The Compendium of Caraka 6.18: aṣṭādaśo 'adhyāyaḥ/

Now we shall explain the treatment of cough.

Thus spoke the venerable Ātreya:

Endowed with austerity, fame, fortitude, and supreme intellect, / Ātreya explained the proven treatment for the alleviation of cough:

The three born of vāta and the others, that born of chest-injury, and likewise that born of wasting— / these five are the coughs of men; as they grow, they cause wasting.

Their premonitory symptom is a sensation of the throat and mouth filled with bristles, / itching in the throat, and obstruction of foods arises.

The wind, obstructed below, resorting to the upward channels, / taking on the state of udāna, caught in the throat and in the chest,

Entering the openings of the head and filling them all, / racking and convulsing the body, the jaw, the nape of the neck, and the eyes,

Bending back and stiffening the eyes, the back, the chest, and the flanks— / dry or with phlegm, it is called cough (kāsa) because of coughing (kasana).

Through the specific obstruction of that violent wind, / the distinctiveness of pain and sound of the coughs arises.

Dry, cold, astringent, meager, measured, and unaccustomed food, women, / suppression of urges, and exertion are the instigators of vāta cough.

Causing intense pain in the heart, flanks, and chest, and hoarseness, / in one whose chest, throat, and mouth are dry, whose bodily hair stands on end, and who faints,

Producing resounding noise, dejection, groaning, weakness, agitation, and stupor— / the dry cough, having expelled dried phlegm with difficulty, becomes diminished.

It is pacified by unctuous, sour, salty, and hot foods and drinks; / in one whose wind moves upward, the wind becomes forceful when the food is digested.

Excessive intake of pungent, hot, burning, sour, and alkaline things, / anger, and heat arising from fire and the sun cause pitta cough.

Yellow spitting and yellowness of the eyes, bitterness in the mouth, disorder of the voice, / smoking sensation in the chest, thirst, burning sensation, stupor, anorexia, giddiness,

And coughing constantly, he sees what seem to be sparks; / and in paittika cough, he spits phlegm mixed with pitta.

Through heavy, abhishyandi, sweet, unctuous items, sleep, and lack of activity, / increased phlegm obstructs the wind and causes kapha cough.

It is accompanied by sluggishness of the digestive fire, anorexia, vomiting, coryza, nausea, heaviness, / horripilation, sweetness in the mouth, moisture, and prostration.

He spits copious, sweet, unctuous, thick phlegm; / coughing without pain, he thinks his chest is full.

Through excessive sexual intercourse, carrying heavy loads, long journeys, fighting, and clashes with horses and elephants, / the wind, seizing the injured chest of a dry person, brings on cough.

He coughs dry at first, and then spits with blood, / with an exceedingly painful throat, and a chest as if broken,

Pierced as if by sharp needles, aching with pain, / tender to the touch, tormented by sharp cutting pain,

Afflicted by pain in the joints, fever, dyspnea, thirst, and loss of voice, / cooing like a pigeon because of the paroxysm of cough born of chest-injury.

From irregular and unwholesome foods, excessive sexual intercourse, suppression of urges, / and in those who are squeamish or grieving, when the digestive fire is deranged, the three bodily wastes,

Aggravated, produce cough born of wasting that causes wasting of the body; / he spits foul-smelling, green, red phlegm resembling pus.

And coughing up from its site, he thinks his heart has fallen; / suddenly distressed by heat and cold, eating much, weak, emaciated,

With an unctuous and clear complexion of the face, and lustrous eyes in appearance, / with smooth palms and soles, constantly envious, and squeamish.

His fever is of mixed symptoms; he has flank pain, coryza, anorexia, / stools alternating between loose and formed, and hoarseness without apparent cause.

This is cough born of wasting, destroying the body of the emaciated; / or it may be curable in the strong, whereas that arising from chest-injury is manageable.

When fresh, these two endowed with the four limbs of treatment may sometimes be cured; / the cough of old age in the elderly is declared to be entirely manageable.

One should cure the three curable ones mentioned first, and manage the manageable ones with wholesome measures; / hear now the treatment that destroys cough.

