[Pramāṇa](https://indike.org/pramana/) › [Indian literature](https://indike.org/pramana/in) › [Medicine](https://indike.org/pramana/in.med) › [Early and ascribed compendia](https://indike.org/pramana/in.med.samhita) › [The Compendium of Caraka](https://indike.org/pramana/in.med.samhita.caraka) › 6.5 # The Compendium of Caraka 6.5: pañcamo 'adhyāyaḥ/ Carakasaṃhitā 6.5 - **Language:** Sanskrit ### pañcamo 'adhyāyaḥ/ ### [6.5.1](https://indike.org/pramana/in.med.samhita.caraka.6.5.1) athāto gulmacikitsitaṃ vyākhyāsyāmaḥ// > Now we shall explain the treatment of abdominal lumps. > — English (machine translation) (machine translation) ### [6.5.2](https://indike.org/pramana/in.med.samhita.caraka.6.5.2) iti ha smāha bhagavānātreyaḥ// > Thus spoke the venerable Ātreya: > — English (machine translation) (machine translation) ### [6.5.3](https://indike.org/pramana/in.med.samhita.caraka.6.5.3) sarvaprajānāṃ pitṛvaccharaṇyaḥ punarvasurbhūtabhaviṣyadīśaḥ/ cikitsitaṃ gulmanibarhaṇārthaṃ provāca siddhaṃ vadatāṃ variṣṭhaḥ// > A refuge like a father to all creatures, Punarvasu, lord of the past and future, > best among speakers, declared the proven treatment for the destruction of abdominal lumps. > — English (machine translation) (machine translation) ### [6.5.4](https://indike.org/pramana/in.med.samhita.caraka.6.5.4) viṭśleṣmapittātiparisravādvā taireva vṛddhaiḥ paripīḍanādvā/ vegairudīrṇairvihatairadho vā bāhyābhighātairatipīḍanairvā// > From excessive discharge of feces, kapha, or pitta, or from compression by those same humors when increased, > or from downward natural urges that have arisen and been suppressed, or from external injuries, or excessive compressions; > — English (machine translation) (machine translation) ### [6.5.5](https://indike.org/pramana/in.med.samhita.caraka.6.5.5) rūkṣānnapānairatisevitairvā śokena mithyāpratikarmaṇā vā/ viceṣṭitairvā viṣamātimātraiḥ koṣṭhe prakopaṃ samupaiti vāyuḥ// > Or from excessive consumption of dry food and drink, from grief, from incorrect medical procedures, > or from irregular and excessive physical activities, vāyu becomes aggravated in the abdomen. > — English (machine translation) (machine translation) ### [6.5.6](https://indike.org/pramana/in.med.samhita.caraka.6.5.6) kaphaṃ ca pittaṃ ca sa &duṣṭavāyuruddhūya mārgān vinibaddhya tābhyām/ hṛnnābhipārśvodarabastiśūlaṃ karotyatho yāti na baddhamārgaḥ// &\`sa dūṣayitvā proddhūya' iti pā-. pakvāśaye pittakaphāśaye vā sthitaḥ svatantraḥ parasaṃśrayo vā/ sparśopalabhyaḥ paripiṇḍitatvādgulmo yathādoṣamupaiti nāma// > That vitiated vāyu, having agitated kapha and pitta and blocked the channels with both of them, > causes colic in the heart, navel, flanks, abdomen, and urinary bladder, and then, its channels obstructed, it does not move. > Situated in the colon or in the seats of pitta and kapha, independent or dependent on others, > palpable by touch due to forming a mass, it receives the name 'abdominal lump' according to the humor \[involved\]. > — English (machine translation) (machine translation) ### [6.5.8](https://indike.org/pramana/in.med.samhita.caraka.6.5.8) bastau ca nābhyāṃ hṛdi pārśvayorvā sthānāni gulmasya bhavanti pañca/ pañcātmakasya prabhavaṃ tu tasya vakṣyāmi liṅgāni cikitsitaṃ ca// > In the bladder, at the navel, in the heart, or in the two flanks—there are five locations for an abdominal lump. > Now I shall speak of the origin, symptoms, and treatment of this fivefold \[disease\]. > — English (machine translation) (machine translation) ### [6.5.9](https://indike.org/pramana/in.med.samhita.caraka.6.5.9) rūkṣānnapānaṃ viṣamātimātraṃ viceṣṭitaṃ vegavinigrahaśca/ śoko 'abhighāto 'atimalakṣayaśca nirannatā cānilagulmahetuḥ// > Dry food and drink, irregular and excessive physical exertion, suppression of urges, > grief, trauma, excessive loss of wastes, and starvation are the cause of a wind-lump. > — English (machine translation) (machine translation) ### [6.5.10](https://indike.org/pramana/in.med.samhita.caraka.6.5.10) yaḥ sthānasaṃsthānarujāṃ vikalpaṃ viḍvātasaṅgaṃ galavaktraśoṣam/ śyāvāruṇatvaṃ śiśirajvaraṃ ca hṛtkukṣipārśvaṃsaśirorujaṃ ca// > That which varies in location, form, and pain, with obstruction of feces and wind, dryness of throat and mouth, > grayish-red coloration, fever with chills, and pain in the heart, belly, flanks, shoulders, and head; > — English (machine translation) (machine translation) ### [6.5.11](https://indike.org/pramana/in.med.samhita.caraka.6.5.11) karoti jīrṇe 'abhyadhikaṃ prakopaṃ bhukte mṛdutvaṃ samupaiti yaśca/ vātāt sa gulmo na ca tatra rūkṣaṃ kaṣāyatiktaṃ kaṭu copaśete// > Which produces greater aggravation after digestion, and becomes mild when one has eaten, > that is an abdominal lump from vāta; and there, dry, astringent, bitter, and pungent \[things\] do not suit \[the patient\]. > — English (machine translation) (machine translation) ### [6.5.12](https://indike.org/pramana/in.med.samhita.caraka.6.5.12) kaṭvamlatīkṣṇoṣṇavidāhirūkṣakrodhātimadyārkahutāśasevā/ &āmābhighāto rudhiraṃ ca duṣṭaṃ paittasya gulmasya nimittamuktam// &\`śramābhighātau' iti pā-. jvaraḥ pipāsā vadanāṅgarāgaḥ śūlaṃ mahajjīryati bhojane ca/ svedo vidāho vraṇavacca gulmaḥ sparśāsahaḥ paittikagulmarūpam// > Pungent, sour, sharp, hot, burning, and dry foods, anger, excessive wine, and exposure to the sun and fire, > undigested matter, trauma, and vitiated blood are stated as the cause of a pitta-lump. > Fever, thirst, redness of face and body, severe pain while food is being digested, > sweating, burning sensation, and an abdominal lump like an ulcer, intolerant of touch, are the symptoms of a pitta-lump. > — English (machine translation) (machine translation) ### [6.5.14](https://indike.org/pramana/in.med.samhita.caraka.6.5.14) śītaṃ guru snigdhamaceṣṭanaṃ ca saṃpūraṇaṃ prasvapanaṃ divā ca/ gulmasya hetuḥ kaphasaṃbhavasya sarvastu diṣṭo nicayātmakasya// > Cold, heavy, unctuous food, inactivity, over-satiation, and sleeping by day > are the cause of a kapha-born abdominal lump; but all \[these factors\] are stated for one caused by a combination \[of all three\]. > — English (machine translation) (machine translation) ### [6.5.15](https://indike.org/pramana/in.med.samhita.caraka.6.5.15) staimityaśītajvaragātrasādahṛllāsakāsārucigauravāṇi/ śaityaṃ rugalpā kaṭhinonnatatvaṃ gulmasya rūpāṇi kaphātmakasya// > Numbness, cold fever, lassitude of limbs, nausea, cough, anorexia, heaviness, > coldness, mild pain, hardness, and elevation are the symptoms of an abdominal lump of kapha nature. > — English (machine translation) (machine translation) ### [6.5.16](https://indike.org/pramana/in.med.samhita.caraka.6.5.16) nimittaliṅgānyupalabhya gulme dvidoṣaje doṣabalābalaṃ ca/ vyāmiśraliṅgānaparāṃstu gulmāṃstrīnādiśedauṣadhakalpanārtham// > Recognizing the causes and symptoms in a two-humor lump and the strength and weakness of the humors, > one should diagnose three other lumps with mixed symptoms for the purpose of formulating medication. > — English (machine translation) (machine translation) ### [6.5.17](https://indike.org/pramana/in.med.samhita.caraka.6.5.17) mahārujaṃ dāhaparītamaśmavadghanonnataṃ śīghravidāhi dāruṇam/ manaḥśarīrāgnibalāpahāriṇaṃ tridoṣajaṃ gulmamasādhyamādiśet// > Causing great pain, surrounded by burning sensation, hard as stone, dense, elevated, rapidly burning, dreadful, > and robbing the mind, body, and digestive fire of strength—one should diagnose a tridoshic abdominal lump as incurable. > — English (machine translation) (machine translation) ### [6.5.18](https://indike.org/pramana/in.med.samhita.caraka.6.5.18) ṛtāvanāhāratayā bhayena virūkṣaṇairvegavinigrahaiśca/ saṃstambhanollekhanayonidoṣairgulmaḥ striyaṃ raktabhavo 'abhyupaiti// > During the fertile period, through lack of food, through fear, drying practices, suppression of urges, > excessive