The Compendium of Caraka 6.26: ṣaḍviṃśo 'adhyāyaḥ/

Now we shall explain the chapter on the treatment of the three vital spots.

Thus said the venerable Ātreya:

Of the one hundred and seven vital spots mentioned regarding the enumeration of the body, / those who know them state that the bladder, the heart, and the head are foremost,

because they are the seat of the vital breaths; for vāta and the other doshas, when tormenting these, torment life itself. / Hear, gentle one, the protection against great diseases affecting them, for the purpose of preserving [them].

When apāna becomes vitiated in the colon by astringent, bitter, pungent, and dry foods, / and by suppression of natural urges, fasting, and sexual intercourse, it, being powerful, obstructs the downward channels,

and causes retention of stool, flatus, and urine; then, gradually, a dreadful upward movement of wind. / Severe and exceedingly terrible pain occurs frequently in the bladder, heart, belly, and abdomen, and in the back and flanks;

tympanites, nausea, cutting pain, piercing pain, indigestion, along with swelling of the bladder, / non-passage of stool, lumps in the belly, and the wind, obstructed at the rectum, moves upward.

The passage of dry feces occurs with difficulty after a long time, or it is thin, rough, dry, and cold; / and from that arise diseases: fever, dysuria, dysentery, disorders of the heart and grahaṇī,

vomiting, blindness, deafness, burning headache, abdominal enlargement due to vāta, prostate enlargement, mental disorders, / thirst, internal hemorrhage, anorexia, abdominal lump, cough, dyspnea, coryza, facial paralysis, and flank disorders;

and many other very dread diseases arising from wind are produced by the upward movement of wind. / Its proper treatment will now be spoken; hear it, Agniveśa!

Having anointed him with oil that destroys cold fever, and having liquefied the doshas with the prescribed sudations, / one should treat him with suppositories, non-unctuous enemata, unctuous enemata, purgatives, and foods that promote downward peristalsis.

One should prepare a suppository resembling the thumb in size: śyāmā, trivṛt, long pepper, and dantī, / ground with cow's urine, ten parts of māṣa, nīlī, double the quantity of salt, with jaggery;

or with oilcake, sauvarchala salt, and asafoetida, or with mustard, the three pungents, and barley-ashes, / with vidanga, kampillaka, and śāṅkhinī, combined with the milky sap of snuhī and arka and with jaggery.

There may be a suppository made of pippalī, mustard, coriander, and chimney-soot, with cow's urine and jaggery; / or one may blow that powder of śyāmā, fruits, bottle-gourd, and pippalī with a tube.

Or the powder of white mustard, bitter gourd, madana fruit, and black pepper, with jīmūtaka and rock salt; / when the rectum is lubricated, these bring downward a man's stool and the retention of wind and urine.

When these fail, the physician should administer a non-unctuous enema to the well-anointed and well-fomented body, / very sharp, containing upward- and downward-evacuating drugs, urine, oil, alkali, sours, and vāta-dispelling substances.

If vāta is predominant, [the enema should be] sour and salty with oil; if pitta, with milk; if kapha, with urine. / It quickly clears the retention of urine, stool, and wind, and restores the rectum and channels to their proper function.

He should eat barley food with potherbs such as trivṛt, snuhī leaves, sesame, and the like, or with meat juices of domestic, wetland, and marsh animals, / and with other things that release wind, urine, and stool, drinking the clear upper part of wine or jaggery rum.

If [the condition] persists further, he should be purged with urine, clear wine, whey, and fermented gruel; / but when he is restored to health, one should subsequently give him an unctuous enema, if the retention of wind and stool was due to dryness.

Asafoetida, twice increased vacā, plumbago, kuṣṭha, and suvarcikā, and powder of viḍaṅga, / [taken] with tepid water, destroys constipation, the distress of visūcikā, heart disease, abdominal lump, and upward movement of wind.

Vacā, harītakī, citraka, barley-ashes, long pepper, ativiṣā, and kuṣṭha / drunk with hot water destroys constipation and bewildered vāta quickly, the patient eating rice with meat soup.

Asafoetida, vacā, biḍa salt, dry ginger, cumin, harītakī, puṣkaramūla, and kuṣṭha, / in parts increasing successively by one part: this [is used] in spleen enlargement, abdominal diseases, indigestion, and visūcikā.

