The 25th chapter of Uttara Sthanam of Ashtanga Hridayam is called as Vrana Pratishedha. This chapter offers with the reason of ‘Treatment of ulcers.’
The matters lined on this chapter embrace –
Dustavrana (vitiated Ulcer)
- Vrana Prakara – sorts of ulcer
- Vrana Prakara – sorts of ulcer
- Vataja Vrana
- Pittaja Vrana
- Kaphaja Vrana
- Raktaja Vrana
- Dvandvaja and Tridoshaja Vrana
- Shuddha Vrana – non-vitiated ulcer
- Dussadhya Vrana – incurable ulcer
- Susadhya Vrana – simply curable ulcer
- Krichrasadhya Vrana – troublesome to remedy ulcers
- Asadhya Vrana – incurable ulcer
- Therapeutic ulcer
- Vrana Cikitsa – remedy of ulcers
- Intervention through the presence of swelling
- Bloodletting
- Utility of medicinal pastes and different procedures
- Nyagrodhadi Pralepa
- Therapy of Vata predominant ulcers
- Therapy of Vata predominant ulcers
- Upanaha
- Darana
- Gugguluvadi Lepa in pakva shopha
- Pidana
- Therapy of swelling which is drying
- Kshalana and different procedures
- Patoladi alepa
- Trivritadi Varti
- Yavadi dhupana
- Shita Nirvapa
- Therapy of ulcers having dried our muscle groups
- Therapy of ulcers attributable to Ashmari
- Ropana
- Ashvagandhadi lepa
- Tiladi lepa
- Tila Yava Lepa
- Laxadi Pralepa
- Kaliyakadi Pralepa
- Romasanjanana
- Shastrakarma vidhi in vrana
- Formulations for doshaja vranas
Pledge by the writer(s)
अथातो व्रणप्रतिषेधो व्याख्यास्याम: ।
इति ह स्माहुरात्रेयादयो महर्षय: ।
Athāto vraṇa pratiṣedho vyākhyāsyāma: – After having provided prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of ‘Therapy of ulcers.
iti ha smāhu: ātreyādayo maharṣaya: – Thus, say (pledge) Atreya and different sages.
Vrana Prakara: Sorts of ulcer
व्रणो द्विधा निजागन्तुदुष्टशुद्धविभेदतः ।
निजो दोषैः शरीरोत्थैरागन्तुर्बाह्यहेतुजः ॥ १ ॥
दोषैरधिष्ठितो दुष्टः शुद्धस्तैरनधिष्ठितः ।
Vrana are of two kinds-viz, natural and traumatic and vitiated/foul and unvitiated /lean. Nija vrana is attributable to doshas (aggravated) within the physique, Agantu vrana by exterior causes; Dusta is that through which the doshas are localized and Shuddha is that which is free from localization of the doshas.
Dustavrana (vitiated Ulcer)
Vrana Prakara: Sorts of ulcer
संवृतत्वं विवृतता काठिन्यं मृदुताऽति वा ॥ २ ॥
अत्युत्सन्नावसन्नत्वमत्यौष्ण्यमतिशीतता ।
रक्तत्वं पाण्डुता कार्ष्ण्यं पूतिपूयपरिस्रुतिः ॥ ३ ॥
पूतिमांससिरास्नायुच्छन्नतोत्सङ्गिताऽतिरुक् ।
संरम्भदाहश्वयथुकण्ड्वादिभिरुपद्रुतः ॥ ४ ॥
दीर्घकालानुबन्धश्च विद्याद्दुष्टव्रणाकृतिम् ।
Both contraction or growth; extreme hardness or softness; an excessive amount of of elevation or despair; too sizzling or chilly, an excessive amount of of redness or paleness; black coloration, discharge of foul-smelling pus; foul smelling muscle, veins, ligaments surrounded by swelling and extreme ache, profound misery, burning sensation, swelling, itching and different issues associating and persisting for a very long time are the options of a Dusta Varna (vitiated ulcer).
स पञ्चदशधा दोषैः सरक्तै:
It (Vrana) is of fifteen varieties, attributable to the Doshas together with Rakta (blood).
