The third chapter of KalpaSiddhiSthanam of Ashtanga Hridayam is called as Vamana Virecana Vyāpat Siddhi. This chapter offers with the reason of ‘Management of complications of emesis and purgation therapies.’
The subjects lined on this chapter embrace –
- Vamana Ayoga – Inadequacy of emesis remedy
- Virecana Ayoga – Inadequacy of purgation remedy
- Mithya Yoga – Improper remedy
- Pippalyadi Curna
- Vamana Atiyoga – Extreme emesis remedy
- Virecana Atiyoga – Extreme of purgation remedy
Pledge by the writer(s)
अथातो विरेचनकल्पं 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 ‘administration of issues of emesis and purgation therapies. Thus say (pledge) Atreya and different sages.
Vamana Ayoga: Inadequacy of emesis remedy
वमनं मृदुकोष्ठेन क्षुद्वताऽल्पकफेन वा ।
अतितीक्ष्णहिमस्तोकमजीर्णे दुर्बलेन वा ॥ १ ॥
पीतं प्रयात्यधस्तस्मिन्निष्टहानिर्मलोदयः ।
वामयेत्तं पुनः स्निग्धं स्मरन् पूर्वमतिक्रमम् ॥ २ ॥
Emetic herb administered to those that have comfortable bowels, who’re hungry, who’ve slight enhance of Kapha, if the recipe may be very robust, very chilly, or little or no in amount, consumed by individuals who’ve indigestion and who’re debilitated, comes out by the downward route (by means of the rectum). By that, there’s lack of objective (emetic drugs not bringing in fruitful outcomes i.e. not inflicting vomiting), and there’s enhance of the mala (Dosha). Such a affected person needs to be made to vomit once more (by administering the emetic recipe) after making him lubricated (by oleation remedy) and remembering the error dedicated earlier.
Virechana Ayoga: Inadequacy of purgation remedy
अजीर्णिनः श्लेष्मवतो व्रजत्यूर्ध्वं विरेचनम् ।
अतितीक्ष्णोष्णलवणमहृद्यमतिभूरि वा ॥ ३ ॥
तत्र पूर्वोदिता व्यापत्सिद्धिश्च न तथापि चेत् ।
आशये तिष्ठति ततस्तृतीयं नावचारयेत् ॥ ४ ॥
अन्यत्र सात्म्याद्धृद्याद्वा भेषजान्निरपायतः ।
Purgative recipe administered to those that have indigestion and accumulation of Kapha if the recipe if very robust, very popular (in efficiency), salty, disagreeable or giant in amount comes out by means of the higher route, (by means of the mouth), by that the identical hazards described earlier (lack of objective and enhance of Dosha) happen. The remedy for that’s additionally the identical described earlier (administration of a second dose of drugs after giving oleation remedy). f even by this the purgative drugs doesn’t stay contained in the stomach (alimentary tract), then a 3rd dose shouldn’t be administered besides when the herb is habituated, nice and innocent.
अस्निग्धस्विन्नदेहस्य पुराणं रूक्षमौषधम् ॥ ५ ॥
दोषान् उत्क्लेश्य निर्हर्तुमशक्तं जनयेद्गदान् ।
विभ्रंशं श्वयथुं हिध्मां तमसो दर्शनं तृषम् ॥ ६ ॥
पिण्डिकोद्वेष्टनं कण्डूमूर्वोः सादं विवर्णताम् ।
स्निग्धस्विन्नस्य वाऽत्यल्पं दीप्ताग्नेर्जीर्णमौषधम् ॥ ७ ॥
शीतैर्वा स्तब्धमामे वा समुत्क्लेश्याहरन् मलान् ।
तानेव जनयेद्रोगान् अयोगः सर्व एव सः ॥ ८ ॥
Purgative recipe administered to the one who has not been given oleation and sudation therapies, the medication which is previous and dry (non- unctuous) results in excitation / enhance of the Doshas, and being unable to expel them out of the physique provides rise to illnesses akin to Vibhramsa (absence of want in something), swelling, hiccup, seeing darkness (fainting), thirst, twisting ache within the calves, contraction itching, weak spot of the thighs and discoloration. Little or no amount of purgative recipe administered to the one who has been given oleation and sudation therapies, when the medication will get digested by robust digestive hearth, when it turns into inactive by chilly (use of chilly water for consuming and ablutions, consuming chilly meals and so on.) or ama the malas (dosas) get exacerbated by the meals. All these are Ayoga (inadequacy of purgative remedy) and so they themselves trigger illnesses.
Treatment for Virechana Ayoga: Inadequacy of purgation remedy
तं तैललवणाभ्यक्तं स्विन्नं प्रस्तरसङ्करैः ।
निरूढः जाङ्गलरसैर्भोजयित्वाऽनुवासयेत् ॥ ९ ॥
फलमागधिकादारुसिद्धतैलेन मात्रया ।
स्निग्धं वातहरैः स्नेहैः पुनस्तीक्ष्णेन शोधयेत् ॥ १० ॥
Such a affected person needs to be anointed with oil blended with salt, made to perspire by Prastara and Samkara strategies (two sorts of sudation therapies), then administered a Niruha (decoction enema). He ought to then be given meals together with juice of meat of animals of desert- like areas, adopted by an anuvasana (oil enema), utilizing the oil ready with phala – Randia dumetorum, māgadhikā – Piper longum dāru mātrayā – and Berberis aristata. After this, he needs to be given oleation remedy, utilizing fat which mitigate Vata after which purified (administered purgative remedy) with robust herbs.
Mithya Yoga: Improper remedy
बहुदोषस्य रूक्षस्य मन्दाग्नेरल्पमौषधम् ।
सोदावर्तस्य चोत्क्लेश्य दोषान् मार्गान्निरुध्य तैः ॥ ११ ॥
भृशमाध्मापयेन्नाभिं पृष्ठपार्श्वशिरोरुजम् ।
श्वासं विण्मूत्रवातानां सङ्गं कुर्याच्च दारुणम् ॥ १२ ॥ अभ्यङ्गस्वेदवर्त्यादि सनिरूहानुवासनम् ।
उदावर्तहरम्सर्वं कर्माध्मातस्य शस्यते ॥ १३ ॥
पञ्चमूलयवक्षारवचाभूतिकसैन्धवैः ।
यवागूः सुकृता शूलविबन्धानाहनाशनी ॥ १४ ॥
Small amount of the (purgative) recipe administered to individual having profound enhance of Doshas, to those that are dry, who’ve weak digestive exercise, and who’ve Udavarta (upward motion of Vata), will increase the Doshas and blocks the passages by the identical doshas (getting hindered of their motion of the elevated Doshas) produce profound distension of the (space round) umbilicus, ache within the again, flanks and head, dyspnoea and it’ll develop extreme obstruction of the feces, urine and flatus. For such situations, oil therapeutic massage, sudation, rectal wick (suppository), decoction enema oil enema and all different therapies which relive Udavarta (bloating) are helpful; for the individual having distension of the stomach, Yavagu (skinny gruel) ready with Pancamula (group of 5 roots), alkali ready of Hordeum vulgare, vacā – Acorus calamus, bhūtika – Trachysperum ammi, saindhavaiḥ – and rock salt and properly processed (with addition of and fat) cures colic, obstruction of feces and so on., and distension of the stomach might be destroyed (cured).
Pippalyadi Churna
पिप्पलीदाडिमक्षारहिङ्गुशुण्ठ्यम्लवेतसान् ।
ससैन्धवान् पिबेन्मद्यैः सर्पिषोष्णोदकेन वा ॥ १५ ॥
प्रवाहिकापरिस्राववेदनापरिकर्तने ।
pippalī – (Powder of) Piper longum, dāḍima – Punica granatum, kṣāra – alkali of Hordeum vulgare, hiṅgu – Ferula foetida, śuṇṭhi – Zingiber officinale, amlavetasān – Garcinia pedunculata sa saindhavān – and rock salt needs to be consumed together with both Madya (wine), ghee or heat water for the treatment of dysentery, slimy discharge from the rectum and reducing ache within the rectum.
Treatment for unconsciousness episode throughout Vamana / Virechana
पीतौषधस्य वेगानां निग्रहान्मारुतादयः ॥ १६ ॥
कुपिता हृदयं गत्वा घोरं कुर्वन्ति हृद्ग्रहम् ।
हिध्मापार्श्वरुजाकासदैन्यलालाक्षिविभ्रमैः ॥ १७ ॥
जिह्वां खादति निःसञ्ज्ञो दन्तान् कटकटाययन् ।
न गच्छेद्विभ्रमं तत्र वामयेदाशु तं भिषक् ॥ १८ ॥
मधुरैः पित्तमूर्छार्तं कटुभिः कफमूर्छितम् ।
पाचनीयैस्ततश्चास्य दोषशेषं विपाचयेत् ॥ १९ ॥
कायाग्निं च बलं चास्य क्रमेणाभिप्रवर्धयेत् ।
By suppressing the urges (of purgation) arising after the consumption of the medicines, Vata and others (Doshas) get aggravated / Elevated and produce extreme catching ache within the coronary heart after getting settled within the coronary heart, accompanied with hiccup, ache within the flanks, cough, helplessness, extra salivation and rolling of the attention balls; the affected person chews his tongue, loses consciousness and grinds his enamel. At such a state the doctor mustn’t turn into agitated however ought to make the affected person vomit instantly by administering emetic herbs of candy style, if the affected person is unconscious by Pitta, with these of pungent style, if he’s unconscious by Kapha, subsequent by herbs which promote digestion the residual Doshas needs to be obtained cooked (mitigated). His digestive exercise and power of the physique needs to be improved. His digestive exercise and power of the physique needs to be improved step by step.
