The Compendium of Bheḷa 6.19

All these signs are seen in a patient with heart-seat disease; / that which is arisen from the combination of all three doshas is not cured by treatment.

Afflicted, he feels pierced; the vital organ burns and aches; / aversion to food, fever, fainting, dyspnea, and torment occur,

with altered complexion, dejection, and itching arises in the heart; / the heart disease caused by worms is declared as the fifth, and it is hard to conquer.

Three heart diseases are curable: those consisting of vāta, pitta, and kapha; / and two are remembered as incurable; hear the medicine for the curable ones among them:

Having unctuated the heart-disease patient, one should pacify and purify [him]; / one should apply fasting for a recently arisen heart disease, except that of vātika type.

Harītakī, vacā, rāsnā, the two pippalīs, ginger, / śaṭhī, and puṣkaramūla: a powder that destroys heart disease.

Pāṭhā, vacā, barley alkali, abhayā, and amlavetasa, / durālabhā, citraka, the three pungents, the three salts,

śaṭhī, puṣkaramūla, tamarind, with pomegranate, / and seeds of mātuluṅga: one should make into fine powders.

One should have [the patient] drink these powders with warm water or with wines; / it removes hemorrhoids, colic pain along with heart disease, and gulma.

Sauvarcala, ginger, pomegranate, with amlavetasa, / [and asafoetida]: this 'Hingu-five' is a pacifier of dyspnea and heart disease.

Fifty abhayās made into paste, and one pala of sauvarcala, / with four parts of water, one should boil in a prastha of prime ghee.

This is named 'Vallabhaka', the excellent ghee for living beings; / created like nectar, it destroys dyspnea and heart disease.

One should drink Kalyāṇaka ghee, or else Dhānvantara; / and one should drink juice of mātuluṅga and alkali antidotes.

Hundred-fold cooked balā oil, śairīṣa, and sukumāraka: / one afflicted with heart disease should constantly partake of these oils.

One should drink rasāyana ghee, milks, and jaggery preparations; / and whatever ghee sweets are taught as pacifying pitta heart disease.

Jīvaka, ṛṣabhaka, grapes, sugar, śreyasī, balā, / the two medās, the two kākolīs, dates, and black water lily:

with equal parts of these, the physician should cook a prastha of buffalo ghee / with four times as much milk; and it should be drunk according to proper method.

It is the supreme destroyer of heart disease arising from vāta and pitta. / Fat and marrow, when obtained, and likewise equal parts of oil and ghee:

one should give these if available, and also four times [as much milk]; / vacā, the three pungents, rāsnā, jīvantī, jīvaka, balā,

nidigdhikā, aṃśumatī, nīlī, bhārṅgī, and punarnavā: / prepared with these, one should have [the patient] drink the great unctuous preparation, considering his strength.

The unctuous preparation immediately treats vātika heart disease. / The physician should consider the medicine for heart disease by his own intellect:

sweet [substances] in pitta heart disease, and unctuous and warm in vātika; / but those three which remain, one should treat with sharp and warm [substances],

with alkalis and alkali antidotes, and with emetics accompanied by purgatives. / Whatever treatment has been taught in detail for those with parasites in the gut,

the very same must be done without hesitation in parasitic heart disease. / Meats of aquatic and wetland animals, curd, milk, jaggery, soup:

everything channel-blocking destroys vāta heart disease; / but these very [substances] one should avoid in the remaining heart diseases. / And light food and drink are always commended in them. / Thus spoke the venerable Ātreya. / Thus the nineteenth chapter in Bheḷa. / Twentieth chapter. / Now therefore we shall explain the treatment of cough, thus spoke the venerable Ātreya: