The thirty fourth chapter of Uttara Sthanam of Ashtanga Hridayam is called as ‘Guhyaroga Pratishedha’. This chapter offers with the reason of ‘Therapy of illnesses of genital organs.
The subjects lined on this chapter embody –
- Therapy of Upadamsha
- Therapy of Arshas
- Therapy of Sarshapa
- Therapy of Avamantha
- Therapy of Kumbhika
- Therapy of Alaji
- Therapy of Uttama
- Therapy of Pushkarika and Samvyusha Pitika
- Therapy of Tvakpaka, Sparshahani and Mridita
- Therapy of Nivritta and Avapatika
- Therapy of Avapatika
- Therapy of Niruddha
- Therapy of Granthita
- Therapy of Shataponaka
- Therapy of Shonitarbuda
- Yoni Vyapat Cikitsa – Therapy of illnesses of the Vagina
- Therapy of Vataja Yoni Vyapat
- Therapy of Vataja Yoni Vyapat
- Therapy of Vataja Yoni Vyapat
- Therapy of Pittaja Yoni Vyapat
- Shatavari Ghrita
- Jivaniya Ghrta
- Baladi Taila
- Therapy of Raktaja Yoni Vyapat
- Pushyanuga Churna
- Therapy of Kaphaja Yoni Vyapat
- Dhatakyadi Taila
- Kasisadi Churna
- Palashadi Churna
- Therapy of inflexible and tough vagina
- Therapy for foul odor
- Therapy ideas in accordance with vitiated dosha
- Conception of embryo in purified womb
- Therapy of vitiated semen
- Phala Sarpis / Phala Ghrita
Pledge by the writer(s)
अथातो गुह्यरोगप्रतिषेधं 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 ‘Therapy of illnesses of the genital organs. Thus, say (pledge) Atreya and different sages.
Therapy of Upadamsha
मेढ्रमध्ये सिरां विध्येदुपदंशे नवोत्थिते ।
शीतां कुर्यात्क्रियां शुद्धिं विरेकेण विशेषतः ॥ १ ॥
तिलकल्कघृतक्षौद्रैर्लेपः पक्वे तु पाटिते ।
In Upadamsha of latest onset, the vein within the centre of the penis ought to be reduce and (blood set free), chilly therapies ought to be carried out, purification of the physique particularly purgation; if the swelling is ripe it ought to be reduce open after which a paste of tila – Sesamum indicum blended with ghee and honey is utilized.
Therapy of Upadamsha
जम्ब्वाम्रसुमनोनीपश्वेतकाम्बोजिकाङ्कुरान् ॥ २ ॥
शल्लकीबदरीबिल्वपलाशतिनिशोद्भवाः ।
त्वचः क्षीरिद्रुमाणां च त्रिफलां च पचेज्जले ॥ ३ ॥
स क्वाथः क्षालनं तेन पक्वं तैलं च रोपणम् ।
Sprouts of jambu – Syzygium cumini, āmra – Mangifera indica, sumano – Jasminum grandiflorum, nīpa – Sphaeranthus indicus, śveta kāmbojika – Teramnus labialis, śallakī – bark of Boswellia serrata, badarī – Zizyphus jujuba, bilva – Aegle marmelos, palāśa – Butea monosperma, tiniśa udbhavāḥ – Ougeinia dalbergioides and bushes yielding milky sap and Triphala – Haritaki – Terminalia chebula Vibhitaki – Terminalia bellerica ,Amalaki – Emblica officinalis ought to be boiled in water and decoction ready. This decoction ought to be used for laundry the lesion; medicated oil ready from the decoction is useful for therapeutic.
Therapy of Upadamsha
तुत्थगैरिकलोध्रैलामनोह्वालरसाञ्जनैः ॥ ४ ॥
हरेणुपुष्पकासीससौराष्ट्रीलवणोत्तमैः ।
लेपः क्षौद्रद्रुतैः सूक्ष्मैरुपदंशव्रणापहः ॥ ५ ॥
Utility of high quality paste purified copper sulphate, purple ochre, lodhra – Symplocos racemosa, elā – Elattaria cardamomum, realgar āla – Arsenii trisulphidum aqueous extract of Berberis aristata, hareṇu – Pisum sativum puṣpakāsīsa – Inexperienced Vitriol – Ferrous Sulphate alum rock salt blended with honey cures the small ulcers of Upadamsha.
