The Compendium of Kāśyapa 8.1: atha navamaṃ khilasthānam

8.1.1

viṣamajvaranirdeśīyādhyāyaḥ prathamaḥ
athāto viṣamajvaranirdeśīyaṃ nāmādhyāyaṃ vyākhyāsyāmaḥ

First chapter, 'Explanation of Intermittent Fever'. / Now we shall explain the chapter named 'Explanation of Intermittent Fever'.

8.1.2

iti ha smāha bhagavān kaśyapaḥ

Thus spoke the venerable Kaśyapa.

8.1.3

kaśyapaṃ sarvaśāstrajñaṃ sarvalokaguruṃ gurum
bhārgavaḥ paripapraccha saṃśayaṃ saṃśritavrataḥ

The Bhārgava, observing his vow, questioned Kaśyapa, / the knower of all treatises, the guru of all worlds, the teacher, concerning his doubt:

8.1.4

proktaṃ jvaracikitsāyāṃ viṣamajvarabheṣajam
na nirdiṣṭaṃ bhagavatā viṣamatvasya kāraṇam

In the therapeutics of fever, the medicament for intermittent fever was stated; / the cause of its irregularity has not been pointed out by the Venerable One.

8.1.5

yuktaṃ satatakādīnāṃ vaiṣamyaṃ viṣamāgateḥ
avisargī jvaraḥ kasmāt saṃtato viṣamaḥ smṛtaḥ

Irregularity is appropriate for satataka and the others due to irregular onset; / why is continuous fever, which does not remit, considered intermittent?

8.1.6

pretajvaro grahotthaśca viṣamaḥ kena hetunā
tadidānīṃ yathākālaṃ vaktavyo'vayavādyathā

And by what cause is the fever due to ghosts or arising from seizing spirits intermittent? / Therefore now, in due time, it should be stated part by part, as appropriate;

8.1.7

vaktumahasi tattvena saviśeṣaṃ savistaram
iti pṛṣṭaḥ sa śiṣyeṇa praśnaṃ provāca kaśyapaḥ

You ought to explain it accurately, with specific distinctions and in detail. / Thus asked by the student, Kaśyapa addressed the question:

8.1.8

alpaheturbahirmārgo vaikṛto nirupadravaḥ
ekāśrayaḥ sukhopāyo laghupākaḥ samo jvaraḥ

Having a slight cause, an external path, abnormal, devoid of complications, / located in a single site, easily managed, and having light transformation—such is regular fever.

8.1.9

viṣamastadviparyastastīkṣṇatvāt saṃtato mataḥ
tadvat pretagrahotthā ye catvāro viṣamāgamāt

Intermittent fever is the opposite of that; continuous [fever] is considered [intermittent] because of its sharpness. / Likewise, those arising from ghosts and seizing spirits are fourfold due to irregular onset.

8.1.10

durjayatvādugrahaparigrahāt
vaiṣamyaṃ saṃtatādīnāṃ dāruṇatvādudāhṛtam

Because it is difficult to conquer, and through the possession by fierce spirits, / the irregularity of continuous and other [fevers] is declared on account of their severity.

8.1.11

tathā satatakādīnāṃ caturṇāṃ kālakāritam
viṣamatvaṃ pravakṣyāmi jvarāṇāṃ jāyate yathā

Likewise, I shall explain the irregularity of the four [fevers]—satataka and the others— / brought about by time, as it arises among fevers.

8.1.12

samastā dvandvaśo vā'pi dhamanī rasavāhinīḥ
doṣāḥ prapannāḥ kurvanti viṣamā viṣamajvaram

All together or in pairs, the humours entering / the chyle-carrying channels become irregular and produce intermittent fever.

