The thirty second chapter of Uttara Sthanam of Ashtanga Hridayam is known as as ‘Kshudra Roga Pratishedham’. This chapter offers with the reason of ‘Therapy of minor illnesses.
The subjects lined on this chapter embody –
- Ajagallika Cikitsa
- Remedies of all circumstances like Pashanagardabha
- Mukha Dushika Cikitsa
- Padmakantaka Cikitsa
- Vivartadi Cikitsa
- Jalagardabha Cikitsa
- Vidarika Cikitsa
- Sharkararbuda Cikitsa
- Valmika Cikitsa
- Therapy of Kadara
- Therapy of Ruddhaguda
- Therapy of Chipya, Kunakha
- Therapy of Alasa
- Therapy of Tilakalaka, Masha, Charmakila, Jatumani
- Therapy of Tilakalaka, Masha, Charmakila, Jatumani
- Therapy of Lanchana, Vyanga, Nilika
- Therapy of Vyanga
- Therapy of Vyanga
- Therapy of Nilika, Patila, Vyanga, Vali, Tila and Mukhadushika;
- Therapy of Prasupti
- Therapy of Utkotha and Kotha
Pledge by the writer(s)
अथात: क्षुद्ररोगप्रतिषेधं व्याख्यास्याम: ।
इति ह स्माहुरात्रेयादयो महर्षय: ।
After having supplied prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of ‘Therapy of minor illnesses. Thus, say (pledge) Atreya and different sages.
Ajagallika Chikitsa
विस्रावयेज्जलौकोभिरपक्वामजगल्लिकाम् ।
स्वेदयित्वा यवप्रख्यां विलयाय प्रलेपयेत् ॥ १ ॥
दारुकुष्ठमनोह्वालै:
Ajagallika which is unripe needs to be handled with bloodletting utilizing leeches. Yavaprakhya needs to be given fomentation and to liquefy it, apply the paste of dāru – Cedrus deodara, kuṣṭha – Saussurea lappa, realgar and purified arsenic trisulphide.
Remedies of all circumstances like Pashanagardabha
इत्यापाषाणगर्दभात् ।
विधिस्तांश्चाचरेत्पक्वान् व्रणवत्साजगल्लिकान् ॥ २ ॥
That is the therapy which needs to be practiced for all illnesses as much as Pasanagardabha (Alaji, Kachapa, Panasika) of their unripe stage, the ripened circumstances needs to be handled like Vrana (ulcer) together with Ajagallika.
Mukha Dushika Chikitsa
लोध्रकुस्तुम्बुरुवचाः प्रलेपो मुखदूषिके ।
वटपल्लवयुक्ता वा नारिकेलोत्थशुक्तयः ॥ ३ ॥
अशान्तौ वमनं नस्यं ललाटे च सिराव्यधः ।
A paste of lodhra – Symplocos racemosa, kustumburu – Coriandrum sativum and vacāḥ – Acorus calamus is helpful for Mukhadushika, or a paste of tender leaves of Ficus benghalensis and Narikela Shukti (coconut shells); when the illnesses don’t subside, emesis, nasal remedy and reducing the vein within the brow needs to be resorted.
Padmakantaka Chikitsa
निम्बाम्बुवान्तो निम्बाम्बुसाधितं पद्मकण्टके ॥ ४ ॥
पिबेत्क्षौद्रान्वितं सर्पिर्निम्बारग्वधलेपनम् |
In Padmakantaka, the affected person needs to be made to vomit utilizing decoction of nimbāmbu – Azadirachta indica, then eat ghee ready with decoction of nimbāmbu – Azadirachta indica added with honey, paste of nimba – Azadirachta indica and āragvadha – Cassia fistula needs to be utilized.
