The Compendium of Bheḷa 6.10

The diarrhea that arises from fear or grief—

Diarrhea mostly arises along with āma; / therefore, one should treat every diarrhea with fasting.

One should subject a strong patient to fasting and administer digestive-stimulants; / but for a weak patient, one should administer the gradual diet regimen like one who has been purged.

Whose belly is motionless, heavy, and as if distended, / when provided with digestive-stimulants, that person who has abundant humors—

flowing out little by little, retained, accompanied by pain— / combined with digestive-stimulants, one should administer an excellent laxative.

When his channels are cleansed and the humors eliminated, / it is easy to bring about binding, cooking, and checking.

Harītakī, the three pungents, asafoetida, black salt, sweet flag, / and white ativiṣā—one should make him drink them with hot water.

It invariably halts severe, increased diarrhea / accompanied by pain and causing distension, just as the shore halts the ocean.

Harītakī along with ativiṣā, asafoetida, black salt, sweet flag, / and rock salt ground together—one should make him drink them with hot water.

This formulation is prescribed by physicians for diarrhea with āma; / it should be applied as an appropriate decoction even by a physician seeking renown.

The diarrhea with āma that is not relieved by these two formulations / cannot be cured by even a hundred other methods.

For abdominal disease originating mostly from āma and characterized by phlegm / that arises in men, listen to the proper treatment:

Citraka, pippalī-root, sweet flag, kaṭukarohiṇī, / pāṭhā, vatsaka seeds, harītakī, and ginger—

this surely binds the stool in painful diarrhea / arising from āma, characterized by phlegm and accompanied by bile.

Pāṭhā, sweet flag, the three pungents, kuṣṭha, and kaṭukarohiṇī: / these properly drunk destroy diarrhea caused by phlegm.

Bhallātaka, indrayava, pāṭhā, kaṭukarohiṇī, / yavānī, ajājī, kuṣṭha, citraka, ativiṣā,

śaṭī, puṣkaramūla, asafoetida, harītakī, / black salt, and ginger—one should grind these with cow's urine,

form pills the size of an akṣa, and store them dried in the shade. / One should drink one or two of them with lukewarm water.

For this dispels painful diarrhea arising from āma, / and likewise hemorrhoids, just as the sun dispels darkness.

The formulations that are proclaimed for stimulating the digestive fire / should be employed in phlegm-diarrhea, as well as alkali and alkali-treacle.

This treatment has been declared for diarrhea with āma / and for those suffering from phlegm-diarrhea; now hear that for those suffering from bile-diarrhea.

When diarrhea arising from bile runs excessively here, / one should check it after it is digested; understand that from me properly:

Biḍa salt, unripe bilva fruits, tamarind along with pomegranate, / black salt, dhātakī, and samaṅgā in equal parts—

ground into a paste, it should be drunk in the morning with hot water; / it immediately treats a man afflicted with pain from bile-diarrhea.

Rasāñjana with ativiṣā, the fruit and bark of kuṭaja, / dhātakī, and ginger—one should make him drink them with rice water.

Combined with honey, it dispels severe bile-diarrhea, / kindles a sluggish digestive fire, and quickly relieves pain.

Pāṭhā, dāruharidrā, pippalī-root, / fruit and bark of vatsaka, and ginger—

these ground into a paste, one should make him drink with rice water. / Ambaṣṭhakī, śilodbheda, dhātakī, amlavetasa,

uśīra, young hrībera, pomegranate rind, ginger, / jambū fruit, pulp of kapittha, and unripe bilva fruit—

equal parts of these one should make him drink with rice water; / combined with honey, it dispels the symptoms of bile-diarrhea,

and destroys gripping pain rooted in and accompanied by wind. / Samaṅgā, nicula, lodhra, dhātakī, madhuka,

shoots of vaṭa and lodhra, fruit and rind of pomegranate, / māṣaparṇī, śilodbheda, along with ambaṣṭhā—

these should be given in bile-diarrhea combined with rice water. / Samaṅgā, dhātakī flowers, along with ambaṣṭhā,

and lotus in bile-diarrhea a man should drink with rice water; / or the blood of a hare or deer, madhuka, and black earth

should be given in bile-diarrhea combined with rice water. / When bile-diarrhea is vitiated and resort has been taken to a deep site,

blood is excessively discharged; that is blood-born diarrhea. / Blue water-lily, bilva, sesame, madhuka, molasses, sugar,

filaments of the white lotus, red water-lily, and honey— / drunk with goat's milk, it destroys blood-diarrhea; […] non-unctuous enema […]

Then one should administer a stool-producing subsequent preparation / to a diarrheic patient whose digestive fire is kindled, whose muscle tissue is emaciated, and who has pain:

minced meat from the torso of a large goat together with blood, / cooked with curd and barley groats, provided with molasses and the three pungents—

with that one should feed him at the right time, when his body is mildly well-sweated. / By this same procedure one should prepare boar and crane meat;

and by this very procedure one should prepare cocks, / partridges, tortoises, quail, peacocks, and krakara birds.

This treatment has been declared for those suffering from wind-diarrhea; / in wind-diarrhea all the treatments for hemorrhoids should be performed.

The diarrhea that arises from fear or grief: / whichever humor is aggravated by that, one should treat it.

Friends and wise persons should constantly reassure him, / and one should make his mind glad; then he becomes happy.

He whose whole body is completely stiff, who is discolored and motionless, / and who does not perceive pain—such a one should be abandoned.

He whose hairs fall out, whose strength and complexion decline, / and whose mouth is thoroughly dried out—such a one does not live.

One who lies writhing, flings about all his limbs, / whose limbs are stiff, and who is unable to move—such a one should be abandoned.

He who constantly bites his jaw, does not report pain, / and excessively chews his tongue—one should declare him to have run out his life.