8.1.13

jvarito mucyamāno vā muktamātraśca yo naraḥ
vyāyāmagurvasātmyānnamatimātramatho jalam

A man who, when suffering from fever, or being released from it, or just released, / resorts to exercise, heavy or unwholesome food, or excessive water,

8.1.14

pāyasaṃ kṛśaraṃ piṣṭaṃ palalaṃ dadhi mandakam
piṇyākamāṣavikṛtīrgrāmyānūpaṃ tathā''miṣam

Milk-rice, kṛśara, flour preparations, sesamum paste, unripened curd, / oil-cake, preparations of black gram, and meat of domestic or wetland animals,

8.1.15

evaṃ vidhāni cānyāni viruddhāni gurūṇi ca
sevate ca divāsvapnamajīrṇādhyaśanāni ca

And other such incompatible and heavy items, / and indulges in daytime sleeping, indigestion, and eating before previous food is digested,

8.1.16

jvaro'bhivardhate tasya viṣamo vā''śu jāyate
doṣeṣvaparipakveṣu kaṣāyaṃ yaśca sevate

His fever increases, or an intermittent one quickly arises. / And one who takes an astringent decoction when the humours are undigested,

8.1.17

laulyādvā snehapānāni kṣīraṃ saṃtarpaṇāni vā
daivatānāmabhidhyānād grahasaṃsparśanādapi

Or from craving takes draughts of unctuous substances, milk, or nourishing foods, / or due to the ill-will of deities, or even from contact with a seizing spirit,

8.1.18

sadyo vānto virikto vā snehapīto'nuvāsitaḥ
śītopacāraṃ gurvannaṃ vyavāyaṃ yaśca sevate

Or having just vomited, purged, drunk unctuous substances, or received an unctuous enema, / indulges in cooling regimens, heavy food, or sexual intercourse,

8.1.19

tasyāpi sahasā vāyurasthimajjāntaraṃ gataḥ
kupitaḥ kopayatyāśu śleṣmāṇaṃ pittameva ca

In him also, vāta, having entered into the bones and marrow, / suddenly provoked, quickly provokes kapha and pitta.

8.1.20

tato'sya dhātuvaiṣamyādviṣamo jāyate jvaraḥ
satato'nyedyuko vā'pi tṛtīyaḥ sacaturthakaḥ

Then, from the imbalance of his bodily tissues, intermittent fever arises: / continuous, quotidian, tertian, or quartan.

8.1.21

na ca nopaśamaṃ yāti na ca bhūyo na kupyati
śamaprakopayoḥ kālaṃ na cāyamativartate

It does not fail to subside, nor does it fail to flare up again; / and it does not transgress the time of subsidence and flare-up.

8.1.22

na ca svabhāvopaśamaṃ gacchatyanuśayātmakaḥ
na hi svabhāvaśāntānāṃ bhāvānāmasti saṃbhavaḥ

Nor does it go to natural subsidence, for it possesses residual traces; / indeed, things that have naturally subsided do not arise again.

8.1.23

jvarapravegoparame dehī mukta ivekṣyate
tathā'pyasyāmavasthāyāmebhirliṅgairna mucyate

When the paroxysm of fever ceases, the embodied being appears as if released; / nevertheless, in this state, he is not free from these signs:

8.1.24

mukhavairasyakāṭukyamādhuryādibhiralpaśaḥ
nātyannalipsāglānibhyāṃ śiraso gauraveṇa ca

Slight bad taste, pungency, sweetness, or the like in the mouth, / lack of strong desire for food, lassitude, and heaviness of the head.

8.1.25

punaḥ punaryathā caiṣa jāyate tannibodha me
niruddhamārgo doṣeṇa viṣamajvarahetunā

And learn from me how it arises again and again: / with its path blocked by the humour that causes intermittent fever,

8.1.26

vāyustaddoṣakopānte labdhamārgo yathākramam
doṣaśeṣaṃ tamādāya yathāsthānaṃ prapadyate

Vāta, having obtained a path in due order at the end of the flare-up of that humour, / taking that remnant of the humour, reaches its proper site.

8.1.27

sa doṣaśeṣaḥ sve sthāne līnaḥ kālabalāśrayāt
rasasthānamupāgamya bhūyo janayati jvaram

That remnant of the humour, hidden in its own site, taking recourse to the strength of time, / approaches the seat of chyle and produces fever again.

8.1.28

upakramaviśeṣeṇa svabalasya vyayena ca
kṣayaṃ prāpnoti vṛddhiṃ ca samānaguṇasaṃśrayāt

Through particular therapeutic interventions and through the expenditure of its own strength, / it undergoes decrease, and [undergoes] increase from resorting to similar qualities.