Vivritadi Chikitsa
विवृतादींस्तु जालान्तांश्चिकित्सेत्सेरिवेल्लिकान् |
पित्तविसर्पवत्तद्वत्प्रत्याख्यायाग्निरोहिणीम् ॥ ५ ॥ Illnesses commencing with Vivrita and ending with Jala (gardabha), (Masurika, Visphota, Viddha, Gardhabhi, Kaksa, Gandhanama and Rajika), together with Irivellika needs to be handled identical to treating Pittaja Visarpa (chapter 18 of Chikitsa sthana), equally, Agnirohini needs to be handled after intimating its incurability.
Jalagardabha Chikitsa
विलङ्घनं रक्तविमोक्षणं च विरूक्षणं कायविशोधनं च ।
धात्रीप्रयोगाञ्छिशिरप्रदेहान् कुर्यात्सदा जालकगर्दभस्य ॥ ६ ॥
Fasting, bloodletting, remedy inflicting dryness, physique purificatory therapies, recipes of dhātrī – Emblica officinalis; chilly software on the physique needs to be executed all the time in Jalagardabha.
Vidarika Chikitsa
विदारिकां हृते रक्ते श्लेष्मग्रन्थिवदाचरेत् ।|
In Vidarika, blood needs to be eliminated after which handled equally to Kapha granthi (chapter 30) needs to be adopted.
Sharkararbuda Chikitsa
मेदोऽर्बुदक्रियां कुर्यात्सुतरां शर्करार्बुदे ॥ ७ ॥
In Sharkararbuda, the remedies prescribed for Medo arbuda (chapter 30) needs to be adopted.
Valmika Chikitsa
प्रवृद्धं सुबहुच्छिद्रं सशोफं मर्मणि स्थितम् ।
वल्मीकं हस्तपादे च वर्जयेदितरत्पुनः ॥ ८ ॥
शुद्धस्यास्रे हृते लिम्पेत्सपट्वारेवतामृतैः ।
श्यामाकुलत्थिकामूलदन्तीपललसक्तुभिः ॥ ९ ॥
पक्वे तु दुष्टमांसानि गतीः सर्वाश्च शोधयेत् ।
शस्त्रेण सम्यगनु च क्षारेण ज्वलनेन वा ॥ १० ॥
Valmika which has grown to a giant dimension, which has a number of openings, accompanied with swelling, located on very important spots, arms and toes; needs to be refused therapy. The others needs to be handled, the particular person given purificatory therapies, bloodletting after which paste of ārevata – Cassia fistula, amṛtaiḥ – Tinospora cordifolia, śyāmā – Operculina turpethum, root of Dolichos biflorus, dantī – Baliospermum montanum, paste of Sesamum indicum, and roasted corn flour added with – needs to be utilized. When it has develop into ripe, the putrefied muscle and all of the sinuses needs to be cleared, later by the right use of both the knife, alkali or hearth.
Therapy of Kadara
शस्त्रेणोत्कृत्य निःशेषं स्नेहेन कदरं दहेत् ।
Kadara needs to be eliminated with a knife with out leaving any residue after which the location is burnt with scorching fats.
Therapy of Ruddhaguda
निरुद्धमणिवत्कार्यं रुद्धपायोश्चिकित्सितम् ॥ ११ ॥ Ruddhaguda needs to be handled in the identical method as treating Niruddamani (chapter 34).
Therapy of Chipya, Kunakha
चिप्यं शुद्ध्या जितोष्माणं साधयेच्छस्त्रकर्मणा ।
दुष्टं कुनखमप्येवं
Chipya is handled by successful over Pitta via purificatory therapies after which by surgical procedure. Even the dosha Kunakha needs to be handled in the identical method.
Therapy of Alasa
चरणावलसे पुनः ॥ १२ ॥
धान्याम्लसिक्तौ कासीसपटोलीरोचनातिलैः ।
सनिम्बपत्रैरालिम्पेत्
In Alasa, the foot needs to be washed with fermented rice wash and utilized with the paste of kāsīsa – ferrous sulphate, paṭolī – Trichosanthes dioica, rocanā – bezoar, tilaiḥ – Sesamum indicum and leaves of Azadirachta indica.
