Treatment of minor diseases, part five
क्षुद्ररोगचिकित्सित · चिकित्साधिकार
Title line opening chapter 17, which the running head places in the section on minor diseases (kshudraroga).
- Topics
- 122
- PDF pages
- 419–447
Topics in this session
Headings from the book in reading order. Open a topic for its summary and the knowledge it refers to.
The author bows to the Jina, whose lotus feet are worshipped by the lords of the three worlds, and announces that diseases arising in the heart, the abdomen (koshtha) and the whole body,…
All diseases are said to arise from disorder of vata, pitta and kapha; the skilled physician treats them after knowing the sequence of the doshas, and those who know the subtle principle…
Vata disorder is said to cause severe pain, pitta disorder burning and thirst, and kapha disorder bulkiness, density, firmness and itching.
No disease arises without the doshas, so even diseases whose names and signs are not described in detail are to be judged from the dosha signs (vata-born, pitta-born and so on) and treated…
Title line opening chapter 17, which the running head places in the section on minor diseases (kshudraroga).
A patient suffering severe heart pain from vata is made to vomit by drinking warm water mixed with long pepper and mustard.
The patient drinks ghee mixed with the salt group and barley alkali; trikatu, asafoetida, ajamoda and rock salt are also given with sour fruit juices or with milk.
For heart disease from excess pitta, emesis with pitta-relieving drugs combined with ghee, jaggery and milk is advised, along with purgation and the pitta treatment described earlier.
For the severe kapha-type heart disease, emesis with warm water containing trikatu is advised, and purgation with trivrit, sour fruit, rock salt and dry ginger.
Enemas prepared with drugs suited to the dosha concerned are also used to relieve heart disease; the verse then announces the treatment of worm disease.
Worm disease is said to cause severe pain in the head and heart, vomiting, sneezing and fever, and other worm-caused disorders such as diarrhoea, giddiness and heart disease arise again and…
Black, red and white worms of many kinds arise in kapha and faeces, while worms that eat the nails, scalp hair, body hair, wounds and teeth are said to arise in the blood.
The physician treats worms with various suitable drugs; ghee cooked with the juice of the two surasas (tulasi), arjaka and phanijjaka is to be drunk.
Emesis and purgation with drugs of the pungent, bitter and astringent groups are said to help worm disease, as is a decoction enema (niruha) with rock salt and sharp drugs.
The juices of shirisha, kinihi (chirchita), kembuka and kimshuka (palasha), mixed with sesame oil and drunk, are said to destroy the colonies of worms for certain.
Vidanga powder is steeped many times in the juice of horse dung, then mixed with sesame oil and sugar; its use is said to destroy the colonies of worms.
Powder of rali (uncertain) and vidanga is stirred into the juice of mushikakarni, cooked with ghee and eaten to destroy worms.
Oil pressed from sesame seeds impregnated with a decoction of husked vidanga is cooked with purgative drugs and drunk; all worm diseases are said to go quickly.
Buttermilk cooked with tulasi, bandhura (vidanga), kandala (white khadira) and kandaka (wild surana) is mixed into warm sour gruel with ghee and drunk for three days to destroy all worms in…
A paste of trapusha (indrayan per the commentary) is drunk with whey once every eight days to destroy worms; horse gram soup or sesame oil mixed with trikatu, asafoetida and vidanga is also…
Long pepper root ground with the juice of tulasi and jati is given daily with goat urine to a patient with worms, and meals of pungent and bitter items are said to be very beneficial.
Worms born of kapha and faeces are overcome with the many drugs already described, while worm colonies born in the blood are treated along the lines of the treatment for kushtha.
A person troubled by worms should avoid curd, jaggery, sugarcane juice, fruits such as mango, all kinds of milk, meat, sweet tastes and food or drink containing any leafy vegetables.
Food that is not digested is called ajirna, of three kinds: ama, where food stays raw and sweet with sweet belching; vidagdha, where it partly digests and turns sour; and vishtabdha, with…
- Alasaka, vilambika and vishuchika arising from indigestionअजीर्ण से अलसक, विलम्बिका, विषूचिका की उत्पत्तिConditionp. 352
A person who keeps eating many kinds of food all the time, like a cow, develops indigestion, and from it the dreadful alasaka, vilambika and the intensely painful vishuchika arise.
Alasaka is marked by a feeling that the abdomen is full, great listlessness, vomiting, thirst, wind blocked below and moving upward toward the throat with gurgling, retention of stool and…
When kapha and vata severely obstruct, the food eaten goes neither down nor up (no purging and no vomiting) and stays stuck; this is vilambika, called very dreadful and destructive of human…
Vishuchika (cholera, per the commentary) shows vomiting, thirst, giddiness, colic, udveshtana (a feeling of being wrapped in wet cloth), fainting, diarrhoea, trembling, yawning, burning,…
Indigestion is relieved by emesis, sudation, a medicated wick placed in the anus, drugs that kindle the digestive fire, fasting and drinking hot water.
