥ ८+(१) ॥
उपोदकापत्रपिण्ड्या छदैराच्छादितं घनम् ।
निवेश्य पट्टं बध्नीयाच्छाम्यत्येवं नवार्बुदम् ॥८+(२) ॥
जीर्णे चार्कच्छदसुधासामुद्रगुडकाञ्जिकैः ।
प्रच्छाने पिण्डिका बद्धा ग्रन्थ्यर्बुदविलायनी ॥८+(३) ॥
For malignant tumors, additionally, the identical remedy advocated for benign tumors are useful. Excreta of goat, root of Moringa oleifera, lākṣā – Laccifer lacca, surasa – Ocimum sanctum, kāñjikaiḥ – bitter gruel needs to be tied in material and given with fomentation, rubbed and utilized over the tumor and coated with thick bolus of leaves of upodakāb – Basella rubra after which bandaged with a material. By this, Arbuda of latest onset subsides after it ripens, arkacchada – Calotropis gigantea, sudhā – Euphorbia neriifolia, sea salt, jaggery and bitter gruel; letting out the blood by making incisions on the pores and skin, after tying on the calves for the sake of dissolving of tumors.

Shlipada Chikitsa: Therapy of Filariasis

श्लीपदेऽनिलजे विध्येत्स्निग्धस्विन्नोपनाहिते ॥ ८ ॥
सिरामुपरि गुल्फस्य द्व्यङ्गुले पाययेच्च तम् ।
मासमेरण्डजं तैलं गोमूत्रेण समन्वितम् ॥ ९ ॥
जीर्णे जीर्णान्नमश्नीयाच्छुण्ठीशृतपयोऽन्वितम् ।
त्रैवृतं वा पिबेदेवमशान्तावग्निना दहेत् ॥ १० ॥
In Shlipada brought on by Vata, after administering oleation (anointing), sudation (fomentation) and poultice, the vein located at 2 finger breadth size above the heel needs to be reduce (and blood set free); the affected person needs to be requested to drink castor oil together with cow urine for one month, after it’s nicely digested, he ought to eat outdated rice boiled nicely together with decoction of śuṇṭhī – Zingiber officinale and milk or drink with milk the decoction of  trivrit – Operculina turpethum. If by these strategies the illness doesn’t subside, then it needs to be burnt by fireplace (thermal cautery).

Shlipada Chikitsa: Therapy of Filariasis

गुल्फस्याधः सिरामोक्षः पैत्ते सर्वं च पित्तजित् ।
In Shlipada of Pitta origin, venesection beneath the heel and all different Pitta mitigating remedies needs to be executed.

Shlipada Chikitsa: Therapy of Filariasis

सिरामङ्गुष्ठके विद्ध्वा कफजे शीलयेद्यवान् ॥ ११ ॥
सक्षौद्राणि कषायाणि वर्धमानास्तथाऽभयाः ।
लिम्पेत्सर्षपवार्ताकीमूलाभ्यां धन्वयाऽथवा ॥ १२ ॥
In Shlipada of Kapha origin, the vein close to the massive toe needs to be reduce, use Hordeum vulgare (as meals), decoction of herbs of astringent style combined with honey; use Terminalia chebula in each day growing doses, apply the paste of sarṣapa – Brassica nigra and root of Solanum indicum or of Alhagi Maurorum to the leg.

Apachi Chikitsa: Therapy of Scrofula

ऊर्ध्वाधःशोधनं पेयमपच्यां साधितं घृतम् ।
दन्तीद्रवन्तीत्रिवृताजालिनीदेवदालिभिः ॥ १३ ॥
शीलयेत्कफमेदोघ्नं धूमगण्डूषनावनम् ।
सिरयाऽपहरेद्रक्तं पिबेन्मूत्रेण तार्क्ष्यजम् ॥ १४ ॥
In apachi, purification of the physique in its higher and decrease routes, ingesting of ghee ready with dantī – Baliospermum montanum, dravantī – Jatropha glandulifera, trivṛtā – Operculina turpethum, jālinī – Luffa acutangular, devadālibhiḥ – Luffa echinata; ought to apply inhalation of smoke, holding liquids within the mouth and nasal remedy which mitigate Kapha and medas (fats), blood needs to be set free from the vein, and drink (Rasanjana) – aqueous extract of Berberis aristate combined with cow urine.

Use of Kanchanara

पलमर्धपलं वाऽपि कर्षं वाऽप्युष्णवारिणा ।
काञ्चनारत्वचं पीत्वा गण्डमालां व्यपोहति ॥१४+(१) ॥
Ingesting the contemporary juice of bark of kāñcanāra – Bauhinia variegata in doses of 1 pala (48 grams), or half pala (24 grams) or one karsha (12 grams) each day together with heat water, the particular person will get cured of Gandamala

Nakulyadi Lepa

ग्रन्थीनपक्वान् आलिम्पेन्नाकुलीपटुनागरैः ।
स्विन्नान् लवणपोटल्या कठिनाननु मर्दयेत् ॥ १५ ॥
Tumors (of gandamala) that are unripe, needs to be smeared with the paste of nākulī – Rauwolfia serpentina, salt, nāgaraiḥ – Zingiber officinale; fomented with salt poultice after which the exhausting tumors massaged softly.