In a dry patient, one should treat wind-born cough at first with unctuous substances: / with ghees, enemata, gruels, soups, milk, meat broths, and the like,

With unctuous substances and the like prepared with wind-destroying drugs, with smokes and linctuses applied methodically, / with massages, affusions, and unctuous fomentations, the wise physician [should treat it].

One should conquer [cough] where feces and flatus are retained with enemata; dry [cough] in the upper region with [ghees taken] after meals; / and that with pitta and with kapha with unctuous purgatives.

Prepared from one prastha of ghee in thirty palas each of juice of kaṇṭakārī and guḍūcī, / it removes vāta cough and stimulates the digestive fire.
Thus Kaṇṭakārīghṛta.
With pippalī, pippalī root, cavya, citraka, dry ginger, / coriander, pāṭhā, vacā, rāsnā, yaṣṭyāhva, alkali, and hiṅgu,

In the measure of a kola each, prepared from one prastha of ghee in an āḍhaka of decoction of the ten roots— / having drunk a one-fourth measure, one should drink after it scum of gruel.

It removes dyspnea, cough, pain in the heart and flanks, grahaṇī disorder, and gulma; / and this Pippalyādi ghee has been proclaimed by Ātreya.
Thus Pippalyādighṛta.
The three pungents, the three fruits, grape, kāśmarya fruits, parūṣaka, / the two pāṭhās, devadāru, ṛddhi, svaguptā, citraka, śaṭī,

Brāhmī, tāmalakī, medā, kākanāsā, śatāvarī, / trikaṇṭaka, and vidārī—having ground [them] in equal parts of a karṣa, from a prastha of ghee,

Prepared in four times as much milk, one should drink it to remove cough; / it removes fever, gulma, anorexia, spleen disorder, and pain in the head, heart, and flanks,

And removes kāmalā, piles, wind-born aṣṭhīlā, chest-injury, wasting, and consumption; / this unequalled ghee known as Tryūṣaṇa [is praised].
Thus Tryūṣaṇādya ghee.
In a droṇa of water, one should boil rāsnā, the ten roots, śatāvarī,

One pala each, and horsegram, jujubes, and barley, each one māṇikā, / and half a tulā of goat's meat, reduced to a fourth part, and with that,

An āḍhaka of ghee, with an equal quantity of milk, prepared with the ten jīvanīya drugs / in pastes measuring a pala each—having considered the condition, one should use it in vāta diseases as nasal drops, draughts, and unctuous enemata.

It conquers the five coughs, trembling of the head, pain born of the groins and vagina, / diseases of the whole body and of a single limb, and upward wind with spleen disorder.
Thus Rāsnāghṛta.
Viḍaṅga, dry ginger, rāsnā, pippalī, hiṅgu, rock salt, / bhārgī, and alkali: one may drink that powder with a dose of ghee;

In vāta-born cough with kapha, and when the digestive fire is impaired by dyspnea and hiccup, / the two alkalis, the five spices, and the five salts,

Or the paste of śaṭī, dry ginger, and udīcya filtered through cloth / one should administer mixed with ghee, destroying vāta cough.

Durālabhā, śaṭī, drākṣā, fresh ginger, sugar candy, / and karkaṭaśṛṅgī one should lick with oil in vāta-born cough.

Or one may administer powdered duḥsparśā, pippalī, musta, / bhārgī, karkaṭakī, and śaṭī licked with old jaggery and oil.

Viḍaṅga, rock salt, kuṣṭha, three pungents, hiṅgu, and realgar, / combined with honey and ghee, one overcomes cough, hiccup, and dyspnea by licking.

Citraka, pippalī-root, three pungents, hiṅgu, durālabhā, / śaṭī, puṣkaramūla, śreyasī, surasā, vacā,

bhārgī, chinnaruhā, rāsnā, śṛṅgī, and drākṣā—pastes of one karṣa each, / in a decoction of half a tulā of nidigdhikā, having added twenty palas

of sugar candy and a kuḍava of ghee, one should cook. / When prepared and cooled, combined separately with a kuḍava of honey and pippalī,

one should add four palas of powdered bamboo manna. / One should administer this lickable remedy, which dispels cough, heart disease, dyspnea, and gulma.
Thus Citrakādileha.
Daśamūla, svayaṅguptā, śaṅkhapuṣpī, śaṭī, balā, / hastipippalī, apāmārga, pippalī-root, citraka,

bhārgī, and puṣkaramūla, two palas each; an āḍhaka of barley; / and one hundred harītakī fruits: one should cook in five āḍhakas of water.

