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# Ashtangasamgraha 6

English (machine translation) 6

- **Language:** English

### [6.1](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.1)

Now we shall explain the chapter entitled 'Knowledge of Liquid Substances'.  
  
Thus indeed spoke Ātreya and the other great seers. /  
  
Thus indeed spoke Ātreya and the other great seers. /  
  
Thus indeed spoke Ātreya and the other great seers. /  
  
Thus indeed spoke Ātreya and the other great seers. /  
  
Thus indeed spoke Ātreya and the other great seers. /  
  
Thus indeed spoke Ātreya and the other great seers. /

### [6.2](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.2)

Enlivening, nourishing, pleasant to the heart, gladdening, awakening the intellect,  
thin, of imperceptible taste, clean, cold, pure, like nectar. /  
  
For bodily actions are bound to them.  
Going the distance of two finger-breadths, one finger-breadth, half a finger-breadth, a barleycorn, and half a barleycorn, they divide like the veins of a tree leaf and become seven hundred.  
Expanding throughout the channels and clear is liquor; vital essence is its opposite. /  
  
Likewise, one should first treat that afflicted person with sudations. /  
  
Abdominal colic, body ache, hiccup, cardiac pain, cutting pain, and discharge:  
from non-application and excessive administration of an enema, these six complications each arise. /

### [6.3](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.3)

Because it is lifted up and released by the sun, it is light and eliminates vāta and kapha;  
due to its coldness, enlivening power, and mild nature, it overcomes disorders of pitta, blood, and poison. /  
  
Among them, sixteen are not to be punctured.  
One hundred and thirty-six are in the trunk;  
among them, thirty-two \[are not to be punctured\].  
One hundred and sixty-four are above;  
among them also, fifty \[are not to be punctured\].  
They lead to the end of life; but in poison, \[they act\] by their excessive function. /  
  
By them, even what is latent, once liquefied, reaches the alimentary tract and is easily eliminated. /  
  
Cold, with too little unctuous or saline substances, or too dense: /

### [6.4](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.4)

Celestial water fallen from the sky, affected by the sun, moon, and wind,  
further depends upon region and season for its wholesomeness or unwholesomeness. /  
  
There, one must not puncture the jālandharā,  
and the three that are internal.  
Agitating the mind with ten \[qualities\], it brings about mental disorder. /  
  
And one should feed the fomented person unctuous food with meat-soups of marshland animals. /  
  
It produces an extremely severe retention of flatus, feces, and urine. /

### [6.5](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.5)

Rainwater by which clean, cooked śāli rice placed in a silver vessel  
remains unmoistened or undiscolored is fit to drink as celestial water; otherwise, it is not. /  
  
Among them, one must protect eight from the knife: two each in the groins and two each in the pelvic bones;  
sixteen in the flanks; of those, the one each that courses upward, called pārśvasandhi;  
twenty-four in the back;  
among them, on both sides of the vertebral column, two each coursing upward: these four;  
twenty-four in the abdomen;  
among them, above the penis, on both sides of the line of hair, two each: these four also;  
forty in the chest;  
among them, two in the heart, and two each at the base of the breasts and at the nipples;  
one each at the apastambha and apalāpa \[vital spots\]:  
these are fourteen.  
Afflicted by wrong reasoning, the fool perceives it as happiness. /  
  
Especially for one suffering from cough, vomiting, constriction in the heart, and loss of voice. /  
  
Itching, swellings, discoloration, restlessness, and sluggishness of the digestive fire. /

### [6.6](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.6)

Rainwater that has fallen into the sea should not be drunk, except in the month of Āśvayuja; / or water that has fallen from excavations, washed rock faces, cloths, and the like.  
  
Of those, four and eight are termed vital spots.  
  
Two in the kṛkāṭikā, two in the vidhura—thus sixteen should not be touched with a sharp instrument.  
  
Sixteen in the jaws; of these, two are connected to the joints.  
  
Sixteen in the tongue.  
  
Of these, two beneath perceive tastes, and two initiate speech; that makes four.  
  
Twenty-four in the nose.  
  
Of these, two perceive smells, and of these very ones, one is in the palate; that makes three.  
  
Fifty-six in the eyes.  
  
In them, two each actuate opening and closing.  
  
And two in the outer corners; that makes six.  
  
Those extending from the nose and eyes to the forehead are sixty.  
  
Of these, four follow the hairline, two in the brows, and one in the sthapanī; that makes seven.  
  
Sixteen in the ears.  
  
Of these, two convey sound.  
  
And the same in the temples; of these, two are situated in the temporal joints.  
  
Twelve in the crown of the head.  
  
Of these, two in the utkṣepa, one each in the cranial sutures, and one in the adhipati; thus eight should be avoided with the knife.  
  
Likewise, minute, tortuous, crowded, and knotted ones, as well as those located at joints, are unfit for surgical operation.  
  
Like an elephant without a goad, the stupid person will refrain from doing nothing.  
  
When the morbid accumulation accompanied by kapha is expelled, one attains comfort.  
  
Therefore, the intake of a hot \[liquid\] alone is recommended in that condition; / along with fruit suppositories and sudations, and purgation after determining the proper time,  
  
or with white mustard, sal tree resin, kuṣṭha, asafoetida, and guggulu.

### [6.7](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.7)

One should always drink \[water\] kept in a golden or earthen vessel, which is uncorrupted; / and in its absence, \[terrestrial water\] located on the ground that resembles celestial water.  
  
This same division applies also to pitta, śleṣman, and pure blood.  
  
For when positioned thus, the doṣas sustain the body; / but by improper distribution they afflict it.  
  
This alone is the supreme guide on the many-pathed road to ruin.  
  
In abdominal distension, udāvarta, and tamaka \[asthma\], with mātuluṅga and amlavetasa,  
  
an enema containing liquor, feces, and urine, together with paste, brings him back \[to health\].

### [6.8](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.8)

In white soil it is astringent and sweet; in black, bitter; and in pale-yellow,  
  
in blue soil astringent-sweet, and in saline soil salty.  
  
\[Veins that are\] blue, yellow, and black, hot to the touch, and quick to bleed are pittaraktam.  
  
Those that are pale, unctuous, firm, cold, and itchy are kapharaktam.  
  
In a mixture of symptoms, they indicate dual or combined-doṣa blood.  
  
Those that are even, deep-seated, unctuous, and red are pure blood.  
  
The wicked-minded person has reached a state worse even than death.  
  