Vataja Vrana
स्तत्रमारुतात् ॥ ५ ॥
श्यावःकृष्णोऽरुणोभस्मकपोतास्थिनिभोऽपिवा ।
मस्तुमांसपुलाकाम्बुतुल्यतन्वल्पसंस्रुतिः ॥ ६ ॥
निर्मांसस्तोदभेदाढ्योरूक्षश्चटचटायते ।
Vrana attributable to Vata is blue, blackish purple or resembles ash or bones of the pigeon, exudes fluids which resembles water of curds, mutton wash or grain wash, skinny, small in amount; ulcer not exhibiting extra of muscle tissue with extreme pricking ache and cutting-like ache, dryness and makes sound (when manipulated).
Pittaja Vrana
पित्तेन क्षिप्रजः पीतो नीलः कपिलपिङ्गलः ॥ ७ ॥
मूत्रकिंशुकभस्माम्बुतैलाभोष्णबहुस्रुतिः ।
क्षारोक्षितक्षतसमव्यथो रागोष्मपाकवान् ॥ ८ ॥
Ulcer attributable to Pitta, develops shortly, is yellow, blue, brown or yellowish-brown, exudes fluid resembling urine, kiṃśuka – Butea monosperma, resolution of ash and oil, heat and enormous in amount; ache resembles that attributable to the smearing of caustic alkali (extreme burning sensation), redness, feeling of nice warmth and undergoes ripening / suppuration.
Kaphaja Vrana
कफेन पाण्डुः कण्डूमान् बहुश्वेतघनस्रुतिः ।
स्थूलौष्ठः कठिनः स्नायुसिराजालततोऽल्परुक् ॥ ९
Ulcer attributable to Kapha is pale, has itching, giant amount of white, thick exudates, thick edges, exhausting with a community of tendons and veins and has delicate ache.
Raktaja Vrana
प्रवालरक्तो रक्तेन सरक्तं पूयमुद्गिरेत् ।
वाजिस्थानसमो गन्धे युक्तो लिङ्गैश्च पैत्तिकैः ॥१०॥
Ulcer attributable to Rakta (blood) is purple just like the coral, exudes pus combined with blood, emits odor like that of a horse’s stables and has different options of ulcer attributable to Pitta.
Dvandvaja and Tridoshaja Vrana
द्वाभ्यां त्रिभिश्च सर्वैश्च विद्याल्लक्षणसङ्करात् ।
By the combination of options, presence of two doshas and three doshas ought to be understood.
Shuddha Vrana: Non-vitiated ulcer
जिह्वाप्रभो मृदुः श्लक्ष्णः श्यावौष्ठपिटिकः समः॥११॥
किञ्चिदुन्नतमध्यो वा व्रणः शुद्धोऽनुपद्रवः ।
The ulcer which resembles the tongue (in colour), is delicate, clean, bluish in its edges with eruptions (granulations), even, the ground barely elevated and never accompanied with issues are options of a Shuddhavrana (ulcer unvitiated by the Doshas and so forth.).
Dussadhya Vrana: Incurable ulcer
त्वगामिषसिरास्नायुसन्ध्यस्थीनि व्रणाशयाः ॥१२॥
कोष्ठो मर्म च तान्यष्टौ दुःसाध्यान्युत्तरोत्तरम् ।
The pores and skin, muscle, vein, tendons, bony joints, bones, viscera of the trunk and very important spots these eight are locations of dwelling (web site) of the Ulcers are very troublesome to remedy of their successive order.
Susadhya Vrana: Simply curable ulcer
सुसाध्यः सत्त्वमांसाग्निवयोबलवति व्रणः ॥ १३ ॥
वृत्तो दीर्घस्त्रिपुटकश्चतुरश्राकृतिश्च यः ।
तथा स्फिक्पायुमेढ्रौष्ठपृष्ठान्तर्वक्त्रगण्डगः ॥ १४ ॥
Ulcers are simply curable, that are current in individuals who’re sturdy in thoughts, muscle, digestive fireplace, age; that are spherical, elongated with three folds and 4 sides in form, current on the buttocks, rectum, penis, lips, again inside of the mouth and cheeks.
Krichrasadhya Vrana: Tough to remedy ulcers
कृच्छ्रसाध्योऽक्षिदशननासिकापाङ्गनाभिषु ।
सेवनीजठरश्रोत्रपार्श्वकक्षास्तनेषु च ॥ १५ ॥
Ulcers on the eyes, tooth, nostril, outer angle of the attention, umbilicus, sutures, stomach, ears, flanks, axillae and breasts are troublesome to remedy.
