Treatment of pitta diseases
पित्तरोगचिकित्सित · चिकित्साधिकार
Opening of the ninth chapter, on pitta disorders: the causes, nature and signs of aggravated pitta and its cooling and purifying treatment, followed by bleeding disorder, abnormal uterine discharge, vatarakta, fevers and diarrhoea.
- Topics
- 101
- PDF pages
- 197–219
Topics in this session
Headings from the book in reading order. Open a topic for its summary and the knowledge it refers to.
Having praised the Jina, free of all faults and the cause of the destruction of all diseases, the author undertakes, following the order of the doshas and the teaching approved by his…
- Causes of pitta aggravation and the diseases it producesपित्तप्रकोप के कारण व तज्जन्य रोगConditionp. 125
Constant excessive use of pungent, sour, dry, salty, hot and burning foods and of alcohol aggravates pitta, which gives rise to fainting, burning, drying (shosha), blisters, delirium,…
Pitta is burning (vidahi), pungent and bitter in taste and very sharp. Wherever it stays aggravated it burns that place and produces diseases there; spread through the whole body it causes…
A person with excess pitta has reddish face and eyes, speaks harshly and looks fierce, loves cold, wants sweet and tasty food, has a yellowish body and, like a rich man, is very irascible.
To pacify pitta, cooling measures are mainly to be used: cold food and drink, pouring streams of very cold water, bathing, staying in a cool house and cool breezes remove even the strong…
As an external measure, young women in fresh youth and fine ornaments, sweet and skilled in speech, surround the pitta patient and delight him with their charms, glances, loving sweet…
Pitta is also to be cooled by wearing flower garlands, applying sandalwood paste, wearing thin cloth soaked in water, wearing garlands of lotus stalks, lying on banana and lotus leaves…
In water (a decoction or cold infusion) of raisins, liquorice, sugarcane, hribera and nut grass, a fine paste of clove, lotus, blue water lily and lotus stamens is stirred with jaggery…
Very cold water of kasha grass, sugarcane, sandalwood and sariva, sweetened with good sugar and mixed with a paste of kankola, nutmeg, nagakesara and clove, is drunk to remove the heat…
Madanaphala, long pepper, vacha and sandalwood are mixed into cold water and jaggery is soaked in it; with this water a patient whose body is burning from excess pitta is made to vomit, and…
Equal parts of the three pungents, the three aromatics (cinnamon, cardamom, tejpat), nut grass and amla, made into a cloth-sieved powder and mixed with sugar, are eaten with cold water as…
In those purified by emesis and purgation, drying and pitta are then calmed with pacifying preparations: powders of cardamom, clove, nut grass, sandalwood, nagakesara, puffed rice, kana…
A decoction of neem, mango, nut grass, patola leaf and sandalwood with jaggery, cooled by being kept in the moonlight, is drunk to relieve the burning, thirst and similar distress in…
From vata, injury or heat, pitta becomes aggravated and the vitiated vata corrupts the blood seated in the liver and spleen; blood then flows downward (from penis, vagina or anus), upward…
Before raktapitta appears, the abdomen feels heavy, there is burning in the body, a feeling as if smoke rises from the throat, loss of taste, weakness and a smell of blood in the breath.…
Raktapitta is incurable and soon kills when the vomited blood is blue or very black, mixed with much pitta, burnt-looking, hot, putrid, like meat juice, coloured like a rainbow or like the…
Upward-flowing raktapitta is curable, downward-flowing is manageable (yapya), and heavy flow by both routes at once is incurable. A patient whose body, hands and feet have turned very pale,…
A clear decoction of raisins (with long pepper, says the verse), mixed with jaggery, ghee and milk and drunk in the morning, quickly relieves raktapitta; bathing with cold water or milk is…
Juice of kasha grass, sugarcane, kaivarta-musta and jasmine, mixed with a paste of liquorice, old jaggery and buffalo milk, drunk after a cold bath while still wearing the wet cloth, is…
Ghee cooked with four parts of a decoction of liquorice, red sandalwood and sariva, four parts of cow's milk, sugar and a paste of the eight drugs kakoli, kshirakakoli, jivaka, rishabhaka,…
Bleeding from the nose is said to be stopped by rubbing old ghee on the head, or ghee cooked with a decoction of the five milky trees, hribera, nichula (cane) and arjuna, or by pouring a…
For bleeding from the nose the commentary gives as nasya ghee cooked with the juice of durva, hribera and guduchi and with milk, or ghee cooked with pomegranate juice and the juice of…
- Treatment of raktapitta flowing upward and downwardऊर्ध्वाधःप्रवृत्त रक्तपित्त की चिकित्साPrinciplep. 130
Upward raktapitta is to be treated with purgation and downward raktapitta with emesis; when blood flows upward and downward at once, it is to be calmed with cooling pacifying preparations.