When the barley is steamed, one should cook that strained decoction and those hundred harītakīs / having added a tulā of jaggery, a kuḍava each of ghee,

oil, and pippalī powder; and when prepared and cooled, of honey. / One should lick [the paste] and regularly eat two harītakī fruits of this rasāyana.

It destroys wrinkles and gray hair, enhances complexion, lifespan, and strength, / and destroys the five coughs, wasting, dyspnea, hiccup, and irregular fever;

likewise, it destroys piles, grahaṇī disorder, heart disease, anorexia, and catarrh. / This is the auspicious and foremost rasāyana formulated by Agastya.
Thus Agastyaharītakī.
Rock salt, pippalī, bhārgī, fresh ginger, and durālabhā / with lukewarm sour pomegranate juice; bhārgī and dry ginger with water;

or one should drink khadira extract with liquor or curds-whey; / or the paste of pippalī fried in ghee with rock salt.

When there is headache, nasal discharge, and darkness over the heart / in those afflicted with cough and coryza, the physician should administer a smoke-inhalation.

Having fitted a bent tube measuring ten aṅgulas or eight aṅgulas / into the hole of an enclosed earthen vessel, the expert [physician]

should make the coughing patient inhale the errhine smoke entirely through the mouth; / having reached only the chest, he should vomit it back out through the mouth.

For by its sharpness, cleaving the kapha situated in his chest / and drawing it out, it alleviates cough arising from vāta and kapha.

One should smoke [a preparation made of] realgar, orpiment, madhuka, māṃsī, musta, and iṅguda; / and following that, one should drink comfortably warm milk with jaggery.

This smoke conquers coughs arising from individual doṣas or from their combination, / even those not cured by hundreds of other recipes.

Prapauṇḍarīka, madhuka, śārṅgeṣṭā, together with realgar, / black pepper, pippalī, drākṣā, cardamom, and flower-clusters of surasā—

having made a wick wrapped in linen cloth / and smeared with ghee, one should smoke it, and afterwards [drink] milk or jaggery water.

With realgar, cardamom, black pepper, alkali, rasāñjana, kuṭannaṭa, / bamboo scraping, sevyā, orpiment, linen cloth, alaktaka, and rohiṣa,

this smoke is prescribed with an after-drink according to the previous procedure; / likewise realgar and orpiment together with pippalī and dry ginger.

Cinnamon bark, iṅgudī, the two bṛhatīs, tālamūlī, realgar, / cotton seed, and aśvagandhā form a smoke that destroys cough.

One should feed beneficial śāli rice, barley, wheat, and ṣaṣṭika rice / with meat juices of domestic, marshy, and aquatic animals, or with soups of māṣa and ātmaguptā.

Prepared with yavānī, pippalī, bael pulp, dry ginger, citraka, / rāsnā, ajājī, pṛthakparṇī, palāśa, śaṭī, and puṣkaramūla,

unctuous, sour, and salted, one should drink a cooked gruel in wind-born [cough], / which destroys pain in the hips, heart, flanks, and gut, dyspnea, and hiccup.

Likewise, in a decoction of daśamūla, prepared with the five spices and jaggery, / with an equal amount of sesame; or one should give it prepared in milk with rock salt.

Or prepared with meat of fish, fowl, or boar, together with ghee, / salted with rock salt, the person with vāta cough should drink gruel.

Vāstuka, vāyasī greens, radish, suniṣaṇṇaka, / unctuous substances such as oil, foods prepared with milk, sugarcane juice, and jaggery,

curds, āranāla, sour fruits, and clear wine as a drink / are recommended in vāta cough, as well as sweet, sour, and salty [items].
Thus the treatment of vāta cough.
In pitta-born cough with kapha, emesis with ghee is beneficial, / as well as with water boiled with madana, kāśmarya, and madhuka,

or with the paste of madhuka and [madana] fruit combined with vidārī and sugarcane juice. / Once the doṣa is eliminated, he should then follow a cold and sweet regimen.