फेनपूयानिलवहः शल्यवान् ऊर्ध्वनिर्वमी ।
भगन्दरोऽन्तर्वदनस्तथा कट्यस्थिसंश्रितः ॥ १६ ॥
कुष्ठिनां विषजुष्टानां शोषिणां मधुमेहिनां ।
व्रणाः कृच्छ्रेण सिध्यन्ति येषां च स्युर्व्रणे व्रणाः ॥१७॥
These which exude froth, pus and air (or fuel), these having overseas physique, that are elevated very a lot, which don’t exude in any respect; bhagandaro – rectal fistula which has its mouth inside and invading the pelvic bone, ulcers of sufferers affected by pores and skin ailments, affected by poison, tuberculosis and diabetes mellitus and people ulcers which develops on one other (earlier) ulcer get cured with issue.
Asadhya Vrana: Incurable ulcer
नैव सिध्यन्ति वीसर्पज्वरातीसारकासिनाम् ।
पिपासूनामनिद्राणां श्वासिनामविपाकिनाम् ॥ १८ ॥
भिन्ने शिरःकपाले वा मस्तुलुङ्गस्य दर्शने ।
Ulcer in sufferers of herpes, fever, diarrhoea, cough, extreme thirst, who don’t sleep in any respect, who’re affected by dyspnea and indigestion, in whom the cranium is fractured or the mind is seen don’t get cured.
Asadhya Vrana: Incurable ulcer
स्नायुक्लेदात्सिराछेदाद्गाम्भीर्यात्कृमिभक्षणात् ॥ १९ ॥
अस्थिभेदात्सशल्यत्वात्सविषत्वादतर्कितात् ।
मिथ्याबन्धादतिस्नेहाद्रौक्ष्याद्रोमादिघट्टनात् ॥ २० ॥
क्षोभादशुद्धकोष्ठत्वात्सौहित्यादतिकर्शनात् ।
मद्यपानाद्दिवास्वप्नाद्व्यवायाद्रात्रिजागरात् ॥ २१ ॥
व्रणो मिथ्योपचाराच्च नैव साध्योऽपि सिध्यति ।
Even curable change into incurable by exudation of tendons, reducing of the veins, enhance of depth, devouring (description) by worms (micro organism and so forth.), fracture of bones, presence of overseas our bodies and poisons, unexpectedly, improperly binding it, extreme unctuousness, dryness surrounded by physique hairs by an excessive amount of of pressure, impurity of the alimentary tract, an excessive amount of of meals, an excessive amount of of debility, ingesting wine, sleeping throughout day, copulation, preserving awake at nights and improper therapies of ulcers.
Therapeutic ulcer
कपोतवर्णप्रतिमा यस्यान्तः क्लेदवर्जिताः ॥२२॥
स्थिराश्चिपिटिकावन्तो रोहतीति तमादिशेत् ।
An ulcer which has the colour resembling a pigeon, its inside freed from exudations, static (exhausting, immovable) containing pores and skin flakes ought to be understood as “healing”.
Vrana Chikitsa: Therapy of ulcers
अथात्र शोफावस्थायां यथासन्नं विशोधनम् ॥ २३ ॥
योज्यं शोफो हि शुद्धानां व्रणश्चाशु प्रशाम्यति ।
Within the stage of swelling itself, prefatory remedy within the nearest route (both emesis or purgation) ought to be administered; swelling or ulcer get cured shortly in the one that has been purified.
Intervention through the presence of swelling
कुर्याच्छीतोपचारं च शोफावस्थस्य सन्ततम् ॥२४॥
दोषाग्निरग्निवत्तेन प्रयाति सहसा शमम् ।
Throughout the stage of swelling, chilly therapies ought to be resorted to repeatedly; the agni (fireplace) within the Doshas is just like fireplace (exterior fireplace) and will get subsided by this methodology instantly.
Bloodletting
शोफे व्रणे च कठिने विवर्णे वेदनान्विते ॥ २५ ॥
विषयुक्ते विशेषेण जलजाद्यैर्हरेदसृक् ।
दुष्टास्रेऽपगते सद्यः शोफरागरुजां शमः ॥ २६ ॥
In swelling and ulcer that are exhausting, discolored, painful and containing poison, particularly blood ought to be taken out by utilizing leeches; with the vitiated blood going out, swelling, redness and ache subside instantly.