8.1.29

so'yaṃ nivṛttiṃ saṃprāpya yathā dīpaḥ svabhāvataḥ
punaḥ punaḥ prajvalati kṣīṇattailendhano'pi san

Having attained remission, just as an oil lamp by its nature / flares up again and again, even though its oil-fuel is diminished,

8.1.30

svamadhiṣṭhānamāśritya śāntaḥ śāntastathā jvaraḥ
kāle balaṃ darśayati kṣīṇadoṣendhano'pi san

So fever, having resorted to its own seat and subsided again and again, / shows its strength at [its proper] time, even though the fuel of its humours is diminished.

8.1.31

svahetudoṣamāśritya niyato niyamena yaḥ
ahorātre darśayati kālahetukṛtaṃ balam

That which, resorting to its own causal humour, consistently / shows its strength produced by the cause of time within a day and night,

8.1.32

dvikālaṃ sa yathādoṣaṃ jvaraḥ satatakaḥ smṛtaḥ
sthānamāmāśayastasya yaṃ samāśritya vartate

Twice in time according to the humour, is known as satataka fever; / its site is the stomach, resorting to which it remains.

8.1.33

urastvanyedyukasthānamahorātrāduraścyutaḥ
doṣo rasaṃ samāsādya yadā darśayate balam

The chest is the site of quotidian fever; when the humour, moved from the chest / after a day and night, reaches the chyle and shows its strength,

8.1.34

tadā'nuṣaṅgī sve kāle jāyate'nyedyuko jvaraḥ
kaṇṭhastṛtīyakasthānamahorātrāccyutastataḥ

Then recurring quotidian fever arises at its proper time. / The throat is the site of tertian fever; moved from there after a day and night,

8.1.35

uraḥ prapadyate'nyasmādahorātrādyathākramam
rasadhātvāśrito doṣa ūṣmaṇā saha mūrcchitaḥ

reaches the chest after another day and night in succession; / situated in the rasa tissue, commingled with heat,

8.1.36

tṛtīye'hani nirvṛttiṃ janayet sa tṛtīyakaḥ
śiraścaturthakasthānaṃ caturthaṃ samudāhṛtam

it produces its occurrence on the third day: that is the tertian [fever]. / The head is declared to be the site of the quartan [fever], the fourth [variety].

8.1.37

ahorātrāccyutaḥ sthānāddoṣaḥ kaṇṭhe'vatiṣṭhate
tataḥ punarahorātrādurasi pratipadyate

Departed from its site after a day and night, the humour abides in the throat; / thence, after another day and night, it reaches the chest;

8.1.38

tṛtīye cāpyahorātre rasadhātau prakupyati
caturthakaḥ sa vijñeyaścirasthāyī mahājvaraḥ

and on the third day and night, it is aggravated in the rasa tissue. / That should be known as the quartan, a long-lasting, grave fever.

8.1.39

gambhīrasthānasaṃbhūto dhātusaṃkaradūṣitaḥ
darśayitvā balaṃ kāle jantoḥ śirasi līyate

Arising from a deep seat, corrupting [the body] through confusion of the bodily tissues, / after showing its power at its proper time, it dissolves into the head of the person.

8.1.40

tridoṣasaṃbhavatvācca bhūtasaṃsparśanādapi
duścikitsyatamo hyeṣa tasmāddhyenamupakramet

Because it arises from all three humours, and also from contact with spirits, / it is indeed extremely difficult to treat; therefore one should treat it

8.1.41

balibhiḥ śāntihomaiśca siddhairmantrapadaistathā
pāpāpaharaṇaṃ cāsya kartavyaṃ siddhimicchatā

with oblations, pacifying burnt-offerings, and proven words of mantras; / and an expiation of sins must be performed for him by one who desires success.

8.1.42

bhūteśvaraṃ nīlakaṇṭhe prapadyeta vṛṣadhvajam
cirānubandhī viṣamo yathākālaṃ vivardhate

He should take refuge in the Lord of Spirits, the blue-necked one whose banner bears the bull. / The intermittent [fever], of long persistence, flares up according to its time.

8.1.43

ekāhācca dvyahāccaiva tryahāccaturahāttathā
pañcame'hani ṣaṣṭhe vā kasmādeṣa na jāyate

After one day, after two days, after three days, and after four days: / why does it not arise on the fifth or the sixth day?

8.1.44

tasya tvāmāśayaḥ sthānamuraḥ kaṇṭhaḥ śirastathā
sthānamanyattato nāsti sthānābhāvānna jāyate

Its seats are the stomach, chest, throat, and head; / there is no seat other than these; because of the absence of a seat, it does not arise.