One should administer a lukewarm purgative with rock salt or sour fruits.  
  
It causes vāta to swoon, blocks the channels, and destroys the digestive fire.

### [6.9](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.9)

In reddish-brown soil it has an alkaline-mixed quality; in mixed soil, if the water-quality is predominant, / it is sweet, but salty-sour if the earth-quality is predominant.  
  
By these \[channels\] this body is lubricated, just as a garden is by water-bearing trenches or a field by canals.  
  
And by these the navel is surrounded, like the hub of a wheel by its spokes.  
  
In that navel especially the vital breaths are established, / and because it is the seat of the internal fire.  
  
When addicted, he does not understand; how could a wise man indulge in that?  
  
Therefore, for the cleansing of his passages, upper and lower purification is beneficial.  
  
Then he should act, treating him with dry sudations and digestives.

### [6.10](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.10)

When fire is predominant, it is bitter and pungent; astringent when wind is predominant; / but when space-quality is predominant, it resembles celestial water because of its unmanifest taste.  
  
Then, by these \[channels\], the body parts are maintained and nourished according to their respective functions.  
  
Accompanied by madness, intoxication, fainting, epilepsy, and tetanic convulsions.  
  
One should clear the path of that vāta by any means necessary.  
  
He should drink a digestive, heart-cleansing draught mixed with black salt.  
  
Homage to Skanda, the god, homage to the lord of grasping spirits.

### [6.11](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.11)

And in a pure, broad, black, or white region, struck by the sun and wind,  
  
well water, lake water, pond water, cauṇḍa water, spring water, and subterranean spring water.  
  
Then, of the thirty \[channels\] in the middle, two each convey vāta, pitta, kapha, blood, and chyle.  
  
By eight, sounds, forms, tastes, and smells are perceived.  
  
By two each, one speaks, makes a loud cry, sleeps, and awakens.  
  
And two carry tears.  
  
And two located in the breasts carry breast milk in a woman, and semen in a man.  
  
For food improperly used leads to disease or to death; / wine destroys the three aims of life, intellect, courage, modesty, and the like.  
  
Turmeric leaves, castor root, lac, and realgar;  
  
or they should be drunk with clear wine, ariṣṭa, or āsava.  
  
May the infant always remain free from sickness and free from affliction.

### [6.12](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.12)

reservoir water and river water—thus it is remembered as eightfold.  
  
Well water is alkaline, aggravates pitta, stimulates digestion, and does not greatly provoke vāta.  
  
There, the first ten are as before.  
  
Two carry food, based on its proper quantity.  
  
Two carry water.  
  
Two carry urine.  
  
Two carry semen and two release it;  
  
these same two \[carry\] menstrual fluid in women.  
  
Two, attached to the large intestine, expel the feces;  
  
thus there are twelve.  
  
And the remaining eight transverse arteries gratify sweat.  
  
Those who are unctuous, endowed with strength and youth, habituated to daily liquor, descended from such families,  
  
possessing an excess of fat and kapha, mild vāta and pitta, and robust digestive fire.  
  
One should inhale the smoke of that \[preparation\] smeared with ghee, or barley mixed with ghee.  
  
Having ground kuṣṭha with urine, he should drink it, and stimulating alkaline preparations;  
  
and one should administer an enema to him with urine and the ten roots.  
  
Especially in Skanda-possession, for three nights, night after night, one should perform the bathing of the wet-nurse and infant at a crossroads with water consecrated by the Gāyatrī.

### [6.13](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.13)

Lake water is sweet and light; pond water is heavy and provokes vāta.  
  
Cauṇḍa water provokes pitta; spring water removes the doṣas.  
  
And by sour and dry liquor in indigestion, it overflows excessively.  
  
Sandalwood, or goat horn, or hairs, or tendon of cows.  
  
An enema enveloped by doṣas, with obstructed passages, will obstruct vāta.

### [6.14](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.14)

Spring water is sweet and pacifies pitta; well water from a stepped well is sweet and light. / River water should be known as vāta-aggravating, dry, and pungent. / The two ears, the two eyes, the two nostrils, the mouth, the anus, the urinary tract, and three others in women—the two breasts and the menstrual tract. / Likewise, there are thirteen other internal channels, seats of life, pathways for the vital breath, water, food, bodily tissues, and waste products. / All \[diseases\] indeed arise from all \[doṣas\], but the designation is made from the predominant one. / Or guggulu, or realgar, or resin of the sāla tree. / Burning sensation of the rectum and the abdominal cavity, pain in the scrotum and groin, / it blocks the heart with sharp pains and rushes about here and there. / May that indestructible god Skanda, the creator, be gracious to you.

### [6.15](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.15)

Heaviness and lightness \[arise\] from proximity to arid lands, marshlands, and mountains. / Those flowing into the western sea, running swiftly and having clear water, / they are vitiated by depletion of the bodily tissues, dryness, thirst, hunger, exercise, suppression of natural urges, and the like. / Therefrom arises excessive, obstructed, very scanty, or frequent respiration accompanied by sound and sharp pain. / The treatment there is as in dyspnea. / Diarrhea, constant thirst, a fever of cold and hot \[phases\], and loss of appetite. / And an evacuating enema should be made of bilva and the like, containing salvadora, mustard, and cow's urine; / and an unctuous enema prepared with pinus and deodar cedar. / May the blessed Guha, destroyer of the enemies of the divine army, protect you.

### [6.16](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.16)

are wholesome in brief; those rivers otherwise are contrary \[to health\]. / Their water agitated by dashing, tossing, and pounding against rocks, / they are vitiated by ama, fear, excessive drinking, hot, dry, and astringent food, suppression of thirst, and the like. / Therefrom arises excessive thirst, dryness of the mouth, ringing in the ears, and darkness before the eyes. / The medicine there is that stated for thirst. / Chest tightness, darkening of vision, cough, dyspnea, and wakefulness. / One should foment by pouring pleasant-warm unctuous substances along with sugar and milk. / \[When the enema fluid is\] cold, small in quantity, and enveloped by the doṣas, it repulses the wind. / And may he \[born\] of Gaṅgā, Umā, and the Kṛttikās grant you happiness.

### [6.17](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.17)

arising from the Himālayas and Malaya are wholesome; those very \[waters\], when stagnant, / produce intestinal worms, elephantiasis, and diseases of the heart, throat, and head. / When they are vitiated, one should understand all as stated in \[the chapter on\] Proper Diet. / Delirium, vomiting, nausea, dizziness, and seeing bad dreams. / The chest and throat with gentle \[applications\], while in \[a state of\] āma one should follow the improper-digestion regimen. / Stiffness of the neck, catarrh, deafness, and disturbance of vision. / May the god having the radiance of the red sun, the slayer of Krauñca, protect you.

### [6.18](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.18)

Arising from the eastern, Avantī, and western regions, \[they cause\] piles; those born of the Mahendra, / abdominal swelling and elephantiasis; moreover, those arising from the Sahya and Vindhya \[mountains cause\] diseases / \[The roots\] of the blood-carrying \[channels\] are the liver and spleen; / of the flesh-carrying, the sinews and the skin; / of the fat-carrying, the kidneys and the flesh; / of the bone-carrying, the hips and the fat; / of the marrow-carrying, the joints and bones; / of the semen-carrying, the breasts, scrotum, and marrow; / of the urine-carrying, the bladder and the groins; / of the feces-carrying, the large intestine and the colon; / of the sweat-carrying, the fat and the hair follicles. / Their vitiation \[arises from\] various unsuitable diets and lifestyles; one should diagnose their individual complications and treatment according to their respective symptoms of increase and decrease, as stated in the \[chapter on the\] Understanding of Doṣas and the like. / In sleep he wanders, flies up, and talks with the spirits of the dead. / One should bring about pacification with unctuous \[preparations\] of meat juice and the like, not too hot, and with massages; / one should swiftly administer sharp herbal smokes, blow-powders, nasal drops, oral errhines, / purgations, and downwards-directing enemas. / Massage is performed with oil prepared with a paste of sarpasugandhā, deodar cedar, kuṣṭha, and nutgrass along with cow's urine and goat's urine.

### [6.19](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.19)

skin diseases, anemia, and head diseases; those born of Pāriyātra pacify the doṣas / and produce strength and virility; sea water aggravates the three doṣas. / Therefore, after pronouncing an unfavorable prognosis, one should treat a pierced bodily channel, / and, once the foreign body is extracted, according to the rule for fresh wounds. / The body becomes greenish-yellow, with red eyes and cheeks; / due to phlegm \[arise\] vomiting, nausea, drowsiness, urticaria, and heaviness of the limbs. / Wind, having obtained a hold \[and\] having dried up a vital spot, would quickly take away life. / Having aggravated \[them\], it removes the doṣa in small measure and would produce tenesmus. / Or with jīvaka, ṛṣabhaka, kṣīriṇī, bṛhatī, turmeric, the two aṃśumatīs, and liquorice; or with the two vidārīs, bamboo manna, raisins, liquorice, rāsnā, blue lotus, rhizomes, sweet flag, and the three pungents.

### [6.20](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.20)

Turbid with insects, snakes, urine, feces, putrefaction, and masses of grass and weed, / covered with mud, lotuses, algae, water cabbage leaves, and the like; / Others, however, assert the distinctness of veins, arteries, and bodily channels; / yet merely on account of their mutual proximity, similar actions, and subtlety, even though their functions are divided, they appear as though undivided. / Suddenly and through what is unaccustomed, and another \[condition of\] his, dhvaṃsaka and vikṣaya. / \[Wind\] arising in association with wasting, chest injury, diarrhea, bleeding disorder, and burning sensation. / With his wind obstructed, the creature repeatedly strains. / One should wear anantā, kukkuṭī, markatī, bimbī, samaṅgā, and white girikarṇikā, and the previously mentioned ones as before.

### [6.21](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.21)

unseen by the sun, moon, and wind, and infested by small creatures; / rained upon, discolored, turbid, and with thick froth. / 'Bodily channels', 'veins', 'arteries', 'fluid-carrying vessels', 'ducts', 'pathways', 'passages', 'canals', 'body orifices', 'covered and uncovered openings', 'sites', 'receptacles', 'dwellings', and 'abodes' are the names for the perceptible and imperceptible tissue-spaces in the body. / In dhvaṃsaka \[there is\] spitting of phlegm, dryness of the throat, and excessive sleepiness. / In a decoction of horsegram and daśamūla there should be meat juices of arid animals, / and lentil soups with drumstick, eggplant, kāsaghna, vāsā, and radish. / Having made him fast, one should prescribe for him the regimen of one who has been purged. / And the incantation \[is as follows\]:

### [6.22](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.22)

\[Water that is\] tasteless, foul-smelling, hot, setting the teeth on edge through excessive coldness, / out of season, and the first \[rainwater\] from the sky, / these also, when aggravated, \[corrupt\] those bodily channels; / and bodily channels \[corrupt other\] bodily channels; / and bodily tissues \[corrupt other\] bodily tissues. / The corrupters of all of them are the deranged doṣas, / and they are deranged mostly through defect of the digestive fire. / Therefore, lifespan, health, strength, nourishment, complexion, and vital essence have that as their cause; / and the rañjaka and other \[pittas\], the elemental fires, and the tissue-fires are bound to it alone. / Likewise, even food, cooked by that alone, becomes ambrosia, and uncooked \[it becomes\] poison. // Obstruction of the chest and throat, delusion, cough, thirst, vomiting, fever. // With vyāghrī, durālabhā, śṛṅgī, bilva-pulp, and trikaṇṭaka. // Or an unctuous-less, salty, and hot enema, small in quantity with little medicine. // May he known as Viśākha, with a distorted face, be auspicious for the child.

### [6.23](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.23)

Corrupted by contact with spider and other \[creatures'\] web, feces, urine, or poison; / through bathing and drinking, it produces thirst, distension, abdominal disease, and fever. // But others declare: "The internal heat produced by the confluence of doṣa, bodily tissue, and waste product, possessing the aforementioned location and action, is agni." // He is never touched by afflictions, physical or mental. // Likewise with rāsnā, bṛhatī and others, balā, mudga, and citraka. // It comes out, causing fainting, nausea, thirst, burning sensation, and the like.

### [6.24](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.24)

From cough, sluggishness of the digestive fire, conjunctival congestion, itching, glandular swellings, and so on; / therefore one should avoid it; or in the absence of other water, it is commended: // Arising from the blockage of channels carrying lymph, blood, and consciousness, / intoxication, fainting, and coma are progressively stronger in order. // Or with daśamūla, which removes cough, dyspnea, hiccup, and pain. // One should fan \[him\] until exhaustion disappears, and have him perform breath control. // Fumigation with sarpagandhā, goat's horn, and hair. / One should keep seeds of sarpagandhā, bastagandhā, tumbī, mṛgorvāru, śatāvarī, sahadevā, and punarnavā.