Therapy of Upadamsha
कपाले त्रिफला दग्धा सघृता रोपणं परम् ।
Triphala burnt to ash on a pan and utilized blended with ghee is finest for therapeutic.
Therapy of Upadamsha
सामान्यं साधनमिदं प्रतिदोषं तु शोफवत् ॥ ६ ॥
That is common line of therapy of every dosha is just like that described for Shopha (swelling).
Therapy of Upadamsha
न च याति यथा पाकं प्रयतेत तथा भृशम् ।
पक्वैः स्नायुसिरामांसैः प्रायो नश्यति हि ध्वजः ॥७॥
All efforts ought to be made to forestall ripening (suppuration) as a result of, by suppuration of tendons, veins and muscular tissues, the penis itself will get destroyed.
Therapy of Arshas
अर्शसां छिन्नदग्धानां क्रिया कार्योपदंशवत् ।
Arshas ought to be excised, burnt and coverings talked about for Upadamsha ought to be tone.
Therapy of Sarshapa
सर्षपा लिखिताः सूक्ष्मैः कषायैरवचूर्णयेत् ॥ ८ ॥
तैरेवाभ्यञ्जनं तैलं साधयेद्व्रणरोपणम् ।
Sarshapa ought to be scrapped (by the knife) after which rubbed with the powder of herbs used for decoction, oil for anointing or ought to be ready from these herbs additionally heal the ulcer.
Therapy of Avamantha
क्रियेयमवमन्थेऽपि रक्तं स्राव्यं तथोभयोः ॥ ९ ॥
Even in Avamantha the identical therapy, blood letting ought to be carried out in each.
Therapy of Kumbhika
कुम्भीकायां हरेद्रक्तं पक्वायां शोधिते व्रणे ।
तिन्दुकत्रिफलालोध्रैर्लेपस्तैलं च रोपणम् ॥ १० ॥
In Kumbhika which is ripe, the blood ought to be set free, wound cleaned and paste and oil ready with tinduka – Diospyros peregrina, Triphala – Haritaki – Terminalia chebula Vibhitaki – Terminalia bellerica, Amalaki – Emblica officinalis, lodhrai: – and Symplocos racemosa utilized to heal the ulcer.
Therapy of Alaji
अलज्यां स्रुतरक्तायामयमेव क्रियाक्रमः ।
In Alaji, blood ought to be set free after which the identical therapy adopted.
Therapy of Uttama
उत्तमाख्यां तु पिटिकां सञ्छिद्य बडिशोद्धृताम् ॥११॥
कल्कैश्चूर्णैः कषायाणां क्षौद्रयुक्तैरुपाचरेत् ।
The eruption of Uttama, ought to be pulled out holding it with the forceps after which handled with software of paste and powder of herbs used for decoction added with honey.
Therapy of Pushkarika and Samvyudha Pitika
क्रमः पित्तविसर्पोक्तः पुष्करव्यूढयोर्हितः ॥ १२ ॥
The therapy advocated for Pittaja Visarpa (chapter 18 of Chikitsasthana) is useful for Pushkarika and Samvyudha Pitika.
Therapy of Tvakpaka, Sparshahani and Mridita
त्वक्पाके स्पर्शहान्यां च सेचयेद्मृदितं पुनः ।
बलातैलेन कोष्णेन मधुरैश्चोपनाहयेत् ॥ १३ ॥
अष्ठीलिकां हृते रक्ते श्लेष्मग्रन्थिवदाचरेत् ।
In Tvakpaka and Sparshahani, the penis ought to be bathed and rubbed with heat Balataila (described in Verse no- 42-44a) and poultice with candy herbs. In Ashtilika, after bloodletting it ought to be handled like shleshma granthi.
Therapy of Nivritta and Avapatika
निवृत्तं सर्पिषाऽभ्यज्य स्वेदयित्वोपनाहयेत् ॥१४॥
त्रिरात्रं पञ्चरात्रं वा सुस्निग्धैः शाल्वणादिभिः ।
स्वेदयित्वा ततो भूयः स्निग्धं चर्म समानयेत् ॥१५॥
मणिं प्रपीड्य शनकैः प्रविष्टे चोपनाहनम् ।
मणौ पुनः पुनः स्निग्धं भोजनं चात्र शस्यते ॥१६॥
In Nivritta, the penis ought to be anointed with ghee, given fomentation and heat poultice of Salvana and so on. after correct oleation for 3 days or 5 days, it’s once more given fomentation and the lubricated pores and skin pulled ahead slowly, urgent the glans and progressively pushing it again, the glans ought to be given heat with poultice time and again; fatty meals are superb throughout therapy
Therapy of Avapatika
अयमेव प्रयोज्यः स्यादवपाट्यामपि क्रमः ।
The identical therapy ought to be adopted even for Avapatika.