astringent treatment, emesis, and disorders of the female reproductive tract, a blood-born abdominal lump attacks a woman. > — English (machine translation) (machine translation) ### [6.5.19](https://indike.org/pramana/in.med.samhita.caraka.6.5.19) yaḥ spandate piṇḍita eva nāṅgaiścirāt saśūlaḥ samagarbhaliṅgaḥ/ sa raudhiraḥ strībhava eva gulmo māse vyatīte daśame cikitsyaḥ// > That which throbs only as a lump and not with limbs, takes a long time, has colic, and has all the signs of pregnancy— > that is an abdominal lump of blood, occurring only in women; it should be treated when the tenth month has passed. > — English (machine translation) (machine translation) ### [6.5.20](https://indike.org/pramana/in.med.samhita.caraka.6.5.20) kriyākramamataḥ siddhaṃ gulmināṃ gulmanāśanam/ pravakṣyāmyata ūrdhvaṃ ca yogān gulmanibarhaṇān// > Hereafter, I shall declare the proven course of action destructive of abdominal lumps for those suffering from them, > and after that the formulations that eliminate abdominal lumps. > — English (machine translation) (machine translation) ### [6.5.21](https://indike.org/pramana/in.med.samhita.caraka.6.5.21) rūkṣavyāyāmajaṃ gulmaṃ vātikaṃ tīvravedanam/ baddhaviṇmārutaṃ snehairāditaḥ samupācaret// > An abdominal lump born of dryness and exertion, of vātika nature, with acute pain, > and retention of feces and flatus, should be treated with unctuous substances from the beginning. > — English (machine translation) (machine translation) ### [6.5.22](https://indike.org/pramana/in.med.samhita.caraka.6.5.22) bhojanābhyañjanaiḥ pānairnirūhaiḥ sānuvāsanaiḥ/ snigdhasya bhiṣajā svedaḥ kartavyo gulmaśāntaye// > By meals, massages, drinks, decoction-enemas, along with oil-enemas— > once he is oleated, the physician must perform sudation to pacify the abdominal lump. > — English (machine translation) (machine translation) ### [6.5.23](https://indike.org/pramana/in.med.samhita.caraka.6.5.23) srotasāṃ mārdavaṃ kṛtvā jitvā mārutamulbaṇam/ bhittvā vibandhaṃ snigdhasya svedo gulmamapohati// > Producing softness of the channels, conquering the dominant wind, > and breaking obstruction, sudation in an oleated patient dispels an abdominal lump. > — English (machine translation) (machine translation) ### [6.5.24](https://indike.org/pramana/in.med.samhita.caraka.6.5.24) snehapānaṃ hitaṃ gulme viśeṣeṇordhvanābhije/ pakvāśayagate bastirubhayaṃ jaṭharāśraye// > Drinking unctuous substances is beneficial in an abdominal lump, especially one arising above the navel; > an enema in one located in the colon; both in one resting in the stomach. > — English (machine translation) (machine translation) ### [6.5.25](https://indike.org/pramana/in.med.samhita.caraka.6.5.25) dīpte 'agnau vātike gulme vibandhe 'anilavarcasoḥ/ bṛṃhaṇānyannapānāni snigdhoṣṇāni prayojayet// > When the digestive fire is ignited in a vātika abdominal lump, with obstruction of flatus and feces, > one should employ nourishing, unctuous, and warm food and drink. > — English (machine translation) (machine translation) ### [6.5.26](https://indike.org/pramana/in.med.samhita.caraka.6.5.26) punaḥ punaḥ snehapānaṃ nirūhāḥ sānuvāsanāḥ/ prayojyā vātagulmeṣu kaphapittānurākṣiṇā// > Repeated drinking of unctuous substances, and decoction-enemas with oil-enemas, > should be administered in vāta-lumps, while watching over kapha and pitta. > — English (machine translation) (machine translation) ### [6.5.27](https://indike.org/pramana/in.med.samhita.caraka.6.5.27) kapho vāte jitaprāye pittaṃ śoṇitameva vā/ yadi kupyati vā tasya kriyamāṇe cikitsite// > If kapha, or pitta, or indeed blood becomes provoked > when vāta is mostly overcome while the treatment is being carried out, > — English (machine translation) (machine translation) ### [6.5.28](https://indike.org/pramana/in.med.samhita.caraka.6.5.28) yatholbaṇasya doṣasya tatra kāryaṃ bhiṣagjitam/ ādāvante ca madhye ca mārutaṃ parirakṣatā// > The physician should apply medication there according to whichever humor is predominant, > while protecting wind at the beginning, at the end, and in the middle. > — English (machine translation) (machine translation) ### [6.5.29](https://indike.org/pramana/in.med.samhita.caraka.6.5.29) vātagulme kapho vṛddho hatvā 'agnimaruciṃ yadi/ hṛllāsaṃ gauravaṃ tandrāṃ janayedullikhettu tam// > If in a vāta-lump, kapha has increased and, impairing the digestive fire, produces anorexia, > nausea, heaviness, and drowsiness, one should induce emesis. > — English (machine translation) (machine translation) ### [6.5.30](https://indike.org/pramana/in.med.samhita.caraka.6.5.30) śūlānāhavibandheṣu gulme vātakapholbaṇe/ vartayo guṭikāścūrṇaṃ kaphavātaharaṃ hitam// > In colic, distension, and constipation in an abdominal lump dominated by vāta and kapha, > suppositories, pills, and powder that remove kapha and vāta are beneficial. > — English (machine translation) (machine translation) ### [6.5.31](https://indike.org/pramana/in.med.samhita.caraka.6.5.31) pittaṃ vā yadi saṃvṛddhaṃ saṃtāpaṃ vātagulminaḥ/ kuryādvirecyaḥ sa bhavet sasnehairānulomikaiḥ// > Or if pitta, greatly increased, causes burning fever in one suffering from a vāta-lump, > he should be purged with unctuous medicines that direct the humors downward. > — English (machine translation) (machine translation) ### [6.5.32](https://indike.org/pramana/in.med.samhita.caraka.6.5.32) gulmo yadyanilādīnāṃ kṛte samyagbhiṣagjite/ na praśāmyati raktasya so 'avasekāt praśāmyati// > If an abdominal lump caused by wind and the like, even after proper treatment is performed by the physician, > does not subside, it subsides from blood-letting. > — English (machine translation) (machine translation) ### [6.5.33](https://indike.org/pramana/in.med.samhita.caraka.6.5.33) snigdhoṣṇenodite gulme paittike sraṃsanaṃ hitam/ rūkṣoṣṇena tu saṃbhūte sarpiḥ praśamanaṃ param// > In a pitta-born lump that has arisen from unctuous and hot things, mild purgation is beneficial; > but when it has arisen from dry and hot things, ghee is the supreme pacifier. > — English (machine translation) (machine translation) ### [6.5.34](https://indike.org/pramana/in.med.samhita.caraka.6.5.34) pittaṃ vā pittagulmaṃ vā jñātvā pakvāśayasthitam/ kālavinnirharet sadyaḥ satiktaiḥ kṣīrabastibhiḥ// > Or, knowing pitta or a pitta-lump to be situated in the colon, > the \[physician\] knowing the proper time should immediately eliminate it with milk-enemas containing bitters. > — English (machine translation) (machine translation) ### [6.5.35](https://indike.org/pramana/in.med.samhita.caraka.6.5.35) payasā vā sukhoṣṇena satiktena virecayet/ bhiṣagagnibalāpekṣī sarpiṣā tailvakena vā// > Or he should purge \[the patient\] with pleasantly warm milk containing bitters, > or with tilvaka ghee, the physician taking into consideration the strength of the digestive fire. > — English (machine translation) (machine translation) ### [6.5.36](https://indike.org/pramana/in.med.samhita.caraka.6.5.36) tṛṣṇājvaraparīdāhaśūlasvedāgnimārdave/ gulmināmarucau cāpi raktamevāvasecayet// > In thirst, fever, severe burning, colic, sweating, weakness of the digestive fire, > and also in aversion to food in those suffering from an abdominal lump, he should definitely let blood. > — English (machine translation) (machine translation) ### [6.5.37](https://indike.org/pramana/in.med.samhita.caraka.6.5.37) cchinnamūlā vidahyante na gulmā yānti ca kṣayam/ raktaṃ hi vyamlatāṃ yāti, tacca nāsti na cāsti ruk// > Once their root is severed, abdominal lumps do not become inflamed and do go to destruction; > for blood turns to excessive sourness, and when that is absent, pain also is absent. > — English (machine translation) (machine translation) ### [6.5.38](https://indike.org/pramana/in.med.samhita.caraka.6.5.38) hṛtadoṣaṃ parimlānaṃ jāṅgalaistarpitaṃ rasaiḥ/ samāśvastaṃ saśeṣārtiṃ sarpirabhyāsayet punaḥ// > When the humor is removed, \[the patient\] is languid, nourished with meat-soups of arid-land animals, > comforted, but still has some pain remaining, he should administer ghee again and again. > — English (machine translation) (machine translation) ### [6.5.39](https://indike.org/pramana/in.med.samhita.caraka.6.5.39) raktapittātivṛddhatvāt kriyāmanupalabhya ca/ yadi gulmo vidahyeta śastraṃ tatra bhiṣagjitam// > If, because of the extreme increase of blood and pitta and from not receiving treatment, > an abdominal lump should suppurate, surgery is the treatment there. > — English (machine translation) (machine translation) ### [6.5.40](https://indike.org/pramana/in.med.samhita.caraka.6.5.40) guruḥ kaṭhinasaṃsthāno gūḍhamāṃsāntarāśrayaḥ/ avivarṇaḥ sthiraścaiva hyapakvo gulma ucyate// > Heavy, hard in form, deeply seated within the muscles, > not discolored, and indeed firm—such an abdominal lump is called unsuppurated. > — English (machine translation) (machine translation) ### [6.5.41](https://indike.org/pramana/in.med.samhita.caraka.6.5.41) dāhaśūlārtisaṃkṣobhasvapnanāśāratijvaraiḥ/ vidahyamānaṃ jānīyādgulmaṃ tamupanāhayet// > One should know an abdominal lump to be suppurating by burning, colic, distress, agitation, > loss of sleep, restlessness, and fever; he should poultice it. > — English (machine translation) (machine translation) ### [6.5.42](https://indike.org/pramana/in.med.samhita.caraka.6.5.42) vidāhalakṣaṇe gulme bahistuṅge samunnate/ śyāve saraktaparyante saṃsparśe bastisaṃnibhe// > When an abdominal lump shows signs of suppurating, is high and elevated on the outside, > dusky with reddish borders, and feels like a bladder upon touch; > — English (machine translation) (machine translation) ### [6.5.43](https://indike.org/pramana/in.med.samhita.caraka.6.5.43) nipīḍitonnate stabdhe &supte tatpārśvapīḍanāt/ tatraiva piṇḍite śūle saṃpakvaṃ gulmamādiśet// &\`tatraiva piṇḍitaṃ vidradhiniyatatvāccheṣāṅgāvyāpanaśīlaṃ, tathāvidhe śūle sati; tathā tasya vidradhiḥ pārśvapīḍanena puruṣasya svapne labdhe sukhena nidrāyāṃ prāptāyāṃ' ity aṣṭhāṅgasaṃgrahavyākhyāyām induḥ. tatra dhānvantarīyāṇāmadhikāraḥ kriyāvidhau/ vaidyānāṃ kṛtayogyānāṃ vyadhaśodhanaropaṇe// > Rising when pressed down, rigid, numb, due to pressure on its side > with the colic gathered right there—one should declare the abdominal lump fully suppurated. > In this, the authority in the procedure of treatment belongs to the followers of Dhanvantari, > surgeons trained in incision, purification, and healing. > — English (machine translation) (machine translation) ### [6.5.45](https://indike.org/pramana/in.med.samhita.caraka.6.5.45) antarbhāgasya cāpyetat pacyamānasya lakṣaṇam/ hṛtkroḍaśūnatā+&antaḥsthe bahiḥsthe pārśvanirgatiḥ// &\`hṛtkroḍaśūlamantaḥsthe' iti pā-. pakvaḥ srotāṃsi saṃkledya vrajatyūrdhvamadho 'api vā/ svayaṃpravṛttaṃ taṃ doṣamupekṣeta &hitāśanaiḥ// &\`hitāśinaḥ' iti pā-. daśāhaṃ dvādaśāhaṃ vā rakṣan bhiṣagupadravān/ ata ūrdhvaṃ hitaṃ pānaṃ sarpiṣaḥ saviśodhanam// > This is also the sign of an internally suppurating \[lump\]: > swelling of the hollow of the heart when located inside, and emergence at the side when located outside. > Having suppurated and moistened the channels, it moves upward or downward; > he should leave that humor that has started forth on its own alone, while the patient eats wholesome food, > for ten or twelve days, the physician guarding against complications; > after that, drinking ghee combined with purifying drugs is beneficial. > — English (machine translation) (machine translation) ### [6.5.48](https://indike.org/pramana/in.med.samhita.caraka.6.5.48) śuddhasya tiktaṃ sakṣaudraṃ prayoge sarpiriṣyate/ śītalairgurubhiḥ snigdhairgulme jāte kaphātmake// > For one who is purified, bitter ghee with honey is prescribed for administration. > When an abdominal lump of kapha nature has arisen from cold, heavy, and unctuous things, > — English (machine translation) (machine translation) ### [6.5.49](https://indike.org/pramana/in.med.samhita.caraka.6.5.49) avamyasyālpakāyāgneḥ kuryāllaṅghanamāditaḥ/ mando 'agnirvedanā mandā gurustimitakoṣṭhatā// > In one who should not be vomited and whose bodily digestive fire is weak, he should first perform fasting. > When the digestive fire is weak, the pain is dull, the alimentary tract is heavy and sluggish, > — English (machine translation) (machine translation) ### [6.5.50](https://indike.org/pramana/in.med.samhita.caraka.6.5.50) sotkleśā cāruciryasya sa gulmī vamanopagaḥ/ uṣṇairevopacaryaśca kṛte vamanalaṅghane// > And there is nausea and aversion to food, that patient with an abdominal lump is fit for emesis. > And once emesis and fasting have been performed, he should be treated with hot things alone. > — English (machine translation) (machine translation) ### [6.5.51](https://indike.org/pramana/in.med.samhita.caraka.6.5.51) yojyaścāhārasaṃsargo bheṣajaiḥ kaṭutiktakaiḥ/ sānāhaṃ savibandhaṃ ca gulmaṃ kaṭhinamunnatam// > And an appropriate dietary regimen should be administered with pungent and bitter medicines. > Having seen a hard, elevated abdominal lump with abdominal distension and constipation, > — English (machine translation) (machine translation) ### [6.5.52](https://indike.org/pramana/in.med.samhita.caraka.6.5.52) dṛṣṭvā++ādau svedayedyuktyā svinnaṃ ca vilayedbhiṣak/ laṅghanollekhane svede kṛte 'agnau saṃpradhukṣite// > The physician should first foment it appropriately, and once fomented, dissolve it. > When fasting, emesis, and fomentation have been performed and the digestive fire is well kindled, > — English (machine translation) (machine translation) ### [6.5.53](https://indike.org/pramana/in.med.samhita.caraka.6.5.53) kaphagulmī pibet kāle sakṣārakaṭukaṃ ghṛtam/ sthānādapasṛtaṃ jñātvā kaphagulmaṃ virecanaiḥ// > The patient with a kapha-lump should drink at the proper time ghee prepared with alkali and pungents. > Knowing the kapha-lump to have moved from its place, he should cleanse it with purgatives > — English (machine translation) (machine translation) ### [6.5.54](https://indike.org/pramana/in.med.samhita.caraka.6.5.54) sasnehairbastibhirvā 'api śodhayeddāśamūlikaiḥ/ mande 'agnāvanile mūḍhe jñātvā sasnehamāśayam// > Or with unctuous enemas prepared with the ten roots. > When the digestive fire is weak, wind is confounded, and knowing the receptacle to be unctuous, > — English (machine translation) (machine translation) ### [6.5.55](https://indike.org/pramana/in.med.samhita.caraka.6.5.55) guṭikācūrṇaniryūhāḥ prayojyāḥ kaphagulminām/ kṛtamūlaṃ mahāvāstuṃ kaṭhinaṃ stimitaṃ gurum// > Pills, powders, and decoctions should be administered to those with a kapha-lump. > One should conquer a kapha-born abdominal lump that has taken root, has an extensive site, is hard, sluggish, and heavy, > — English (machine translation) (machine translation) ### [6.5.56](https://indike.org/pramana/in.med.samhita.caraka.6.5.56) jayetkaphakṛtaṃ gulmaṃ kṣārāriṣṭāgnikarmabhiḥ/ doṣaprakṛtigulmartuyogaṃ buddhvā kapholbaṇe// > By means of alkali, ariṣṭas, and fire-cautery. > Knowing the humor, constitution, the lump, the season, and their combination, in an excess of kapha, > — English (machine translation) (machine translation) ### [6.5.57](https://indike.org/pramana/in.med.samhita.caraka.6.5.57) baladoṣapramāṇajñaḥ kṣāraṃ gulme prayojayet/ ekāntaraṃ dvyantaraṃ vā tryahaṃ viśramya vā punaḥ// > The physician who knows the measure of strength and humors should apply alkali to the abdominal lump, > at intervals of one day, or two days, or resting for three days and then again, > — English (machine translation) (machine translation) ### [6.5.58](https://indike.org/pramana/in.med.samhita.caraka.6.5.58) śarīrabaladoṣāṇāṃ vṛddhikṣapaṇakovidaḥ/ śleṣmāṇaṃ madhuraṃ snigdhaṃ māṃsakṣīraghṛtāśinaḥ// > Skilled in the increase and reduction