Ashtangasamgraha 23.11

23.11

grīṣme punarādānopahatatvāccharīramuṣṇarūkṣavātātapādhmātamatisvinnamatiśithilamatiyalīnadoṣaṃ bhavati |

bheṣajaṃ punaranuṣṇamapi tapanakaranipātāduṣṇatīkṣṇatāmupagatamatiyogāyopakalpate |

śarīrañca pipāsābhramaklamopadravāya |

tasmātsādhāraṇeṣveva tadantarāleṣu vamanādīni yojayennacedātyayiko vyādhiḥ |

ātyayike tu kṛtrimaguṇopadhānena yathartuguṇaviparītena saṃyogasaṃskārapramāṇavikalpaiścopapādyauṣadhamevāvahito 'vacārayet ||

rakte śītapradehavirekaraktamokṣāḥ |

māṃsamedasorvirekāsthāpanaśamanāni |

asthimajjñorantarbahiḥsnehāḥ |

śukraprāpte harṣaḥ śukralaṃ cānnapānam |

vibaddhe tu śukre virecanam |

tato 'nubandhe 'nantaroktāṃ kriyāṃ kuryāt putrakāmīyaṃ cekṣeta ||

kupyatyakasmād bahuśo mukhadaurgandhyaśoṣakṛt ||

In the hot season, however, because the body is impaired by the period of depletion, scorched by hot, dry wind and sun, excessively perspired, excessively flaccid, and has doṣas that are deeply lodged;

the medicine, even if not hot [by nature], acquires heat and sharpness due to the fall of the sun's rays and leads to excessive action;

and the body [is exposed] to the complications of thirst, dizziness, and fatigue.

Therefore, one should administer emesis and the like only in the temperate periods between them, unless the disease is an emergency.

In an emergency, however, an attentive physician should administer medicine having adapted it with artificial qualities, contrary to the qualities of the season, and by means of combinations, processing, and variations of dosage.

When [the doṣa is] in the blood, cold poultices, purgation, and bloodletting [are indicated].

When in the flesh and fat, purgation, non-unctuous enemas, and pacification.

When in the bones and marrow, internal and external oleations.

When it has reached the semen, sexual arousal and virilizing food and drink.

When semen is obstructed, however, purgation.

Then, if it persists, one should perform the treatment just stated and consult [the chapter on] one desiring a son.

It flares up suddenly and frequently, causing foul odor in the mouth and dryness.