Fasting is called the best measure to conquer indigestion, and hot water is drunk only when thirsty, because the very weak digestive fire cannot digest food, medicine or doshas.
The patient constantly drinks rock salt in hot water, eats mustard mixed with jaggery, or drinks a powder of trikatu, rock salt and asafoetida in warm sour fruit juice.
To increase the digestive fire, long pepper powder in hot water, or dry ginger paste in hot water, or a powder of haritaki and salt in hot water is drunk.
A decoction is made with mushkaka (morva) ash and filtered; horse gram cooked in it, with salt and trikatu added, is drunk constantly by the patient with indigestion and is said to kindle…
Licorice, sandalwood, vetiver, hribera, nut grass, lotus and neem leaves and root are rubbed in rice water and drunk to relieve vishuchika with its thirst.
Trikatu, triphala, the two turmerics, blue lotus and karanja seeds are ground fine with sour fruit juice and dried into a collyrium that is said to remove even severe vishuchika. Verse 35,…
For vishuchika driven by strong vata, burning (cautery) at the heels is advised, and very hot-natured drugs mixed in hot water are given to drink.
In indigestion, blackening of the tongue, teeth, nails and lips, severe vomiting, sunken eyes, loss of voice, loss of memory and slack limbs are said to be signs that the patient will soon…
The author promises to describe next, in order, the diseases arising from urinary disorder and the diseases of the yoni, with their signs and the best named remedies.
From holding back the urge to urinate and eating dry foods, strong vata in the bladder mixes with urine and circles in a coil causing pain; the patient passes small amounts of urine slowly…
When aggravated vata dries the urine, it grows into a stone-hard dense mass that blocks stool, urine and wind; this very dreadful urinary stone disease is also called mutrashthilika.
Holding back the urge to urinate aggravates the vata of the bladder, which suddenly closes the bladder outlet; urine is retained, with pain in the bladder and lower abdomen. This is…
When a person who has held back urine later wishes to pass it, it does not come, or comes only in small amounts with straining and pain; this is mutratita. A footnote on the page glosses…
From holding back urine, (apana) vata turns upward and fills the abdomen, distending it below the navel with severe pain; this is mutrajathara.
Urine that has started to flow is held up in the middle of the penis or at the bladder outlet; when forced out against the obstruction it comes slowly, little by little and with pain,…
In people whose bodies have very little fluid and much dryness, pitta and vata enter the bladder and forcibly destroy the urine; this is mutrakshaya.
From aggravated vata and pitta the urine dries into a hard, round, stone-like knot at the bladder outlet that blocks the urine; being like a stone it is called mutrashmari, and a footnote…
If someone, through ignorance, has intercourse while the urge to urinate is present, semen resembling water mixed with ash is passed before (or after) the urine; this is mutrashukra.
From overexertion and hot, very dry foods, aggravated pitta reaches the bladder and joins vata, so that hot urine (yellow, red or bloody) is passed again and again with burning at the tip…
From great excess of pitta, much hot urine of various colours, yellow and red, is passed, and when dried it looks like gorochana; this disease is called mutropasada.
From aggravated kapha, thick, slimy, cold, white urine is passed late and with great difficulty, and when dried its colour is like a lotus flower (verse: kumuda), a conch or the moon; this…
Thus the troublesome diseases arising from urine have been described in order with their kinds; the author now sets out their medicines and methods of treatment for the good of others.
In these urinary diseases purgation is given according to rule and the uttara basti described earlier is also beneficial; if blood flows after excessive intercourse, nourishing (brimhana)…
A powder of kokilaksha (talmakhana) seeds, long pepper, kapikacchu seeds and licorice is licked with ghee and sugar and followed by milk; it is said to overcome all urinary diseases.
Kapikacchu seeds, bala, atibala, licorice, kokilaksha, gokshura, shatavari, prabhu (?), lotus stalk, kaseru, blue lotus, lotus, jatiphala, shalaparni and prishniparni in equal parts are…
Mutrakricchra is of eight kinds: from vata, pitta, kapha, all three together, injury, faeces, gravel (sharkara) and stone (ashmari).
Dosha types show the signs of their dosha and the combined type all three; injury to the urinary channels gives vata-like signs; retained stool aggravates vata with colic and distension;…
The treatment of mutrakricchra will be given with all suitable drugs; every day the patient's body is purified and uttara basti is then applied.
