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Alasaka is one of the disorders said to follow indigestion, marked by a full abdomen, listlessness, vomiting, upward-moving wind and retention of stool and urine with severe pain.

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…

Jihvalasaka is scraped (lekhana) until blood flows and the blood is cleansed away; then it is rubbed with mustard, rock salt, pippali, vacha, patola leaves and nimba mixed with ghee and oil.

From kapha and pitta the underside of the tongue swells greatly with little pain (jihvalasaka); when the doshas ripen, the tongue cannot be moved.

A large, little-painful swelling under the tongue from kapha and pitta; when the doshas ripen the tongue cannot move. Treated by scraping and rubbing with drugs.

Jihvalasaka is scraped until it bleeds and cleansed, then rubbed with mustard, rock salt, pippali, vacha, patola leaves and nimba mixed with ghee and oil.

Upadamsha is described as a swelling arising on the penis, treated like the kinds of scrotal enlargement according to dosha; a footnote lists its causes and five kinds, and verse 5 gives…

Bitter, astringent, dried and dry vegetables are listed among the foods whose use aggravates vāta.

Ajirna is food that is not digested, in three kinds (ama, vidagdha, vishtabdha); constant eating of many foods leads to it and to alasaka, vilambika and vishuchika. It is treated with…

A swelling like the tip of the tongue arising beneath it from kapha and blood, with constant salivation and itching; treated like jihvalasaka, with head purgation and medicated mouthfuls.

Opens the section on indigestion (ajirna) and the related alasaka, vilambika and vishuchika, with their signs, treatment and fatal signs in verses 23 to 37.

Five tongue diseases are described: thorn-like sprouts from vata, pitta and kapha, jihvalasaka and upajihvika.

Upajihvika is rubbed with the drugs used for jihvalasaka and treated with head purgation and medicated mouthfuls; the author then announces fifteen diseases of the tooth roots (gums).

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,…