Utility of medicinal pastes and different procedur
हृते हृते च रुधिरे सुशीतैः स्पर्शवीर्ययोः ।
सुश्लक्ष्णैस्तदहःपिष्टैः क्षीरेक्षुस्वरसद्रवैः ॥ २७ ॥
शतधौतघृतोपेतैर्मुहुरन्यैरशोषिभिः ।
प्रतिलोमं हितो लेपः सेकाभ्यङ्गाश्च तत्कृताः ॥ २८ ॥
After such removing of blood usually, the ulcer ought to be lined with good paste of herbs that are chilly in contact and efficiency and utilized chilly and ready on the identical day macerating with milk, sugarcane juice and such different liquids; Shatadhauta Ghrita (ghee washed hundred occasions in water or decoction of bark of timber having milky sap) ought to be utilized usually and likewise, the opposite non-drying issues, rubbing it within the course reverse of the hairs is useful, in order the anointing, bathing the ulcer and therapeutic massage ought to be carried out, by the identical herbs.
Nyagrodhadi Pralepa
न्यग्रोधोदुम्बराश्वत्थप्लक्षवेतसवल्कलैः ।
प्रदेहो भूरिसर्पिर्भिः शोफनिर्वापणः परम् ॥ २९ ॥
Thick heat poultice of the bark of nyagrodha – Ficus bengalensis, udumbara – Ficus racemosa, aśvattha – Ficus religiosa, plakṣa – Ficus lacor and vetasa – Salix caprea added with extra of ghee is finest to alleviate swelling.
Therapy of Vata predominant ulcers
वातोल्बणानां स्तब्धानां कठिनानां महारुजाम् ।
स्रुतासृजां च शोफानां व्रणानामपि चेदृशाम् ॥ ३० ॥
आनूपवेसवाराद्यैः स्वेदः सोमास्तिलाः पुनः ।
भृष्टा निर्वापिताः क्षीरे तत्पिष्टा दाहरुघराः ॥ ३१
Ulcers which have predominance of Vata, that are static, exhausting and severely painful, swellings through which blood has been eliminated or ulcers of this type, ought to be given fomentation with veshavara (minced meat cooked in oil) and so forth. of animals of marshy lands. Seeds of Linum usittaissimum and tilāḥ – Sesamum indicum are fried, soaked in milk made right into a paste (and utilized to the ulcer) to alleviate burning sensation and ache.
Therapy of Vata predominant ulcers
स्थिरान् मन्दरुजः शोफान् स्नेहैर्वातकफापहैः ।
अभ्यज्य स्वेदयित्वा च वेणुनाड्या शनैः शनैः ॥३२॥
विम्लापनार्थं मृद्नीयात्तलेनाङ्गुष्ठकेन वा ।
यवगोधूममुद्गैश्च सिद्धपिष्टैः प्रलेपयेत् ॥३३॥
Swelling that are static and of lifeless ache ought to be anointed with oils which mitigate Vata and Kapha, after massaging, uncovered to the steam by way of the reeds of Bamboo slowly, ought to be squeezed with the palm and the thumb to make it delicate, utilized with a paste of flour of Hordeum vulgare, godhūma – Triticum aestivum and mudgaiśca – Vigna radiata.
Upanaha
विलीयते स चेन्नैवं ततस्तमुपनाहयेत् ।
अविदग्धस्तथा शान्तिं विदग्धः पाकमश्नुते ॥३४॥
सकोलतिलवल्लोमा दध्यम्ला सक्तुपिण्डिका ।
सकिण्वकुष्ठलवणा कोष्णा शस्तोपनाहने ॥३५॥
If by this methodology, the swelling doesn’t get decreased, then upanaha (software of heat poultice) ought to be carried out; by that the swelling subsides whether it is unripe and kinds pus, if it he ripens, sakola – Ziziphus mauritiana, tila – Sesamum indicum, Valla – legumes, umā – Linum ustitissimum, bitter curds paste of corn flour brewing yeast kuṣṭha – Saussurea lappa and salt and made right into a paste is utilized heat appropriate for poultice.