Therapy of Niruddha
नाडीमुभयतोद्वारां निरुद्धे जतुना सृताम् ॥ १७ ॥
स्नेहाक्तां स्रोतसि न्यस्य सिञ्चेत्स्नेहैश्चलापहैः ।
त्र्यहात्त्र्यहात्स्थूलतरां न्यस्य नाडीं विवर्धयेत् ॥ १८ ॥
स्रोतोद्वारमसिद्धौ तु विद्वान् शस्त्रेण पाटयेत् ।
सेवनीं वर्जयन् युञ्ज्यात्सद्यःक्षतविधिं ततः ॥ १९ ॥
In Niruddha, a tube which has openings at each ends, smeared with lac and lubricated with fats is inserted into the urethra and bathed with oil which mitigate Vata. Each three days, huge sized tubes ought to be inserted and dilated. If by this technique the passage doesn’t get fashioned (dilated), then the doctor ought to make the opening with the knife, avoiding the location of the Sevani (raphae) after which undertake the therapy of recent wounds.
Therapy of Granthita
ग्रन्थितं स्वेदितं नाड्या स्निग्धोष्णैरुपनाहयेत् ।
Granthita ought to be uncovered to steam by way of pipes and unctuous heat poultice utilized over.
Therapy of Shataponaka
लिम्पेत्कषायैः सक्षौद्रैर्लिखित्वा शतपोनकम् ॥ २० ॥
Shataponaka ought to be scrapped properly and powder of herbs of astringent style added with honey utilized on.
Therapy of Shonitarbuda
रक्तविद्रधिवत्कार्या चिकित्सा शोणितार्बुदे ।
Shonitarbuda ought to be handled simply as treating Rakta vidardhi (chapter 13 of Cikitsasthana).
Vranopachara in all illnesses
व्रणोपचारं सर्वेषु यथावस्थं प्रयोजयेत् ॥ २१ ॥
In all illnesses (of the penis), ulcer therapy applicable to the stage ought to be resorted to.
Yoni Vyapat Chikitsa: Therapy of illnesses of the Vagina
Therapy of Vataja Yoni Vyapat
योनिव्यापत्सु भूयिष्ठं शस्यते कर्म वातजित् ।
स्नेहनस्वेदबस्त्यादि वातजासु विशेषतः ॥ २२ ॥
In illnesses of the Vagina, occuring particularly of Vata origin oleation, sudation, enema and such different therapies which destroy Vata are extremely precious.
Therapy of Vataja Yoni Vyapat
न हि वातादृते योनिर्वनितानां प्रदुष्यति ।
अतो जित्वा तमन्यस्य कुर्याद्दोषस्य भेषजम् ॥२३॥
With out the aggravation of Vata, the vagina doesn’t get disordered in ladies; therefore that ought to be received over (mitigated) first and the therapy of different doshas ought to be carried out subsequent.
Therapy of Vataja Yoni Vyapat
पाययेत बलातैलं मिश्रकं सुकुमारकम् ।
स्निग्धस्विन्नां तथा योनिं दुःस्थितां स्थापयेत्समाम् ॥ २४ ॥
पाणिना नमयेज्जिह्मां संवृतां व्यधयेत्पुनः ।
प्रवेशयेन्निःसृतां च विवृतां परिवर्तयेत् ॥ २५ ॥
स्थानापवृत्ता योनिर्हि शल्यभूता स्त्रियो मता ।
The lady ought to be given both Bala Taila (chapter 21), Mishraka Sneha (chapter 14), Sukumara Ghrita (chapter 14 of Chikistsasthana) to inside oleation remedy. The vagina ought to be anointed with fat given fomentation after which the distortions corrected by the hand, the curved one ought to be straightened, narrowed one ought to be widened, protruded one pushed again, reverted one changed, a displaced vagina is sort of a overseas physique itself to the girl.