### [6.25](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.25)

Protection from tiny insects by filtering through a thick cloth; / heating this \[water\] when disordered by fire, sun, or heated iron balls. // Then, burning, having become acidic, clear pitta slipping down from the stomach, / and on reaching the colon, pungent vāta \[is produced\]. // Talking unclearly, incessantly, and rapidly, moving about with unsteady, stumbling steps. // With kulīraśṛṅgī, capalā, tāmalakī, amṛtā, and auṣadha. // Raising \[him\] by the hair, one should shake \[him\], and terrify \[him\] with beasts of prey, / weapons, torches, and royal men; for thus the enema moves downward. // Bathing on a riverbank, and a mantra.

### [6.26](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.26)

With the parṇīs, lotus root, rhizome joints, pearls, kataka, and duckweed, / or with cloth and gomedaka stone, one should bring about its clearing. // Those \[digestive fires\], having cooked \[food\], in turn nourish according to their own nature the qualities of the elements that reside in the body and exist as their modifications. // From pitta, he is irascible, reddish-yellow in complexion, and fond of quarrels. // One should eat śāli, ṣaṣṭika, wheat, barley, mudga, and kulattha. // For because of the restraint of prāṇa and udāna, whose passage is very well known, / the apāna wind quickly pulls out that enema. // May the god Naigameṣa, who is beneficial to children, protect the child.

### [6.27](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.27)

Destruction of the smell with flowers of pāṭalā, karavīra, and the like; / \[one should drink this\] water, but water born of another region is not to be drunk. // And by those two—the essence and the waste product—the channels of the bodily qualities called bodily tissues, composed of those very \[elements\], are each successively filled in an unbroken continuity; / and from the channels, the bodily tissues are nourished proportionately, each in its proper way. // And even when entering each subsequent \[tissue\], there is no diminution of the previous channels, which are being nourished at proper times by the digestion resulting from the correct use of food. // And thence the clear essences and waste products called bodily tissues maintain their own measure, / corresponding to age and body. // By a confluence of all \[three doṣas\], \[one has\] all characteristics; from blood, stiffness of the limbs and gaze. // One should drink roasted barley groats, infused with the milky sap of arka sprouts, with honey, / \[made of\] barley stirred into a decoction of daśamūla and the like. // Because of its heat, sharpness, and flowing nature, he should direct the enema downwards; / or a paste of trivṛt and pathyā with cow's urine as a downward-moving agent. // In the case of the dog-demon seizure, a poultice with gavākṣī, brahmadattā, the two bṛhatīs, sārivā, hrīvera, kuṣṭha, bhūmikadamba, surasā flowers, and karavīra flowers; / and with feces and hair of peacock, owl, horse, and buffalo; / an affusion with a decoction of leaves of bilva, eraṇḍa, naktamāla, and araluka.

### [6.28](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.28)

Boiled \[water\] in indigestion, and \[water\] … in unripe, cooked, and digested \[conditions, but\] not otherwise; / this is the procedure for cold \[water\]; but in indigestion from hot \[water\], one should avoid cold \[water\]. // From poison, trembling and excessive sleep; and it is greater than all \[others\]; / one should observe vāta and the rest in blood and other \[tissues\] through the prominence of symptoms. // With pauṣkara, śaṭhī, the three pungents, mātuluṅga, and amlavetasa, / and it should be prepared with barley, kola, and kulattha, cooked with cow's urine. // Likewise, clarified butter as a drink. // At midnight, fumigation with powder of dried fish infused with cow and goat urine.

### [6.29](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.29)

Water is the life of living beings, and the entire universe is made of it; / therefore, by absolute prohibition, water is nowhere forbidden. // The essence of lymph is blood, and the waste products are kapha and serum; / the essence of blood is muscle, tendons, and veins, and the waste product is pitta; / the essence of muscle is fat, skins, and adipose tissue, and the waste product is the dirt of the ears, eyes, nose, mouth, hair follicles, and genitalia; / the essence of fat is bone, ligaments, and joints, and the waste product is sweat; / the essence of bone is marrow, and the waste product is hair of head, hair of body, and nails; / but the essence of marrow is semen, and the waste product is the unctuous substance of the eyes, feces, and skin; / the essence of semen is vital essence; / on account of its extreme purity, there is no waste product for it; / but others, for this very reason, do not accept cooking for it; / yet others consider the embryo alone to be the essence of semen. // And he awakens quickly; pain in the chest, trembling, dizziness. // Or he should drink the supernatant of vāruṇī wine, if he has hiccup, dyspnea, and thirst. // With bark and leaves of pūtīkarañja, śaṭhī, devāhva, and rohiṣa, / together with oil, jaggery, and rock salt, possessing a paste of purgative drugs.

### [6.30](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.30)

Dryness of the mouth, prostration of the limbs, and so on, or even death \[result\] from the lack of it; / for without water there is no sustenance for the healthy or the diseased.  
And considering it thus, all entities in the body are indeed composed of food.  
By that alone, this bodily mechanism—pervaded over time inside and outside by a continuous flow, endowed with health, strength, and nourishment—is sustained as long as the reception of actions \[lasts\].  
Otherwise, due to the ejection of the food-juice or with blocked bodily channels, the stream of bodily tissues that is not properly connected is interrupted mid-way,  
or it becomes a receptacle for disease.  
Seeing the sky red or yellow due to pitta, he enters darkness.  
When smeared with pasted \[herbs\] and healed, one should place \[the patient\] in a vessel filled with ghee.  
When \[it is\] located in the head, errhine \[is used\], and smoke; the head should be covered with mustard seeds.  
Bathing at a crossroads \[or rubbish heap\].  
And the mantra:

### [6.31](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.31)

Alone or with medicine, cooked or raw, hot—that is wholesome / when administered in proper measure after consideration; \[it is\] nectar, but otherwise poison.  
Of the food just ingested, rolled down the esophageal tube and descended into the great cavity, whichever portion is touched by the bodily fire and brought to digestion, immediately after the production of each minute essence called 'clarified juice' (prasāda), it spreads equally throughout all the bodily tissues via closed and unclosed \[pathways\], enters more abundantly and first into the nearby bodily channels with open mouths, and successively into the others as well.  
Thus, it is the food-juice alone that directly nourishes all the bodily tissues across certain divisions of time;  
it is not that the bodily tissues turn into another bodily tissue by the destruction of their own form.  
With loose feces, having a blue-yellow hue, with eyes reddish-yellow and agitated.  
Pāṭhā, madhurasā, dāru, and sarala, kept overnight.  
When the doṣas are slight, in a gentle bowel, or administered repeatedly.  
May that god who was created in the form of a dog protect you!