Darana
सुपक्वे पिण्डिते शोफे पीडनैरुपपीडिते ।
दारणं दारणार्हस्य सुकुमारस्य चेष्यते ॥ ३६ ॥
If the swelling is effectively ripened, collared collectively and squeezes mildly, it’s fascinating to trigger its burning, in those that are match for it and who’re of tender nature.
Gugguluvadi Lepa in Pakva Shopha
गुग्गुल्वतसिगोदन्तस्वर्णक्षीरीकपोतविट् ।
क्षारौषधानि क्षाराश्च पक्वशोफविदारणम् ॥ ३७ ॥
Guggulu – Commiphora mukul, atasi – Linum usitatissimum, tooth of cow or Arsenii trisulphidum, svarṇakṣīrī – Panicum sumatrense, kapotaviṭ – excreta of pigeon, medicines which have caustic property and caustic alkalies; these result in bursting of the ripened swelling.
Pidana
पूयगर्भानणुद्वारान् सोत्सङ्गान् मर्मगानपि ।
निःस्नेहैः पीडनद्रव्यैः समन्तात्प्रतिपीडयेत् ॥ ३८ ॥
The swelling which is filled with pus, has a slender mouth, bulged up and situated on a significant spot ought to be repeatedly squeezed with herbs of such motion with out the addition of fat.
Therapy of swelling which is drying
शुष्यन्तं समुपेक्षेत प्रलेपं पीडनं प्रति ।
न मुखे चैनमालिम्पेत्तथा दोषः प्रसिच्यते ॥ ३९ ॥
That swelling which is drying up ought to be uncared for in respect of software of paste and squeezing, its mouth not coated with the paste, for the doshas come out of it on their very own accord.
कलाययवगोधूममाषमुद्गहरेणवः ।
द्रव्याणां पिच्छिलानां च त्वङ्मूलानि प्रपीडनम् ॥४०॥
Bark of the stem and roots of kalāya – Lathyrus sativus, yava – Hordeum vulgare, godhūma – Triticum aestivum, māṣa – Vigna mungo, mudga – Vigna radiata and hareṇavaḥ – Pisum sativum and herbs that are slimy are good for squeezing (the swelling).
Kshalana and different procedures
सप्तसु क्षालनाद्येषु सुरसारग्वधादिकौ ।
भृशं दुष्टे व्रणे योज्यौ मेहकुष्ठव्रणेषु च ॥ ४१ ॥
In Dusta Varna (Vitiated ulcer) and people of diabetes, kuṣṭha – pores and skin illness and ulcers, herbs of Surasadi Gana and Aragvadhadi Gana (chapter 15 of Sutrasthana) ought to be made use of, the seven therapies equivalent to Kshalana and so forth. (Kshalana – washing, Alepa – paste software, Ghrita, Taila, Rasakriya, Churna and Varti) particularly.
अथवा क्षालनं क्वाथः पटोलीनिम्बपत्रजः ।
अविशुद्धे विशुद्धे तु न्यग्रोधादित्वगुद्भवः ॥ ४२ ॥
Washing the ulcer might be carried out with the decoction of leaves of Trichosanthes dioica and nimba – Azadirachta indica. When the ulcer is vitiated, and with that of the bark of herbs of NyagrodhadiGana (chapter 15 of Sutrasthana) when the ulcer is just not vitiated.
Patoladi alepa
पटोलीतिलयष्ट्याह्वत्रिवृद्दन्तीनिशाद्वयम् ।
निम्बपत्राणि चालेपः सपटुर्व्रणशोधनः ॥ ४३ ॥
Paste of paṭolī – Trichosanthes dioica, tila – Sesamum indicum, yaṣṭyāhva – Glycyrrhiza glabra, trivṛt – Operculina turpethum, dantī – Baliospermum montanum, the 2 Nisha –
– Haridra – Curcuma longa
– Daruharidra – Berberis aristata
and leaves of Azadirachta indica added with Salt utilized over, cleanses the ulcers / wounds.
Trivritadi Varti
व्रणान् विशोधयेद्वर्त्या सूक्ष्मास्यान् सन्धिमर्मगान् ।
कृतया त्रिवृतादन्तीलाङ्गलीमधुसैन्धवैः ॥ ४४ ॥
Ulcers which have small opening and that are situated on joints and very important sports activities ought to be cleaned (cleared of their contents) by inserting a varti (cotton wick) ready with trivṛtā – Operculina turpethum, dantī – Baliospermum montanum, lāṅgalī – Gloriosa superba, honey and rock salt.