In pitta cough with thin kapha, the physician should administer trivṛt combined with sweet substances for purgation; / in thick kapha, combined with bitter substances.

An unctuous-cold regimen should be employed when kapha is thin; dry-cold when kapha is thick; / thereafter, it is praised through foods, fats, and lickable remedies.

Śṛṅgāṭaka, lotus seeds, pith of nīlī, and pippalī; / pippalī, musta, yaṣṭyāhva, drākṣā, mūrvā, and dry ginger;

parched grain, amṛtaphalā, drākṣā, bamboo manna, pippalī, and sugar; / pippalī, padmaka, drākṣā, and the juice of bṛhatī fruit;

dates, pippalī, bamboo manna, and śvadaṃṣṭrā: these five / lickable recipes in half-verses, combined with ghee and honey, are for those with pitta cough.

With sugar, sandalwood, drākṣā, honey, āmalakī fruit, and blue water lily / in pitta [cough]; with musta and black pepper in [cough with] kapha; with ghee in wind.

Fifty mṛdvīkās, thirty pippalīs, and a pala of sugar / one should have [the patient] lick with honey; or the fresh dung juice of a milk-fed calf.

With cinnamon bark, cardamom, three pungents, mṛdvīkā, pippalī-root, puṣkaramūla, / parched grain, musta, śaṭī, rāsnā, āmalakī fruit, and bibhītaka,

with sugar, honey, and ghee, this lickable recipe destroys cough; / it completely dispels dyspnea, hiccup, wasting, and heart disease.

Pippalī, āmalaka, drākṣā, lākṣā, parched grain, and sugar candy, / cooked in milk until thick and cooled, one should lick with an eighth part of honey.

Or one should drink the juices of vidārī, sugarcane, and lotus stalks, with milk, sugar candy, / and combined with honey, which is supreme in curing pitta cough.

Śyāmāka, barley, and kodrava with sweet meat juices of arid animals, / with soups of mudga and other pulses, and with bitter vegetables, are beneficial in measured amounts.

When kapha is thick, lickable remedies should be bitter and combined with honey; / when kapha is thin, śāli and ṣaṣṭika rice should be taken with meat juice and other liquids.

Sugar-water as an after-drink, juices of grape and sugarcane, milk, / and everything sweet, cold, and non-burning is praised.

With both kākolīs, both bṛhatīs, both medās, along with vṛṣa and nāgara, / one should prepare meat juices, milk, and soups in pitta cough.

One should drink milk boiled with a decoction of the śarādi pañcamūla, / and likewise of pippalī and grape, together with honey and sugar.

With sthirā, sitā, pṛśniparṇī, śrāvaṇī, both bṛhatīs, / jīvaka, ṛṣabhaka, kākolī, tāmalakī, ṛddhi, and jīvaka—

one who suffers from cough, fever, burning, or wasting from injury should drink the boiled milk; / or the physician should prepare ghee born from it, together with milk and sugarcane juice.

With the sweet drugs beginning with jīvaka and fruits beginning with abhiṣuka / as pastes, three karṣas each, when it is prepared, strained, and cooled, one should administer it.

Having added the powder of sugar, pippalī, tvakkṣīrī, black pepper, / and śṛṅgāṭaka, one-pala balls filled with honey in the center

should be made with wheat flour and eaten by one who takes wholesome food, / in wasting, disorders of semen and blood, in cough, and in the emaciated and injured.

Having pounded sugar, nāgara, udīcya, kaṇṭakārī, and śaṭī in equal parts, / one should drink the juice strained through a cloth and blended with ghee.

Ghee prepared with equal parts of the milk of buffalo, goat, sheep, and cow, and the juice of dhātrī fruit, / one should drink properly as a destroyer of pitta cough. / Thus ends the treatment of pitta cough. / Having first purified a strong patient suffering from kapha cough with emetics, / one should treat [them] with barley foods that are pungent, dry, hot, and kapha-destroying.

With soups of kulattha and radish seasoned with pippalī and alkali, / or with meat juices combined with pungents, one should eat light foods.

With meat juices of arid animals and of vilva, with fats born of sesame, mustard, and bilva, / or one should drink honey, sour [gruel], hot water, buttermilk, or faultless wine.