Therapy of Vataja Yoni Vyapat
कर्मभिर्वमनाद्यैश्च मृदुभिर्योजयेत्स्त्रियम् ॥ २६ ॥
सर्वतः सुविशुद्धायाः शेषं कर्म विधीयते ।
बस्त्यभ्यङ्गपरीषेकप्रलेपपिचुधारणम् ॥ २७ ॥
Emesis and different purificatory therapies ought to be administered in a gentle manner for girls after correct purification, the remaining remedies equivalent to enema, therapeutic massage, bathing with decoction, software of pastes and carrying diapers (medicated) ought to be adopted.
Therapy of Vataja Yoni Vyapat
काश्मर्यत्रिफलाद्राक्षाकासमर्दनिशाद्वयैः ।
गुडूचीसैर्यकाभीरुशुकनासापुनर्नवैः ॥ २८ ॥
परूषकैश्च विपचेत्प्रस्थमक्षसमैर्घृतात् ।
योनिवातविकारघ्नं तत्पीतं गर्भदं परम् ॥ २९ ॥
Medicated ghee ought to be ready by cooking one prastha (768 grams) of ghee together with (the decoction and) paste of kāśmarya – Gmelina arborea, Triphala-
Haritaki – Terminalia chebula, Vibhitaki – Terminalia bellerica, Amalaki – Emblica officinalis, drākṣā – Vitis vinifera, kāsamarda – Cassia occidentalis, the 2 Nisha-
Haridra – Curcuma longa, Daruharidra – Berberis aristata, guḍūcī – Tinospora cordifolia, sairyakā – Strobilanthes ciliatus, abhīru – Asparagus racemosus, śukanāsā – Oroxylum indicum, punarnavaiḥ – Boerhavia diffusa parūṣakai: – and Grewia asiatica every one aksha (12 grams) in amount of ghee; this consumed orally cures illnesses of the vagina and successfully helps the formation of the embryo.
Therapy of Vataja Yoni Vyapat
वचोपकुञ्चिकाजाजीकृष्णावृषकसैन्धवम् ।
अजमोदायवक्षारशर्कराचित्रकान्वितम् ॥ ३० ॥
पिष्ट्वा प्रसन्नयाऽऽलोड्य खादेत्तद्घृतभर्जितम् ।
योनिपार्श्वार्तिहृद्रोगगुल्मार्शोविनिवृत्तये ॥ ३१ ॥
vacā – Acorus calamus, upakuñcika – Nigella sativa, ajājī – Cuminum cyminum, kṛṣṇā – Piper longum, vṛṣaka – Adhathoda vasica, saindhavam – rock salt, ajamodā – Apium Graveolens, alkali ready of Hordeum vulgare, sugar citrakānvitam – and Plumbago zeylanica are macerated after mixing with Prasanna (rip-off of beer), fried in ghee and consumed for the treatment of ache of the vagina and flanks, coronary heart illnesses, belly tumor and hemorrhoids.
Therapy of Vataja Yoni Vyapat
वृषकं मातुलुङ्गस्य मूलानि मदयन्तिकाम् ।
पिबेन्मद्यैः सलवणैस्तथा कृष्णोपकुञ्चिके ॥ ३२ ॥
vṛṣakaṃ – Adhathoda vasica, mātuluṅgasya mūlāni – root of Citrus medica madayantikām – and Lawsonia inermis ought to be consumed together with wine added with salt or kṛṣṇa – Piper longum, upakuñcike – and Nigella sativa –
could also be consumed equally.
Therapy of Vataja Yoni Vyapat
रास्नाश्वदंष्ट्रावृषकैः शृतं शूलहरं पयः ।
Milk boiled with rāsnā – Pluchea lanceolata, śvadaṃṣṭrā – Tribulus terrestris, vṛṣakaiḥ – and Adhathoda vasica relieves ache.
Therapy of Vataja Yoni Vyapat
गुडूचीत्रिफलादन्तीक्वाथैश्च परिषेचनम् ॥ ३३ ॥
Decoction of guḍūcī – Tinospora cordifolia, triphala –
Haritaki – Terminalia chebula, Vibhitaki – Terminalia bellerica, Amalaki – Emblica officinalis dantī – and Baliospermum montanum is appropriate for bathing (the vagina).