Shami Bijadi Lepa

शमीमूलकशिग्रूणां बीजैः सयवसर्षपैः ।
लेपः पिष्टोऽम्लतक्रेण ग्रन्थिगण्डविलायनः ॥ १६ ॥
Seeds of śamī – Prosopis cineraria, mūlaka – Raphanus sativus, and moringa oleifera combined with sa yava – Hordeum vulgare, sarṣapaiḥ – Brassica nigra macerated with bitter buttermilk and this paste utilized over the tumor makes that liquefied.

Nimbadi Lepa

क्षुण्णानि निम्बपत्राणि क्लृप्तैर्भल्लातकैः सह ।
शरावसम्पुटे दग्ध्वा सार्धं सिद्धार्थकैः समैः॥१६+(१) ॥
एतच्छागाम्बुना पिष्टं गण्डमालाप्रलेपनम् ॥ १६+(२) अब् ॥
Moist (contemporary) leaves of nimba –­ Azadirachta indica, bhallātakaiḥ – Semecarpus anacardium reduce to bits, burnt to ashes inside sealed earthen saucers and combined with half its amount of siddhārthakaiḥ –­ Brassica nigra, macerated with goat urine and utilized to Gandamala (is helpful).

Apachi Chikitsa: Therapy of Scrofula

पाकोन्मुखान् स्रुतास्रस्य पित्तश्लेष्महरैर्जयेत् ।
अपक्वानेव वोद्धृत्य क्षाराग्निभ्यामुपाचरेत् ॥ १७ ॥
These that are present process ripening (suppuration), needs to be handled with bloodletting and therapies which mitigate Pitta-Shleshma (Kapha) or the unripe ones needs to be eliminated and handled by way of alkaline and thermal cauterization.

Kakadanyadi Taila

काकादनीलाङ्गलिकानहिकोत्तुण्डिकीफलैः ।
जीमूतबीजकर्कोटीविशालाकृतवेधनैः ॥ १८ ॥
पाठान्वितैः पलार्धांशैर्विषकर्षयुतैः पचेत् ।
प्रस्थं करञ्जतैलस्य निर्गुण्डीस्वरसाढके ॥ १९ ॥
अनेन माला गण्डानां चिरजा पूयवाहिनी ।
सिध्यत्यसाध्यकल्पाऽपि पानाभ्यञ्जननावनैः ॥ २० ॥
Medicated oil is ready with the decoction of kākādanī – Celastrus paniculata, lāṅgalikā – Gloriosa superba, nahikā – Bombax ceiba, uttuṇḍikīphalaiḥ  jīmūtabīja – seeds of Luffa echinata, karkoṭī – Luffa acutangulata, viśālā – Alstonia scholaris, kṛtavedhanaiḥ – Luffa acutangular, pāṭhānvitaiḥ – Cissampelos pareira every half pala (24 grams); visha one karsha (12 grams); karañjatailasya – Karanja taila, one prastha (768 grams) nirguṇḍī svarasa – and contemporary juice of Vitex negundo, one adhaka (3.072 Kg). By means of this oil for ingesting, anointing on the tumor and nasal remedy, Gandamala (scrofula) that are power, which exude pus, with latest incurable options all turn into cured.

Langalikadi Taila

तैलं लाङ्गलिकीकन्दकल्कपादं चतुर्गुणे ।
निर्गुण्डीस्वरसे पक्वं नस्याद्यैरपचीप्रणुत् ॥ २१ ॥ Medicated oil ready with decoction of lāṅgalikī kanda – Gloriosa superba, paste of the identical in one-fourth half together with 4 elements of contemporary juice of nirguṇḍī – Vitex negundo used as nasal drops and many others. cures Apachi

Bhadrasriyadi Taila

भद्रश्रीदारुमरिचद्विहरिद्रात्रिवृद्घनैः ।
मनःशिलालनलदविशालाकरवीरकैः ॥ २२ ॥
गोमूत्रपिष्टैः पलिकैर्विषस्यार्धपलेन च ।
ब्राह्मीरसार्कजक्षीरगोशकृद्रससंयुतम् ॥ २३ ॥
प्रस्थं सर्षपतैलस्य सिद्धमाशु व्यपोहति ।
पानाद्यैः शीलितं कुष्ठदुष्टनाडीव्रणापचीः ॥ २४ ॥
Medicated oil ready with the paste of 1 pala (48 grams) every of bhadraśrī – Santalum album, dāru – Cedrus deodara, marica – Piper nigrum, the 2 Haridra-
Haridra – Curcuma longa
Daruharidra – Berberis aristata,
trivṛt – Operculina turpethum, ghanaiḥ – Cyperus rotundus, manaḥśilā – realgar, āla – arsenic trisulphidum, nalada – Nardostachys jatamamsi, viśālā – Alstonia scholaris and karavīrakaiḥ – Nerium indicum made with cow urine; viṣasya – Aconitum ferox half pala (24 grams), juice of brāhmī – Bacopa monnieri, arka Kshira (milky sap of) – Calotropis gigantea, combined with juice of contemporary cow dung and one prastha (768 ml) of sarṣapatailasya – oil of Brassica nigra; this used for ingesting and many others. (anointing, nasal remedy) habitually cures pores and skin illness, foul ulcers, sinus ulcers and Apachi (small tumors) in fast time.