In raktapitta an asthapana enema is given with buffalo milk and an anuvasana enema with ghee; a powder of blue water lily, lotus and nagakesara is drunk with cold milk and sugarcane juice.
For pacifying pitta disorders cool food and drink are to be given: milk, ghee, sugarcane juice, soup of peas (satina), green gram with jaggery preparations, buffalo curd, matsyakshi greens…
To calm raktapitta, the tops of the date, sal-resin (sarja), pomegranate, coconut, hintala and tala trees are ground in banana juice and mixed with ghee and buffalo milk (curd, says the…
For raktapitta, the sprouts and roots of the milky trees are ground in milk and applied, and the patient is bathed with a decoction of the bark of jambu, kadamba and neem, or with milk, or…
The physician should give up as incurable a raktapitta patient who has breathlessness and cough, is without strength, suffers from intoxication, fever, poor digestion and burning, faints…
When, because of heat, miscarriage, excessive intercourse or injury, blood, menstrual blood mixed with vata and pitta, flows from the vagina at times other than the menstrual period, the…
A paste of black antimony (nilanjana), liquorice and tanduliya root, mixed with lodhra, banana and coconut water (or decoction), drunk, quickly destroys asrigdara; so does sariva ground…
Visarpa arises quickly from aggravated pitta or from a wound; it is so called because the swelling spreads quickly over the body. The cooling measures described before and pastes are to be…
Visarpa also arises from vata, from kapha and from all three doshas; the swelling shows the signs of its own dosha and is accompanied by fever. Therefore the treatment given in the section…
Visarpa that has blisters, many kinds of intense pain and severe burning, makes the body very red, black or very yellow, arises from injury to vital points (marma) or comes from all three…
The author announces that he will now describe briefly the treatment of vatarakta, in which blood corrupted by vata and the other doshas settles in the feet and whose kinds and signs were…
Rasna, renuka seed, shatapushpa (fennel in the commentary), devadaru, kushtha, agaru, tagara, bilva, bala and chironji are ground with milk and sour substances, mixed with ghee and oil,…
In vatarakta with strong pitta, a thick paste of ground green gram, pigeon pea, sesame, peas, lentils, black gram, wheat, rice and barley, mixed with very cool ghee, jaggery, sugarcane…
In vatarakta with strong kapha, white punarnava, brihati, guduchi, castor, liquorice, drumstick, sesame and ikshura (gokshura in the commentary), with linseed in the verse, are ground with…
In vatarakta with strong vata, jambu, kadamba, both nightshades, neem, banana, ivy gourd (bimbi), lotus, blue water lily, pippalimula and prishniparni are ground in ghee, sugarcane juice…
In vatarakta from all three doshas a paste is applied of nut grass, chironji, liquorice, mango bark, shalaparni, priyangu, durva, lotus, white lotus, shatavari, chirata, red sandalwood,…
For vatarakta with predominant pitta, ghee is cooked with a paste of ivy gourd, kaseru, bala, atibala, vasa, jivanti, liquorice, sandalwood and sariva, with a decoction of the same drugs…
Goat milk cooked with a decoction of liquorice and cooled, mixed with liquorice paste, sugar and ghee and drunk, is said soon to destroy vatarakta, raktapitta and all pitta disorders.