8.1.45

āgneyaḥ syāt satatako vāyavyo hi dvitīyakaḥ
vaiśvadevastṛtīyaḥ syādaiśānastu caturthakaḥ

The continuous [fever] is related to Agni, the quotidian to Vāyu, / the tertian to the Viśvedevas, and the quartan to Īśāna.

8.1.46

kasmāt parikṣīṇabalaḥ kṣīṇadhātubalaujasaḥ
jvaro vivardhate jantormokṣakāle viśeṣataḥ

Why does a fever of depleted strength, in a person whose bodily tissues, strength, and vital essence are depleted, / flare up especially at the time of release?

8.1.47

gaterabhāvādvāhyena vāyunā'bhyāhatakramaḥ
saṃkṣīṇavartyanugataḥ snehavāyvabhimūrcchitaḥ
śānto'pi tadupādānādyathā dīpo na dīpyate

Due to absence of passage, its path obstructed by the external wind, / following a consumed wick, overcome by unctuous substance and wind, / just as a lamp, though extinguished, does not flare up again from that fuel,

8.1.48

tadvaddhātubale kṣīṇe jvaraḥ kṣīṇabalo'pi san
nirupādānadoṣatvānmokṣakāle viśeṣataḥ

even so, when the power of the bodily tissues is depleted, the fever, though its strength is depleted, / because its humours lack fuel, especially at the time of release,

8.1.49

hetuśeṣamaśeṣeṇa dahan darśayate balam
sapratīkāravaiśeṣyāt praśamaṃ yāti hanti vā

burns the remainder of the cause completely and shows its power; / through the superiority of counteracting measures, it either subsides or kills.

8.1.50

pākādvā śamanādvā'pi śodhanādvā hṛtādhike
svasthānasthe naro doṣe śuddhasrotā visṛjyate

Through digestion and transformation, through pacification, or through purification, once the excess is removed / and the humour rests in its own place, the person, his microchannels purified, is freed [from fever].

8.1.51

nirdiṣṭo doṣapākāderasmāddhetutrayāt param
anyatra caiva nānyo'sti heturjvaravimokṣaṇe

Other than these three causes, beginning with the digestion and transformation of the humours, / there is declared to be no other cause for release from fever elsewhere.

8.1.52

kasmāddoṣaparikṣobhe prāyaśaḥ śītapūrvakam
nirvartate jvaro jantoḥ paścāddāhaḥ pravartate

Why, when the humours are agitated, does fever usually commence / with cold in a person, and afterwards burning heat sets in?

8.1.53

vāyurvyavāyī viśadaḥ śīto rūkṣaścalaḥ kharaḥ
pittamāgneyamuṣṇaṃ ca tīkṣṇamalpaṃ laghu dravam

Vāta is pervading, non-slimy, cold, dry, mobile, and rough; / pitta is fiery, hot, sharp, slight, light, and liquid.

8.1.54

saumyaḥ śīto guruḥ snigdho balavān kaphako bahu
kapho mandavyavāyī ca cirotthānanivartanaḥ

Kapha is watery, cold, heavy, unctuous, strong, and abundant; / kapha is slow-acting, and slow to rise and depart.

8.1.55

vāyuśca śītasāmānyāt kaphasyānubalo balī
balavān hi guṇaḥ saumya āgneyo durbalaḥ smṛtaḥ

And vāta, because it shares the quality of cold, is an ally of kapha, and strong; / for the watery quality is strong, while the fiery quality is recorded as weak.

8.1.56

hetunā'nena mahatā śleṣmā hi balavattaraḥ
tasmāt pūrvaṃ jvare śītaṃ paścāddāhaḥ pravartate

Because of this great cause, kapha is indeed stronger; / therefore cold commences first in fever, and afterwards burning heat sets in.

8.1.57

svavegapariṇāmācca kriyābhiśca yadā kaphaḥ
uṣṇābhiḥ praśamaṃ yāti tadā pittaṃ prakupyati

When, from the maturation of its own surge and from hot therapies, / kapha subsides, then pitta becomes aggravated.

8.1.58

parīṇāmakriyābhirvā śānte tasmin sukhī bhavet
heturukto mahāneṣa yathāvacchītapūrvake

Or when that is calmed by the course of transformation and therapies, he becomes comfortable. / This great cause has been described properly regarding that which begins with cold.