Yavadi dhupana
वाताभिभूतान् सास्रावान् धूपयेदुग्रवेदनान् ।
यवाज्यभूर्जमदनश्रीवेष्टकसुराह्वयैः ॥ ४५ ॥
Ulcers which have been vitiated by Vata, which have exuded and extreme ache ought to be fumigated with yava – Hordeum vulgare, bhūrja – Betula utilis, madana – Randia dumetorum., exudates of Pinus roxburghii, surāhvayaiḥ – Cedrus deodara combined with ghee.
Shita Nirvapa
निर्वापयेद्भृशं शीतैः पित्तरक्तविषोल्बणान् ।
These that are predominant with Pitta, blood and poison ought to be bathed with chilly issues (decoction, oils and so forth.).
Therapy of ulcers having dried out muscle groups
शुष्काल्पमांसे गम्भीरे व्रण उत्सादनं हितम् ॥ ४६ ॥
न्यग्रोधपद्मकादिभ्यामश्वगन्धाबलातिलैः ।
अद्यान् मांसादमांसानि विधिनोपहितानि च ॥ ४७ ॥|
मांसं मांसादमांसेन वर्धते शुद्धचेतसः ।
In these ulcers which have little or no of dried out muscle tissue, and the ulcer if deep seated, it’s useful to raise it, make it develop up by massaging with paste of herbs of nyagrodha – Nyagrodhadi Gana and of Padmakadi Gana (chapter 15 of Sutrasthana), aśvagandhā – Withania somnifera, balā – Sida cordifolia and tilaiḥ – Sesamum indicum, the affected person ought to eat meat of amāṃsāni – carnivorous animals ready within the correct method; muscle grows / develops by ingestion of meat particularly of carnivorous animals and by pure (nice) thoughts.
Therapy of ulcers having dried out muscle groups
उत्सन्नमृदुमांसानां व्रणानामवसादनम् ॥ ४८ ॥ जातीमुकुलकासीसमनोह्वालपुराग्निकैः ।
उत्सन्नमांसान् कठिनान् कण्डूयुक्तांश्चिरोत्थितान् ॥ ४९ ॥
व्रणान् सुदुःखशोध्यांश्च शोधयेत्क्षारकर्मणा ।
Overgrowth of soppy muscle tissue over the ulcers ought to be decreased by way of paste of buds of jātī – Jasminum grandiflorum, kāsīsa – ferrous sulphate, manohvāla – realgar, pura – Commiphora mukul and agnikaiḥ – Plumbago zeylanica; muscle which is elevated, exhausting related to itching and lengthy standing (continual) and ulcers in these that are troublesome to be purified ought to be cleaned by Kshara karma (alkaline cautery).
Therapy of ulcers attributable to Ashmari
स्रवन्तोऽश्मरीजा मूत्रं ये चान्ये रक्तवाहिनः ॥५०॥
छिन्नाश्च सन्धयो येषां यथोक्तैर्ये च शोधनैः ।
शोध्यमाना न शुध्यन्ति शोध्याः स्युस्तेऽग्निकर्मणा ॥५१॥
Ulcers attributable to renal calculi which exude urine by way of them and others which exude blood, these ulcers situated on the bony joints and have induced tearing, these ulcers which don’t get cleaned by the same old strategies of cleansing all these ought to be cleaned in these match to be cleansed by Agnikarma – thermal cautery.
Ropana
शुद्धानां रोपणं योज्यमुत्सादाय यदीरितम् ।
For the therapeutic of the ulcers the identical herbs talked about for massaging and rising up (vide verse no. 46b-48a) ought to be utilized in these cleansed.
Ashvagandhadi lepa
अश्वगन्धा रुहा लोध्रं कट्फलं मधुयष्टिका ॥५२॥
समङ्गा धातकीपुष्पं परमं व्रणरोपणम् ।
Aśvagandhā – (Paste of) Withania somnifera, ruhā – (vrksaruha) – Dendrophthoe falcata, lodhraṃ – Symplocos racemosa, kaṭphalaṃ – Myrica nagi, madhuyaṣṭikā – Glyccrhiza glabra, samaṅgā – Rubia cordifolia and flowers of Woodfordia fruticosa are finest for therapeutic the ulcer.