Vamana Atiyoga: Extreme emesis remedy
पवनेनातिवमतो हृदयं यस्य पीड्यते ॥ २० ॥
तस्मै स्निग्धाम्ललवणान् दद्यात्पित्तकफेऽन्यथा ।
By extra of vomiting, there arises ache within the coronary heart attributable to (enhance of) Vata For such a affected person medicines which possess unctuousness, bitter and salt style needs to be administered. In case of (enhance of) Pitta and Kapha, the herbs of reverse qualities (dry, candy and chilly) needs to be given.
Vamana Atiyoga: Extreme emesis remedy and line of administration
पीतौषधस्य वेगानां निग्रहेण कफेन वा ॥ २१ ॥
रुद्धोऽति वा विशुद्धस्य गृह्णात्यङ्गानि मारुतः ।
स्तम्भवेपथुनिस्तोदसादोद्वेष्टार्तिभेदनैः ॥ २२ ॥
तत्र वातहरं सर्वं स्नेहस्वेदादि शस्यते ।
After consuming the medication, if the urges (of vomiting) are suppressed or their channels are obstructed by Kapha or by extra of purification (by extra of vomiting) Vata (getting elevated) seizes the physique producing rigidity, tremors, steady pricking ache, debility, twisting ache and reducing ache. In such a situation oleation, sudation and all different remedial measures which mitigate Vata are advisable.
Vamana Atiyoga: Extreme emesis remedy, remedy
बहुतीक्ष्णं क्षुधार्तस्य मृदुकोष्ठस्य भेषजम् ॥ २३ ॥ योज्योऽतिवमने रेको विरेके वमनं मृदु ।
परिषेकावगाहाद्यैः सुशीतैः स्तम्भयेच्च तम् ॥ २५ ॥ अञ्जनं चन्दनोशीरमजासृक्शर्करोदकम् ।
लाजचूर्णैः पिबेन्मन्थमतियोगहरं परम् ॥ २६ ॥
Very highly effective drugs administered to the affected person who’s affected by starvation or who’s having comfortable bowels, in case of extra vomiting, delicate purgation needs to be administered. In case of extra purgation delicate emesis, extra bouts needs to be managed by Pariseka (pouring chilly water on the physique) by immersing the physique in medicated liquids, making use of chilly packs, fanning and different strategies of cooling the physique groats/candy paste ready from añjanaṃ – Berberis aristata, candana – Santalum album, uśīraṃ – Vetiveria zizanioides, ajāsṛk – goats blood śarkara udakam – and sugar water, lājacūrṇaiḥ – powder of parched grains which is finest to manage extra bouts needs to be consumed.
Vamana Atiyoga: Extreme emesis remedy
वमनस्यातियोगे तु शीताम्बुपरिषेचितः ।
पिबेत्फलरसैर्मन्थं सघृतक्षौद्रशर्करम् ॥ २७ ॥
सोद्गारायां भृशं छर्द्यां मूर्वाया धान्यमुस्तयोः ।
समधूकाञ्जनं चूर्णं लेहयेन्मधुसंयुतम् ॥ २८ ॥
In case of extra bouts of vomiting, chilly water needs to be poured over the physique and Mantha (groats) ready with juice of fruits blended with ghee, honey and sugar needs to be consumed. When there’s extreme eructation (belching) related to extra of vomiting, powder of mūrvāyā – Marsdenia tenacissima, dhānya – Coriandrum sativum, mustayoḥ – Cyperus rotundus, sa madhūka – Madhuca longifolia añjanaṃ – and Berberis aristata blended with honey needs to be licked.
वमतोऽन्तः प्रविष्टायां जिह्वायां कवलग्रहाः ।
स्निग्धाम्ललवणा हृद्या यूषमांसरसा हिताः ॥ २९ ॥ फलान्यम्लानि खादेयुस्तस्य चान्येऽग्रतो नराः ।
निःसृतां तु तिलद्राक्षाकल्कलिप्तां प्रवेशयेत् ॥ ३० ॥
If the tongue has gone deep inside attributable to extra vomiting, mouth gargling with soups and meat juices added with fat, sours and salts and nice to the thoughts are helpful. One other individual ought to sit in entrance of the affected person and eat bitter fruits. When the tongue comes out, it needs to be smeared with the paste of Sesamum indicum and Vitis vinifera after which pushed in.