8.1.59

atha kasmājjvaro jantorjāyate dāhapūrvakaḥ
sa eva heturatrāpi balīyastvādudāhṛtaḥ

Now, why does fever arise in a person beginning with burning heat? / The very same reason is stated here too, owing to predominance.

8.1.60

atyudīrṇaṃ yadā pittaṃ vāyunā'lpena mūrcchitam
anubaddhaṃ rasasthāne śleṣmaṇā'lpabalena ca

When pitta, excessively agitated, is commingled with a little vāta, / and tied to kapha of slight strength in the site of the rasa [tissue],

8.1.61

dāhaḥ pūrvaṃ tadā jantoḥ śītamante pravartate
sodvepakaḥ sapralāpasmṛtibuddhipramohanaḥ

then burning heat commences first in the person, and cold sets in at the end, / accompanied by trembling, delirium, and delusion of memory and intellect.

8.1.62

tāvetau śītadāhādī jvarau saṃsargasaṃbhavau
asādhyaḥ kṛcchrasādhyo vā dāhapūrvo jvarastayoḥ

Both these fevers, beginning with cold and beginning with burning heat, arise from combination [of humours]; / of the two, the fever beginning with burning heat is either incurable or curable with difficulty.

8.1.63

pratyanīkaguṇāḥ santo doṣā vātādayaḥ katham
saṃbhūya kurvate rogānnānyo'nyaṃ śamayanti ca

Being possessed of opposing qualities, how do the humours, vāta and the rest, / combine to cause diseases and not pacify one another?

8.1.64

svabhāvāddūṣaṇāddoṣā nānyonyaśamanāḥ smṛtāḥ
yasmāttasmādbahuvidhāḥ saṃsṛṣṭāḥ kurvate gadān

Humours, by their nature of vitiating, are not recorded as pacifying one another; / therefore, combined, they cause manifold diseases,

8.1.65

viruddhā guṇato'nyonyaṃ kāryaṃ sattvādayo yathā
śiraḥ saṃtapyate kasmājjvaritasya viśeṣataḥ

just as sattva and the other [guṇas], though mutually contradictory in quality, produce effects. / Why is the head especially afflicted with heat in a feverish patient,

8.1.66

sati sarvāṅgatāpe ca śaityaṃ bhavati pādayoḥ
doṣairāvṛtamārgatvādūrdhvagatvācca tejasaḥ

and, while there is burning heat in all the limbs, coldness occurs in the feet? / Because the channels are obstructed by the humours and fire has an upward course,

8.1.67

bāhulyādindriyāṇāṃ ca śiraḥ saṃtapyate'dhikam
tejasā'tipravṛddhena somadhātuḥ prapīḍitaḥ

and because of the abundance of sense faculties, the head is excessively heated. / Oppressed by the greatly increased fire, the watery tissue

8.1.68

adhaḥ prapadyate tena śaityaṃ bhavati pādayoḥ
jvaroṣmaṇā'bhisaṃtapte prāguṣṇādikriyāvidhiḥ

moves downward; on account of that, coldness occurs in the feet. / When [a patient] is intensely heated by the heat of fever, why is a regimen of hot treatments and the like carried out first,

8.1.69

kriyate netaraḥ kasmācchīta uṣṇasya bādhakaḥ
yathā'gnyagāre saṃtapte kapāṭapuṭasavṛte

and not the other, [since] cold opposes heat? / Just as, when a fire-chamber is heated and closed with door-leaves,

8.1.70

bhavatyatyadhikastūṣmā sarvataḥ paritāpanaḥ
sa evodghāṭitadvāre mandībhavati tatkṣaṇāt

excessive heat is generated, causing burning on all sides, / but that very same heat diminishes at that very instant when the door is opened,

8.1.71

evamāvṛtamārgeṣu doṣaiḥ srotaḥsu dehinām
jvaroṣmā vardhate dehe yathāhetubalāśrayam

even so, when the microchannels of embodied beings are obstructed by humours, / the heat of fever increases in the body in accordance with the strength of the cause.

8.1.72

udghāṭanārthaṃ tatteṣāmuṣṇopakrama iṣyate
stambhano hi guṇaḥ śīta uṣṇo vilayanaḥ smṛtaḥ

Therefore, a hot therapeutic procedure is desired in order to open them; / for the cold quality is arresting, whereas the hot is recorded as liquefying.