A prastha of ghee processed in a decoction of the sthirādi group, / punarnavā, śampāka, and pūtīkakarañja, each measuring two palas, is for obstructed vāta.

Fruits and roots prescribed for purgation, asafoetida, arka root, the foremost daśamūla, / snuk, citraka, and punarnavā, along with all the five salts in equal parts:

These, crushed with fats and urine, should be cooked in a well-smeared joint of two earthen saucers; / that cooked salt, finely ground, one should eat with foods and drinks to relieve constipation and pain.

Constipation arising from āma, accompanied by cardiac stiffness, heaviness from head-disease, / retention of eructations, and chronic catarrh, one should conquer through vomiting, fasting, and digestive measures.

In phantom tumor, abdominal enlargement, bradhna, piles, spleen enlargement, udāvarta, disorders of the female genital tract and semen, / in mārutarakta mixed with fat and kapha, and when deep-seated;

in sciatica, hemiplegia, and the like, in vāta disorders fit for purgation, / when the path of vāta is obstructed by fat, kapha, pitta, and blood;

with milk or meat broths, or with triphalā juice, vegetable soup, cow's urine, or madirā wine, / according to the association of doṣas, castor oil is commended.

By its nature it removes vāta; by combinations and purgation it conquers [the rest]; / therefore it conquers wind diseases commingled with fat, blood, pitta, and kapha.

The dose should be up to five palas according to strength, bowel temperament, and disease; / for those of soft bowel and little strength, it should be administered with food. Thus ends the treatment of udāvarta.
From exercise, sharp drugs, dry wine, excessive indulgence [in sex], habitual riding on fast mounts, / eating marshy fish, overeating, and indigestion, there arise in men eight dysurias.

The morbid humors, aggravated individually by their own causes or all together entering into aggravation in the bladder, / compress the passage of urine; then one passes urine with difficulty.

From vāta, severe pain in the groin, bladder, and penis, and one passes urine in small quantities repeatedly; / from pitta, one passes urine yellow, bloody, painful, burning, and with difficulty, repeatedly.

Heaviness and swelling of the bladder and penis, and slimy urine in kapha dysuria; / but all the symptoms occur in sannipāta: that indeed is the most difficult to cure of the dysurias.

When wind dries up the semen, urine, or kapha together with pitta situated in the bladder, / then a urinary calculus is gradually produced, like the rocanā in the bile of a cow.

Shaped like a kadamba flower, like a stone, smooth, three-cornered, or even soft, / if it reaches the passage of urine, obstructing the urine, it causes pain in the bladder.

It causes pain in the perineal raphe, penis, and bladder, and makes the stream of urine scattered; / distressed with pain, he squeezes the penis, and repeatedly passes stool and urinates.

When injured by its agitation, he passes urine with blood; upon its displacement, he urinates with ease; / this calculus, shattered by wind, becomes gravel flowing from the urinary path.

When dysuria arises in a man injured by an injury to semen, / there is pain in the groin, bladder, and penis, and extreme pain in the scrotum when exceedingly displaced.

With its course and flow obstructed by semen, he passes urine with difficulty; / they say it is stiffened in the testicles, and declare it to be dysuria from injury to semen.

Semen and the morbid humors, separately or together, situated in the urinary bladder, hold [it] back; / obstructed by them, the urine causes pain in the penis and bladder, mixed with semen and detained.

Stiff, swollen, severely painful, and pricked is his bladder, as well as both testicles; / from a wound, trauma, or depletion, blood provoked and situated in the bladder becomes obstructed.

Accompanied by severe pain, along with urine, it attains calculus form; and when it is excessively accumulated, / he experiences distension and heaviness, and lightness of the bladder when it has passed out.
Thus ends the diagnosis of dysuria.
In wind dysuria, one should administer inunction, unctuous non-retention enemas, unctuous poultices, urethral enemas, affusions, / and broths prepared with the sthirādi group and wind-relieving drugs.

With punarnavā, eraṇḍa, śatāvarī, pattūra, vṛścīra, balā, aśmabhid, / the two pañcamūlas, kulattha, kola, and barley, boiled in water to make a decoction:

Oil, fat of boar and bear, and ghee should be prepared with these very pastes and salts; / that, drunk in proper dose, quickly arrests wind dysuria accompanied by colic.