Water infused overnight with pauṣkara root, āragvadha, and paṭola, / combined with honey, should be drunk, or at the three meal times.

Kaṭphala, kattṛṇa, bhārgī, musta, coriander, vacā, abhayā, / ginger, parpaṭaka, śṛṅgī, and that named surāhva boiled in water,

combined with honey and asafoetida, should be drunk in cough caused by vāta and kapha, / in throat disease, swollen face, and in dyspnea, hiccup, and fever.

Having ground pāṭhā, ginger, mūrvā, gavākṣī, musta, and pippalī, / one should drink [them] with warm water, combined with asafoetida and rock salt.

Nāgara, ativiṣā, musta, and gall of karkaṭaka, / and likewise harītakī and śaṭī, one should drink by that very method.

One may also drink an akṣa of paste of pippalī fried in oil, with sugar candy, / combined with kulattha broth, which destroys kapha cough.

The juice born of kāsamarda, horse-dung, bhṛṅgarāja, and egg-plant, / as well as of dark surasā, with honey, destroys kapha cough.

Devadāru, śaṭī, rāsnā, that named karkaṭā, durālabhā, / pippalī, nāgara, musta, pathyā, dhātrī, and sugar candy—

these two lickables, combined with honey and oil, are for kapha accompanied by vāta. / Pippalī, pippalī root, citraka, hastipippalī;

pathyā, tāmalakī, dhātrī, bhadramustā, and pippalī; / devadāru, abhayā, musta, pippalī, and universal medicine;

viśālā, pippalī, musta, and trivṛt—thus / the physician should have four lickables licked with honey, destroying kapha cough.

Sauvarcala, abhayā, dhātrī, pippalī, alkali, and nāgara, / powdered, one should drink with ghee, destroying vāta-kapha cough.

In an āḍhaka of daśamūla decoction, one should cook a prastha of ghee with akṣa-sized amounts of / that named puṣkara, śaṭī, bilva, surasā, the three pungents, and asafoetida.

That should be drunk followed by a drink of peyā in cough caused by vāta and kapha, / and in all dyspnea disorders caused by kapha and vāta. / Thus ends Daśamūlādighṛta. / In an āḍhaka of juice of kaṇṭakārī with roots, fruits, and leaves, / [one should cook] a prastha of ghee with balā, the three pungents, viḍaṅga, śaṭī, citraka,

sauvarcala, barley-alkali, pippalī root, pauṣkara, / vṛścīra, bṛhatī, pathyā, yavānī, pomegranate, ṛddhi,

grape, punarnavā, cavya, durālabhā, amlavetasa, / śṛṅgī, tāmalakī, bhārgī, rāsnā, and gokṣura—

with these pastes cooked, it is praised in all coughs, in hiccups and dyspneas; / for this Kaṇṭakārīghṛta destroys kapha diseases. / Thus ends Kaṇṭakārīghṛta. / Or the physician should administer ghee prepared with the five spices, combined with kulattha broth, / in cough born of kapha, and it is praised in hiccup and dyspnea. / Thus ends Kulatthādighṛta. / And one should give the very same smokes that were described for those with vāta cough, / or one should smoke the pulp of kośātakī fruit with realgar.

If, however, in kapha cough there should be tamaka born from an association with pitta, / there one should apply the treatment for pitta cough according to the stage.

When vāta is associated with kapha, one should perform kapha-removing treatment; / when vāta and kapha are associated with pitta, [treatment] destroying pitta.

Drying in a moist [cough], unctuous in a dry [cough], in cough caused by vāta and kapha; / food and drink combined with bitters in that born of kapha with pitta. / Thus ends the treatment of cough born of kapha. / Considering chest-injury cough as an emergency, one should conquer it swiftly / with sweet, vitalising [drugs] that increase strength and flesh.

Pippalī and madhuka ground to one karṣa, with sugar candy; / cow's milk and goat's milk measuring a prastha, and likewise sugarcane juice;

powder of barley, wheat, and raisins, juice of āmalaka, / and oil, one prasṛta each: all that with gentle fire

one should cook into a lickable; combined with ghee and honey, it removes chest-injury cough; / it is beneficial in dyspnea, heart disease, emaciation, in the aged, and for one with scanty semen.