### [6.32](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.32)

Water, even when administered to a thirsty person, in excessive quantity / turns into śleṣman and pitta, especially in a feverish person.  
It is balanced, irregular, sharp, and dull.  
Among these, the balanced one properly digests food that has been properly consumed.  
The irregular one digests even \[food\] that has been improperly consumed, and does not digest even \[food\] that has been properly consumed.  
The sharp one rapidly digests even \[food\] that has been improperly consumed;  
that very one, increasing \[further\], becomes 'excessive fire' (atyagni).  
The dull one, even with \[food\] properly consumed, digests it only after a long time, exhibiting symptoms of uncooked matter (āma) such as heaviness of the abdomen, flatulence, constipation, gurgling, rumbling in the bowels, dryness of the mouth, and obstruction of flatus.  
Even by external fire consisting of flames and charcoal, digestion \[or cooking\] is not always of a single uniform kind;  
how much less so by that which resides within, consists of heat, even if balanced!  
Therefore, one should protect it with diligent effort.  
There, having brought them to suitability gradually—the balanced one with the best suitable regimen, and the others each according to its own nature with the others—one should maintain it with the best \[regimen\], and with the management of vāta and the rest described in the chapter on the treatment of the doṣas, and with the medicinal and exercise regimens prescribed for the disease of the duodenum (grahaṇī).  
And on this point there are \[verses\]:  
And he awakens from the darkness only after a long time, having nausea and salivation.  
Flowers of siris, kunda, and plantain, together with pippalī.  
Through excess of purgation, it has identical features and management.  
In possession by pitṛs, the aforementioned poultice made with vacā, vayasthā, jīvantī, dhātakī, priyaṅgu, guggulu, rāsnā, and realgar; / or an oil prepared with vacā and the others as an unction.

### [6.33](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.33)

It increases uncooked matter, thirst, sleep, drowsiness, flatulence, and heaviness of limbs, / cough, impairment of the digestive fire, nausea, salivation, dyspnea, and catarrh.  
The bodily channels are long in shape and resemble tendrils.  
Having all manifestations caused by the three doṣas, like a second epilepsy,  
it quickly fells \[the person\] motionless, without hideous actions.  
Or having ground \[them\] with sour gruel, combined with the juice of mātuluṅga.  
Having ground grapes and madhūka in milk \[and\] rice-wash.

### [6.34](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.34)

Sweet in post-digestive effect, cold in potency, it is also administered hot; / therefore, due to non-application of drinking, one should not avoid it out of lightness.  
And that which is contrary in qualities to the bodily tissues is a vitiator of the bodily channels.  
They subside spontaneously; syncope (sannyāsa) \[does not\] without medicines.  
With lukewarm \[water\], bhārṅgī and ginger, or alkali combined with pepper,  
having mixed with ghee, one should apply an enema in burning sensation produced by excessive application.  
Or with devadāru, bhārṅgī, viḍaṅga, sandalwood, the two kākolīs, jīvaka, and ṛṣabhaka, with alkali.

### [6.35](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.35)

In raw indigestion and indigestion with flatulence, one should drink lukewarm water even if not thirsty, / as much as moistens the food; excessive moisture destroys the digestive fire.  
Or movement through improper paths is a sign of vitiation of the bodily channels.  
Aggravated together, residing in the seats of the vital breath, \[they cause\] syncope.  
The fresh juice of saptaparṇa or from flowers of siris.  
An enema administered to one who is ill-positioned or poorly purified,  
and a paste with these very \[ingredients\] ground in liquor.

### [6.36](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.36)

Obstructed by kapha and vāta, its bond in the stomach released, / food liquefied by lukewarm water is digested quickly.  
\[They are\] the doors of the bodily channels in the body by which rasa is accumulated.  
He would die quickly if treatment is not quickly applied.  
A warm poultice made with tugākṣīrī, kṛṣṇā, madhūlī, jaggery, and dry ginger.  
It produces body ache, yawning, stiffness, and breaking pain in the small joints.  
And one should wear only those \[amulets\] mentioned before.

### [6.37](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.37)

In one whose doṣas and digestive fire are unstable, and whose strength is depleted by disease, / even a little raw water is not wholesome, for it produces all three doṣas.  
After a month, food attains the state of semen through the sequence of digestion and the rest.  
One should quickly pull back a man sinking into syncope.  
With porcupine feces, hare meat, kaṇā, ghee, and porcupine blood.  
With bilva, kola, barley, castor, varṣābhū, and the two bṛhatīs.  
Bathing near milk-trees.  
And the mantra:

### [6.38](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.38)

Because it is an opponent of fire, one with dull digestive fire should avoid water / altogether; likewise those suffering from eye discharge, spleen disease, abscess, and abdominal swelling.  
Other medicine generally accomplishes its action after a day and night.  
Proper and improper \[application of medicine\] is equal to wine \[taken\] with and without proper method.  
A drink \[is taken\] after boiled śāli rice when vāta and pitta are attendant.  
One should give an unctuous enema with oil cooked with substances that overcome vāta.  
Having made your dwelling at the root of a tree, may you, the Father, protect him always!  
Svāhā!

### [6.39](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.39)

Those suffering from anemia, abdominal disease, diarrhea, hemorrhoids, assimilation disorders, wasting, and swelling / should willingly drink a little, or if unable, \[water\] prepared with medicines. // The unctuous substance \[of the skin\], eye-exudate, skin-exudate, feces, and vital essence are successively the waste products of the bodily tissues. // If one drinks \[wine\] appropriately divided and suitable to that, then one drinks nectar. // One should lick the juices of pippalī roots, liquorice, jaggery, cow dung, and horse dung, / mixed with honey and ghee, to destroy hiccup, conjunctivitis, and cough. // One should cause hiccup, \[and\] what destroys hiccup and promotes nourishment is beneficial there. // Or pastes are spoken for wounds made of lodhra, yaṣṭīmadhuka, mañjiṣṭhā, harītakī, and devadāru ground with liquor or urine; / or with vetasa, amla, and kapittha, or with the pañcamūla; / or oil cooked with the ashes of oyster-shell, conch, and snail, along with mañjiṣṭhā, abhayā, and madhuka, heals wounds.

