The Compendium of Caraka 6.11: ekādaśo 'adhyāyaḥ/

Now we shall expound the chapter on the treatment of the chest-wounded and emaciated.

Thus spoke the blessed Ātreya.

Ātreya of noble fame, the brahma-seer who knows the highest truth, / declared this treatment for the sake of curing the chest-wounded and emaciated:

Of one straining exceedingly with a bow, lifting a heavy load, / falling from rugged heights, wrestling with powerful persons,

Subduing a running bull, horse, or any other animal to be tamed, / hurling stones, logs, and sling-stones, striking enemies,

Reciting very loudly, walking a long distance quickly, / swimming across a great river, or racing with horses,

Leaping suddenly a great distance, dancing rapidly and excessively, / and in one severely injured by other violent actions,

When the chest is wounded, a powerful disease arises; / and in one excessively attached to women, eating dry, scanty, or measured food,

His chest aches, breaks, or is split asunder; / then both flanks are afflicted with pain, the body dries up, and he trembles.

Gradually virility, strength, complexion, appetite, and digestive fire diminish; / fever, distress, mental dejection, and diarrhea from the destruction of digestive fire [ensue].

Vitiated, dusky, extremely foul-smelling, yellow, knotty, and abundant / phlegm mixed with blood comes forth as he coughs.

That wounded person wastes away exceedingly, as also from the loss of semen and ojas; / his unmanifest symptom is known as the premonitory sign.

Chest pain, vomiting of blood, and cough are specific to the wounded; / in the emaciated, there is bloody urine, and stiffness in the flanks, back, and hips.

In one with few symptoms, a blazing digestive fire, and strength, recent [illness] is curable; / after a year it is manageable, but one exhibiting all symptoms should be avoided.

Recognizing the chest as wounded, one should drink lac with milk combined with honey / without delay; when digested, one should eat [food] with milk and sugar.

If there is pain in the flanks and bladder with low pitta and digestive fire, [he should take] it with wine; / if his stool is loose, with musta, ativiṣā, pāṭhā, and vatsaka.

Lac, ghee, beeswax, the vitalizing group, sugar, / bamboo manna, and fine flour, cooked in milk, one with a blazing digestive fire should drink.

Milk boiled with ikṣvālikā, lotus-root nodes, lotus filaments, and sandalwood, / combined with honey, the chest-wounded patient should drink for healing.

Taking barley flour, prepared in milk and flooded with ghee, / or parched barley groats with sugar and honey, he should drink [it] with milk in fever and burning.

Madhūka, madhuka, grapes, bamboo manna, pippalī, and balā, / one who coughs and has pain in the ribs and flanks should lick with ghee and honey.

Cardamom, tejapatra, and cinnamon—half an akṣa each; likewise half a pala of pippalī; / and sugar, madhuka, dates, and dried grapes—measured at one pala each;

having powdered them and combined them with honey, one should form pills. / Then a man should eat one [pill], the size of an akṣa, day by day.

Cough, dyspnea, fever, hiccup, vomiting, fainting, intoxication, giddiness, / spitting of blood, thirst, pain in the flanks, anorexia,

emaciation, spleen disease, vātarakta, hoarseness, chest wound, and phthisis; / it is a saturating pill, an aphrodisiac, and cures bleeding disease.
Thus the Elādi pill.
When bleeding is excessive, one should drink a hen's egg with soups or with water, / or sparrow's egg juice, or goat's blood, or [meat juice of] arid animals.

Powder of punarnavā, red śāli rice, and sugar, / cooked with grape juice, milk, and ghee, the blood-spitter should drink.

Or taṇḍulīyaka prepared with madhūka, madhuka, and milk; / and when vāta is obstructed, goat's fat fried with wine and rock salt.

Wasted, emaciated, chest-wounded, and sleepless when vāta is strong, / he should eat [food] with the scum of boiled milk, mixed with honey, ghee, and sugar.

Sugar, barley, wheat, jīvaka, ṛṣabhaka, and honey, / with boiled milk as an after-drink, the emaciated, chest-wounded, and thin patient should lick.

And he should drink meat broth of carnivorous animals fried in ghee, / combined with pippalī and honey, which promotes muscle and blood.

With nyagrodha, udumbara, aśvattha, plakṣa, śāla, and priyaṅgu, / with the crown of tāla, jambū bark, priyāla, and padmaka,

along with aśvakarṇa: with the ghee produced from milk boiled [with these], / the chest-wounded man with depleted semen should eat cooked śāli rice.

In a decoction of yaṣṭyāhva and nāgabalā, ghee equal to milk, / prepared with a paste of payasyā, pippalī, and bamboo manna, is beneficial in chest wound.

Likewise, ghee prepared in a decoction of jujube and lac, with eight times [its quantity of] milk, / and with pastes of kaṭvaṅga, dārvī bark, vatsaka bark, and fruits [of kutaja].