Therapy of Vataja Yoni Vyapat
नतवार्ताकिनीकुष्ठसैन्धवामरदारुभिः ।
तैलात्प्रसाधिताद्धार्यः पिचुर्योनौ रुजापहः ॥ ३४ ॥
Diaper (piece of cotton material) soaked in oil ready with nata – Valeriana wallicii, vārtākinī – Solanum xanthocarpum kuṣṭha – Saussurea lappa, saindhavā – rock salt maradārubhiḥ – and Cedrus deodara stored within the vagina relieves ache.
Therapy of Pittaja Yoni Vyapat
पित्तलानां तु योनीनां सेकाभ्यङ्गपिचुक्रियाः ।
शीताः पित्तजितः कार्याः स्नेहनार्थं घृतानि च ॥३५॥
For illnesses of the vagina brought on by Pitta aggravation, bathing, anointing, maintaining diaper and different therapies which mitigate Pitta ought to be carried out in chilly state and medicated ghee recipes used for oleation remedy.
Shatavari Ghrita
शतावरीमूलतुलाचतुष्कात्क्षुण्णपीडितात् ।
रसेन क्षीरतुल्येन पाचयेत घृताढकम् ॥३६॥
जीवनीयैः शतावर्या मृद्वीकाभिः परूषकैः ।
पिष्टैः प्रियालैश्चाक्षांशैर्द्विबलामधुकान्वितैः ॥३७॥
सिद्धशीते तु मधुनः पिप्पल्याश्च पलाष्टकम् ।
शर्कराया दशपलं क्षिपेल्लिह्यात्पिचुं ततः ॥३८॥
योन्यसृक्शुक्रदोषघ्नं वृष्यं पुंसवनं परम् ।
क्षतं क्षयमसृक्पित्तं कासं श्वासं हलीमकम् ॥३९॥
कामलां वातरुधिरं विसर्पं हृच्छिरोग्रहम् ।
अपस्मारार्दितायाममदोन्मादांश्च नाशयेत् ॥४०॥
The milky juice taken out by pounding 4 tula (19.2 Kg) of roots of śatāvarī – Asparagus racemosus is cooked with one adhaka (3.072 Kg) of ghee, including the paste of 1 aksha (12 grams) amount every of herbs of jivaniya gana (chapter 15 of Sutrasthana), śatāvaryā – Asparagus racemosus, mṛdvīkābhiḥ – Vitis vinfera, parūṣakaiḥ – Grewia asiatica, priyālai: – Buchanania lanzan, the 2 Bala -atibala – Abutilon indicum, bala – Sida cordifolia madhukānvitaiḥ – and Glycyrrhiza glabra; after it cools, eight pala (384 grams) every of honey and pippali – Piper longum and ten pala (480 grams) of sugar are added and saved. If consumed in doses of 1 pichu (one aksha – 12 grams), it cures illnesses of the vagina, menstrual blood, semen, is an aphrodisiac; helps to get male kids, cures wound, consumption, bleeding illness, cough, dyspnea, extreme jaundice, jaundice, gout, herpes, ache of the center and head, epilepsy, facial paralysis, tetanus, intoxication and madness might be cured off.
Jivaniya Ghrita
एवमेव पयःसर्पिर्जीवनीयोपसाधितम् ।
गर्भदं पित्तजानां च रोगाणां परमं हितम् ॥ ४१ ॥
Ghee ready with milk cooked in the identical (above) method with herbs of Jivniya gana (chapter 15 of Sutrasthana), helps conception and is finest suited to illnesses of Pitta origin.
Baladi Taila
बलाद्रोणद्वयक्वाथे घृततैलाढकं पचेत् ।
क्षीरे चतुर्गुणे कृष्णाकाकनासासितान्वितैः ॥ ४२ ॥
जीवन्तीक्षीरकाकोलीस्थिरावीरर्द्धिजीवकैः ।
पयस्याश्रावणीमुद्गपीलुमाषाख्यपर्णिभिः ॥ ४३ ॥
वातपित्तामयान् हत्वा पानाद्गर्भं दधाति तत् ।
In two drona (12.228 litres) of decoction of balā – Sida cordifolia, one adhaka (3.072 Kg) of ghee and oil (collectively) together with 4 components of milk and paste of kṛṣṇā – Piper longum, kākanāsā – Asclepias curassavica, sugar sweet, jīvantī – Leptadenia reticulata, kṣīrakākolī – Roscoea purpurea, sthirā – Desmodium gangeticum, vīra – Asparagus racemosus, ṛddhi – Habenaria intermedia, jīvakaiḥ – Malaxisa cuminata, payasyā – Holostemmaada-kodien, śrāvaṇī – Sphaeranthus indicus, mudga – Phaseolus trilobus, pīlu – Chonemorpha fragrans māṣākhya parṇibhiḥ – and Teramnus labialis all are cooked collectively and medicated oil ready. This consumed every day cures illnesses brought on by Vata and Pitta and helps conception.