These and other excellent medicines, ground, are also commended as a poultice; / as available, oily seeds accompanied by unctuous and sour substances, comfortably warm, should be applied.

Affusions, tub-baths, cool plasters, the summer regimen, enemas, milk, and purgation / with grapes, vidārī, sugarcane juice, and ghees should be carried out in dysurias arising from pitta.

A decoction of śatāvarī, kāśa, kuśa, śvadaṃṣṭrā, vidārī, rice, sugarcane, and kaśeruka, / well cooled, combined with honey and sugar, a patient suffering from pitta dysuria should drink.

He should drink a decoction of lotuses, blue water-lilies, śṛṅgāṭaka, or vidārī, / or the roots of daṇḍairakā according to the previous formulation, likewise cold water.

Ervāru seeds, cucumber seeds, safflower seeds, saffron, and vāśā should be drunk / with grape juice: this is praised in calculi, gravel, and all dysurias.

In pitta dysuria, he should drink ervāru seeds, liquorice, and devadāru with rice-water; / likewise dārvī with amalaki juice and honey in dysuria caused by pitta.

Alkaline, hot, and sharp drugs, food and drink, sudation, barley food, emesis, non-retention enemas, / buttermilk, and oil processed with bitter drugs for inunction and drink, in kapha dysuria.

The three pungents, śvadaṃṣṭrā, cardamom, and the bone of a crane, in the measure of a kola, combined with honey and urine; / or one should drink cardamom combined with honey, with juice of plantain or juice of kaiḍarya.

One should drink seeds of śitivāraka combined with buttermilk for the destruction of dysuria; / likewise, in kapha dysuria, one should drink coral powder with rice-water.

Cooking saptacchada, āragvadha, kebuka, cardamom, dhava, karañja, kuṭaja, and guḍūcī / in water, with that one should drink gruel, or the prepared decoction combined with honey.

In [dysuria] arising from all three doṣas, however, everything should be done after considering the location of vāyu in order: / when kapha is predominant among the three, vomiting should come first; in pitta, purging; but in vāta, an enema.
Thus ends the treatment of dysuria.
The treatment which is beneficial for dysuria caused by kapha and vāta is suitable here for calculus and gravel: / it should be performed to break up and expel the calculus; hear the proven procedure endowed with specific details:

Pāṣāṇabheda, vṛṣaka, śvadaṃṣṭrā, pāṭhā, abhayā, the three pungents, śaṭī, nikumbha, / hiṃsrā, kharāśvā, śitivāraka, and the seeds of ervāruka and trapuṣa,

Utkuñcikā, asafoetida, sour cane, the two bṛhatīs, hapuṣā, and vacā: / one should drink the powder to break the calculus, and ghee cooked with four times as much cow's urine with them.

Roots of śvadaṃṣṭrā, kṣuraka, and urubūka, ground with milk, and of the two bṛhatīs, / stirred into sweet curd, should be drunk for seven days to break the calculus.

Punarnavā, iron filings, śvadaṃṣṭrā, phalgu sprouts, along with darbha flowers, / well-ground with milk, water, wine, or sugarcane juice, should be a drink for calculus and gravel.

Cardamom, deodar, the five salts, barley-alkali, kunduruka, aśmabhedaka, / kampillaka, gokṣuraka seed, ervāru seed, trapuṣa seed,

Pulverized together with equal parts of citraka, asafoetida, māṃsī, and yavānī, and two parts of triphalā, / should indeed be drunk with sour non-vinegar liquids, meat-broth, wine, or bean soups, in order to break gulma and calculus.

A soup made from a paste of horseradish-tree root in the measure of a bilva, fried in ghee and oil, / cooled, combined with whey, and combined with salt, is a stone-breaker, to be drunk at will.

A paste of horse-radish tree root taken cool with water is beneficial in calculus and gravel; / or sugar candy along with an equal amount of barley-alkali is medicine for all dysurias.

Then, having drunk unadulterated wine, one should ride swiftly in a chariot or on a horse; / by these means gravel descends; if the calculus does not subside, however, a surgical specialist should extract it.