वाग्ग्रहानिलरोगेषु घृतमांसोपसाधिताम् ।
यवागूं तनुकां दद्यात्स्नेहस्वेदौ च कालवित् ॥ ३१ ॥
In case of obstruction to speech and such different problems of Vata, skinny gruel processed with ghee and meat needs to be given, oleation and sudation therapies appropriate to the time (season) administration.
अतियोगाच्च भैषज्यं जीवं हरति शोणितम् ।
तज्जीवादानमित्युक्तमादत्ते जीवितं यतः ॥ ३२ ॥
शुने काकाय वा दद्यात्तेनान्नमसृजा सह ।
भुक्तेऽभुक्ते वदेज्जीवं पित्तं वा भेषजेरितम् ॥ ३३ ॥ शुक्लं वा भावितं वस्त्रमावानं कोष्णवारिणा ।
प्रक्षालितं विवर्णं स्यात्पित्ते शुद्धं तु शोणिते ॥ ३४ ॥
That drugs which by extra bouts (of vomiting) takes away the Jiva Sonita (life supporting blood) is called Jivadana, because it takes away the life. The meals blended with the blood (popping out by extra bouts) needs to be given to both a canine or a crow, if the animal eats, it’s thought of as jiva i.e. pure blood and if the animal rejects it, it’s thought of as pitta / raktapitta i.e. blood contaminated by pitta that are brought on by drugs. If a white fabric soaked and made moist with blood, when washed with heat water if it turns into discoloured then it’s Pitta if it stays clear white, then it’s pure blood.
Treatment for Virecana Atiyoga: Extreme of purgation remedy
तृष्णामूर्छामदार्तस्य कुर्यादामरणात्क्रियाम् ।
रक्तपित्तातिसारघ्नीं तस्याशु प्राणरक्षणीम् ॥ ३५ ॥
मृगगोमहिषाजानां सद्यस्कं जीवतामसृक् ।
पिबेज्जीवाभिसन्धानं जीवं तद्ध्याशु गच्छति ॥ ३६ ॥
The affected person having thirst, fainting (unconsciousness) and toxicity (intoxication) needs to be administered therapies which are used to deal with bleeding problems and atisara (diarrhoea) until the final second of loss of life. He needs to be made to drink contemporary blood of the animals like deer, cow, buffalo or goat, which protects the life shortly and replenishes the blood misplaced and the identical additionally shortly replenishes (restores) the life.
तदेव दर्भमृदितं रक्तं वस्तौ निषेचयेत् ।
श्यामाकाश्मर्यमधुकदूर्वोशीरैः शृतं पयः ॥ ३७ ॥
घृतमण्डाञ्जनयुतं वस्तिं वा योजयेद्धिमम् ।
पिच्छावस्तिं सुशीतं वा घृतमण्डानुवासनम् ॥ ३८ ॥
The identical blood churned together with Desmostachya bipinnata needs to be administered as an enema, milk boiled with śyāmā – Ipomoea petaloides, kāśmarya – Gmelina arborea, madhuka – Glycyrrhiza glabra, dūrvā – Cynodon dactylon uśīraiḥ – and Vetiveria zizanioides as an enema, milk boiled with scum of ghee and Berberis aristate needs to be administered as enema in chilly state or a Piccha basti (lubricating retention enema) needs to be administered or chilly scum of ghee as lubricating enema.
गुदं भ्रष्टं कषायैश्च स्तम्भयित्वा प्रवेशयेत् ।
विसञ्ज्ञं श्रावयेत्सामवेणुगीतादिनिस्वनम् ॥ ३९ ॥
The protruded rectum (prolapsed of the rectum) needs to be made static / onerous by utility of paste of astringent herbs after which pushed within the unconscious affected person needs to be made to take heed to the melodious notes of Samaveda hymns, the flute and different songs.
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां पञ्चमे कल्पसिद्धिस्थाने वमनविरेचनव्याप्त्सिद्धिर्नाम तृतीयोऽध्याय: ॥ ३ ॥
Thus, ends the chapter Vamana-Virecana Vyapat Siddhi the third in Kalpa- Siddhi Sthana of Astangahrdaya Sambhita composed by Srimad Vagbhata, son of sri Vaidyapati Simhagupta.