### [6.40](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.40)

Except in autumn and summer, even a healthy person should drink only a little. / Water drunk before a meal produces loss of digestive fire and emaciation of the body. // When swooning with pitta, it is sharp; when tormented by this kapha, it is slow. // Having cooked oil with prasannā-wine and sour gruel, one should administer an unctuous enema.

### [6.41](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.41)

\[Water drunk\] at the end causes stoutness and kapha above the stomach; / in the middle, it causes moderation of body, equilibrium of the bodily tissues, and easy digestion. // When \[the digestive fire\] is disordered, one becomes diseased; therefore one should protect it with diligence. // Soot originating from the skin, hair, bone, hoof, and horn of a quadruped, / fumigations, linctuses, meat soups, milks, sudations, and food conquer vāta. // The drink is water mentioned by Viśākhā; / the fumigation is that mentioned by Skanda; / or with a crow's feather, cow's hair, ugragandhā, rakṣoghna, ghee, and peacock eye-feathers.

### [6.42](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.42)

Cold \[water\] destroys alcoholism, languor, fainting, vomiting, fatigue, dizziness, / thirst, heat, burning sensation, pitta, blood, and poisons. // Or alkali born of triphalā, pāṭhā, and the fruit and root of bṛhatī. // An enema might agitate the heart; there, with abundant kāśa and kuśa, / or with nāgadantī, lakṣmaṇā, the two bṛhatīs, mṛgorvāru, śatāvarī, and sahadevī.

### [6.43](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.43)

Boiled \[until\] reduced by a fourth, a third, or a half, according to country, season, and heaviness or lightness, / free from foam, calm, and clear, it is beneficial. // Masāragalla, crystal, glass, cardamom, and the two salts. // An enema prepared with boiled \[substances\] is beneficial, and an unctuous enema with vāta-conquering \[drugs\]. // And the mantra:

### [6.44](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.44)

In hiccup, flatulence, vāta, śleṣman, thirst, cough, dyspnea, coryza, / flank pain, āma, and fat, after immediate purification, and in fresh fever \[warm water is wholesome\]. // One should lick that with Jyotīrasa, or iron alone liquefied with honey. // An enema, having quickly drawn out the waste products, provokes vāta and pitta. // May Śakunī, iron-faced and sharp-beaked, be pleased with you!

### [6.45](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.45)

It is kindling, digestive, beneficial to the throat, light, and a purifier of the urinary bladder. / \[Water\] heated by stone, silver, earth, gold, iron, heat, or the sun, / or red ochre, collyrium, and black pepper, or the fresh juice produced from kapittha. // A discolored and very meager evacuation occurs from the scraping of the enema. // May Śakunī, pot-bellied and spike-eared, be pleased with you!

### [6.46](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.46)

Water, warm or cold, destroys the three doṣas and conquers thirst and pain; / boiled and cooled water is light, non-unctuous, and dispels exhaustion. // Or pathyā, viḍaṅga, uṣaṇa, and pippalī with ghee and honey. // An enema with a paste of yaṣṭyāhva and sesame is for one who consumes milk. // An affusion with a decoction of the leaves of kapittha, śirīṣa, nyagrodha, bilva, eraṇḍa, bakula, dhava, vaṃśa, and agnimantha, combined with all-fragrant water; or with varaṇa, kaṭvaṅga, āsphota, kapotavaṅkā, and pāribhadra.

### [6.47](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.47)

In a combination of pitta and kapha, and in a sannipāta, it is praised. / Water that has lost the quality of fire is sour in digestion and causes all the doṣas. // Or the three pungents combined with alkali, with ghee, honey, and oil; / or the two juices of dhātrī and kapittha combined with pippalī and honey. // Diluted in milk, an enema is for one who consumes pronounced sour tastes. / And a slimy enema is beneficial, and an unctuous \[enema\] cooked with sweet \[substances\]. // Ghee prepared with sweet medicines is the drink; / fumigation is with the two elās, kuṣṭha, vacā, hiṅgu, devadāru, and girikadamba; / one should wear bimbī, guñjā, kākādanī, nadravāruṇī, and citrapalā.

### [6.48](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.48)

And that water produced by snow, having become stale, / produces kapha and vāta through its excess chilliness, heaviness, stillness, and denseness. // Or kola, parched grain, honey, drākṣā, pippalī, and ginger. // Scraping, burning, and wounding the rectum, it causes an effusion of blood. // Likewise, placed within a pair of shallow earthen dishes, it should be thrown in four directions in a deserted house; / and bathing \[is done\] there with leftovers; / and the mantra:

### [6.49](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.49)

Water born from moonstone dispels demons, poison, pitta, and fever; / it produces stability of vision, intellect, and physique, and is sweet, cold, and light. // One should drink the powders of linctuses and medicines with meat soup, water, wine, and the like. // And often, through excessive application, one repeatedly goes into confusion. // May goddess Pūtanā, dwelling in a deserted house, protect the child!

### [6.50](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.50)

Coconut water is unctuous, sweet, aphrodisiac, cold, light, / removes thirst, pitta, and anila, kindles digestion, and purifies the bladder. / Celestial water is best in the rainy season, \[and\] river water is inferior. // Thus ends the section on waters. // Caṇḍā, tāmalakī, iron, bhārṅgī, ginger, and vālaka: / one should administer an enema strained and combined with ghee, and other slimy \[enemas\]. // May goddess Pūtanā, dwelling in a ruined house, protect the child!

### [6.51](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.51)

\[Milk\] is sweet in post-digestive effect and taste, unctuous, promotes vital essence, increases the bodily tissues, / removes vāta and pitta, is aphrodisiac, increases śleṣman, heavy, and cold. // The powder taken as desired with twice the sugar, / is praised in suvarcalā and upodakā, and in scabies and tearing \[pains\]. // An affusion is with a decoction of the leaves of varaṇa, kapittha, tulasī, pāśikā, vaṃśī, bilva, pāṭalī, nandī, and bhallātaka.

### [6.52](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.52)

Generally milk \[has these qualities\], but here cow's milk promotes vitality, is a rejuvenator, / beneficial for chest injuries and wasting, promotes intellect, gives strength, promotes breast milk, and is laxative. // Jīvantī, coraka, śṛṅgī, pauṣkara, surasa, and śaṭhī. // And here the treatment that destroys bleeding disorders and diarrhea is praised. // Ghee cooked with equal parts of milk and kāśmarya, pṛśniparṇī, lodhra, madhuka, and the group of sweet drugs, being consumed, pacifies Śītapūtanā, vomiting, hiccup, cough, and dyspnea.