In dysuria arising from semen injury, however, having examined the doṣa, one should perform counter-measures: / cotton root, vṛṣaka, aśmabheda, balā, the group beginning with sthirā, gavedhukā,

Vṛścīra, aindrī, punarnavā, śatāvarī, and the leaves called madhūka and asana: / a meat broth prepared from their decoction should be taken in vāyu; in excess of pitta, milk or ghee;

And in kapha, food and drink such as soup; in combined conditions, a regimen beneficial for all should be employed; / if it does not subside in this way, one should administer old wine or madhūka-spirit to him,

Along with flesh of birds for nourishing, and enemas to cleanse the seminal tract; / and to the man who has been purified and satiated with aphrodisiac recipes, loving and pleasing women should be provided.

In that arising from blood, however, one should drink lotus stems, tāla, kāsa, sugarcane, bāla, ikṣu, and kaśeruka / mixed with sugar and honey; and one should eat sugarcane, vidārī, and cucumbers.

Ghee prepared with fresh juice of śvadaṃṣṭrā and eight times as much milk should be drunk; / or singly from the drugs beginning with sthirā, or those beginning with kanaka, by the very same method.

An enema should be made with milk along with sweet herbs, or with oil pressed from svāduphala; / whatever is prescribed for pitta dysuria should also be performed in blood dysuria.

One must not indulge in exercise, suppression of urges, dry, unctuous-less flour-foods, wind, sunrays, or sexual intercourse, / nor dates, śālūka, wood-apple, rose apple, lotus fiber, or astringent taste.
Thus ends the treatment of calculus.
Exercise, sharp purgatives and enemas in excess, anxiety, fear, fright, persistent disease, / vomiting, food indigestion, suppression of urges, emaciation, and trauma produce heart disease.

Discoloration, fainting, fever, cough, hiccup, dyspnea, bad taste in the mouth, thirst, stupor, / vomiting, nausea with kapha, pain, and anorexia, as well as various others, arise from heart disease.

An empty feeling in the heart, palpitation, wasting, cutting pain, stiffness, along with confusion, are specific to vāta; / from pitta come darkness before the eyes, burning sensation, scorched feeling, delusion, fright, heat, fever, and yellowness.

Stiffness, heaviness, and numbness of the vital organ occur from kapha, along with excessive salivation, fever, cough, and drowsiness; / one should recognize that tridoṣa disease exhibits all signs, while that produced by parasitic worms has sharp distress, piercing pain, and itching.

Oil with sauvīraka, curd-whey, and buttermilk, salted and comfortably warm, should be drunk in vāta; / oil prepared with urine and water along with salts cures tympanites, gulma, distress, and heart disease.

Boiling punarnavā, dāru, pañcamūla, rāsnā, barley, bilva, kulattha, and kola / in water, oil thoroughly cooked with that is used for massage and drinking to destroy wind heart disease.

Supreme ghee prepared with pastes of harītakī, dry ginger, puṣkaramūla, / vayaḥsthā, kāyasthā, salts, and asafoetida, / is excellent in gulma accompanied by heart and flank disease arising from wind.

Root of phalapūra with puṣkarāhva, dry ginger, śaṭī, and abhayā as pastes, / mixed with alkaline water, ghee, and salt, destroy vāta heart disease and griping pain.

A decoction made of puṣkaramūla, mātuluṅga, palāśa, bhūtīka, śaṭī, and deodar, / with dry ginger, cumin, vacā, yavānī, alkali, and salt, should be drunk comfortably warm.

A paste of pathyā, śaṭī, puṣkaramūla, and pañcakola, with mātuluṅga and a pair of unctuous substances, / fried with jaggery, clear wine, and salts, is taken in pain of the heart, flanks, back, abdomen, and female genital organ.

There should be the three pungents, the two triphalās with pāṭhā, nidigdhikā, gokṣuraka, the two balās, / ṛddhi, cardamom, tāmalakī, svaguptā, the two medās, madhūka, madhuka, sthirā,

Śatāvarī, jīvaka, and pṛśniparṇī: with these substances ground finely in equal parts of an akṣa, / an expert who knows the method should cook a prastha of ghee with a prastha of buffalo curd.

One should administer a dose of a pala, half a pala, or a picu, combined with honey, / in dyspnea, in cough, and also in jaundice, halīmaka, and impairment of the heart and grahaṇī.

Cold plasters, affusions, and purgation are indicated when the heart is vitiated by pitta; / with grapes, sugar candy, honey, and parūṣaka; and when one is purified, food and drink that pacifies pitta.