8.1.73

tasmāduṣṇāmbu pānāya jvaritāya pradīyate
tenāsya doṣāḥ pacyante kāyāgniścābhidīpyate

Therefore, hot water is given to the feverish patient to drink; / by that, his humours are digested and transformed, and the bodily digestive fire is kindled.

8.1.74

jvaroṣmā mārdavaṃ yāti vibandhaśca praśāmyati
tṛṣṇā nivartate cāśu prakāṅkṣā copajāyate

The heat of the fever softens, and constipation is relieved; / thirst quickly ceases, and appetite arises.

8.1.75

ṛte pittajvarāduṣṇo vidhiḥ sarvo jvarāpahaḥ
tatrāpyanuṣṇaśītādirupacāro vidhīyate

Except in pitta fever, every hot regimen dispels fever; / even there, a treatment neither hot nor cold, and so forth, is prescribed.

8.1.76

iti sapta yathāpraśnaṃ nirdiṣṭā viṣamajvarāḥ
vakṣye satatakādīnāṃ cikitsāṃ śṛṇvataḥ param

Thus the seven intermittent fevers have been explained in accordance with the inquiry;
next, I will declare the treatment of the continuous and other [fevers] to you as you listen.

8.1.77

upakramaiḥ parikliṣṭaṃ kṣīṇadhātubalaujasam
jvaraḥ purāṇo rūkṣatvādanubadhnāti dehinam

An old fever, due to roughness, persists in an embodied person / who has been exhausted by therapeutic procedures and whose bodily tissues, strength, and vital essence are depleted.

8.1.78

tasmādasya balādhāne prayateta vicakṣaṇaḥ
ramyairvicitrairāhārairhṛdyaiḥ śraddhopapāditaiḥ

Therefore, the discerning physician should strive to impart strength to him / through delightful, varied, heart-pleasing foods provided according to his desire,

8.1.79

surāgrapānairmāṃsānāṃ vaiṣkirāṇāṃ ca bhakṣaṇaiḥ
sarpiṣaḥ pañcagavyasya payaso laśunasya ca

through drinks of the best wine, through the eating of the meat of gallinaceous birds, / and through clarified butter, pañcagavya, milk, and garlic.

8.1.80

upakrameccauṣadhānāṃ prayogairviṣamajvaram
daivatejyopahāraiśca dhūpanābhyañjanāñjanaiḥ

He should treat intermittent fever with applications of medicaments, / with worship of deities, offerings, fumigations, unctions, and collyriums.

8.1.81

vātottaraṃ snehapānairabhyaṅgaiḥ sāvagāhanaiḥ
snigdhoṣṇairannapānaiśca balibhiścāpyupakramaiḥ

When vāta is predominant, he should treat it with the drinking of unctuous substances, massages, immersion baths, / unctuous and hot foods and drinks, and offerings [to spirits].

8.1.82

pittottaraṃ tiktaśītaiḥ śamanaiḥ savirecanaiḥ
payasā sarpiṣā caiva śītaiścābhyañjanairjayet

When pitta is predominant, he should conquer it with bitter and cold pacifying remedies accompanied by purgation, / with milk, clarified butter, and cold unctions.

8.1.83

vamanaiḥ pācanīyaiśca laṅghanairlaghubhojanaiḥ
rūkṣoṣṇaiścāpyupacaret kaṣāyaiśca kaphottaram

When kapha is predominant, he should manage it with emetics, digestives, fasts, light meals, / dry and hot measures, and astringent decoctions.

8.1.84

romaharṣo'ṅgamardaśca vātapittottare jvare
mahākalyāṇakaṃ sarpiḥ pañcagavyamatho pibet

When horripilation and body ache occur in a fever where vāta and pitta are predominant, / he should then drink Mahākalyāṇaka clarified butter or pañcagavya.

8.1.85

pītvā vā mahatīṃ mātrāṃ sarpiṣaḥ punarullikhet
tadaharvā paredyurvā peyāṃ samaricāṃ pibet

Or, having drunk a large dose of clarified butter, he should vomit it back up; / on that day or on the following day, he should drink gruel seasoned with black pepper.