### [6.53](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.53)

It dispels fatigue, dizziness, intoxication, inauspiciousness, dyspnea, cough, excessive thirst, and excessive hunger; / and it relieves chronic fever, dysuria, and bleeding disorder. / And the powder of elā, tāmalakī, bhārṅgī, and vṛkṣāmla / overcomes burning sensations and related symptoms by destroying pitta, feces, and vāta. / Fumigation with the droppings of a vulture or owl, bastagandhā, snake-slough, and neem leaves; / or with old cowhide, mustard seeds, a Buddhist monk's patched robe, and snake skins.

### [6.54](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.54)

Buffalo milk is heavy, cold, and beneficial for those with excessively sharp digestive fire or insomnia. / It is light \[in those animals\] that drink little water, exercise, and eat pungent and bitter food. / It is used licked, added to food, or consumed on its own. / One should provide a meal for someone excessively purged and depleted of stool: / barley gruel with black gram soup, or curd or surā as drink. / And the mantra:

### [6.55](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.55)

Goat milk cures consumption, fever, dyspnea, bleeding disorder, and diarrhea. / Camel milk is slightly unctuous-free, hot, salty, digestive-fire-stimulating, and light. / Śaṭhī, tāmalakī, bhārṅgī, caṇḍā, vālaka, and pauṣkara; / he should drink these together with ghanā, ativiṣā, kuṣṭha, nata, devadāru, and vacā. / 'May Śītapūtanā, who delights in staying near reservoirs of water, protect you!'

### [6.56](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.56)

It is recommended for vāta and kapha, constipation, parasitic infection, swelling, abdominal illness, and hemorrhoids. / Human milk overcomes vāta, pitta, blood vitiation, trauma, and eye disease. / One should eat equal parts of jaggery and dry ginger, or use them as a nasal drop. / When \[the disease\] is mature, an enema of its corresponding group is the best remedy. / Affusion with varuṇa, āsphota, pāribhadraka, vṛkṣādanī, nāgabalā, red ochre, and śatāvarī. / Massage with oil processed with yellow orpiment, realgar, kuṣṭha, resin of Shorea robusta, surā, and sauvīraka vinegar.

### [6.57](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.57)

Through eye-nourishing applications, eye-drops, and nasal medications. Ewe milk is non-cordial and hot; / it cures vāta disorders, but produces hiccup, dyspnea, pitta, and kapha. / Or one should administer juice from sandalwood as a nasal drop with human milk. / One should know these to be thirty-six with the uncomplicated forms and with complications. / But for those who have vomiting, cough, and diarrhea, that same remedy is provided with a paste of pippalī, pippalī root, śālaparṇī, and bṛhatī.

### [6.58](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.58)

Elephant milk provides extreme firmness; milk of one-hoofed animals is hot and light; / it cures vāta in the limbs, is sour and salty, and causes sluggishness. / With breast milk, fly feces, or with the sap of red lac. / One should recognize their complications to be thirst, confusion, burning sensation, fainting, and so forth. / Or with an old monk's patched robe, rooster droppings, snake skin, hair, and hide.

### [6.59](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.59)

Raw milk is channel-blocking and heavy; properly boiled, it is otherwise. / Over-boiled milk is heavy; fresh from the udder, it is like nectar. / One should drink that or apply it as a nasal drop with paste of sweet substances. / A digestive is recommended; an enema, indeed, is forbidden in an undigested condition. / Or tumbī, citraphalā, mṛgorvāru, jālinī, and kākādanī.

### [6.60](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.60)

Milk from cows eating oil-cake and sour food is extremely heavy and channel-blocking; / and because of inaction from the evening, morning milk is deemed heavier. / Likewise, milk and ghee processed with downward-evacuating medicines. / An unctuous enema for vāta should be sweet and sour, with pronounced salt. / And the mantra:

### [6.61](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.61)

Thereby lightness is also explained in those natures that are physically active; / and among small creatures, in comparison to massive bodies, one should teach meat in this same way. / One should cook ghee and curd whey with a decoction of daśamūla along with kāyasthā. / When kapha is being expelled, an astringent, pungent, and bitter enema is \[used\]. / 'May the goddess Andhapūtanā, pleased, protect this child!'

### [6.62](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.62)

Curd has a sour taste and post-digestive effect, is constipating, heavy, hot, and overcomes vāta; / it creates fat, semen, strength, śleṣman, pitta, blood, digestive fire, and swelling. / Tejovatī, abhayā, kuṣṭha, pippalī, and kaṭurohiṇī. / When there is a combination \[of doṣas\], there should be an intervening drink combined with pungent, sour, and salty \[substances\]. / Affusion with a decoction of the leaves of bilva, eraṇḍa, kapittha, agnimantha, bamboo, and kuberākṣī; and massage with oil and fat boiled together with their selfsame juice, containing a paste of madhuka and aśvagandhā.

### [6.63](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.63)

It stimulates appetite, is praised in loss of taste, in chills, in irregular fever, / in coryza, and in dysuria; unctuous-free curd is \[used\] in assimilation disease. / The two salts, tāmalakī, jīvantī, and dry fruit-pulp of bilva. / When two \[doṣas\] are combined, the drink should be with pungent, sweet, and bitter \[substances\]. / Or a powder of pāṭhā, ketaka thorn, neem fruit, pippalī, viḍaṅga, ash of harītakī, vacā, and coraka, with honey and ghee; / or a powder of bear-hair soot, pāṭhā, black pepper, and pippalī, mixed with devadāru ash; or a powder of mūrvā, vyoṣa, mustā, rāsnā, girikadamba, and aśvagandhā; or a powder of aśokarohiṇī; / and he should drink goat milk or ghee boiled with these very substances.

### [6.64](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.64)

One should never eat it at night, nor heated, nor in spring, summer, or autumn; / not without mung bean soup, not without honey, not without ghee, and not without rock candy; / A prastha of ghee taken with a quarter part of asafoetida immediately destroys it. / When kapha is combined with unripe matter, \[the remedy should be\] astringent, salty, and pungent. / Fumigation with barley, kuṣṭha, and Shorea robusta resin. / One should wear the tongue of a snake, blue jay, parrot, or rallaka deer. / And one should administer an medicine that removes śleṣman to his mother as a drink and as an unguent for her breasts.