Tiladi lepa
अपेतपूतिमांसानां मांसस्थानामरोहताम् ॥५३॥
कल्कं संरोहणं कुर्यात्तिलानां मधुकान्वितम् ।
स्निग्धोष्णतिक्तमधुरकषायत्वैः स सर्वजित् ॥५४॥
स क्षौद्रनिम्बपत्राभ्यां युक्तः संशोधनं परम् ।
पूर्वाभ्यां सर्पिषा चासौ युक्तः स्यादाशु रोपणः ॥५५॥
The putrefied and foul-smelling muscle tissue having been eliminated, if new muscle tissue is just not been rising if new muscle tissue is just not been rising in that place, then the paste of tilānāṃ – Sesamum indicum added with honey ought to be stored in that place which helps muscle development. This being unctuous, sizzling, bitter, candy, astringent, it cures all troubles; added with honey and leaves of nimba yuktaḥ – Azadirachta indica is an efficient air purifier, ghee processed with above herbs, these heals the ulcers shortly.
Tila Yava Lepa
तिलवद्यवकल्कं तु केचिदिच्छन्ति तद्विदः ।
Some say that paste of tilavat – Sesamum indicum additionally acts like that of yava – Hordeum vulgare.
Ropana
सास्रपित्तविषागन्तुगम्भीरान् सोष्मणो व्रणान् ॥५६॥
क्षीररोपणभैषज्यशृतेनाज्येन रोपयेत् ।
रोपणौषधसिद्धेन तैलेन कफवातजान् ॥५७॥
Ulcers that are attributable to blood and Pitta, poison, exterior causes and that are deep seated ought to be made to heal by bathing it with lukewarm ghee boiled with milk and therapeutic herbs; these that are attributable to Kapha and Vata by oil boiled with therapeutic herbs.
Ropana
काच्छीलोध्राभयासर्जसिन्दूराञ्जनतुत्थकम् ।
चूर्णितं तैलमदनैर्युक्तं रोपणमुत्तमम् ॥ ५८ ॥
Kācchī – Saurastra mrittika, lodhra – Symplocos racemosa, abhayā – Terminalia chebula, sarja – Resin of Vateria indica, sindūra – purple oxide of lead, añjana – antimony sulphide and tutthakam – copper sulphate powdered, combined with oil and beeswax is nice for therapeutic ulcers.
समानां स्थिरमांसानां त्वक्स्थानां चूर्ण इष्यते ।
ककुभोदुम्बराश्वत्थजम्बूकट्फललोध्रजैः ॥ ५९ ॥
त्वक्चूर्णैश्चूर्णिता व्रणाः त्वक्चूर्णैश्चूर्णिता व्रणाः ।
For therapeutic of ulcers that are even, with agency muscle groups and localised within the pores and skin, powders (of therapeutic herbs) are fascinating; powder of bark of kakubha – Terminalia alata, udumbara – Ficus racemosa, aśvattha – Ficus religiosa, jambū – Syzygium cumini, kaṭphala – Myrica nagi and lodhrajaiḥ – Symplocos racemosa
निगृह्णन्ति त्वचमाशु त्वक् चूर्णै: चूर्णिता व्रणाः –
Dusted into the ulcers and on the pores and skin cures them shortly.
Lakshadi Pralepa
लाक्षामनोह्वामञ्जिष्ठाहरितालनिशाद्वयैः ॥ ६० ॥
प्रलेपः सघृतक्षौद्रस्त्वग्विशुद्धिकरः परम् ।
Utility of chilly paste of lākṣā – Laccifer lacca, manohvā – realgar, mañjiṣṭhā – Rubia cordifolia, haritāla – arsenic trisulphide and two nisha-
– Haridra – Curcuma longa
– Daruharidra – Berberis aristata,
added with ghee and honey is finest to purify the pores and skin.
Kaliyakadi Pralepa
कालीयकलताम्रास्थिहेमकालारसोत्तमैः ॥ ६१ ॥
लेपः सगोमयरसः सवर्णकरणः परम् ।
Utility of paste of kālīyaka – Berberis aristata, Lata – Hiptage benghalensis, seeds of Mangifera indica, (Padmaka) – Prunus cerasoides, (Manjishta) - Rubia cordifolia rasottamaiḥ – Purified Mercury, added with juice of recent cow dung is finest to convey up the traditional colour of the pores and skin.
