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# Ashtangasamgraha 2.18

English (machine translation) 2.18

- **Language:** English

### [2.18](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.2.18)

And with them he should avoid staying in secret and jesting; / \[he should avoid\] a patient who is despised by the king or good physicians, who hates them, or who is an enemy;  
this is the natural state; / deviation from it is abnormal.  
For those fever patients overpowered by chronic fever, it is like nectar.  
\[One may use\] trivṛt with vyoṣa, trijātaka, mustā, kṛmighna, and āmalaka.  
When there is an indicated combination \[of doṣas\], one should give for drinking a decoction of mustā, pāṭhā, ativiṣā, kuṣṭha, and kaṭukā;  
or of rāsnā, ajamodā, priyaṅgu, and bhadradāru;  
or of pāṭhā, tejovatī, punarnavā, and vṛścikālī;  
or of bhūnimba, amṛtā, kuṭaja fruit, and sārivā;  
or of the vacā or haridrā groups;  
or of the great decoction beginning with pāṭhā;  
or of leaves of jambū, āmra, tinduka, and kapittha;  
or pieces of bilva;  
and when secondary symptoms develop, one should counteract them according to the disease.

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## Linked texts (1)

- [Aṣṭāṅgasaṃgraha](https://indike.org/pramana/in.med.samhita.astangasamgraha.2.18) — Vāgbhaṭa, Sanskrit

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Source: [https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.2.18](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.2.18) · Pramāṇa