One should also drink the paste of liquorice and kaṭurohiṇī with sugar water; / and ghees beneficial for chest wounds, and the ghee-jaggery preparations—having evaluated them properly,

The physician should give them, as well as meat broth of arid animals, to those who consume cow's milk in pitta heart disease; / by these very remedies all pitta ailments that reside in the blood go to pacification.

With grapes, balā, śreyasī, sugar, / dates, vīrā, ṛṣabhaka, and utpala, / kākolī, the pair of medā, and jīvaka, / buffalo ghee should be prepared with milk.

Kaśeruka, śaivala, ginger, prapauṇḍarīka, liquorice, and lotus-root / node—with these one should cook ghee with milk; / combined with honey, it destroys pitta heart disease.

Ghee cooked with pastes of sthirā and the rest and with milk, or with grape juice, or with sugarcane juice, / is beneficial; and cold juices derived from sweet fruits and sugarcane / [are beneficial] when the heart is vitiated by pitta.

For one who has been fomented, vomited, and fasted, the treatment destroys kapha in kapha vital organ disease: / barley food with broth of horse gram and coriander, / and sharp and auspicious drinks.

Kaṭphala, ginger, pītadru, pathyā, and ativiṣā boiled in cow's urine should be given, / as well as powder of kṛṣṇā, śaṭī, puṣkaramūla, rāsnā, vacā, abhayā, and dry ginger.

In a decoction of what are called udumbara, aśvattha, vaṭa, arjuna, / palāśa, rohītaka, and khadira, / an electuary prepared with powder of trivṛt and the three pungents destroys kapha when taken with warm water.

Or the heedful physician may employ bitumen, prescribed according to the rules of preparation, / and likewise the electuary of Agastya, or the Brahmic rasāyana, or that of āmalakī.

In that born of all three doṣas, fasting should be done from the start, and food beneficial in all of them should be prescribed; / and considering the mildness, excess, or moderate nature [of the doṣas], / the commended action for all three should be carried out.

If the pain is severe when food is eaten, mild as it digests, and persistent when digested, / he should drink deodar, kuṣṭha, / along with tilvaka, the two salts, and viḍaṅga, with ativiṣā, along with hot water.

When it is severe upon digestion, unctuous purgation is indicated; if during digestion, he should be purged with fruits; / but when the colic is severe at all three times, / sharp root purgation is beneficial.

Generally, vāta whose path is obstructed becomes aggravated in the stomach; therefore purification / should be done, as well as fasting and digestion; / and all worm-destroying remedies [are indicated] in parasite heart disease. / Thus ends the treatment of heart disease. / By suppression of urges, indigestion, dust, excessive talking, anger, seasonal irregularities, heat to the head, / insomnia, excessive sleep, cold water, dew, sexual intercourse, tears, and smoke—

when the doṣas are congealed in the head, aggravated vāta brings about coryza: / nasal ache and piercing pain, water-like sneezing and discharge / from vāta, accompanied by hoarseness and head disease.

Suppuration at the tip of the nose, fever, dry mouth, thirst, and hot, yellow discharge are from pitta; / cough, anorexia, dense flow and watering of the mouth are from kapha, as well as heaviness in the channels and itching.

All these symptoms occur from sannipāta in severe coryza with sharp pain and great distress; / every [coryza], excessively aggravated by unwholesome food, when neglected, becomes chronic coryza.

From that arise diseases: sneezing, nasal dryness, pratīnāha, and rhinorrhea; / foul odor of the nose, apīnasa, / suppurating swelling, tumors, and discharge of pus and blood,

boils, diseases of the head, ears, and eyes, baldness, and tawny or white discoloration of the hair; / thirst, dyspnea, cough, fever, internal hemorrhage, hoarseness, and wasting arise from it.

When the nose is accompanied by obstruction, injury, discharge, dryness, and suppuration, and does not perceive smell, / and the mouth is foul-smelling, with frequent aggravation, / one should pronounce it chronic coryza.

Vāta, having touched the vital points in the head, situated in paths in every direction, produces sneezing; / when enraged, having dried up kapha, it produces desiccating of the nose, śṛṅgāṭaka, and smelling organ.

Kapha accompanied by vāta obstructs the path of respiration: that one should declare to be pratīnāha; / that thick, yellow, mature kapha which discharges from the brain, this is rhinorrhea.