of the body's strength and humors. > In one who eats meat, milk, and ghee, the sweet and unctuous kapha, > — English (machine translation) (machine translation) ### [6.5.59](https://indike.org/pramana/in.med.samhita.caraka.6.5.59) chittvā chittvā++āśayāt kṣāraḥ kṣaratvāt kṣārayatyadhaḥ/ mande 'agnāvarucau sātmye madye sasnehamaśnatām// > The alkali, severing it again and again from the receptacle, causes it to trickle downward because of its caustic nature. > In weak digestive fire, aversion to food, in those accustomed to alcohol who eat with fat, > — English (machine translation) (machine translation) ### [6.5.60](https://indike.org/pramana/in.med.samhita.caraka.6.5.60) prayojyā mārgaśuddhyarthamariṣṭāḥ kaphagulminām/ laṅghanollekhanaiḥ svedaiḥ sarpiḥpānairvirecanaiḥ// > Ariṣṭas should be administered for clearing the channels in those with a kapha-lump. > Through fastings, emetics, fomentations, draughts of ghee, purgatives, > — English (machine translation) (machine translation) ### [6.5.61](https://indike.org/pramana/in.med.samhita.caraka.6.5.61) bastibhirguṭikācūrṇakṣārāriṣṭagaṇairapi/ ślaiṣmikaḥ kṛtamūlatvādyasya gulmo na śāmyati// > Enemas, pills, powders, alkalis, and groups of ariṣṭas, > whose kapha-born abdominal lump does not subside because it has taken root, > — English (machine translation) (machine translation) ### [6.5.62](https://indike.org/pramana/in.med.samhita.caraka.6.5.62) tasya dāho hṛte rakte śaralohādibhirhitaḥ/ auṣṇyāttaikṣṇyācca śamayedagnirgulme kaphānilau// > For him, after blood is extracted, cautery with arrows, iron, and the like is beneficial. > Because of heat and sharpness, fire pacifies kapha and wind in an abdominal lump, > — English (machine translation) (machine translation) ### [6.5.63](https://indike.org/pramana/in.med.samhita.caraka.6.5.63) tayoḥ śamācca saṃghāto gulmasya vinivartate/ dāhe dhānvantarīyāṇāmatrāpi bhiṣajāṃ balam// > And from their pacification, the agglomeration of the abdominal lump turns away. > In cautery, the authority belongs here too to the physicians following Dhanvantari. > — English (machine translation) (machine translation) ### [6.5.64](https://indike.org/pramana/in.med.samhita.caraka.6.5.64) kṣāraprayoge bhiṣajāṃ kṣāratantravidāṃ balam/ vyāmiśradoṣe vyāmiśra eṣa eva kriyākramaḥ// > In the administration of alkali, the authority belongs to the physicians knowing the science of alkali. > In a mixed humor, this very sequence of treatment is applied in combination. > — English (machine translation) (machine translation) ### [6.5.65](https://indike.org/pramana/in.med.samhita.caraka.6.5.65) siddhānataḥ pravakṣyāmi yogān gulmanibarhaṇān/ tryūṣaṇatriphalādhānyaviḍaṅgacavyacitrakaiḥ// > Henceforth I shall proclaim proven formulations that destroy abdominal lumps: > With the three pungents, triphalā, coriander, viḍaṅga, cavya, and citraka, > — English (machine translation) (machine translation) ### [6.5.66](https://indike.org/pramana/in.med.samhita.caraka.6.5.66) kalkīkṛtairghṛtaṃ siddhaṃ sakṣīraṃ vātagulmanut/ iti tryūṣaṇādighṛtam/ eta eva ca kalkāḥ syuḥ kaṣāyaḥ &pañcamūlikaḥ// &\`pāñcamūlikaḥ' iti pā-. dvipañcamūliko vā 'api tadghṛtaṃ gulmanut param/ iti tryūṣaṇādighṛtamaparam/ (ṣaṭpalaṃ vā pibet sarpiryaduktaṃ rājayakṣmaṇi//) > Made into a paste, ghee prepared with milk removes vāta-lumps. > Thus \[ends\] Tryūṣaṇādya-ghṛta. > And with these very pastes and a decoction of the five roots, > or of the ten roots, that ghee is supreme in removing abdominal lumps. > Thus \[ends\] another Tryūṣaṇādya-ghṛta. > (Or he should drink the six-pala ghee that was spoken of in consumption.) > — English (machine translation) (machine translation) ### [6.5.68](https://indike.org/pramana/in.med.samhita.caraka.6.5.68) prasannayā vā &kṣīrārthaṃ surayā dāḍimena vā/ dadhnaḥ sareṇa vā kāryaṃ ghṛtaṃ mārutagulmanut// &\`kṣīrotthaṃ' iti pā-. hiṅgusauvarcalājājībiḍadāḍimadīpyakaiḥ/ puṣkaravyoṣadhanyākavetasakṣāracitrakaiḥ// > Or with clear liquor, for the purpose of milk, with surā or with pomegranate, > or with the cream of curd, ghee should be made that removes wind-lumps. > With asafoetida, sauvarcala salt, ajājī, viḍa salt, pomegranate, dīpyaka, > — English (machine translation) (machine translation) ### [6.5.70](https://indike.org/pramana/in.med.samhita.caraka.6.5.70) śaṭīvacājagandhailāsurasaiśca vipācitam/ śūlānāhaharaṃ sarpirdadhnā cānilagulminām// iti hiṅgusauvarcalādyaṃ ghṛtam/ hapuṣāvyoṣapṛthvīkācavyacitrakasaindhavaiḥ/ sājājīpippalīmūladīpyakairvipacedghṛtam// > Puṣkara, the three pungents, coriander, vetasa, alkali, citraka, > śaṭī, vacā, ajagandhā, cardamom, and holy basil, cooked > with curd, ghee removes colic and abdominal distension in those with a wind-lump. > Thus \[ends\] Hiṅgusauvarcalādya-ghṛta. > With hapuṣā, the three pungents, pṛthvīkā, cavya, citraka, rock salt, > ajājī, pippalī-root, and dīpyaka, he should cook ghee > — English (machine translation) (machine translation) ### [6.5.72](https://indike.org/pramana/in.med.samhita.caraka.6.5.72) sakolamūlakarasaṃ sakṣīradadhidāḍimam/ tat paraṃ vātagulmaghnaṃ śūlānāhavimokṣaṇam// > Along with jujube and radish juices, with milk, curd, and pomegranate; > that is supreme in destroying vāta-lumps, and relieves colic and abdominal distension. > — English (machine translation) (machine translation) ### [6.5.73](https://indike.org/pramana/in.med.samhita.caraka.6.5.73) yonyarśograhaṇīdoṣaśvāsakāsārucijvarān/ bastihṛtpārśvaśūlaṃ ca ghṛtametadvyapohati// iti hapuṣādyaṃ ghṛtam/ pippalyā picuradhyardho dāḍimāddvipalaṃ palaṃ/ dhānyātpañca ghṛtācchuṇṭhyāḥ karṣaḥ kṣīraṃ caturguṇam// > Disorders of the female genital tract, piles, disorders of the duodenal tract, dyspnea, cough, aversion to food, fevers, > and colic in the bladder, heart, and sides, this ghee removes. > Thus \[ends\] Hapuṣādya-ghṛta. > One and a half picus of pippalī, two palas of pomegranate, one pala > of coriander, five of ghee, a karṣa of dry ginger, and four times as much milk— > — English (machine translation) (machine translation) ### [6.5.75](https://indike.org/pramana/in.med.samhita.caraka.6.5.75) siddhametairghṛtaṃ sadyo vātagulmaṃ vyapohati/ yoniśūlaṃ śiraḥśūlamarśāṃsi viṣamajvaram// iti pippalyādyaṃ ghṛtam/ ghṛtānāmauṣadhagaṇā ya ete parikīrtitāḥ/ te cūrṇayogā vartyastāḥ kaṣāyāste ca gulminām// > Ghee prepared with these immediately removes a vāta-lump, > pain in the female genitals, headache, piles, and intermittent fever. > Thus \[ends\] Pippalyādya-ghṛta. > These groups of medicines that have been proclaimed for ghees > may be used as powder-formulations, wicks, and decoctions for those with abdominal lumps. > — English (machine translation) (machine translation) ### [6.5.77](https://indike.org/pramana/in.med.samhita.caraka.6.5.77) koladāḍimagharmāmbusurāmaṇḍāmlakāñjikaiḥ/ śūlānāhaharī peyā bījapūrarasena vā// > With jujube, pomegranate, hot water, scum of surā, sour gruel, > or with citron juice, a gruel relieves colic and abdominal distension. > — English (machine translation) (machine translation) ### [6.5.78](https://indike.org/pramana/in.med.samhita.caraka.6.5.78) cūrṇāni mātuluṅgasya bhāvitāni rasena vā/ kuryādvartīḥ saguṭikā gulmānāhārtiśāntaye// > Or powders impregnated with the juice of citron > one should make into wicks along with pills to alleviate the pain of abdominal lumps and distension. > — English (machine translation) (machine translation) ### [6.5.79](https://indike.org/pramana/in.med.samhita.caraka.6.5.79) hiṅgu trikaṭukaṃ pāṭhāṃ hapuṣāmabhayāṃ śaṭīm/ ajamodājagandhe ca tintiḍīkāmlavetasau// > Asafoetida, the three pungents, pāṭhā, hapuṣā, abhayā, śaṭī, > ajamodā and ajagandhā, tintiḍīka and amlavetasa, > — English (machine translation) (machine translation) ### [6.5.80](https://indike.org/pramana/in.med.samhita.caraka.6.5.80) dāḍimaṃ puṣkaraṃ dhānyamajājīṃ citrakaṃ vacām/ dvau