Therapy of Tilakalaka, Masha, Charmakila, Jatumani
दहेत्तु तिलकालकान् ॥ १३ ॥
मषांश्च सूर्यकान्तेन क्षारेण यदि वाऽग्निना ।
Tilkalaka and Mashaka needs to be burnt both by Suryakanta (convex lens), caustic alkali or hearth.
Therapy of Tilakalaka, Masha, Charmakila, Jatumani
तद्वदुत्कृत्य शस्त्रेण चर्मकीलजतूमणी ॥ १४ ॥
Charmakila and Jatumani needs to be pulled up with devices and handled in the identical approach (cauterized).
Therapy of Lanchana, Vyanga, Nilika
लाञ्छनादित्रये कुर्याद्यथासन्नं सिराव्यधम् ।
लेपयेत्क्षीरपिष्टैश्च क्षीरिवृक्षत्वगङ्कुरैः ॥ १५ ॥
Within the three illnesses commencing with Lanchana (Lanchana, Vyanga, Nilika), the closest vein needs to be reduce, the bark and sprouts of timber having milky- sap made paste with milk needs to be utilized.
Therapy of Lanchana, Vyanga, Nilika
व्यङ्गेषु चार्जुनत्वग्वा मञ्जिष्ठा वा समाक्षिका ।
लेपः सनवनीता वा श्वेताश्वखुरजा मषी ॥ १६ ॥
For Vyanga, software of paste of both the bark of arjuna – Terminalia arjuna, mañjiṣṭhā – Rubia cordifolia combined with honey or Shveta – Brassica juncea and ash of horse hoof combined with butter is helpful.
Therapy of Vyanga
रक्तचन्दनमञ्जिष्ठाकुष्ठलोध्रप्रियङ्गवः ।
वटाङ्कुरा मसूराश्च व्यङ्गघ्ना मुखकान्तिदाः ॥ १७ ॥
(Paste of) Pterocarpus santalinus, mañjiṣṭhā – Rubia cordifolia, kuṣṭha – Saussurea lappa, lodhra – Symplocos racemosa, priyaṅgavaḥ – Callicarpa macrophylla, vaṭāṅkurā – Ficus benghalensis and masūrāśca – Masura-Lens culinaris (individually or collectively) treatment Vyanga and bestow complexion to the face.
Therapy of Vyanga
द्वे जीरके कृष्णतिलाः सर्षपाः पयसा सह ।
पिष्टाः कुर्वन्ति वक्त्रेन्दुमपास्तव्यङ्गलाञ्छनम् ॥१८॥
क्षीरपिष्टा घृतक्षौद्रयुक्ता वा भृष्टनिस्तुषाः ।
मसूराः क्षीरपिष्टा वा तीक्ष्णाः शाल्मलिकण्टकाः ॥१९॥
सगुडः कोलमज्जा वा शशासृक्क्षौद्रकल्कितः ।
सप्ताहं मातुलुङ्गस्थं कुष्ठं वा मधुनाऽन्वितम् ॥२०॥
पिष्टा वा छागपयसा सक्षौद्रा मौसली जटा ।
गोरस्थि मुसलीमूलयुक्तं वा साज्यमाक्षिकम् ॥२१॥
The 2 Jiraka-Cuminum cyminum and Carum carvi, seeds of black Sesamum indicum and sarṣapāḥ – Brassica juncea made right into a paste with milk and utilized, makes the face just like the moon and cures Vyanga and Lanchana. masūrāḥ – Lens culinaris macerated with milk combined with ghee and honey, fried, nistuṣāḥ – de-husked and macerated with milk, or sharp thorns śālmali – Salmalia malabarica added with jaggery or kolamajjā – Ziziphus mauritiana combined with rabbit blood and honey, kuṣṭhaṃ – Saussurea lappa, stored contained in the fruit of mātuluṅgasthaṃ – Citrus medica for seven days, added with honey, roots of Salmalia malabarica macerated with goat milk and combined with honey, (ash of) bones of a cow along with the roots of musalī – Asparagus adscendens or with ghee and honey (these treatment Vyanga, Lanchana and Nilika).