Jīvaka, ṛṣabhaka, vīrā, jīvantī, dry ginger, śaṭī, / the four parṇinīs, the two medās, the two kākolīs, the two nidigdhikās,

the two punarnavās, madhuka, ātmaguptā, śatāvarī, / ṛddhi, parūṣaka, bhārgī, dried grapes, and bṛhatī,

śṛṅgāṭaka, tāmalakī, payasyā, pippalī, balā, / jujube, walnut, dates, almonds, and pistachios,

and other such fruits: one should make pastes of these, one karṣa each. / Juices of āmalakī, vidārī, and sugarcane, goat meat juice, and milk—

one should make [each] measure a prastha; with that, one should cook a prastha of ghee. / When cool, half a prastha of honey, and likewise half a tulā of sugar,

and powdered tejapatra, cardamom, saffron, and pepper, two karṣas each, / having mixed in: from that, a man should always lick an appropriate dose.

This is Amṛtaprāśa, an ambrosial ghee for mortals, / having the taste of divine nectar, to be consumed by one eating milk and meat juice.

It nourishes those whose semen is lost, the chest-wounded and emaciated, the weak, those worn out by disease, / those addicted to women, the emaciated, and those lacking complexion and voice.

It dispels cough, hiccup, fever, dyspnea, burning, thirst, and bleeding disease; / it gives sons, and removes vomiting, fainting, cardiac disorders, vaginal, and urinary diseases.
Thus Amṛtaprāśa ghee.
Śvadaṃṣṭrā, uśīra, mañjiṣṭhā, balā, kāśmarya, kattṛṇa, / root of darbha, pṛthakparṇī, palāśa, ṛṣabhaka, and sthirā—

one pala each: one should cook in their decoction, with four times [as much] milk, / a paste of svaguptā, jīvantī, medā, ṛṣabhaka, jīvaka,

śatāvarī, ṛddhi, dried grapes, sugar, śrāvaṇī, and lotus root. / A prastha of this ghee prepared relieves pain arising in the heart from vāta and pitta;

it dispels dysuria, urinary disorders, piles, cough, emaciation, and phthisis; / and gives strength and muscle to those exhausted by archery, women, wine, burdens, and travel.
Thus Śvadaṃṣṭrādi ghee.
In a decoction of eight palas of madhuka and a prastha of grapes, one should cook a prastha of ghee / with a paste of eight palas of pippalī; and when prepared and cooled,

one should mix in eight palas each of honey and sugar. / With an equal amount of parched grain flour, that is beneficial in the chest-wounded and emaciated, and in blood-gulma.

With the juices of āmalakī fruits, vidārī, and sugarcane, the vitalizing group, / and milk of goats and cows—seven prasthas [in total]—the physician should cook a prastha of ghee.

When prepared and cooled, he should mix in two prasthas of sugar and honey; / it dispels yakṣmā, epilepsy, bleeding disease, cough, urinary disorders, and phthisis.

It preserves youth, prolongs life, and bestows muscle, semen, and strength. / But one should lick the ghee when pitta is predominant, and drink it when vāta is predominant.

Licked, it quenches pitta, and on account of its small quantity does not destroy the digestive fire; / drunk, it overcomes vāta and locks in body heat.

For those whose bodies are wasted, emaciated, and thin, these very same ghees, / thickened with powders of bamboo manna, sugar, and parched paddy, one should employ.

Having eaten ghee-boluses with an equal portion of honey, one should drink milk after; / through them he will attain semen, vitality, strength, and nourishment very quickly.
Thus the ghee-boluses.
Balā, vidārī, the lesser pañcamūla, punarnavā, / and shoots of the five milk-bearing trees—a handful each—

in their decoction, with twice as much milk, and an equal part of juices of vidārī and goat [meat], / one should cook an āḍhaka of ghee with paste of the vitalizing group, the size of an akṣa each.

When strained and cooled, one should add thirty-two palas of sugar, / and flour of wheat, pippalī, bamboo manna, and śṛṅgāṭaka,

together with honey, one kuḍava each: all that stirred with a churning rod, / and thickened, one should form into ghee-boluses and wrap them in birch bark.

Having eaten these, weighing one pala each, one should drink milk, or wine in kapha, after; / in emaciation, cough, chest wounds, depletion, and in those worn out by exertion, women, and burdens,

in spitting of blood, heat, chronic rhinitis localized in the chest, / in pain of the flanks and head, and in loss of voice and complexion, they are praised.
Thus the second ghee-boluses.
With bamboo manna, śrāvaṇī, grapes, mūrvā, ṛṣabhaka, jīvaka, / vīrā, ṛddhi, kṣīrakākolī, bṛhatī, kapikacchu,

dates, and medā—ground with milk, measuring a pala each— / with a prastha each of juices of āmalakī, vidārī, and sugarcane, one should cook a prastha of ghee.

When cool, having added half a tulā of sugar and half a prastha of honey, / one should make ghee-boluses that dispel cough, hiccup, and fever.