8.1.86

rājamūlasya vā kvāthaṃ pibet prajvarakaṃ haviḥ
kritoyaṃ --- mayogaścaturthakamapohati

Or he should drink a decoction of *rājamūla*, or the fever-curing clarified butter; / this prepared water [...] formulation wards off quartan fever.

8.1.87

dhāroṣṇaṃ vā payaḥ pītvā tadvamedicchayā na vā
śītaṃ vā madhunā'śītaṃ nimbapatrodakaṃ pibet

Or, having drunk fresh warm milk straight from the udder, he may vomit it or not as he wishes; / or he should drink cold water infused with neem leaves, or warm [water] with honey.

8.1.88

sarpirvā māhiṣaṃ pītvā hiṅgustokasamanvitam
tasmin vidagdha evānnaṃ dadhnā bhuñjīta kevalam

Or, having drunk buffalo clarified butter mixed with a pinch of asafoetida, / only when it is digested should he eat rice with curds alone.

8.1.89

nīlaspandaśiphā vā'pi supiṣṭā taṇḍulāmbunā
deyā jvaratithau nasye mṛgarājasya vā vasā

Or the root of *nīlaspanda*, well ground with rice-water, / or the fat of a lion, should be administered as nasal drops on the day of the fever.

8.1.90

harītakī vacā kuṣṭhaṃ nimbapatraṃ palaṅkaṣā
siddhārthakā yavāḥ sarpirdhūpo jīrṇajvarāpahaḥ

Chebulic myrobalan, sweet flag, costus, neem leaf, bdellium, / white mustard seeds, barley, and clarified butter: this fumigation destroys chronic fever.

8.1.91

mūlāni sahadevāyāḥ kaṭukā rohiṇī vacā
taṇḍulodakapiṣṭo'yaṃ deho dāhajvarāpahaḥ

Roots of *sahadevā*, picrorhiza, and sweet flag, / ground with rice-water and smeared over the body, relieve fever with burning sensation.

8.1.92

surayā sarvagandhaiśca tailamabhyañjanaṃ pacet
sarṣapā lasunaṃ hiṅgu trivyoṣaṃ rocanā vacā

One should cook an oil for massage with spirituous liquor and all aromatic drugs; / mustard seeds, garlic, asafoetida, the three pungents, ox-gall, sweet flag,

8.1.93

ṛkṣapittaṃ bastamūtraṃ karañjasya phalāni ca
grahajvarābhibhūtānāṃ nasyakarmāñjanaṃ hitam

bear's bile, he-goat's urine, and seeds of *karañja*: / nasal drops and collyrium [made from these] are beneficial for those afflicted by seizing-spirit fever.

8.1.94

sannipātavibandhe ca vyāladaṣṭe ca śasyate
arśaḥsu yoniśūle ca pralepo'yamanuttamaḥ

It is also commended in obstruction due to toxic combination of humours and in bites of venomous animals; / and applied as an external paste, it is supreme in haemorrhoids and pain in the female genital tract.

8.1.95

bhīṣaṇairharṣaṇaiścaiva vicitrādbhūtadarśanaiḥ
vyākṣepaṃ manasaścāsya bhiṣakkuryājjvarāgame

Through frightening and exhilarating measures, and through displays of strange and marvelous sights, / the physician should divert his mind at the onset of fever.

8.1.96

pānaṃ caitatpradātavyaṃ snigdhasvinnasya dehinaḥ
tribhaṇṭīmajagandhāṃ ca nīlinīṃ kaṭurohiṇīm

And this drink should be given to a person who has undergone unction and fomentation: / *tribhaṇṭī*, *ajagandhā*, indigo, and picrorhiza.

8.1.97

kalkaṃ vā kaṭurohiṇyāḥ pibedgomūtrasaṃplutam
cikitsāyāṃ ca yat proktaṃ tacca kuryādvidhānavit

Or he should drink a paste of picrorhiza steeped in cow's urine; / and whatever else has been taught in therapeutics, that too the knower of rules should carry out.

8.1.97.p1

iti ha smāha bhagavān kaśyapaḥ iti khileṣu viṣamajvaranirdeśīyo nāma prathamo'dhyāyaḥ

Thus spoke the venerable Kaśyapa.
Thus ends the first chapter in the Supplementary Section, entitled 'Teaching on Intermittent Fever'.

8.1.97.p2

viśeṣanirdeśīyo nāma dvitīyo'dhyāyaḥ