Discoloration and foul smell through neglect result in ozena, swelling, and dizziness; / whose nose is obstructed, dried up, excessively moist, and burning,

and the person who does not perceive smells and tastes—one should determine him to be afflicted by apīnasa; / and that disorder born of vāta and kapha one should declare to have symptoms equal to coryza.

Swelling with burning, redness, and suppuration is nasal suppuration, also from raktapitta; / and the wastes, having vitiated the blood and other [dhātus] residing in the nose, produce swelling of the nose.

So also, having obstructed the passage of respiration in the nose, tumors arise from vitiation of muscle and blood; / or from the nose, ears, or mouth, blood smeared with pitta or pus and blood may discharge.

Vāta along with pitta, vitiating the skin and so forth, produces boils that undergo suppuration; / the disease in which a man's nose is as if ablaze they declare to be dīpta. / Thus ends the etiology of nasal diseases. / The head throbs here with intense ache and colic from vāta; from pitta it has burning and ache; from kapha it is heavy; / from all [three] it has all [symptoms]; and from worms the head has itching, foul odor, piercing pain, and ache. / Thus ends the etiology of head diseases. / In disease of the mouth born of vāta, there are dryness, roughness, dryness, and shifting pains; / blackish-red desquamation, with cold, drooping, throbbing, piercing pain, and tearing pain.

Thirst, fever, eruptions, burning of the palate, sensation of smoking, and cracking of the surface, / along with fainting and varied pains, and colors other than white and reddish-brown, occur from pitta.

Itching, heaviness, white slipperiness, unctuousness, anorexia, stupor, salivation of kapha, / nausea, sluggish digestive fire, drowsiness, and mild pain in mouth disease of kapha.

That mouth disease in which all symptoms are present is born of all [three doṣas]; / and by differences of location, dūṣya, appearance, and name, these are of sixty-four kinds.

Their causes, symptoms, forms, and remedies have been declared in the treatise on minor surgery; / but I shall set forth in due order the treatment of the fourfold mouth disease. / Thus ends the etiology of mouth diseases. / Anorexia arises from vāta and the rest, from grief, fear, excessive greed, anger, and disagreeable food, smell, and visual appearance; / from vāta, one's teeth are sensitive and the mouth is astringent.

From pitta one should know the mouth to be pungent, sour, hot, tasteless, foul-smelling, and salty; / from kapha it is endowed with sweetness, sliminess, heaviness, coldness, and obstructed tightness.

In anorexia born of grief, fear, greed, anger, and so forth, and of unappealing food and smell, / the mouth is normal, but there is aversion to food; in that born of all three doṣas it has manifold tastes. / Thus ends the etiology of anorexia. / Ringing, excessive pain, drying of earwax, thin discharge, and deafness are from vāta; / swelling with redness, tearing, burning sensation, and yellow, foul discharge are from pitta.

Impaired hearing, itching, firm swelling, white, unctuous discharge, and slight pain are present in [ear disease] originating from kapha; / but all the symptoms appear from a combination of all three, and the discharge there has the colour of the predominant doṣa. / Thus ends the etiology of ear diseases. / Slight redness, lack of coating, and piercing and splitting pain occur in eye disease born of vāta; / from pitta there is burning sensation, intense pain, redness, yellow coating, and copious hot flow;

from kapha the eye has white coating, much slimy tearing, heaviness, and itching; / and from a combination of all three, all symptoms appear. Eye diseases are ninety-six through subdivision.

Their manifestations and treatment have been fully explained in the treatises on minor surgery; / an extensive description in the province of another is not approved, therefore no effort of ours is made here. / Thus ends the etiology of eye diseases. / Pitta, along with vāta and the others, burning the scalp, rapidly causes baldness in a person; / but slightly burning, it causes greying and tawny colour of the hair.

Thus this portion of diseases arising above the clavicle has been included in the treatise so that it may not be deficient; / hereafter, understand the collection of remedies being stated in brief. / Thus ends the etiology of the disease baldness. / In coryza born of vāta with cough and hoarseness, one should drink ghee with alkali; / or one should drink meat broth, hot milk, or indeed unctuous smoke.

One should inhale a suppository [made] of dill, cinnamon bark, balā, and root born of syonāka, castor, and bilva, / along with āragvadha, with beeswax, muscle fat, and ghee.