kṣārau lavaṇe dve ca cavyaṃ caikatra cūrṇayet// > pomegranate, puṣkara, coriander, ajājī, citraka, vacā, > two alkalis, two salts, and cavya—one should powder together. > — English (machine translation) (machine translation) ### [6.5.81](https://indike.org/pramana/in.med.samhita.caraka.6.5.81) cūrṇametat prayoktavyamannapāneṣvanatyayam/ prāgbhaktamathavā peyaṃ madyenoṣṇodakena vā// > This powder should be administered in food and drink harmlessly, > or should be drunk before meals with liquor or with hot water, > — English (machine translation) (machine translation) ### [6.5.82](https://indike.org/pramana/in.med.samhita.caraka.6.5.82) pārśvahṛdbastiśūleṣu gulme vātakaphātmake/ ānāhe mūtrakṛcchre ca śūle ca gudayonije// > in colic of the sides, heart, and bladder; in abdominal lumps caused by vāta and kapha; > in abdominal distension and dysuria; and in colic arising from the rectum and female genitals; > — English (machine translation) (machine translation) ### [6.5.83](https://indike.org/pramana/in.med.samhita.caraka.6.5.83) grahaṇyarśovikāreṣu plīhni pāṇḍvāmaye 'arucau/ urovibandhe hikkāyāṃ kāse śvāse galagrahe// > in disorders of the duodenal tract and piles; in spleen disease, anemia, and anorexia; > in chest congestion, hiccup, cough, dyspnea, and constriction of the throat. > — English (machine translation) (machine translation) ### [6.5.84](https://indike.org/pramana/in.med.samhita.caraka.6.5.84) bhāvitaṃ mātuluṅgasya cūrṇametadrasena vā/ bahuśo guṭikāḥ kāryāḥ kārmukāḥ syustato 'adhikam// iti hiṅvādicūrṇaṃ guṭikā ca/ mātuluṅgaraso hiṅgu dāḍimaṃ biḍasaindhave/ surāmaṇḍena pātavyaṃ vātagulmarujāpaham// > Or, impregnated many times with the juice of citron, this powder > should be made into pills; they will be even more efficacious. > Thus \[ends\] Hiṅgvādi powder and pills. > Citron juice, asafoetida, pomegranate, and biḍa and rock salts, > to be drunk with the scum of surā, remove the pain of a vāta-lump. > — English (machine translation) (machine translation) ### [6.5.86](https://indike.org/pramana/in.med.samhita.caraka.6.5.86) śaṭīpuṣkarahiṅgvamlavetasakṣāracitrakān/ dhānyakaṃ ca yavānīṃ ca viḍaṅgaṃ saindhavaṃ vacām// > Śaṭī, puṣkara, asafoetida, amlavetasa, alkali, citraka, > coriander, yavānī, viḍaṅga, rock salt, vacā, > — English (machine translation) (machine translation) ### [6.5.87](https://indike.org/pramana/in.med.samhita.caraka.6.5.87) sacavyapippalīmūlāmajagandhāṃ sadāḍimām/ ajājīṃ cājamodāṃ ca cūrṇaṃ kṛtvā prayojayet// > along with cavya, pippalī root, ajagandhā, together with pomegranate, > ajājī, and ajamodā—having made a powder, one should employ it, > — English (machine translation) (machine translation) ### [6.5.88](https://indike.org/pramana/in.med.samhita.caraka.6.5.88) rasena mātuluṅgasya madhuśuktena vā punaḥ/ bhāvitaṃ guṭikāṃ kṛtvā supiṣṭāṃ kolasaṃmitām// > or again impregnated with the juice of citron or honey-vinegar, > having made it into well-ground pills the size of a jujube. > — English (machine translation) (machine translation) ### [6.5.89](https://indike.org/pramana/in.med.samhita.caraka.6.5.89) gulmaṃ plīhānamānāhaṃ śvāsaṃ kāsamarocakam/ hikkāṃ hṛdrogamarśāṃsi vividhāṃ śiraso rujam// > An abdominal lump, spleen disease, abdominal distension, dyspnea, cough, loss of appetite, > hiccup, heart disease, piles, diverse pains in the head, > — English (machine translation) (machine translation) ### [6.5.90](https://indike.org/pramana/in.med.samhita.caraka.6.5.90) pāṇḍvāmayaṃ kaphotkleśaṃ sarvajāṃ ca pravāhikām/ pārśvahṛdbastiśūlaṃ ca guṭikaiṣā vyapohati// > anemia, excitation of kapha, tenesmus of all kinds, > and colic in the sides, heart, and bladder—this pill removes. > — English (machine translation) (machine translation) ### [6.5.91](https://indike.org/pramana/in.med.samhita.caraka.6.5.91) nāgarārdhapalaṃ piṣṭvā dve pale luñcitasya ca/ tilasyaikaṃ guḍapalaṃ kṣīreṇoṣṇena nā pibet// > Having ground half a pala of dry ginger, two palas of husked > sesame, and one pala of jaggery, a man should drink it with warm milk. > — English (machine translation) (machine translation) ### [6.5.92](https://indike.org/pramana/in.med.samhita.caraka.6.5.92) vātagulmamudāvartaṃ yoniśūlaṃ ca nāśayet/ pibederaṇḍajaṃ tailaṃ vāruṇīmaṇḍamiśritam// > It destroys vāta-lump, upward movement of vāyu, and pain in the female genitals. > One should drink castor oil mixed with the scum of vāruṇī; > — English (machine translation) (machine translation) ### [6.5.93](https://indike.org/pramana/in.med.samhita.caraka.6.5.93) tadeva tailaṃ payasā vātagulmī pibennaraḥ/ śleṣmaṇyanubale pūrvaṃ hitaṃ pittānuge param// > a man suffering from a vāta-lump may drink that same oil with milk. > The former is beneficial when kapha is the secondary humor; the latter is superior when pitta is secondary. > — English (machine translation) (machine translation) ### [6.5.94](https://indike.org/pramana/in.med.samhita.caraka.6.5.94) sādhayecchuddhaśuṣkasya laśunasya catuṣpalam/ &kṣīrodake 'aṣṭaguṇite kṣīraśeṣaṃ ca nā pibet// &\`kṣīre jalāṣṭaguṇite' iti pā-. vātagulmamudāvartaṃ gṛdhrasīṃ viṣamajvaram/ hṛdrogaṃ vidradhiṃ śothaṃ sādhayatyāśu tatpayaḥ// iti laśunakṣīram/ tailaṃ prasannā gomūtramāranālaṃ yavāgrajam/ gulmaṃ jaṭharamānāhaṃ pītamekatra sādhayet// iti tailapañcakam/ pañcamūlīkaṣāyeṇa &sakṣāreṇa śilājatu/ pibettasya prayogeṇa vātagulmāt pramucyate// iti śilājaturayogaḥ/ &\`sakṣīreṇa' iti pā-. vāṭyaṃ pippalīyūṣeṇa mūlakānāṃ rasena vā/ bhuktvā snigdhamudāvartādvātagulmādvimucyate// > One should cook four palas of cleaned, dry garlic > in eight times as much milk and water, and a man should drink it when the milk remains. > Vāta-lump, upward movement of vāyu, sciatica, intermittent fever, > heart disease, internal abscess, and swelling—that milk cures rapidly. > Thus \[ends\] Garlic-milk. > Oil, clear wine, cow urine, sour fermented gruel, and barley-ash— > drunk together, it cures abdominal lump, belly disease, and abdominal distension. > Thus \[ends\] the Five Oils. > With a decoction of the five roots containing alkali, one should drink > śilājatu; by its use one is freed from a vāta-lump. > Thus \[ends\] the formulation of śilājatu. > Having eaten parched barley paste with soup of pippalī or with radish juice, > unctuous, one is freed from upward movement of vāyu and from vāta-lump. > — English (machine translation) (machine translation) ### [6.5.99](https://indike.org/pramana/in.med.samhita.caraka.6.5.99) śūlānāhavibandhārtaṃ svedayedvātagulminam/ svedaiḥ svedavidhāvuktairnāḍīprastarasaṅkaraiḥ// > One afflicted with colic, abdominal distension, and constipation, suffering from a vāta-lump, one should sweat > with the sudations described in the procedure for sudation: tube, bed, and mixed sudations. > — English (machine translation) (machine translation) ### [6.5.100](https://indike.org/pramana/in.med.samhita.caraka.6.5.100) bastikarma paraṃ vidyādgulmaghnaṃ taddhi mārutam/ sve sthāne prathamaṃ jitvā sadyo gulmamapohati// > One should recognize enema therapy as the supreme destroyer of abdominal lumps; for, having conquered vāyu > first in its own site, it immediately removes an abdominal lump. > — English (machine translation) (machine translation) ### [6.5.101](https://indike.org/pramana/in.med.samhita.caraka.6.5.101) tasmādabhīkṣṇaśo gulmā nirūhaiḥ sānuvāsanaiḥ/ prayujyamānaiḥ śāmyanti vātapittakaphātmakāḥ// > Therefore, when non-unctuous enemas accompanied by unctuous enemas are applied > frequently, abdominal lumps caused by vāta, pitta, and kapha subside. > — English (machine translation) (machine translation) ### [6.5.102](https://indike.org/pramana/in.med.samhita.caraka.6.5.102) gulmaghnā vividhā diṣṭāḥ siddhāḥ siddhiṣu bastayaḥ/ gulmaghnāni ca tailāni vakṣyante vātarogike// > Various successful enemas that destroy abdominal lumps have been prescribed in the Siddhisthāna, > and