They destroy yakṣmā, tamaka, dyspnea, internal hemorrhage, halīmaka, / loss of semen and sleep, thirst, emaciation, along with jaundice.
Thus the third ghee-boluses.
Fresh āmalaka, grapes, ātmaguptā, punarnavā, / śatāvarī, vidārī, samaṅgā, and likewise pippalī,

ten palas of each separately, and eight palas of dry ginger, / two palas of yaṣṭyāhva and sauvarcala, and of black pepper

two [palas], with three āḍhakas of milk, oil, and ghee, and one hundred [palas] of sugar, / when boiled, having added those powders, boluses like bilva fruits

one should make; a man who is emaciated, chest-wounded, and dried up should eat them. / By that, through the rapid increase of rasa and the other [dhātus], he attains nourishment.
Thus the fourth ghee-boluses.
Half an āḍhaka of cow's milk, a prastha of ghee, an āḍhaka of sugarcane juice, / a prastha of fresh vidārī juice, and a prastha of partridge meat-juice;

one should add these; and while it is cooking, these ground with sugarcane juice: / a kuḍava of madhūka flowers, likewise a kuḍava of priyāla,

half a kuḍava of bamboo manna, twenty dates, / bibhītaka separately, and a quarter-[kuḍava] of pippalī,

thirty palas of sugar candy, and a karṣa of madhuka; / likewise, here one should add half a pala each of the vitalizing group.

When this is cooked and cool, having thrown in a kuḍava of honey, / one should then prepare modakas dusted with a pala of black pepper and cumin powder.

In vātāsṛk, pitta disorders, cough due to chest-wound, and consumption, / for those who are drying up, whose semen is depleted, and when blood is lodged in the chest,

for the emaciated, weak, and aged, for those desiring nourishment, complexion, and strength, / and also for women afflicted by discharges caused by disorders of the female genital tract,

for those desiring pregnancy whose fetus drops or dies, / they are blessed, strengthening, beneficial, increasing semen and blood.
Thus the fifth ghee-boluses.
When vāyu acts abnormally in the region of the urinary bladder in one attached to women, / one should administer for him vāyu-destroying, nourishing, and aphrodisiac formulations.

Or one should drink boiled milk combined with sugar and pippalī powders, / with ghee, and with honey, which dispels cough and fever.

A soup made sour with fruits, fried in ghee, cooked in vidārī and sugarcane juice, / one emaciated by women should drink; it is vitalizing and supremely nourishing.

A drink of roasted grain flour strained through cloth, accompanied by honey and ghee, / a chest-wounded and emaciated man accustomed to barley food and of kindled digestive fire should drink.

Or one should administer meat-juice of wild animals cooked with the vitalizing group, / fried in ghee, with sugar, for the sake of relish to the emaciated person.

One should feed barley food with milks of cows, buffalos, mares, elephants, and goats, / and likewise with meat-juices and soups soured with fruits and prepared with ghee.

This regimen should be followed when digestive fire is kindled; when it is sluggish, digestive stimulants and carminatives [are given]; / what is prescribed for patients with yakṣmā is desired, and when the stool is loose, bowel binders [are indicated].

A pala of rock salt, dry ginger, and two palas of sauvarcala, / a kuḍava each of vṛkṣāmla, pomegranate, and basil leaf,

one [pala] each of black pepper and cumin, two fourths [of a pala] of coriander, / and twelve palas of sugar here one should add.

Having made a powder of this, one should administer it in appropriate measure in food and drink; / it is appetizing, digestive fire-kindling, strengthening, and dispels pain of the flanks, dyspnea, and cough.
Thus the powder beginning with saindhava.
One sixteenth [of a pala] of coriander, two each of cumin and ajamodā, / twice as much of those of pomegranate and vṛkṣāmla, a pala of sauvarcala,

a karṣa of dry ginger, and five palas from the pulp of wood apple; / that powder one should mix into sixteen palas of sugar.

This sweet-sour preserve should be given in food and drink as before; / in sluggish digestive fire and loose stool of patients with yakṣmā, it increases the digestive fire.
Thus the sweet-sour preserve.
One should drink nāgabalā root, increased by half a karṣa, / up to a pala, with milk for a month, maintaining a milk diet and eating no other food.

This regimen is supreme for producing nourishment, longevity, strength, and health; / this is the procedure for maṇḍūkaparṇī, and likewise for dry ginger and madhuka.

Whatever food and drink is replenishing, cooling, non-burning, wholesome, and light / should be consumed by the chest-wounded and emaciated who desire well-being.

And whatever is declared wholesome for patients with yakṣmā, for those with cough, and for those with internal hemorrhage, / that too one should do, taking into account the digestive fire, the disease, the suitability, and the strength.

For if neglected, the onset of yakṣmā will ensue in him; / therefore, before its arrival, one should overcome it swiftly.

Here are two summary verses:

The etiology of chest-wound and emaciation, their common and separate symptoms, / their incurability, manageability, and curability, and the cure of the curable ones,

Punarvasu, knower of reality and truth, free from the blemishes of rajas and tamas, / declared to his eldest disciple in the treatment of the chest-wounded and emaciated.

Thus ends the eleventh chapter, named 'Treatment of the Chest-Wounded and Emaciated', in the Section on Therapeutics in the treatise composed by Agniveśa, which was missing and completed by Dṛḍhabala. //11