### [6.65](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.65)

nor without āmalaka, nor constantly, nor half-formed; otherwise / it causes fever, bleeding disorder, erysipelas, skin diseases, and anemia, / swelling, abdominal illness, hemorrhoids, assimilation disorders, retention of urine, and anorexia. / Or one should drink \[ghee\] prepared with guggulu, mañjiṣṭhā, lac, and Shorea robusta resin. / When combined, an astringent, sour, and sweet enema is best; / but an enema for blood with vāta should be made sweet, sour, and bitter. / And the mantra:

### [6.65\_2](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.65_2)

Buttermilk is light, astringent, sour, digestive-fire-stimulating, and overcomes kapha and vāta;

### [6.66](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.66)

it conquers abdominal swelling, spleen enlargement, ghee-complications, poisonings, and anemia. / Likewise curd whey is flowing, cleanses the bodily channels, overcomes constipation, and is light. / With the addition of kutaja and others, or cooked with the first group. / When there is mutual combination \[of doṣas\], the enema is astringent, sweet, and bitter. / 'May Mukhamaṇḍitā, who delights in living in the midst of a cowpen, protect you!'

### [6.67](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.67)

Freshly churned butter is cold, sweet, astringent, sour, / cures consumption, hemorrhoids, facial paralysis, pitta-blood, and vāta, and is constipating and digestive-fire-stimulating. / With hiṃsrā, viḍaṅga, pūtīka, the three pungents, the three myrobalans, and citraka. / When \[doṣas\] are combined, an enema that is pungent, bitter, and astringent is best. / Affusion with aśvagandhā, ajaśṛṅgī, the two sārivās, punarnavā, the two sahās, and vidārī.

### [6.68](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.68)

Ghee produced directly from milk, however, is constipating and overcomes bleeding disorders and eye diseases. / It is commended for intellect, memory, retention, digestive fire, strength, longevity, semen, and eyesight.  
Given with two prasthas of milk, it \[cures\] cough, asthma, and chronic coryza. / When vāta is combined with kapha, \[the food\] should be pungent, sour, and salty.  
When kapha is combined with vāta, the enema should be pungent, bitter, and sour.  
Ghee boiled with the paste of dhava, aśvakarṇa, dhātakī, kakubha, tinduka, and the jīvanīya \[drugs\] is used as an electuary.  
Incense \[is made\] with barley, barley grains, and the droppings of an owl or a vulture, combined with ghee.  
And an ointment for itching is made of varaṇa, ariṣṭa, and sinduka together with sheep's urine.

### [6.69](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.69)

For children, the elderly, those desiring offspring, complexion, delicacy, or voice; / for those who are consumptive, wasted, afflicted with erysipelas, or exhausted by weapons or fire—  
one should have them drink aged ghee mixed with half a part of rock salt, / or Dhānvantara ghee, Vṛṣa ghee, Dādhika \[ghee\], or Tryūṣaṇa \[ghee\] and so forth.  
And this management stated for diarrhea is remembered in all diseases as well.  
Bathing is performed at the confluence of rivers or near a milk-yielding tree.  
And the mantra \[is recited\]:

### [6.70](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.70)

Ghee removes vāta, pitta, poison, insanity, wasting, inauspiciousness, and fever. / It is the best among unctuous substances, cooling, and preservative of youth.  
Joy, jealousy, breath-holding, and biting by insects are wholesome.  
For the five \[types\] free of āma, a six-pala enema is beneficial.  
May the moving-ringed, dark Revatī be pleased with you!

### [6.71](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.71)

Cooked according to proper methods, it attains a thousand potencies and accomplishes a thousand actions; / \[it cures disorders\] born of intoxication, epilepsy, fainting, and those of the head, ears, eyes, and female genital tract.  
That which is exceedingly vāta-alleviating is mostly to be resorted to. / Conch shell, sal tree resin, lac, and kattṛṇa, one pala each,  
an anointment \[is made\] with vacā, aśvagandhā, hiṅgula, aja, and siddhārthaka. / Mustard oil processed with vacā is used as an eye drop.

### [6.72](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.72)

Old \[ghee\] overcomes diseases and cleanses and heals wounds. / It produces even more qualities than those mentioned previously; thus it is like nectar.  
Action is not absolute between the two; generally, what alleviates vāta is superior. / This should be drunk according to strength in all diarrheas.  
Fumigation with the shells of crabs, porcupine quill shells, sheep horn, and the hair of horses, donkeys, jākāhas, elephant nails, and mongooses destroys all grahas.

### [6.73](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.73)

And likewise is the scum of ghee; it is dry, sharp, and thin. / Kīlāṭa, curd-cake, takrapiṇḍaka, and moraṭa  
\[should\] not \[be used\] excessively in pacification; there is danger, and it is exceedingly difficult to emaciate. / A gruel should be cooked in water with lentils and leaf-buds of the holy fig tree.  
And bathing is done right there.  
And the mantra \[is recited\]:

### [6.74](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.74)

Prepared along with milk, vegetables, and colostrum, they are appetizing but weaken the digestive fire; / they produce semen, sleep, and kapha, and are constipating, heavy, and cause vitiation of the doṣas.  
Cough, asthma, wasting, vomiting, and hiccup \[are treated\] with complementary medicines. / And likewise it should be \[prepared\] with lentils, dhātakī flowers, and balā.  
Lambā, Karālā, Vinatā, and likewise Bahuputrikā, / and Revatī named Śuṣkā—may that goddess be pleased with you!—thus.

### [6.75](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6.75)

One should know the virtues and faults of curd, ghee, and the like according to their milk. / Cow's milk and cow's ghee are the best, while those derived from sheep are censured.  
Thus ends the class of milks.  
One should perform their treatment appropriately according to each condition.  
Even when the graha has departed, one should treat secondary conditions and complications according to their difficulty, / using the medicines taught for the prevention of childhood diseases.

_First 76 of 146 passages. [Read on](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6)_

## Commentaries (1)

- [Śaśilekhā](https://indike.org/pramana/in.med.samhita.astangasamgraha!indu.6.26) — Indu, Sanskrit

## Linked texts (1)

- [Aṣṭāṅgasaṃgraha](https://indike.org/pramana/in.med.samhita.astangasamgraha.6.1) — Vāgbhaṭa, Sanskrit

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Source: [https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6](https://indike.org/pramana/in.med.samhita.astangasamgraha~en-mt.6) · Pramāṇa