Therapy of Raktaja Yoni Vyapat
रक्तयोन्यामसृग्वर्णैरनुबन्धमवेक्ष्य च ॥ ४४ ॥
यथादोषोदयं युञ्ज्याद्रक्तस्थापनमौषधम् ।
By noticing the colour of the discharged blood, the rise of the secondary dosha ought to be decided in illnesses of vagina arising from vitiation of blood after which in accordance with the concerned dosha therapy to cease the bleeding ought to be administered.
Pushyanuga Churna
पाठां जम्ब्वाम्रयोरस्थि शिलोद्भेदं रसाञ्जनम् ॥४५॥
अम्बष्ठां शाल्मलीपिच्छां समङ्गां वत्सकत्वचम् ।
बाह्लीकबिल्वातिविषालोध्रतोयदगैरिकम् ॥ ४६ ॥
शुण्ठीमधूकमाचीकरक्तचन्दनकट्फलम् ।
कट्वङ्गवत्सकानन्ताधातकीमधुकार्जुनम् ॥ ४७ ॥
पुष्ये गृहीत्वा सञ्चूर्ण्य सक्षौद्रं तण्डुलाम्भसा ।
पिबेदर्शःस्वतीसारे रक्तं यश्चोपवेश्यते ॥ ४८ ॥
दोषा जन्तुकृता ये च बालानां तांश्च नाशयेत् ।
योनिदोषं रजोदोषं श्यावश्वेतारुणासितम् ॥४९॥
चूर्णं पुष्यानुगं नाम हितमात्रेयपूजितम् ।
pāṭhāṃ – Cissampelos pareira, jambu – kernel of seeds of Syzygiumcumini, āmrayo: asthi – seed of Mangifera indica, śilodbhedaṃ – asphaltum, rasāñjanam – extract of Berberis aristata, ambaṣṭhāṃ – Cyclea peltata, śālmalīpicchāṃ – Bombax malabaricum, samaṅgāṃ – Rubia cordifolia, vatsakatvacam – bark of Holarrhena antidysentirica, bāhlīka – Crocus sativus, bilva – Aegle marmelos, ativiṣā – Aconitum heterophyllum, lodhra – Symplocos racemosa, toyada – Cyperus rotundus, gairikam – purple ochre, śuṇṭhī – Zingiber officinale madhūka – Madhuca longifolia mācīka – Tamarix Gallica raktacandana – Pterocarpus santalinus, kaṭphalam – Myrica nagi, kaṭvaṅga – Oroxylum indicum, vatsaka – Holarrhena antidysentirica, anantā – Hemidesmus indicus, dhātakī – Woodfordia fruticosa, madhuka – Glycyrrhiza glabra arjunam – and Terminalia arjuna gṛhītvā – all these herbs are collected throughout pushya stellar constellation, transformed to good powder and consumed blended with honey together with rice-wash. It cures haemorrhoids and diarrhoea which have bleeding, illnesses brought on by worms (intestinal parasites) in kids, illnesses of the vagina, menstrual problems which have blue, white, crimson and black coloured fluid discharge. This method often known as Pushyanuga Churna, and extolled by Atreya is useful.
Therapy of Kaphaja Yoni Vyapat
योन्यां बलासदुष्टायां सर्वं रूक्षोष्णमौषधम् ॥ ५० ॥
In illnesses of Vagina vitiated by Kapha, all of the therapy ought to be with herbs that are dry and scorching (in efficiency).