Romasanjanana
दग्धो वारणदन्तोऽन्तर्धूमं तैलं रसाञ्जनम् ॥६२॥
रोमसञ्जननो लेपस्तद्वत्तैलपरिप्लुता ।
चतुष्पान्नखरोमास्थित्वक्शृङ्गखुरजा मषी ॥६३
Utility of paste of an elephant tusk burnt to ash within the inside methodology (putapaka methodology), oil and rasanjana; is an software finest for selling development of hair; equally, so the paste of ash of nails, hair, bones, pores and skin, horn and hoof of catuṣpān – quadrupeds added with oil.
Shastrakarma vidhi in vrana
व्रणिनः शस्त्रकर्मोक्तं पथ्यापथ्यान्नमादिशेत् ।
The do’s and don’ts of weight loss program prescribed for an individual who has undergone surgery apply to the affected person of ulcer additionally.
Formulations for doshaja vranas
द्वे पञ्चमूले वर्गश्च वातघ्नो वातिके हितः ॥ ६४ ॥
न्यग्रोधपद्मकाद्यौ तु तद्वत्पित्तप्रदूषिते ।
आरग्वधादिः श्लेष्मघ्नः कफे मिश्रास्तु मिश्रजे ॥६५॥
In Ulcer of Vata origin, the herbs of the two pancamulas –
– Bilva – Aegle marmelos
– Agnimantha – Premna mucronata
– Shyonaka – Oroxylum indicum
– Patala – Stereospermum suaveolens
– Gambhari – Gmelina arborea
– Shalaparni – Desmodiumgangeticum
– Prishniparni – Urariapicta
– Brihati – Solanum indicum
– Kantakari – Solanum xanthocarpum
– Gokshura – Tribulus terrestris
and people group of herbs that mitigate Vata are appropriate. Equally, for that of Pitta origin, herbs of nyagrodhadi and padmakadi gana (chapter 15 of Sutrasthana); and for that of Kapha origin, the herbgs of aragvadha gana which mitigate Kapha and in ulcer of combined origin with combination of herbs.
Formulations for doshaja vranas
एभिः प्रक्षालनं लेपो घृतं तैलं रसक्रिया ।
चूर्णो वर्तिश्च संयोज्य व्रणे सप्त यथायथम् ॥ ६६ ॥
These herbs ought to be made use of for laundry, software of paste, preparation of medicated ghee, medicated oil, solidified decoction, powder and wick smeared with paste of herbs ought to be used within the remedy of seven sorts of ulcer as per the situation.
Jatyadi ghrita
जातीनिम्बपटोलपत्रकटुकादार्वीनिशासारिवा |
मञ्जिष्ठाभयसिक्थतुत्थमधुकैर्नक्ताह्वबीजान्वितैः |
सर्पिः साध्यमनेन सूक्ष्मवदना मर्माश्रिताः क्लेदिनो |
गम्भीराः सरुजो व्रणाः सगतयः शुध्यन्ति रोहन्ति च ॥ ६७ ॥
Medicated ghee ready with leaves of jātī – Jasminum grandiflorum, nimba – Azadirachta indica, paṭola – Trichosanthes dioica, kaṭukā – Picrorhiza kurroa, dārvī – Berberis aristata, niśā – Curcuma longa, sārivā – Hemidesmus indicus, mañjiṣṭhā – Rubia cordifolia, abhaya – Terminalia chebula, siktha – beeswax, Purified copper sulphate, madhukai: – Glycyrrhiza glabra and seeds of naktāhva – Pongamia pinnata cleanses and heals the ulcers which have small openings, located on very important spots which have exudation, deep seated, painful and having sinuses.
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां षष्ठे उत्तरस्थाने व्रणप्रतिषेधो नाम पञ्चविंशोऽध्याय: ॥ १ ॥
Thus, ends the chapter – Vrana Pratishedha- the twentyfifth in Uttarasthana of Astanga Hridaya Samhita, composed by Srimad Vagbhata, son of Sri Vaidyapati Simhagupta.