oils that destroy abdominal lumps will be spoken of in the chapter on vāta disorders. > — English (machine translation) (machine translation) ### [6.5.103](https://indike.org/pramana/in.med.samhita.caraka.6.5.103) tāni mārutaje gulme pānābhyaṅgānuvāsanaiḥ/ prayuktānyāśu sidhyanti tailaṃ &hyanilajitparam// &\`hyanilajitvaram' iti pā-. nīlinīcūrṇasaṃyuktaṃ pūrvoktaṃ ghṛtameva/ samalāya pradātavyaṃ śodhanaṃ vātagulmine// > Applied in a lump born of vāta by way of drinks, massage, and unctuous enemas, > they quickly succeed, for oil is the foremost conqueror of vāta. > The previously spoken ghee combined with powder of nīlinī > should be given as an evacuation to one with a vāta-lump who has accumulation of impurities. > — English (machine translation) (machine translation) ### [6.5.105](https://indike.org/pramana/in.med.samhita.caraka.6.5.105) nīlinītrivṛtādantīpathyākampillakaiḥ saha/ śodhanārthaṃ ghṛtaṃ deyaṃ sabiḍakṣāranāgaram// > Ghee along with nīlinī, trivṛt, dantī, pathyā, and kampillaka, > containing biḍa salt, alkali, and dry ginger, should be given for evacuation. > — English (machine translation) (machine translation) ### [6.5.106](https://indike.org/pramana/in.med.samhita.caraka.6.5.106) nīlinīṃ triphalāṃ rāsnāṃ balāṃ kaṭukarohiṇīm/ pacedviḍaṅgaṃ vyāghrīṃ ca palikāni jalāḍhake// > Nīlinī, triphalā, rāsnā, balā, kaṭukarohiṇī, > viḍaṅga, and vyāghrī—one pala each—one should cook in an āḍhaka of water. > — English (machine translation) (machine translation) ### [6.5.107](https://indike.org/pramana/in.med.samhita.caraka.6.5.107) tena pādāvaśeṣeṇa ghṛtaprasthaṃ vipācayet/ dadhnaḥ prasthena saṃyojya sudhākṣīrapalena ca// > With that reduced to a fourth, one should cook a prastha of ghee, > combining it with a prastha of curd and a pala of euphorbia milk. > — English (machine translation) (machine translation) ### [6.5.108](https://indike.org/pramana/in.med.samhita.caraka.6.5.108) tato ghṛtapalaṃ dadyādyavāgūmaṇḍamiśritam/ jīrṇe samyagviriktaṃ ca bhojayedrasabhojanam// > Then one should give a pala of the ghee mixed with the scum of gruel; > when it is digested and the patient is well purged, one should feed him a meal with meat broth. > — English (machine translation) (machine translation) ### [6.5.109](https://indike.org/pramana/in.med.samhita.caraka.6.5.109) gulmakuṣṭhodaravyaṅgaśophapāṇḍvāmayajvarān/ śvitraṃ plīhānamunmādaṃ ghṛtametadvyapohati// iti nīlinyādyaṃ ghṛtam/ kukkuṭāśca mayūrāśca tittirikrauñcavartakāḥ/ śālayo madirā sarpirvātagulmabhiṣagjitam// > Abdominal lumps, skin diseases, belly diseases, dark facial spots, swelling, anemia, fevers, > leukoderma, spleen disease, and insanity—this ghee removes. > Thus \[ends\] Nīlinyādya-ghṛta. > Chickens, peacocks, partridges, krauñca herons, and quails, > śāli rice, madirā liquor, and clarified butter are the remedy for a vāta-lump. > — English (machine translation) (machine translation) ### [6.5.111](https://indike.org/pramana/in.med.samhita.caraka.6.5.111) hitamuṣṇaṃ dravaṃ snigdhaṃ bhojanaṃ vātagulminām/ samaṇḍavāruṇīpānaṃ pakvaṃ vā dhānyakairjalam// > A hot, liquid, and unctuous meal is wholesome for those with a vāta-lump, > a drink of vāruṇī along with its scum, or water boiled with coriander. > — English (machine translation) (machine translation) ### [6.5.112](https://indike.org/pramana/in.med.samhita.caraka.6.5.112) mande 'agnau vardhate gulmo dīpte cāgnau praśāmyati/ tasmānnā nātisauhityaṃ kuryānnātivilaṅghanam// > When the digestive fire is dull, an abdominal lump increases, and when the fire is kindled, it subsides; > therefore, a man should not over-satiate nor over-fast. > — English (machine translation) (machine translation) ### [6.5.113](https://indike.org/pramana/in.med.samhita.caraka.6.5.113) sarvatra gulme prathamaṃ snehasvedopapādite/ yā kriyā kriyate siddhiṃ sā yāti na virūkṣite// > In every abdominal lump, whatever treatment is carried out > after first applying unction and sudation reaches success, not when the patient is dried out. > — English (machine translation) (machine translation) ### [6.5.114](https://indike.org/pramana/in.med.samhita.caraka.6.5.114) bhiṣagātyayikaṃ buddhvā pittagulmamupācaret/ vairecanikasiddhena sarpiṣā &tiktakena vā// &\`payasā 'api vā' iti pā-. rohiṇīkaṭukānimbamadhukatriphalātvacaḥ/ karṣāṃśāstrāyamāṇā ca paṭolatrivṛtoḥ pale// > Recognizing an emergency, the physician should treat a pitta-lump > with ghee prepared with purgatives or with bitter \[ghee\]. > Rohiṇī, kaṭukā, neem, madhuka, triphalā, and cinnamon— > one karṣa each—and trāyamāṇā, and two palas of paṭola and trivṛt, > — English (machine translation) (machine translation) ### [6.5.116](https://indike.org/pramana/in.med.samhita.caraka.6.5.116) dve pale ca masūrāṇāṃ sādhyamaṣṭaguṇe 'ambhasi/ śṛtāccheṣaṃ ghṛtasamaṃ sarpiṣaśca catuṣpalam// > and two palas of lentils are to be cooked in eight times as much water; > of the boiled \[decoction\] the remainder equal to the ghee, and four palas of clarified butter, > — English (machine translation) (machine translation) ### [6.5.117](https://indike.org/pramana/in.med.samhita.caraka.6.5.117) pibet saṃmūrcchitaṃ tena gulmaḥ śāmyati paittikaḥ/ jvarastṛṣṇā ca śūlaṃ ca bhramo mūrcchā 'arucistathā// iti rohiṇyādyaṃ ghṛtam/ jale daśaguṇe sādhyaṃ trāyamāṇācatuṣpalam/ pañcabhāgasthitaṃ pūtaṃ kalkaiḥ saṃyojya kārṣikaiḥ// > he should drink blended together; through that a paittika lump subsides, > as well as fever, thirst, colic, giddiness, fainting, and anorexia. > Thus \[ends\] Rohiṇyādya-ghṛta. > Four palas of trāyamāṇā are to be cooked in ten times as much water; > when a fifth part remains, strained, combining it with pastes of a karṣa each: > — English (machine translation) (machine translation) ### [6.5.119](https://indike.org/pramana/in.med.samhita.caraka.6.5.119) rohiṇī kaṭukā mustā trāyamāṇā durālabhā/ kalkaistāmalakīvīrājīvantīcandanotpalaiḥ// > rohiṇī, kaṭukā, mustā, trāyamāṇā, durālabhā, > with pastes of tāmalakī, vīrā, jīvantī, sandalwood, and blue water-lily; > — English (machine translation) (machine translation) ### [6.5.120](https://indike.org/pramana/in.med.samhita.caraka.6.5.120) rasasyāmalakānāṃ ca kṣīrasya ca ghṛtasya ca/ palāni pṛthagaṣṭāṣṭau dattvā samyagvipācayet// > and adding eight palas each of juice of āmalaka, > milk, and ghee, one should cook it thoroughly. > — English (machine translation) (machine translation) ### [6.5.121](https://indike.org/pramana/in.med.samhita.caraka.6.5.121) pittaraktabhavaṃ gulmaṃ vīsarpaṃ paittikaṃ jvaram/ hṛdrogaṃ kāmalāṃ kuṣṭhaṃ hanyādetadghṛtottamam// iti trāyamāṇādyaṃ ghṛtam/ rasenāmalakekṣūṇāṃ &ghṛtapādaṃ vipācayet/ pathyāpādaṃ pibetsarpistatsiddhaṃ pittagulmanut// ityāmalakādyaṃ ghṛtam/ &\`ghṛtaprasthaṃ' iti pā-. drākṣāṃ madhūkaṃ kharjūraṃ vidārīṃ saśatāvarīm/ parūṣakāṇi triphalāṃ sādhayetpalasaṃmitam// > This supreme ghee destroys a lump born of pitta and blood, erysipelas, paittika fever, > heart disease, jaundice, and skin diseases. > Thus \[ends\] Trāyamāṇādya-ghṛta. > One should cook a fourth part of ghee with juice of āmalaka and sugarcane, > and drink that ghee prepared with a fourth part of pathyā; it eliminates a paittika lump. > Thus \[ends\] Āmalakādya-ghṛta. > One should cook drākṣā, madhūka, dates, vidārī along with śatāvarī, > parūṣaka fruits, and triphalā, measured at a pala each, > — English (machine translation) (machine translation) ### [6.5.124](https://indike.org/pramana/in.med.samhita.caraka.6.5.124) jalāḍhake pādaśeṣe rasamāmalakasya ca/ ghṛtamikṣurasaṃ kṣīramabhayākalkapādikam// > in an āḍhaka of water; when a fourth part remains, \[one should cook\] > ghee with juice of āmalaka, sugarcane juice, milk, and a fourth part of paste of abhayā. > — English (machine translation) (machine translation) ### [6.5.125](https://indike.org/pramana/in.med.samhita.caraka.6.5.125) sādhayettadghṛtaṃ siddhaṃ śarkarākṣaudrapādikam/ prayogāt pittagulmaghnaṃ sarvapittavikāranut// iti drākṣādyaṃ ghṛtam/ vṛṣaṃ samūlamāpothya pacedaṣṭaguṇe jale/ śeṣe 'aṣṭabhāge tasyaiva puṣpakalkaṃ pradāpayet// > One should cook that ghee; once prepared, \[mixed with\] a fourth part of sugar and honey, > through administration it destroys a paittika lump and eliminates all pitta disorders. > Thus \[ends\] Drākṣādya-ghṛta. > Crushing vṛṣa along with its roots, one should cook it in eight times as much water; > when an eighth part remains, one should add a paste of the flowers of that very \[plant\]. > — English (machine translation) (machine translation) ### [6.5.127](https://indike.org/pramana/in.med.samhita.caraka.6.5.127) tena siddhaṃ ghṛtaṃ śītaṃ sakṣaudraṃ pittagulmanut/ raktapittajvaraśvāsakāsahṛdroganāśanam// iti vāsāghṛtam/ dvipalaṃ trāyamāṇāyā jaladviprasthasādhitam/ aṣṭabhāgasthitaṃ pūtaṃ koṣṇaṃ kṣīrasamaṃ pibet// > The ghee prepared with that, cooled, with honey, eliminates a paittika lump, > and destroys bleeding disease, fever, dyspnea, cough, and heart disease. > Thus \[ends\] Vāsāghṛta. > Two palas of trāyamāṇā cooked in two prasthas of water, > reduced to an eighth part and strained, one should drink lukewarm with an equal amount of milk. > — English (machine translation) (machine translation) ### [6.5.129](https://indike.org/pramana/in.med.samhita.caraka.6.5.129) pibedupari tasyoṣṇaṃ kṣīrameva yathābalam/ tena nirhṛtadoṣasya gulmaḥ śāmyati paittikaḥ// > On top of that, he should drink only hot milk according to his strength; > by that, when the humor is evacuated, his paittika lump subsides. > — English (machine translation) (machine translation) ### [6.5.130](https://indike.org/pramana/in.med.samhita.caraka.6.5.130) drākṣābhayārasaṃ gulme paittike saguḍaṃ pibet/ lihyātkampillakaṃ vā 'api virekārthaṃ madhudravam// > In a paittika lump, one should drink the juice of drākṣā and abhayā with jaggery, > or lick kampillaka liquefied with honey for purgation. > — English (machine translation) (machine translation) ### [6.5.131](https://indike.org/pramana/in.med.samhita.caraka.6.5.131) dāhapraśamano 'abhyaṅgaḥ sarpiṣā pittagulminām/ candanādyena tailena tailena madhukasya vā// > For those with a paittika lump, an inunction that relieves burning is \[done\] with ghee, > with Candanādya oil, or with oil of madhuka. > — English (machine translation) (machine translation) ### [6.5.132](https://indike.org/pramana/in.med.samhita.caraka.6.5.132) ye ca &pittajvaraharāḥ satiktāḥ kṣīrabastayaḥ/ hitāste pittagulmibhyo vakṣyante ye ca siddhiṣu// &\`pittajvarārtānāṃ' iti pā-. śālayo jāṅgalaṃ māṃsaṃ gavyāje payasī ghṛtam/ kharjūrāmalakaṃ drākṣāṃ dāḍimaṃ saparūṣakam// > And the milk enemas with bitter \[substances\] that eliminate paittika fever, > as well as those that will be described in the \[section on\] Successful Treatments, are beneficial for those with a paittika lump. > Śāli rice, meat of wild animals, cow and goat milk, ghee, > dates, āmalaka, drākṣā, pomegranate along with parūṣaka > — English (machine translation) (machine translation) ### [6.5.134](https://indike.org/pramana/in.med.samhita.caraka.6.5.134) āhārārthaṃ prayoktavyaṃ pānārthaṃ salilaṃ śṛtam/ balāvidārīgandhādyaiḥ pittagulmacikitsitam// > should be administered for food; for drinking, water boiled > with balā, the vidārīgandhā group, and the like. \[Such is\] the treatment of a paittika lump. > — English (machine translation) (machine translation) ### [6.5.135](https://indike.org/pramana/in.med.samhita.caraka.6.5.135) āmānvaye pittagulme sāme vā kaphavātike/ yavāgūbhiḥ khaḍairyūṣaiḥ saṃdhukṣyo 'agnirvilaṅghite// > When a paittika lump is accompanied by āma, or when one of kapha and vāta is accompanied by āma, > after fasting, the fire is to be kindled with gruels, khaḍas, and soups. > — English (machine translation) (machine translation) ### [6.5.136](https://indike.org/pramana/in.med.samhita.caraka.6.5.136) śamaprakopau doṣāṇāṃ sarveṣāmagnisaṃśritau/ tasmādagniṃ sadā rakṣennidānāni ca varjayet// > The pacification and aggravation of all humors depend upon the fire; > therefore, one should always protect the fire and avoid the causal factors. > — English (machine translation) (machine translation) ### [6.5.137](https://indike.org/pramana/in.med.samhita.caraka.6.5.137) vamanaṃ vamanārhāya pradadyāt kaphagulmine/ snigdhasvinnaśarīrāya gulme śaithilyamāgate// > The physician should administer emesis to one fit for emesis who has a kapha lump, > whose body has been unctuated and fomented, once looseness has come to the lump. > — English (machine translation) (machine translation) ### [6.5.138](https://indike.org/pramana/in.med.samhita.caraka.6.5.138) pariveṣṭya pradīptāṃstu balvajānathavā kuśān/ bhiṣakkumbhe samāvāpya gulmaṃ ghaṭamukhe nyaset// > Wrapping burning balvaja or kuśa grass \[inside a vessel\], > the physician, having placed it in an earthen jar, should set the mouth of the jar over the lump. > — English (machine translation) (machine translation) ### [6.5.139](https://indike.org/pramana/in.med.samhita.caraka.6.5.139) &saṃgṛhīto yadā gulmastadā ghaṭamathoddharet/ vastrāntaraṃ tataḥ kṛtvā &&bhindyādgulmaṃ pramāṇavit// &\`sa gṛhīto yadā' iti pā-. &&\`cchindyādgulmaṃ pramāṇavit / vimargajaṃ yadā paśyet' iti gaṅgādharasaṃmataḥ pāṭhah. vimārgājapadādarśairyathālābhaṃ prapīḍayet/ mṛdgīyādgulmamevaikaṃ na &tvantrahṛdayaṃ spṛśet// &\`na tvatra hṛdayaṃ' iti pā-. tilairaṇḍātasībījasarṣapaiḥ parilipya ca/ śleṣmagulmamayaḥpātraiḥ sukhoṣṇaiḥ svedayedbhiṣak// > When the lump is grasped, he should then remove the jar; > then, placing a cloth between, one who knows measurements should break open the lump. > He should compress it with whatever is available—vimārga, ajapada, or mirrors; > he should knead the lump alone, but should not touch the intestines or the heart. > And having smeared it with sesame, castor, linseed, and mustard seeds, > the physician should foment the phlegm lump with pleasantly warm iron vessels. > — English (machine translation) (machine translation) ### [6.5.142](https://indike.org/pramana/in.med.samhita.caraka.6.5.142) savyoṣakṣāralavaṇaṃ daśamūlīśṛtaṃ ghṛtam/ kaphagulmaṃ jayatyāśu sahiṅgubiḍadāḍimam// iti daśamūlīghṛtam/ bhallātakānāṃ dvipalaṃ pañcamūlaṃ palonmitam/ sādhyaṃ vidārīgandhādyamāpothya salilāḍhake// > Ghee cooked with the Daśamūla, along with the three pungents, alkali, and salt, > together with asafoetida, biḍa salt, and pomegranate, quickly conquers a kapha lump. > Thus \[ends\] Daśamūlīghṛta. > Two palas of bhallātaka and the pañcamūla measured at a pala, > crushed with the vidārīgandhā group, are to be cooked in an āḍhaka of water. > — English (machine translation) (machine translation) ### [6.5.144](https://indike.org/pramana/in.med.samhita.caraka.6.5.144) pādaśeṣe rase tasmin pippalīṃ nāgaraṃ vacām/ viḍaṅgaṃ saindhavaṃ hiṅgu yāvaśūkaṃ biḍaṃ śaṭīm// > When a fourth part remains of that decoction, the physician, grinding pippalī, dry ginger, vacā, > viḍaṅga, rock salt, asafoetida, barley-ash, biḍa salt, śaṭī, > — English (machine translation) (machine translation) ### [6.5.145](https://indike.org/pramana/in.med.samhita.caraka.6.5.145) citrakaṃ madhukaṃ rāsnāṃ piṣṭvā karṣasamaṃ bhiṣak/ prasthaṃ ca payaso dattvā ghṛtaprasthaṃ vipācayet// > citraka, madhuka, and rāsnā, equal to a karṣa \[each\], > and adding a prastha of milk, should cook a prastha of ghee. > — English (machine translation) (machine translation) ### [6.5.146](https://indike.org/pramana/in.med.samhita.caraka.6.5.146) etadbhallātakaghṛtaṃ kaphagulmaharaṃ param/ plīhapāṇḍvāmayaśvāsagrahaṇīrogakāsanut// iti bhallātakādyaṃ ghṛtam/ pippalīpippalīmūlacavyacitrakanāgaraiḥ/ palikaiḥ sayavakṣārairghṛtaprasthaṃ vipācayet// > This Bhallātaka-ghṛta is supreme in removing a kapha lump; > it eliminates spleen disease, anemia, dyspnea, disorders