For those overcome by chest-injury cough, the regimen should be that for pitta cough, / consisting mostly of milk, ghee, and honey, but with distinctions when combined [with other doṣas].

For one afflicted with vāta and pitta, anointing with ghees is beneficial in body-aches, / and with oils destroying vāta diseases when afflicted by vāta.

In chest and side pain, there should be drinking of jīvanīya ghee; / for one coughing with burning, spitting blood, when the digestive fire is strong.

For the emaciated who are accustomed to meat, meat juices of quail and other birds are beneficial; / for those tormented by thirst, goat's milk boiled with the root of śara and other [grasses].

When blood comes from the channels or from the mouth, ghee made from milk / should be an errhine, a drink, or yavāgū for the exhausted, emaciated, whose digestive fire is lost.

In stiffness and spasms, one should drink a large dose of ghee, / or one should perform that which destroys vāta diseases and is not contrary to pitta and blood.

When the chest-injury disorder has ceased, but with kapha increased in the injured chest, / he whose chest is torn while coughing should not smoke these smokes.

Both medās, madhuka, and both balās: having smoked the smoke rolled / with those on linen rags, one should drink Jīvanīyaghṛta.

Having impregnated [linen] with realgar, palāśa, ajagandhā, bamboo manna, and ginger, / one should smoke the linen cloth, followed by sugarcane juice and jaggery water.

Having ground realgar equal [in quantity] with fresh banyan sprout-tips, / one should smoke the smoke with ghee, taking a meal of francolin afterwards.

Or having impregnated linen cloth with the jīvanīya [herbs] mixed with the fluid of sparrow eggs, / one should smoke the smoke, followed by milk boiled with heated iron balls.
Thus ends the treatment of cough born of chest-injury.
One should avoid [treating] cough born of wasting when fully manifested in a weak patient; / when recently arisen in a strong patient, one should undertake treatment after declaring [its incurability].

For him, one should first administer only nourishing therapy and kindle the digestive fire; / if the doṣas are copious, one should administer a mild purgation accompanied by unctuous substance.

With śampāka, trivṛt combined with raisin juice, / decoction of tilvaka, and fresh juice of vidārī,

the emaciated person should prudently drink ghee prepared [with these] as an evacuative; / [for] that is held to be wholesome for safeguarding his body and strength.

When pitta and kapha are diminished and the body tissues are severely depleted, / one should drink ghee prepared with karkaṭakī, milk, and both balās.

Or ghee and milk boiled with vidārīs, or kadambas, / or kernels of tāla, when there is discolouration of urine and difficulty in its passage.

When the penis, anus, pelvis, and groin are swollen and painful, / he should be given an unctuous enema with scum of ghee, honey, or a mixture [thereof].

When he has taken a meal of wild animals, hole-dwelling creatures beginning with quails, / and raptors that feed on meat should be administered in due order.

From their heat and churning quality, they dislodge kapha / from the channels; and when those are purified, the properly flowing nutrient fluid brings about nourishment.

With both pañcamūlas, triphalā, cavikā, bhārgī, citraka, / kulattha, pippalī-root, pāṭhā, jujube, and barley boiled in water,

one should cook ghee with pastes in equal parts of ginger, duḥsparśā, / pippalī, śaṭī, puṣkaramūla, and karkaṭaśṛṅgī.

When it is prepared, having added the two powdered alkalis and the five salts, / one afflicted with cough born of wasting should prudently drink a measured dose.
Thus ends Dvipañcamūlyādi Ghṛta.
Guḍūcī, pippalī, mūrvā, turmeric, śreyasī, vacā, / nidigdhikā, kāsamarda, pāṭhā, citraka, ginger,

having cooked in four times [their quantity of] water down to one-fourth remaining, with that equal [quantity] / one should drink the prepared ghee; it destroys gulma, distress of dyspnoea, and cough born of wasting.
Thus ends Guḍūcyādi Ghṛta.
With kāsamarda, abhayā, mustā, pāṭhā, kaṭphala, ginger, / pippalī, kaṭukā, raisins, kāśmarya, and surasā,

an akṣa-measure each, in one prastha of ghee and an āḍhaka each of milk and raisin juice, / one should cook [this]; it is auspicious, removing consumption, fever, spleen [disorders], and all coughs.

Or ghee prepared with milk and sprinkled with fruits of dhātrī, / cooked in twice the quantity of pomegranate juice, combined with the three pungents,

a man should drink yavakṣāraghṛta on top of a meal; / or ghee prepared with pippalī and jaggery, mixed with goat’s milk.

These ghees serve to increase the digestive fire for those suffering from cough born of wasting, / and to purify the abdomen, chest, and channels blocked by the doṣas.

One should cook twenty harītakīs in two āḍhakas of decoction of barley; / when they are steamed, having crushed them into it, [adding] six palas of old jaggery,

one should add a karṣa of realgar, half a karṣa of rasāñjana, / and half a kuḍava of pippalī; that electuary removes dyspnoea and cough.
Thus ends Harītakīleha.
Quills of a porcupine burned [to ash], with ghee, honey, and sugar, / remove dyspnoea and cough; or peacock feet with honey and ghee.

Or one should lick alkali of castor leaves combined with the three pungents, oil, and jaggery; / [or] that born of holy basil and castor leaves according to this procedure.

One should lick raisins, padmaka, vārtāka, and pippalī with honey and ghee, / or powder of the three pungents with old jaggery and ghee.

Citraka, triphalā, cumin, that named karkaṭā, three pungents, / and raisins, one should lick with honey and ghee, or take with jaggery.

Padmaka, triphalā, the three pungents, viḍaṅga, suradāru, / balā, and rāsnā, in equal parts, one should have made into fine powders.

Having stirred honey, ghee, and sugar separately, each equal to all these powders, / one should have the electuary licked; it is auspicious and removes all coughs.

Jīvantī, madhuka, pāṭhā, bamboo manna, triphalā, śaṭī, / mustā, cardamom, padmaka, raisins, both bṛhatīs, vitunnaka,

sārivā, pauṣkara root, that named karkaṭā, rasāñjana, / punarnavā, iron powder, trāyamāṇā, yavānī,

bhārgī, tāmalakī, ṛddhi, viḍaṅga, dhanvayāsa, / alkali, citraka, cavya, amlavetasa, the three pungents, and devadāru:

having powdered equal parts, one should have a handful of the powder / licked with honey and ghee; this eliminates the five coughs.
Thus ends Padmakādileha.
Or one should lick black pepper powder with ghee, honey, and sugar; / or a paste of badarī leaves fried in ghee with rock salt.

One should administer this electuary in hoarseness and in cough: / paste of tilvaka leaves fried in ghee with sugar.

Peyā and utkārikā remove vomiting, thirst, cough, and āma-diarrhoea. / One should cook yellow mustard, gaṇḍīra, viḍaṅga, the three pungents, citraka, / together with abhayā in water, and with that water, a gruel.

With ghee and salt, one should administer it in cough, hiccup, dyspnoea, chronic coryza, / pale-disease, wasting, swelling, and earache.

Mung bean soup prepared in kaṇṭakārī juice, well-seasoned, / with yellow āmalaka, and sour, is the medicine for all coughs.

One should administer decoction of vāta-destroying medicines, milk, soups, and also meat broths / of scratcher, pecker, and burrowing animals to one suffering from cough born of wasting.

And the smokes with post-drinks that have been demonstrated for cough born of chest-injury, / one should apply those very ones in cough born of wasting according to the stage.

Kindling, nourishing, and purification of the channels: / all strength-giving [treatment] in alternating succession is wholesome for those coughing from wasting.

Moreover, this cough born of wasting arises from a combination of all three doṣas and is very severe; / therefore medicine beneficial for combined doṣas should always be administered.

And from the combination of following doṣas, one should discern the strength and weakness of the disease; / among these coughs, one should know each successive one to be graver.

Food, drinks, ghees, and electuaries together with syrups, / milk, ghees with jaggery, smokes: [this is] the compendium of medicines for cough.

Here is a summary verse:

The number, cause, symptoms, curability and incurability, / the medicine for coughs, and the gravity for the coughing patient have been spoken.

Thus ends the eighteenth chapter, named 'Treatment of Cough', in the Cikitsāsthāna of the compendium composed by Agniveśa, redacted by Caraka, and, being incomplete, supplemented by Dṛḍhabala.