Ashtangasamgraha 13.4

13.4

mithyāyogo vyādhimukhānām |

rajasvalāgamanamalakṣmīmukhānām |

brahmacaryamāyuṣyāṇam |

paradāragamanamanāyuṣyāṇām |

ayathāprāṇamārambhaḥ prāṇoparodhinām |

viṣādo rogavarddhanānām |

harṣaḥ prīṇanānām |

śokaḥ śoṣaṇānām |

āśvāso balakarāṇām |

nirvṛtiḥ puṣṭikarāṇām |

puṣṭiḥ svapnakarāṇām |

svapnaḥ tandrīkarāṇām |

sarvarasābhyāso balakarāṇām |

ekarasābhyāso daurbalyārocakānyatamadoṣaprakopakarāṇām |

garbhaśalyamāhāryāṇām |

agnirāmastambhaśītaśūlodveṣṭakapraśamanānām |

ajīrṇamuddhāryāṇām |

bālo mṛdubheṣajārhāṇām |

vṛddho yāpyānām |

garbhiṇī tīkṣṇauṣadhavyavāyavyāyāmavarjanīyānām |

saumanasyaṃ garbhadhāraṇānām |

asaumanasyaṃ duḥkhajanānām |

sannipāto duścikitsyānām |

āmaviṣamacikitsyānām |

jvaraḥ śīghrarogāṇām |

kuṣṭhaṃ dīrgharogāṇām |

rājayakṣmā rogasamūhānām |

prameho 'nuṣaṅgiṇām |

jalaukaso 'nuśastrāṇām |

bastiryantrāṇām |

himavānauṣadhabhūmīnām |

soma auṣadhīnām |

marubhūmirārogyadeśānām |

ānūpabhūmirahitadeśānām |

nirdeśakāritvamāturaguṇānām |

anirdeśakāritvamariṣṭānām |

bhiṣakcikitsāṅgānām |

siddhirvaidyāṅgānām |

nāstiko varjyānām |

laulyaṃ kleśakarāṇām |

ātmavattopakāriṇām |

śāstrasahitastarkaḥ sādhakānām |

dṛṣṭakarmatā nissaṃśayakarāṇām |

asamarthatā bhayaṃkarāṇām |

tadvidyasambhāṣā buddhivarddhanānām |

ācāryaḥ śāstrādhigamahetūnām |

āyurvedo 'mṛtānām |

sadvaidyadveṣaḥ prāṇatyāgahetūnām |

sadvacanamanuṣṭheyānām |

vāyuḥ prāṇasaṃjñāpradānahetūnām |

sarvasanyāsaḥ sukhānāmiti |

tatrodakāgnimṛdbhṛṣṭaloṣṭaprasādatakrābhyāsaraktāvasekairaṇḍatailābhyāsoṣṭrīkṣīramadanaphalamadyākṣepaikarasagarbhiṇīnāmekaikasmāt samudāyācca nirddhāraṇam |

puṣkaramūlādīnāṃ tu samudāyādeveti ||

pāṇḍuhāridraharitān pāṇḍutvaṃ teṣu cādhikam ||

tṛṇapañcamūlaśvadaṃṣṭrābhīruvidārīkaśerukakvāthaṃ śītaṃ samadhu śarkaraṃ pibet |

tadvacca kāṇḍekṣurakamūlam |

kamalotpalavidārīśṛṅgāṭakāni |

drākṣārasena vā trapusakusumbhorvārubījavṛṣakakuṅkumakalkaṃ sarvamūtrāghātaghnam |

madhukadārvyurvārubījāni vā taṇḍuladhāvanena |

samākṣikāṃ vā dārvīmāmalakarasena |

mṛdvīkākalkaṃ vā paryuṣitāmbhasā ||

pṛthumūlaścalaḥ snigdhaḥ savarṇo mṛdupicchilaḥ |

mahānapākaḥ kaṇḍūmānupanāhaḥ sa nīrujaḥ ||

Improper application [is foremost] among the entrances to disease;

intercourse with a menstruating woman among the entrances of misfortune;

celibacy among prolongers of life;

intercourse with another's wife among shorteners of life;

undertaking beyond one's strength among obstructions to the vital breath;

despondency among increasers of disease;

joy among gladdeners;

grief among emaciators;

reassurance among strengtheners;

satisfaction among nourishers;

nourishment among sleep-inducers;

sleep among causes of torpor;

habitual use of all six tastes among strengtheners;

habitual use of a single taste among causes of weakness, anorexia, or the aggravation of one or another doṣa;

an obstructed fetus among things to be surgically extracted;

fire among pacifiers of āma, stiffness, cold, colic, and cramps;

undigested food among things to be evacuated;

a child among those fit for mild medicines;

an aged person among manageable [cases];

a pregnant woman among those who should avoid strong medicines, sexual intercourse, and physical exercise;

contentment of mind among sustainers of pregnancy;

discontent of mind among producers of suffering;

a conjunction of all three doṣas among difficult-to-cure [conditions];

āma-poison among incurable [conditions];

fever among acute diseases;

leprosy and skin diseases among chronic diseases;

consumption among clusters of diseases;

urinary disorders among recurring conditions;

leeches among blunt and accessory instruments;

the enema among surgical instruments and apparatuses;

the Himālaya among lands of medicinal herbs;
soma among medicinal herbs;

desert country among regions conducive to health;

marshy country among harmful regions;

obedience to instructions among the virtues of a patient;

disobedience to instructions among fatal prognostics;

the physician among the limbs of medical treatment;

success among the qualities of a physician;

an atheist among persons to be avoided;

greed among causes of misery;

self-control among benefactors;

reasoning guided by the treatise among successful means;

practical experience among removers of doubt;

incompetence among producers of fear;

discussion with peers among increasers of intellect;

the teacher among the causes of acquiring the treatise;

Āyurveda among nectars;

hatred for a good physician among causes of abandonment of life;

the word of the virtuous among things to be followed;

vāyu among causes that impart life and consciousness;

renunciation of everything among happinesses.

Here, the determination [as foremost] is made from each individually and from combinations in the case of: water, fire, earth, the clarification from a fried clod of earth, buttermilk habituation, bloodletting, castor oil habituation, camel's milk, emetic nut, liquor, convulsions, single taste, and pregnant women;

whereas in the case of puṣkaramūla and others, it is from combinations alone.

Those that are pale, deep yellow, or green, and in these paleness is pronounced.

One should drink cold decoction of the five grasses, puncture-vine, asparagus, vidārī, and nutgrass, mixed with honey and sugar;

and likewise the root of kāṇḍekṣuraka;

or lotus, water lily, vidārī, and water chestnut;

or a paste of cucumber seed, safflower, melon seed, vṛṣaka, and saffron with grape juice—this destroys all urinary retentions;

or licorice, tree turmeric, and melon seeds with rice wash water;

or tree turmeric with honey in gooseberry juice;

or a paste of raisins with water kept overnight.

With a broad base, movable, unctuous, matching the skin color, soft, slimy,

large, not suppurating, itching, painless—that is an upanāha [swelling].