The Compendium of Bheḷa 6.13

In one whose body is afflicted with heavy burdens, who frequents pungent and bitter tastes, / wind residing in the whole body is vitiated, and the vessels are struck by wind;

having reached the belly, it indeed fills it and causes tympanites; / and the abdomen becomes distended all around like a leather bag,

tied with black lines and covered with black hair; / one should know this as vātodara, endowed with these signs.

A creature scorched by heat who indulges in burning foods, / and who, tired having ceased from exercise, drinks water:

in his body, vitiated phlegm enters the phlegm-bearing vessels; / elevated and vitiated, taking refuge inside the belly,

it distends the whole belly and causes pain; / and tied with white lines and covered with white hair,

his limbs droop and watering of the mouth occurs; / bad-smelling mouth and lassitude are the characteristics of one with kaphodara.

In one who consumes all tastes improperly, indulging in incorrect diet and habits, / his abdomen appears exceedingly, as if partially distinct;

and tied with multicolored lines, covered with multicolored hair, / and rich in multifaceted pains is the sānnipātika abdominal enlargement.

Women report abdominal enlargement when artificial poison arises from themselves: / semen made through obstructing the ear, white, tongue-dirt, nail-clippings,

human fat, hair, and women's menstrual blood, / and feces they give in food; vitiated abdominal enlargement results.

Tied with vessels of all colors, shining blue and yellow, / in men arises the sānnipātika [enlargement] named dūṣyodara.

In him body-ache, cough, dyspnea, and hiccup arise; / sleep, drowsiness, likewise lassitude, and burning pain located in the limbs occur;

weakness of all limbs, emaciation, and pallor; / and whatever symptoms occur when poison is drunk, that also appears in him.

Thus with these symptoms, dūṣyodara indeed goes unto death. / One who, having risen in the morning without eating, constantly drinks water,

and who drinks much water during the rains and winter: / in his abdomen severe pain arises, and it extends elsewhere.

Weakness, goosebumps, coldness of the fire, heaviness in the head, / and an unctuous appearance and being covered with unctuous hair:

with all these symptoms combined, in men it is udakodara. / By a stake, through perforation of a sinew, or by the bones of fish,

or by sharp tips of dung-grass, eaten, a person's intestine is perforated: / through that hole food and drink flow into his abdomen.

From that, the abdomen becomes elevated all around; / […] extended veins appear across half the belly.

This is the symptom described for an exuding abdomen. / A man who swims or leaps, or who exerts himself,

by that his intestines are pricked and obstructed together on one side; / likewise, by muñja grass and hairs eaten, the bowel is entrapped.

Through that, an obstructed anus occurs in men from constriction of the bowels; / his belly becomes retracted, and likewise his penis contracted.

Swollen eyes, swollen testicles, and likewise swollen hands, / swollen feet and anus, and numb limbs he also develops.

Depressed, elevated, or even, the man becomes afflicted with baddhodara. / A man who eats and habitually takes raw grain and barley,

or who drinks water after eating fruit with its filaments, / and rides an elephant, horse, or chariot immediately after eating:

Ginger with black pepper, the two alkalis, triphalā, vacā, / yavānī, kuñcikā, hiṅgu, tamarind, and amlavetasa,

coriander, ajagandhā, trāyantī, pomegranate with yavāsaka, / kaṭukā, kurchi seed, and rock salt—in equal parts, the physician,

trivṛt, saptalā, dantī, kampillaka, nīlikā, abhayā, / and twice as much suvarṇakṣīrī: all these he should powder.

Having macerated it in goat's or cow's urine for seven days, / he should add twice as much sugar to it; [the patient] should drink a dose measured by three fingers

with cow's urine, triphalā, alkali juice, liquors, or warm water. / This powder, equal to gold, is a medicine for the affliction of all diseases.

It destroys all udaras, spleen disease, wasting, gulma, and heart disease, / vātāṣṭhīlā, then abdominal distension, and swelling arising over the whole body;

it conquers halīmaka, jaundice, pāṇḍuroga, and urinary disorders with fever. / Placing his life in doubt, the man with an abdominal disease may drink poison.

Or he should have a cucumber, melon, or radish bitten / by an enraged black cobra; the man with an abdominal disease should eat them.

Opening the belly to measure and seeing the hole in the intestine, / he should then apply the bite of an ant to the hole in the bowel.

Once the intestinal perforation is clamped, the physician should then sew up the belly. / Thus the physician should treat chidrodara according to the method of a surgeon.

Likewise, an expert in surgical treatise should slit the obstructed bowel, / and having removed the muñja grass and hairs, the physician should then sew the obstructed part.

For all unmanaged abdominal enlargements become filled with fluid. / In these, one knowledgeable in the surgeon's procedure should perform puncturing.

On the left side below the belly, leaving four finger-breadths, / or at the navel, the physician should apply the instrument in measured degree.

And the physician should drain the belly afflicted by disease; / he should rub his abdomen and bind it with a wrap.

And wind does not distend his abdomen when it is wrapped. / Then he should drink gruel devoid of salt and unctuous substances.

After that, however, he should treat him with milk for half a month; / then with milk-gruel, and for three months with barley, the physician [should manage him].

He should therefore eat light food without salt for three months; / then salted food also is prescribed in abdominal disease.

Some desire salt for abdominal swellings because of its catalytic action. / Some physicians, however, prescribe cautery for abdominal enlargement.

In abdominal enlargement arisen from wind and phlegm, before fluid has formed, / fire destroys splenomegaly; therefore he should overcome it particularly [by cautery].

Relief has been described there for one afflicted with salilodara; / […] as long as gruel […]

A ring that is formed, and swelling soft to the touch, / giving no sound when tapped, and not covered with lines,

when pressed at the navel, softly moves along: / from that, and from sliminess, one should diagnose the arising of fluid. / […] for embodied beings […].

Let there be here an āḍhaka of bhallātaka fruits struck down by wind and fallen from the stalk; / having rubbed them with grains of brick powder and washed them, one should set them out in the wind.

When dried, split them, and place them in four times as much water; / boiled down to one quarter, strained and cooled, one should cook it again with an equal amount of milk.

Thickened with half that much sugar, combined with powder of iron, abhayā, and the three pungents, / equal to this, along with a fourth part of sugar, then stirred with a churning stick and set aside,

with two prasthas of āmalakī and honey, when cooled, he should store it again in grain; / its potency produced after seven nights, it surpasses even the nectar of immortality.

In the morning, for those whose bodies have been cleansed, he should give a dose suitable for one's own body; / and there are no dietary restrictions in food and drink, nor regarding heat, wind, travel, and sexual intercourse.

The person becomes entirely like a man-lion; a man becomes possessed of the strength of a heap of gold; / lost teeth grow again, and white hairs turn black once more.

Even a leper whose ears, fingers, and nose have fallen away, even one who has reached the end of death's teeth— / even he gradually grows limb-branches of fingers, just as a tree watered with rain grows. / He surpasses great peacocks in voice, elephants in strength, and horses in speed. / […] Chapter fourteen. […]