Dhatakyadi Taila
धातक्यामलकीपत्रस्रोतोजमधुकोत्पलैः ।
जम्ब्वाम्रसारकासीसलोध्रकट्फलतिन्दुकैः ॥५१॥
सौराष्ट्रिकादाडिमत्वगुदुम्बरशलाटुभिः ।
अक्षमात्रैरजामूत्रे क्षीरे च द्विगुणे पचेत् ॥५२॥
तैलप्रस्थं तदभ्यङ्गपिचुबस्तिषु योजयेत् ।
तेन शूनोन्नता स्तब्धा पिच्छिला स्राविणी तथा ॥५३॥
विप्लुतोपप्लुता योनिः सिध्येत्सस्फोटशूलिनी ।
Medicated oil ought to be ready with the (decoction of) dhātakī – Woodfordia fruticosa, āmalakīpatra – leaves of Emblica officinalis, srotoja – Lead sulphide, madhuka – Glycyrrhiza glabra, utpalaiḥ – Nymphaea alba, jambu – seed of Syzygium cumini āmra sāra – and seeds of Mangifera indica, kāsīsa – ferrous sulphate, lodhra – Symplocos racemosa, kaṭphala – Myrica nagi, tindukaiḥ – Diospyros peregrina, saurāṣṭrikā – Cinnamomum camphora, dāḍimatvak – Punica granatum, – udumbara śalāṭubhiḥ – tender fruits of Ficus racemosa, every one aksha (12 grams), added with two components of goat urine, cow milk and one prastha (768 ml) of oil and cooked; this ought to be used for anointing, soaking the vaginal diaper and enema (vaginal douche) and by it, the vagina which is swollen, elevated, static (inflexible), slimy, exudative, displaced, accompanied with eruptions and cracks and ache all get cured.
Therapy of Kaphaja Yoni Vyapat
यवान्नमभयारिष्टं सीधु तैलं च शीलयेत् ॥ ५४ ॥
पिप्पल्ययोरजःपथ्याप्रयोगांश्च समाक्षिकान् ।
Meals preparation from (barley) Hordeum vulgare, Abhayarista, Sidhu, and oil ought to be used habitually, so additionally recipes of pippalī – Piper longum, iron pathyā – Terminalia chebula blended with honey.
Kasisadi Churna
कासीसं त्रिफला काङ्क्षी साम्रजम्ब्वस्थि धातकी ॥५५॥
पैच्छिल्ये क्षौद्रसंयुक्तश्चूर्णो वैशद्यकारकः ।
Powder of kāsīsaṃ – ferrous sulphate, triphla – Haritaki – Terminalia chebula, Vibhitaki – Terminalia bellerica, Amalaki – Emblica officinalis, kāṅkṣī – Cinnamomum camphora, āmra – seeds of Mangifera indica, jambu asthi – and seeds of Syzygium cumini and Woodfordia fruticosa
क्षौद्र संयुक्त: – kṣaudra saṃyukta: – blended with honey (and utilized), causes dryness when the vagina is slimy (exudative).
Palashadi Churna
पलाशधातकीजम्बूसमङ्गामोचसर्जजः ॥ ५६ ॥
दुर्गन्धे पिच्छिले क्लेदे स्तम्भनश्चूर्ण इष्यते ।
आरग्वधादिवर्गस्य कषायः परिषेचनम् ॥ ५७ ॥
Powder of palāśa – Butea monosperma, dhātakī – Woodfordia fruticosa, jambū – Syzygium cumini, samaṅgā – Rubia cordifolia, moca – Salmalia malabarica sarjajaḥ – Vateria indica is fascinating in dangerous odor, slimy and moistness of the vagina as an astringent powder; the decoction of herbs of Aragvadhadhi varga (chapter 15 of sutrasthana) is sweet for bathing (the vagina).
Therapy of inflexible and tough vagina
स्तब्धानां कर्कशानां च कार्यं मार्दवकारकम् ।
धारणं वेसवारस्य कृशरापायसस्य च ॥ ५८ ॥
In case of vagina being inflexible and tough, it ought to be made mushy by maintaining a pad of veshavara (cooked meat) krishara (rice boiled with gram) or payasa (milk pudding).
Therapy for foul odor
दुर्गन्धानां कषायः स्यात्तैलं वा कल्क एव वा ।
चूर्णो वा सर्वगन्धानां पूतिगन्धापकर्षणः ॥ ५९ ॥
In case of foul odor, use of decoction, oil, paste or powder of all aromatic herbs will assist remove the foul odor.