Protecting his reputation indeed, the wise [physician] should not treat him; / he should not undertake an action that destroys wealth and destroys reputation.

He who acts having distinguished the curable and the incurable succeeds; / he also receives great honor and shines among the learned.

Now I shall expound the treatment and the symptoms of viṣūcikā. / For those who eat incompatible, heavy, floury, vegetable, and dry-tasting foods,

and who constantly eat when suffering from indigestion, the three dhātus become aggravated. / The force of those doṣas, having arisen and increased by wind,

blocks the channels downwards, upwards, and horizontally; / and when the wind is obstructed by the blocked channels, it also obstructs the channels […].

When these are filled with doṣas and with corrupted chyle, / the urge of this [disease] somehow proceeds upwards and downwards.

They condemn that vilambikā, [and] viṣūcikā which resembles poison; / as the chyle has arisen in various ways, having resorted irregularly in the bodies,

confounding the channels, it increases balāsaka (alasa). / His [symptoms are] cough, fever, fainting, aversion to food, discoloration,

weariness, indigestion, effusion of phlegm, tenesmus, / injury to the chest, excessive heart disease, rumbling in the intestines,

constipation, and loss of limbs: that severe [condition] is named alasa. / Nausea, trembling, vomiting, burning sensation, writhing, fever,

dyspnea, distension, loose stools, signs of aversion to food, / cough with abundant phlegm, yawning, grasping pain in the heart,

as well as dyspnea and cough accompanied by pain in the flanks and head. / The premonitory symptoms of viṣūcikā are sweating, coldness of the limbs,

eructation, heaviness of the digestive tract, and obstruction of urine, wind, and stool. / This is declared as the fivefold sign of food perturbation.

One should administer treatment there for all [cases] of diarrhea with āma, / and for the complications which are stated in viṣūcikā and in alasa.

The physician should properly treat them by means of their respective treatments; / this treatment has been declared in brief for viṣūcikā.

Because of the cruelty of this disease, I will speak again at length. / Having perceived the premonitory symptoms of viṣūcikā, the physician

should quickly induce emesis with hot salt water. / As long as he remains [under treatment], there is no other comfort for him than ejection [of the doṣas].

There may be a decoction of kāraka, or else prepared with arjuna; / the decoction drunk as an emetic immediately destroys viṣūcikā.

Likewise, a paste beginning with mustā combined with a paste of pippalī, / drunk with hot water, should quickly destroy viṣūcikā.

For incompatible tastes that are eaten, corrupted by wind and the other [doṣas], / become like poison in the bodies in the receptacle of wastes, increased earlier.

Therefore, one should swiftly apply all therapies similar to [those for] poison: / medicated smokes, decoctions, wicks, plasters, and unctions;

nasal pressings, insufflations, cautery, and poultices; / and tactile therapies—one should perform [these] procedures in viṣūcikā.

Bhallātaka, the three pungents, pūtika, kṣavaka, balā, / phaṇijja, garlic, kuṣṭha, and the fruits of karañja,

triphalā, yavānī, and the fruits of kuṭaja: / one should grind this wick, named śivā, with goat's urine. // […] / With jaws locked, he speaks indistinctly, / or with jaws firmly closed, he does not speak at all. // (Bhṣ6.10.2.2.) / Oleation drinks, nasal medications, sudations, wholesome diet, / poultices are praised, and enemas are beneficial in facial paralysis. // (Bhṣ6.10.2.3) / In a droṇa of curd and fermented gruel, and an āḍhaka of fat if available, / and meat of wetland and aquatic animals if available, // (Bhṣ6.10.2.4) / sesame, horsegram, black gram, jujube fruits, barley, balā, / the two pentads of roots, rāsnā, hundred-rooted śatāvarī— // (Bhṣ6.10.2.5) / having gathered all this, one should cook it over a gentle fire. / With the rising steam, one should foment [the patient] with tube-sudation. // (Bhṣ6.10.2.6) / And with these one should cook an oil; he should massage with it and drink it; / and one should prepare a poultice from this very equipment. // (Bhṣ6.10.2.7) / Whatever treatment has been declared for the destruction of wind-diseases, / all that in its entirety one should also perform in facial paralysis. // (Bhṣ6.10.2.8) / The great unctuous preparation, balā oil, or indeed śirīṣa oil, / one should administer in drinks, massages, nasal therapies, or enemas. // (Bhṣ6.10.2.9) / And one should pound the meats of wetland animals into a minced meat; / with that, not excessively unctuous, one should have a poultice made for him. // (Bhṣ6.10.2.10) / He whose wind here is completely obstructed by phlegm / develops wasting in the nape-tendons, head, and cheek. // (Bhṣ6.10.2.11) / The man becomes mute, overwhelmed by sleep, breathing heavily through the throat, / copiously overwhelmed by saliva, and his tongue made crooked. // (Bhṣ6.10.2.12) / Such facial paralysis obstructed by phlegm is proclaimed; / for him one should administer an unctuous enema, as well as head evacuation. // (Bhṣ6.10.2.13) / He should be purged with tilvaka or with drop-ghee, / or he should drink aged ghee, and likewise smoke strong medicated smoke. // (Bhṣ6.10.2.14) / When the phlegm has subsided, his management is with nourishing therapies, / and one should administer the treatment of wind-diseases as stated. // (Bhṣ6.10.2.15) / In that case, kapha resides in its seat, and vāyu is said to be adventitious; / therefore, observing the course of the two, one should perform a wind-destroying therapy. // Thus said the venerable Ātreya. / Thus the twenty-sixth (?) chapter in Bheḷa. // // The eleventh chapter. // Now we shall expound the treatment of grahaṇī; thus said the venerable Ātreya.