Or having placed roasted grain flour mixed with ghee between two earthen saucers, / the physician should administer the smoke to those suffering from acute coryza.

In pain of the temples, head, and forehead, [he should apply] hand-fomentation and a poultice; / on [a head] well anointed, in sneezing, obstruction of discharge, and the like, saṃkara-fomentation and others [should be used].

And rohiṣa, cumin, vacā, tarkārī, and coraka should be smelled; / or powders of cinnamon bark, cinnamon leaf, black pepper, and cardamom with upakuñcikā.

In dryness of the channels, the junction of vessels, nose, and eyes, an oil nasal drop [is prescribed]. / Having impregnated sesame seeds in goat's milk, ground them with that [milk], and by its vapor

mildly steamed them, mixed them with powder of yaṣṭīmadhu, he should press them with that very [liquid]; / in a decoction of daśamūla, along with a paste of rāsnā and madhuka,

oil prepared ten times with rock salt is remembered as that aṇutaila. / For one who has been unctuated, he should expel the doṣa by non-unctuous enemas in vāta coryza.

And light food with unctuous, sour, and hot broths of domesticated and other animals is wholesome; / bathing and drinking with hot water, and a windless, warm shelter.

A wise person, desiring his own welfare in coryza born of vāta, / should refrain from anxiety, exercise, talking, exertion, and sexual intercourse.

In that born of pitta, one should drink medicated ghee, and drink milk boiled with ginger / for ripening; when ripe, head-evacuation should be performed.

Oil prepared with pāṭhā, the two rajānīs, mūrvā, pippalī, jasmine shoots, / and dantī serves as nasal drops in ripe coryza.

In bloody pus, decoctions and nasal drops that pacify bleeding-disease [are indicated]; / when there is excessive suppuration, burning, and dryness, cold pastes with affusions [are indicated],

as well as treatments with sniffed substances and nasal drops, and sweet, cold astringent decoctions; / in coryza with mild pitta, one should perform purgation with unctuous [substances].

Ghee, milk, barley, śāli-rice, wheat, broths of wild animals, / cold and sour [foods], bitter vegetables, and soups made from mung beans and the like are beneficial.

In heaviness and anorexia in kapha-coryza, fasting [is prescribed] at first; / fomentations and affusions [are given] for the sake of ripening after anointing the head with ghee.

Garlic mixed with mung bean powder, the three pungents, alkali, and ghee / should be given; a kapha-destroying emetic is wholesome for one with provoked kapha.

In apīnasa, ozena, nasal discharge, and itching, / smoke and nasal press with pungent [drugs] are approved in kapha-coryza.

Realgar, vacā, the three pungents, viḍaṅga, asafoetida, and guggulu / are a powder to be sniffed, as is blowing [powder] with pungent fruits as well.

In urine boiled with bhārgī, madana, tarkārī, the surasādi group, and others, / having made a paste of lac, vacā, lambā, viḍaṅga, kuṣṭha, pippalī,

and karañja, he should cook mustard oil with them; / when relieved from suppuration and the kapha is thick and fat-like, this is nasal drops.

For one who is unctuated, when the urge is obstructed in kapha-coryza, vomiting [should be induced] / with gruel made of emetic-boiled milk, sesame, and black gram.

Soups made of eggplant, kulaka, the three pungents, horse gram, pigeon pea, and mung bean, / and kapha-destroying food are approved, along with the use of hot water.

In chronic coryza, [treatment] conquering all [doṣas] is to be done; in swelling, that which conquers swelling; / alkali in tumors and fleshy growths; and in the remaining [diseases], the procedure [is done] after considering [the condition]. / Thus ends the treatment of coryza and nasal diseases. / In disease of the head caused by vāta, unctuous substances, fomentations with nasal drops, / and food, drinks, and poultices that alleviate vāta diseases should be applied.

A pleasantly warm poultice made of [drugs of the] aguru group fried in oil, / with vitality-promoting drugs, jasmine, fish, and meats is recommended.

Prepared with rāsnā, sthirā, and the rest, with milk, nasal drops relieve the distress; / or indeed oil [prepared] with rāsnā, the two kākolīs, and sugar.

Prepared with balā, madhūka, yaṣṭīmadhu, vidārī, sandalwood, and blue water lily, / and with jīvaka, ṛṣabhaka, grapes, and sugar,