Therapy of Vyanga
जम्ब्वाम्रपल्लवा मस्तु हरिद्रे द्वे नवो गुडः ।
लेपः सवर्णकृत्पिष्टं स्वरसेन च तिन्दुकम् ॥ २२ ॥
Paste of tender leaves of Jambu – Syzygium cumini, āmra – and Mangifera indica, the 2 harida-Haridra – Curcuma longa, Daruharidra – Berberis aristate together with contemporary jaggery and macerated with water of curds imparts pure colour to the discolored space; so additionally, the paste of tindukam – Diospyros peregrine macerated with its personal juice.
Therapy of Vyanga
उत्पलमुत्पलकुष्ठं प्रियङ्गुकालीयकं बदरमज्जा ।
इदमुद्वर्तनमास्यं करोति शतपत्रसङ्काशम् ॥ २३ ॥
Rubbing the paste of utpala – Nymphaea alba, kuṣṭhaṃ – Saussurea lappa, priyaṅgu – Callicarpa macrophylla, kālīyakaṃ – Santalum album and marrow of Ziziphus jujuba over the face cures Utpalakustha (quite a lot of pores and skin illness) and makes the face resemble a lotus flower.
Therapy of Vyanga
एभिरेवौषधैः पिष्टैर्मुखाभ्यङ्गाय साधयेत् ।
यथादोषर्तुकान् स्नेहान् मधुकक्वाथसंयुतैः ॥ २४ ॥
Medicated oils needs to be ready with the paste of herbs talked about above and with the decoction of madhuka – Glycyrrhiza glabra, appropriate to the aggravated dosha and appropriate to the season and used for anointing/massaging the face.
Therapy of Vyanga, Nilika, Dushika
यवान् सर्जरसं लोध्रमुशीरं मदनं मधु ।
घृतं गुडं च गोमूत्रे पचेदादर्विलेपनात् ॥ २५ ॥
तदभ्यङ्गान्निहन्त्याशु नीलिकाव्यङ्गदूषिकान् ।
मुखं करोति पद्माभं पादौ पद्मदलोपमौ ॥ २६ ॥
Yavān – Hordeum vulgare, sarjarasaṃ – resin of Vateria indica, lodhraṃ – Symplocos racemosa, uśīraṃ – Vetiveria zizanioides, madanaṃ – Randia dumetorum, honey, ghee and jaggery all these needs to be cooked in cow urine until the liquid begins to stick to the ladle. By anointing this on the face, it cures shortly Nilika, Vyanga, Dushika and so on. makes the face and toes (stunning and pink) like lotus and just like the petals of a lotus.
Therapy of Nilika, Patila, Vyanga, Vali, Tila and Mukhadushka
कुङ्कुमोशीरकालीयलाक्षायष्ट्याह्वचन्दनम् ।
न्यग्रोधपादांस्तरुणान् पद्मकं पद्मकेसरम् ॥ २७ ॥
सनीलोत्पलमञ्जिष्ठं पालिकं सलिलाढके ।
पक्त्वा पादावशेषेण तेन पिष्टैश्च कार्षिकैः ॥ २८ ॥
लाक्षापत्तङ्गमञ्जिष्ठायष्टीमधुककुङ्कुमैः ।
अजाक्षीरं द्विगुणितं तैलस्य कुडवं पचेत् ॥ २९ ॥
नीलिकापलितव्यङ्गवलीतिलकदूषिकान् ।
हन्ति तन्नस्यमभ्यस्तं मुखोपचयवर्णकृत् ॥ ३०
Kuṅkuma – Crocus sativus, uśīra – Vetiveria zizanioides, kālīya – Santalum album, lākṣā – Laccifer lacca, yaṣṭyāhva – Glycyrrhiza glabra, candanam – Santalum album, tender aerial roots of Ficus benghalensis, padmakaṃ – Prunus cerasoides, stamen of lotus Nelumbo nucifera, sanīlotpala – Nymphaea stellata and mañjiṣṭhaṃ – Rubia cordifolia each pala (48 grams) are boiled in a single adhaka (3.072 litres) of water and decoction lowered to 1 fourth; to it are added the paste of 1 karsha (12 grams) every of lākṣā – Laccifer lacca, pattaṅga – Caesalpinia sappan, mañjiṣṭhā – Rubia cordifolia, yaṣṭīmadhuka – Glycyrrhiza glabra and kuṅkumaiḥ – Crocus sativus; goat milk double the amount of oil one kudava (3.072 litres) in amount and medicated oil cooked. This oil habitually used as nasal drops cures Nilika, Patila, Vyanga, Vali, Tila and Mukhadushaka; develops the face and improves the colour.