A paste of cucumber (trapusa) seeds, one aksha (one tola per the commentary), drunk with good sour gruel, and the salt group taken with gruel are said to calm even severe mutrakricchra.
A paste of licorice and saffron with jaggery is churned in water and left overnight; drunk cold in the morning, it is said to remove all urinary disorders.
Juicy pomegranate seeds, cumin, dry ginger, long pepper and salt are powdered and taken daily in sour gruel; it is said to remove even severe mutrakricchra.
Milk cooked with four times water and kapotaka (white surma per the commentary), long pepper root, gokshura and the root of gridhranakha (kantakapali), or these drugs ground in milk, is…
The juice of turaga (ashvagandha), gardabha (white lotus per the commentary) and gorata (foul-smelling khadira) is drunk in a dose of one kuduba, and the salt group with triphala powder is…
Powder or paste of licorice, turmeric, devadaru, kantakari, small cardamom, nut grass and amalaki is drunk with sour gruel, milk or rice water; amalaki juice (one kuduba, 16 tola) alone or…
Whole barley plant, patala, bilva, kantakari, whole sesame plant, palasha and bhadraka (nut grass) are burnt to ash, which is stirred into water and filtered; cinnamon, vidanga, tarumushika…
Water taken with small cardamom, shilajit, long pepper and jaggery is said to calm many kinds of urinary pain and every kind of stone, together with gravel.
All yoni diseases, marked by the signs of their causative doshas, are treated with various drugs according to the dosha. An editorial note (vishesha) says they arise from wrong diet and…
The editorial note lists five vata types: udavarta (frothy menses passed with difficulty), vandhya (menses lost), vipluta (constant pain), a second vipluta (great pain in intercourse) and…
Five pitta types: lohitakshaya (blood flows with burning), vamini (expels semen mixed with menstrual blood, with vata), prasramsini (displaced from its place), putraghni (pregnancy…
Five kapha types: atyananda (no satisfaction even with excessive intercourse), karnini (a fleshy growth like a lotus pericarp from kapha and blood), acharana (becomes moist before the man…
Five combined types: shandhi (without menses, rough in intercourse, with very small breasts), andali or andini (protrudes like an egg after intercourse with a man with a large penis),…
Yoni diseases caused by all three doshas are to be given up as incurable; those from single doshas are treated with ghee drinking, purgation and uttara basti given by rule.
For a yoni that is hard, rough and painful (vatala), a decoction of special vata-removing drugs is filled into a pot and its steam is used for sudation (kumbhi sveda), as the…
In other vata-type yoni diseases, the salt group and sweet drugs, impregnated with ghee, milk and curd and powdered, are filled into the yoni, or a cotton swab (pichu) soaked in sesame oil…
The yoni is washed only with warm water boiled with drugs of suitable qualities (the commentary says vata-removing drugs for the vata type), and in yoni diseases with severe burning (the…
A foul-smelling, slimy yoni from kapha is dusted with a fine powder of aragvadha pulp, triphala and a larger share of dhataki flowers, and washed with a decoction of these astringent drugs.
In kapha-type yoni diseases with much itching, a powder of sharp drugs, brihati fruits and rock salt is filled in daily, and the yoni is washed with warmed urines such as cow and goat urine.
For karnini, a wick made of special cleansing drugs is placed in the yoni, ghee cooked with the same drugs is held there on a swab and also drunk, and pastes that remove growths (the…
A yoni hanging far down (prasramsini) is smeared with ghee and put back in place, covered with a paste of sesame oil and cumin, and firmly bandaged.
Thus the many kinds of yoni diseases are conquered in order with drugs that destroy the respective doshas, by washing, fumigation, filling, gentle pastes, tarpana and bandaging.
Five severe kinds of gulma arise from vata, pitta, kapha, all three, and in women from menstrual blood; the blood type shows pitta signs and all the signs of pregnancy, but unlike a foetus,…
After thorough purgation, drugs that pacify the predominant dosha are given, with decoction enemas and (per the verse) oil enemas; the blood type is treated like the pitta type.
All foods, snacks and drinks that suit vata patients are to be given to gulma patients, and the physician applies sudation and bandaging every day.
Gulma is treated with the salts that remove vata disorders, with the ghee described for abdominal diseases (udara), and with wicks (suppositories) that loosen the stool.
Tender leaves of aragvadha and putikaranja, fried in sesame oil and mustard oil, are eaten with salted sour gruel; this is said to be able to destroy gulma.
If stool is retained in gulma, cooked barley is given with milk again and again, and well-cooked black gram, rubbed in a mortar and soaked in good ghee, is fed.