Therapy ideas in accordance with vitiated dosha
श्लेष्मलानां कटुप्रायाः समूत्रा बस्तयो हिताः ।
पित्ते समधुकक्षीरा वाते तैलाम्लसंयुताः ॥ ६० ॥
सन्निपातसमुत्थायाः कर्म साधारणं हितम् ।
In illnesses brought on by Kapha aggravation, enema with fluids having pungent style and blended with cow urine are appropriate; in these brought on by Pitta (enema with fluids) having madhuka – Glycyrrhiza glabra and milk are appropriate and in these of Vata origin (enema with fluids) having oil and sours. In illnesses brought on by all of the doshas collectively, common line of therapy is appropriate.
Conception of embryo in purified womb
एवं योनिषु शुद्धासु गर्भं विन्दन्ति योषितः ॥ ६१ ॥
अदुष्टे प्राकृते बीजे जीवोपक्रमणे सति ।
Thus, when the vagina turns into purified, the girl conceives the embryo, if the seed will not be vitiated, is regular and jiva (atma/soul) enters into it.
Therapy of vitiated semen
पञ्चकर्मविशुद्धस्य पुरुषस्यापि चेन्द्रियम् ॥ ६२ ॥
परीक्ष्य वर्णैर्दोषाणां दुष्टं तद्घ्नैरुपाचरेत् ।
The semen of the person, who has undergone purification by way of the 5 purifactory therapies, also needs to be examined rigorously by its shade and the aggravation of doshas decided. The vitiated (semen) then handled by therapies which mitigate the aggravated dosha.
Phala Sarpis / Phala Ghrita
मञ्जिष्ठाकुष्ठतगरत्रिफलाशर्करावचाः ॥ ६३ ॥
द्वे निशे मधुकं मेदां दीप्यकं कटुरोहिणीम् ।
पयस्याहिङ्गुकाकोलीवाजिगन्धाशतावरीः ॥ ६४ ॥
पिष्ट्वाक्षांशा घृतप्रस्थं पचेत्क्षीरचतुर्गुणम् ।
योनिशुक्रप्रदोषेषु तत्सर्वेषु प्रशस्यते ॥ ६५ ॥
आयुष्यं पौष्टिकं मेध्यं धन्यं पुंसवनं परम् ।
फलसर्पिरिति ख्यातं पुष्पे पीतं फलाय यत् ॥ ६६ ॥
म्रियमाणप्रजानां च गर्भिणीनां च पूजितम् ।
एतत्परं च बालानां ग्रहघ्नं देहवर्धनम् ॥ ६७ ॥
mañjiṣṭhā – Rubia cordifolia, kuṣṭha – Saussurea lappa, tagara – Valeriana wallichii, Triphala-Haritaki – Terminalia chebulak, Vibhitaki – Terminalia bellerica, Amalaki – Emblica officinalis, sugar, vacāḥ – Acorus calamus, the 2 Nisha-Haridra – Curcuma longa, Daruharidra – Berberis aristata, madhukaṃ – Glycyrrhiza glabra, medāṃ – Polygonatum cirrhifolium, dīpyakaṃ – Trachyspermum roxburghianum, kaṭurohiṇīm – Picrorhiza kurroa, payasyā – Impomoea paniculata, hiṅgu – Ferula asafoetida, kākolī – Fritillaria roylei, vājigandhā – Withania somnifera, śatāvarīḥ – Asparagus racemosus every one aksa (12 grams) made into (decoction and) paste, added with one prastha (768 grams) of ghee, 4 components of milk and medicated ghee cooked. It is rather precious in all problems of the vagina and semen, it bestows longevity, nourishment, intelligence, auspiciousness and male kids; often known as Phalasarpis; it helps the girl to bear kids when consumed throughout menstrual interval. It’s helpful for these ladies whose kids die prematurely and in addition, for the pregnant; it’s best to chase away Balagraha (illness of kids) and promotes progress of their physique.
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां षष्ठे उत्तरस्थाने गुह्यरोगप्रतिषेधो नाम चतुस्त्रिंशोऽध्याय: ॥३४॥
Thus, ends the chapter Guhyaroga Pratishedha- the thirty fourth in Uttara sthana of Astanga Hridaya Samhita composed by Srimad Vagbhata, son of Sri Vaidyapati Simhagupta.
Thus, ends the Shalya tantra (Surgical procedure), the fifth department of Ayurveda.