Therapy of Vyanga & Nila
मञ्जिष्ठा शबरोद्भवस्तुवरिका लाक्षा हरिद्राद्वयं
नेपाली हरितालकुङ्कुमगदा गोरोचना गैरिकम् |
पत्रं पाण्डु वटस्य चन्दनयुगं कालीयकं पारदं
पत्तङ्गं कनकत्वचं कमलजं बीजं तथा केसरम् ॥३१॥
सिक्थं तुत्थं पद्मकाद्यो वसाऽऽज्यं मज्जा क्षीरं क्षीरिवृक्षाम्बु चाग्नौ ।
सिद्धं सिद्धं व्यङ्गनील्यादिनाशे वक्त्रे छायामैन्दवीं चाशु धत्ते ॥ ३२ ॥
Mañjiṣṭhā – Rubia cordifolia, śabarodbhava: -Symplocos racemosa, tuvarikā – Hydnocarpus laurifolia, lākṣā – Laccifer lacca, the 2 Haridra-Haridra – Curcuma longa, Daruharidra – Berberis aristata, nepālī – arsenic bi sulphide, haritāla – arsenic trisulphidum, kuṅkuma – Crocus sativus, gadā – Saussurea lappa, gorocanā – bezoar, gairikam – pink ochre, Ficus benghalensis – leaves, the 2 Chandana Crimson Sandalwood– Pterocarpus santalinus –
Sandalwood – Chandana Santalum album, kālīyakaṃ – Berberis aristata, purified mercury, pattaṅgaṃ – Caesalpinia sappan, bark of Datura metel, seeds of Nelumbo nucifera, stamens of- Nelumbo nucifera, bee wax, purified copper sulphate, herbs of Padmakadigana (chapter 15 of sutrasthana), muscle fats, ghee, bone marrow, milk and decoction of bark of timber having milky-sap all these are cooked over hearth and medicated fats ready. This shortly cures Vyanga, Nila and so on. and to the face. impart moonlike radiances.
Therapy of Vyanga
मार्कवस्वरसक्षीरतोयानीष्टानि नावने ।
Contemporary juice, combined with milk or with water of mārkava – Eclipta alba is right for Nasal remedy.
Therapy of Prasupti
प्रसुप्तौ वातकुष्ठोक्तं कुर्याद्दाहं च वह्निना ॥३३॥
For Prasupti, the remedies advocated for Vatajakustha (vide chapter 19 of Chikitsasathana) needs to be executed after which cauterised by hearth.
Therapy of Utkotha and Kotha
उत्कोठे कफपित्तोक्तं कोठे सर्वं च कौष्ठिकम् ॥ ३३+ ॥
All therapy mitigating Kapha and Pitta needs to be executed in Utkotha and in Kotha and all remedies prescribed for pores and skin illness.
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां षष्ठे उत्तरस्थाने क्षुद्ररोगप्रतिषेधो नाम द्वात्रिंशोऽध्याय: ॥ ३२ ॥
Thus, ends the Chapter – Kshusdrarogapratishedha – the thirty second in Uttarasthana of Astanga Hridaya Samhita composed by Srimad Vagbhata, son of Sri Vaidyapati Simhagupta.