Milk cooked with tuntuka (shyonaka), pilu, both nightshades, patala, agnimantha, ashvagandha, sushavi (black cumin in the commentary), liquorice and hribera, mixed with ghee and jaggery and…
Powders of wheat, rice, sesame, green gram, lentils and black gram are cooked with milk, ghee and oil and bound with leaves wherever the pain is severe; when the doshas are greatly…
Oil cooked with the milky trees, hribera and bala is used in vatarakta for pouring, massage and enemas, and mixed with ghee for pastes; wheat, rice, barley, green gram, milk and ghee are…
Rice, ghee, curd, jaggery and other sugarcane products and milk, purification of the body according to the season (by emesis, purgation and the like), self-restraint, exercise, compassion…
One who regularly takes purgation, bloodletting and enemas, keeps poultices applied and takes cool food and drink of sweet, astringent and bitter taste overcomes vatarakta and raktapitta.…
Through wrong diet, the arising of various other diseases, the course of time (season), wrong conduct or injury, the doshas (vata, pitta, kapha) become aggravated, spread through the whole…
Stopped sweating, burning heat, a broken feeling in the head and body, a sense of great heat, loss of taste and intense thirst are the signs of fever; the verse also names heaviness of the…
Pain all over the body, sneezing, heaviness and horripilation are prodromes of all fevers. The verse gives eye trouble, burning and drying as prodromes of pitta fever, yawning of vata fever…
Vata fever shows severe pain in the heart region, back, body and head, constipation, dryness, bad taste, yawning, flatulent distension, blackish stool and eyes, breathlessness and cough,…
Pitta fever shows thirst, delirious talk, intoxication, burning, high fever, fainting, giddiness, bitter taste in the mouth, restlessness, inflammation of nose and mouth, spittle mixed with…
Kapha fever shows excessive sleep, loss of taste, great heaviness of the head, only mild heat, sweetness in the mouth, horripilation, obstruction of the channels, slight pain, fixed eyes,…
Fever showing the signs of two doshas (vata-pitta, vata-kapha or pitta-kapha) is dual-dosha fever. At the start and end of fever, cold or burning appear in turn according to the rise and…
The signs given separately for the vata and other fevers appearing together make sannipata fever. When all of them appear with all the complications, the voice is weak, the eyes are…
Fainting, pain in the limbs, wasting of tissues, intense thirst, vomiting, breathlessness, colic, retention of stool and urine, burning, hiccup, diarrhoea, dryness of the throat, swelling…
When the prodromes of fever appear, emesis is induced with lukewarm water and purgation with a strong purgative ghee; a body so purified is not attacked by fever. Once fever has appeared,…
Seeing strong aggravation of the doshas and a stiff body, fasting is prescribed; if thirsty, a patient with vata-kapha fever drinks warm water and one with pitta fever water boiled and…
For digesting (pachana) vata fever a lukewarm decoction of bilva, agnimantha, both nightshades and patala is drunk; for pitta fever a cold decoction of kasha grass, sugarcane root,…
- Digestive decoction in kapha fever and signs of ripened feverकफज्वर में पाचन व पक्वज्वर लक्षणFormulationp. 139
A hot decoction of bharangi, the three myrobalans and the three pungents digests kapha fever. When fever has ripened (been digested), the body is light, stool and urine pass naturally, the…
Once the fever has ripened, a painful vata fever is treated as suitable with unctuous purgatives (castor oil and the like) or with a decoction enema (niruha), and a pitta fever with cool…
In kapha fever emesis is given with a decoction of neem into which a paste of rock salt, vacha and madanaphala is put; nasya, collyrium and purgation with pungent drugs, gargling with the…
When the dosha excess is slight, or the patient is weak (as the verse adds), a child, old or a woman, treatment is by pacifying preparations; a fever patient of greater strength is treated…
In all vata fevers a decoction is drunk of vasa, guduchi, nut grass, patola leaves and dry ginger; or of patha, agnimantha, both nightshades and dry ginger; or of ginger, neem and aragvadha.
In all pitta fevers a decoction is drunk of parched rice, hribera, amla and raw kaseru; or of raisins, naga (nut grass in the commentary), liquorice, blue water lily and sariva; or of…
In fevers with much kapha a decoction is drunk of cardamom, ajamoda (ajwain in the commentary), black pepper, amla and haritaki; or of aragvadha, nut grass, dry ginger and long pepper; or…
In fevers from all the doshas a decoction is drunk of nut grass, turmeric, amla, sandalwood and sariva; or of guduchi, nut grass, bitter patola and haritaki; or of murva, guduchi, nut…
The medicines given for each dosha, used as such and as ghee, oil, milk and special dishes prepared with them, applied as massage, nasya, collyrium, drinks and the like, are said to destroy…
For intermittent fevers with vata predominance, such as those recurring on the third or fourth day, cow's ghee mixed with powder of the three pungents, the three myrobalans and the three…
Fumigation with cow horn (named in the verse), asafoetida, black pepper, arka, palasha, snake slough, good dry ginger, chasha feathers, cotton seed, white mustard and peacock feathers is…
- Treatment of fevers from excess oleation and from excess dryingस्नेह व रूक्षोत्थित ज्वर चिकित्साMethodp. 142
In fever arising from excessive oleation a drying regimen of warm peya, vilepi and pulse soups is used; in fevers arising from excessive drying, oleation with suitable medicines is given.