A gulma patient should not eat the many kinds of tubers such as ratalu and pindalu, radish, meat, split pulses such as mung and masur, dried and dry vegetables, meals made with them, or…
Four kinds of pandu are announced, from vata, pitta, kapha and all three; all share pallor, but each also shows signs according to its primary and secondary doshas.
When the urine, veins, face, eyes, stool and nails are black and the patient suffers other vata complications, it is vata-type pandu.
If these parts are yellow (with other pitta complications) it is pitta-type pandu, if white (with kapha complications) kapha-type, and if all three colours appear together the combined…
When someone whose fever, burning, pandu and similar illnesses have just subsided soon takes much sour and other unwholesome food and conduct, pitta is aggravated, turns the body white (or…
After purifying the body with emesis and purgation, the pandu patient constantly licks triphala and trikatu powder (the verse: triphala with ghee and sugar), or a powder of the two…
Vidanga, triphala, nut grass, trikatu, chitraka, amalaki and ajamoda are finely powdered, soaked in ghee and jaggery and cooked with a decoction of the shala-sara group of trees until thick…
The treatment described for swelling (shopha) is always beneficial in kamala; jaggery, haritaki, cow urine and iron ash are cooked together and the decoction is given, and meals of barley…
The learned physician should know the dosha sequence of these and all other disorders and treat them with drugs that pacify the doshas; since no effect arises without internal and external…
When the doshas pervade the channels that carry consciousness, darkness seems to come before the eyes and the patient falls to the ground, the senses being covered so that forms are not…
In all kinds of fainting, cold things are used in bathing, pastes, food, clothing, drinks and breeze (cold baths, cooling pastes, fanning), and licorice, dhataki flowers, grapes, milk,…
When vata, pitta and kapha, together or singly, are aggravated and leave their own paths for wrong ones (pervading the mind-carrying channels), insanity (unmada) arises; it is of five…
In vata-type insanity the person, with scattered mental activity, trembles like a drunkard, dances, prattles a great deal, sings, abuses others, wanders aimlessly in the market and slaps…
The pitta-type insane person likes cold things, is sharp and very wrathful, suspects flames of fire everywhere and has sight so keen that he sees stars even by day; the commentary says the…
The kapha-type insane person is stout, has little pain and much phlegm, eats little, likes warmth, is sleepy, speaks very little and is free of restlessness; at night his mind is greatly…
Combined insanity shows the signs of all three dosha types and is hard to cure; insanity also arises (through grief) from loss of wealth, separation from close relatives, desire and fear.
The insane patient is given oleation and sudation according to the doshas, purified above and below by emesis and purgation, and then treated with many kinds of sharp pressed-juice nasal…
Beneficial nasya and anointing are given with sharp mustard oil, and the insane person is frightened with non-poisonous snakes, grass, fire, water, thieves, elephants and other well-trained…
The insane person is made to lie in a dark well, very foul-smelling and full of dreadful corpses, in thick darkness, and the skilled physician lets blood by puncturing all the veins of the…
The insane patient is given many kinds of unctuous, very clean, sweet, heavy and sleep-inducing foods and drinks that steady the intellect and calm the intoxication, and the doshas are…
As one who falls into water fears that life is leaving and loses memory with fainting, so in apasmara there is deadly fear, fainting and loss of memory, hence the name. Though from all…
Apasmara, born of quickly coming and going doshas, comes suddenly by itself and soon passes; because it subsides without apparent cause, some ignorant people say it is caused by grahas…
By their nature some diseases arise quickly from the doshas and others only after a long time, just as seeds sown with all favourable conditions sprout some early and some late; and, driven…
Apasmara is treated with the drug groups described for insanity; white trivrit, licorice and vajrakshara ground with cow urine are given as nasya, along with other very strong drugs used by…
Old ghee is used as nasya, eye collyrium and ointment for the epileptic and in severe insanity and other mental diseases, and sneezing is induced constantly, by the rules of the shastra,…
A decoction of bharangi with iron ash and jaggery is filled into a pot and kept in a heap of grain for a month, then taken out and perfumed with camphor and the like; this sweet, fragrant…
This work is like a drop drawn from the great ocean of scripture that came from the mouth of the Jina, whose waves are all substances and principles and whose two shining shores are the…
- Colophon of chapter 17इत्युग्रादित्याचार्यविरचिते कल्याणकारके चिकित्साधिकारे क्षुद्ररोगचिकित्सितं नामादितः सप्तदशः परिच्छेदःEditorialp. 375
The colophon closes the seventeenth chapter, named Kshudraroga-chikitsita (treatment of minor diseases), in the treatment section of the Kalyanakaraka composed by Ugradityacharya, with the…