- Emesis and other procedures in fevers from oleation and dryingस्नेह व रूक्षोत्थित ज्वरों में वमनादि प्रयोगMethodp. 142
In fever from excess oleation emesis and purgation are given, and in fever from excess drying enema therapy; in a long-standing severe fever from dryness, milk or ghee with jaggery and long…
Desire for food, lightness of the body, relish for food, a clear mind, all senses able to do their work, an even body temperature, itching, proper passing of stool and a kindled digestive…
Even after fever has left, it soon returns from drinking cold water, sitting in cold places, very cooling food and drink, excessive exercise, exposure to wind, much swimming, injury and…
As a forest fire quickly burns very dry wood, a returning fever torments and ruins one who had recovered; therefore the recovered patient must be protected by proper conduct, food and…
When pitta, burnt by its own causes and joined with blood, kapha and vata, reaches the seat of stool, it dulls the digestive fire there and thin stools are then passed quickly; the sages…
In vata diarrhoea, from aggravated apana vata, the stool is dry and frothy (very thick, says the commentary; with water and froth, says the verse) and passes again and again in small…
In pitta diarrhoea the stool is yellow or green, very hot, mixed with blood, clear and thin and passes quickly, with burning (in the verse), and the patient has fainting, thirst, fever,…
In kapha diarrhoea, from excess kapha, the stool is white, thick and very cold and is passed slowly and in large amount; the patient suffers greatly from cold and the body feels heavy and…
- Signs of sannipata, ama and pakva diarrhoeaसन्निपातातिसार, आमातिसार व पक्वातिसार का लक्षणConditionp. 144
Diarrhoea showing the signs of all three doshas, with broken, clear stool with or without particles, is sannipata diarrhoea. Stool that sinks in water and smells foul marks ama (undigested)…
Diarrhoea born of excessive grief that passes very bloody, very hot stool with bloating and colic, joined by complications such as thirst, swelling, fever, breathlessness and cough, with…
Diarrhoea in the very young, the very old, the emaciated, the weak and those with wasting disease, and diarrhoea whose stool looks like ghee, spleen, fat, liver, oil, water, milk, curd or…
The ama and pakva states of diarrhoea are to be judged well and treated accordingly (digestion in the ama state, binding in the pakva state, says the commentary). When much ama is present,…
After emesis, when intoxication, burning and the doshas have settled, the tired patient is given nothing to eat or drink that day; on the next day a small amount of warm thin gruel (vilepi)…
In the ama stage of vata diarrhoea, very sour buttermilk with black pepper, rock salt, dry ginger and asafoetida is drunk (in the morning, says the verse), or a sour gruel (kanji) cooked…
In the ama stage of pitta diarrhoea, goat's milk cooked with a liquorice decoction, or a decoction of jambu, musta, mango, kutaja and ativisha, or a paste of sesame and hribera taken with…
In the ama stage of kapha diarrhoea, a paste of tree turmeric, turmeric, the three pungents, musta and chitraka, or a paste of patha, ajamoda, black pepper, amalaki and haritaki, is drunk…
A powder of mango seed kernel, lodhra, liquorice, sesame, padmaka, dhataki flowers, silk-cotton gum, bael pulp, priyangu, kutaja bark, ativisha and manjishtha, drunk with whey, is said to…
Bark of cinnamon (as the commentary reads tvak), aralu, kutaja, mango, kadamba and jambu is ground with thick rice water, wrapped in banana leaves and cooked by the putapaka method;…
A decoction of jambu, mango, neem, musta, aragvadha (amaltas, per the commentary) and dhataki flowers is boiled down to one eighth, strained and cooked again until it coats the ladle;…
Milk cooked with trivrit, the three myrobalans and the three pungents is said to settle diarrhoea quickly; so is milk cooked with rock salt, asafoetida, black pepper, ativisha, ajamoda and…
A decoction of vacha, musta, ativisha and liquorice boiled down to one eighth and strained is drunk with ambashthika added; it is said to check even a diarrhoea flowing like the Ganga in…
Lukewarm milk (cow's milk, says the verse) is said to be wholesome in long-standing diarrhoea, chronic fever, insanity, epilepsy, urinary stone, gulma, abdominal enlargement, liver…
Buttermilk with rock salt and dry ginger, or mung soup with cumin tempered with ghee, salt and black pepper, or milk prepared with ajamoda and rock salt, is said to be wholesome food in…
The work is likened to 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 shores are the means…