of the duodenum, and cough. > Thus \[ends\] Bhallātakādya-ghṛta. > With a pala each of pippalī, pippalī-root, cavya, citraka, and dry ginger, > along with barley-ash, one should cook a prastha of ghee > — English (machine translation) (machine translation) ### [6.5.148](https://indike.org/pramana/in.med.samhita.caraka.6.5.148) kṣīraprasthaṃ ca tat sarpihanti gulmaṃ kaphātmakam/ grahaṇīpāṇḍurogaghnaṃ plīhakāsajvarāpaham// iti kṣīraṣaṭpalakaṃ ghṛtam/ trivṛtāṃ triphalāṃ dantīṃ daśamūlaṃ palonmitam/ jale caturguṇe paktvā caturbhāgasthitaṃ rasam// > and a prastha of milk. That ghee destroys a lump composed of kapha; > it removes disorders of the duodenum and anemia, and takes away spleen disease, cough, and fever. > Thus \[ends\] Kṣīraṣaṭpalaka-ghṛta. > Cooking trivṛt, triphalā, dantī, and the Daśamūla, measured at a pala \[each\], > in four times as much water, when the decoction remains at a fourth part, > — English (machine translation) (machine translation) ### [6.5.150](https://indike.org/pramana/in.med.samhita.caraka.6.5.150) sarpireraṇḍajaṃ tailaṃ kṣīraṃ caikatra sādhayet/ sa siddho miśrakasnehaḥ sakṣaudraḥ kaphagulmanut// > one should cook ghee, castor oil, and milk together \[with it\]. > That prepared Miśraka unctuous substance, with honey, removes a kapha lump. > — English (machine translation) (machine translation) ### [6.5.151](https://indike.org/pramana/in.med.samhita.caraka.6.5.151) kaphavātavibandheṣu kuṣṭhaplīhodareṣu ca/ prayojyo miśrakaḥ sneho yoniśūleṣu cādhikam// iti miśrakaḥ snehaḥ/ yaduktaṃ vātagulmaghnaṃ sraṃsanaṃ nīlinīghṛtam/ dviguṇaṃ tadvirekārthaṃ prayojyaṃ kaphagulminām// > In obstructions of kapha and vāta, and in skin diseases, spleen disease, and abdominal enlargement, > Miśraka unctuous substance should be employed, and especially in pain of the female genital tract. > Thus \[ends\] Miśraka unctuous substance. > The laxative Nīlinī-ghṛta which was mentioned as destroying a vāta lump > should be employed doubled for the purpose of purgation in those with a kapha lump. > — English (machine translation) (machine translation) ### [6.5.153](https://indike.org/pramana/in.med.samhita.caraka.6.5.153) sudhākṣīradrave cūrṇaṃ trivṛtāyāḥ subhāvitam/ kārṣikaṃ madhusarpibhyāṃ &līḍhvā sādhu viricyate// &\`līḍhaṃ sādhu virecayet' iti pā-. jaladroṇe vipaktavyā viṃśatiḥ pañca cābhayāḥ/ dantyāḥ palāni tāvanti citrakasya tathaiva ca// > Powder of trivṛt thoroughly soaked in the liquid of euphorbia milk, > taken at a karṣa and licked with honey and ghee, purges well. > In a droṇa of water, twenty-five abhayā fruits are to be cooked, > and as many palas of dantī and likewise of citraka. > — English (machine translation) (machine translation) ### [6.5.155](https://indike.org/pramana/in.med.samhita.caraka.6.5.155) aṣṭabhāgāvaśeṣaṃ tu rasaṃ pūtamadhikṣipet/ dantīsamaṃ guḍaṃ pūtaṃ kṣipettatrābhayāśca tāḥ// > When an eighth part remains, one should pour in the strained liquid; > one should add strained jaggery equal to the dantī, and those abhayā fruits there, > — English (machine translation) (machine translation) ### [6.5.156](https://indike.org/pramana/in.med.samhita.caraka.6.5.156) tailārdhakuḍavaṃ caiva trivṛtāyāścatuṣpalam/ cūrṇitaṃ &palamekaṃ tu pippalīviśvabheṣajam// &\`cārdhapalikaṃ' iti pā-. tat sādhyaṃ lehavacchīte tasmiṃstailasamaṃ madhu/ kṣipeccūrṇapalaṃ caikaṃ tvagelāpatrakeśarāt// > and half a kuḍava of oil, four palas of trivṛtā, > and one pala of powdered pippalī and dried ginger. > That is to be cooked like an electuary; when it has cooled, one should add honey equal to the oil, > and one pala of powder made from cinnamon bark, cardamom, patra, and nāgakeśara. > — English (machine translation) (machine translation) ### [6.5.158](https://indike.org/pramana/in.med.samhita.caraka.6.5.158) tato lehapalaṃ līḍhvā jagdhvā caikāṃ harītakīm/ sukhaṃ viricyate snigdho doṣaprasthamanāmayam// > Then, having licked a pala of the electuary and eaten one harītakī, > an unctuated person is comfortably purged of a prastha of humors, free from disease. > — English (machine translation) (machine translation) ### [6.5.159](https://indike.org/pramana/in.med.samhita.caraka.6.5.159) gulmaṃ śvayathumarśāṃsi pāṇḍurogamarocakam/ hṛdrogaṃ grahaṇīdoṣaṃ kāmalāṃ viṣamajvaram// > A lump, swelling, hemorrhoids, anemia, anorexia, > heart disease, duodenal impairment, jaundice, intermittent fever, > — English (machine translation) (machine translation) ### [6.5.160](https://indike.org/pramana/in.med.samhita.caraka.6.5.160) kuṣṭhaṃ plīhānamānāhameṣā hanyupasevitā/ niratyayaḥ kramaścāsyā dravo māṃsarasaudanaḥ// iti dantīharītakī/ siddhāḥ siddhiṣu vakṣyante nirūhāḥ kaphagulminām/ ariṣṭayogāḥ siddhāśca grahaṇyarśaścikitsite// > skin diseases, spleen disease, and tympanites—these it destroys when consumed. > And the regimen for it is free from danger: liquid food with meat broth. > Thus \[ends\] Dantīharītakī. > The non-unctuous enemas proven for those with a kapha lump will be spoken of in the \[section on\] Successful Treatments, > as well as the proven formulations of fermented liquor in the treatment of duodenal impairment and hemorrhoids. > — English (machine translation) (machine translation) ### [6.5.162](https://indike.org/pramana/in.med.samhita.caraka.6.5.162) yaccūrṇaṃ guṭikā yāśca vihitā vātagulminām/ dviguṇakṣārahiṅgvamlavetasāstāḥ kaphe hitāḥ// > The powder and the pills that have been prescribed for those with a vāta lump, > with doubled alkali, asafoetida, and sour vetasa, are beneficial in kapha. > — English (machine translation) (machine translation) ### [6.5.163](https://indike.org/pramana/in.med.samhita.caraka.6.5.163) ya eva grahaṇīdoṣe kṣārāste kaphagulminām/ siddhā niratyayāḥ śastā dāhastvante praśasyate// > The very alkalis that are in duodenal impairment are proven and free from danger > and recommended for those with a kapha lump; cauterisation, however, is praised at the end. > — English (machine translation) (machine translation) ### [6.5.164](https://indike.org/pramana/in.med.samhita.caraka.6.5.164) prapurāṇāni dhānyāni jāṅgalā mṛgapakṣiṇaḥ/ kaulattho mudgayūṣaśca pippalyā nāgarasya ca// > Old grains, arid-land game and birds, / horsegram and mung bean soup, and \[soup\] of pippalī and ginger, > — English (machine translation) (machine translation) ### [6.5.165](https://indike.org/pramana/in.med.samhita.caraka.6.5.165) śuṣkamūlakayūṣaśca bilvasya &varuṇasya ca/ cirabilvāṅkurāṇāṃ ca yavānyāścitrakasya ca// &\`taruṇasya' iti pā-. bījapūrakahiṅgvamlavetasakṣāradāḍimaiḥ/ takreṇa tailasarpirbhyāṃ vyañjanānyupakalpayet// > and dried radish soup, \[soup\] of bilva and varuṇa, / of cirabilva shoots, of yavānī and citraka; > with citron, asafoetida, sour vetasa, alkali, and pomegranates, / buttermilk, oil, and ghee, one should prepare condiments. > — English (machine translation) (machine translation) ### [6.5.167](https://indike.org/pramana/in.med.samhita.caraka.6.5.167) pañcamūlīśṛtaṃ toyaṃ purāṇaṃ vāruṇīrasam/ kaphagulmī pibetkāle jīrṇaṃ mādhvīkameva vā// > Water boiled with the five roots, aged vāruṇī liquor, / or aged mādhvīka wine at the proper time one with a kapha lump should drink. > — English (machine translation) (machine translation) ### [6.5.168](https://indike.org/pramana/in.med.samhita.caraka.6.5.168) yavānīcūrṇitaṃ takraṃ biḍena lavaṇīkṛtam/ pibet saṃdīpanaṃ &vātakaphamūtrānulomanam// &\`vātamūtravarco 'anulomanam' iti pā-. saṃcitaḥ kramaśo gulmo mahāvāstuparigrahaḥ/ kṛtamūlaḥ sirānaddho yadā kūrma ivonnataḥ// > He should drink buttermilk powdered with yavānī and salted with viḍ salt, / which stimulates the digestive fire and directs vāta, kapha, and urine downward. > When a lump accumulated by degrees, occupying a great site, / deeply rooted, encircled with vessels, elevated like a tortoise, > — English (machine translation) (machine translation) ### [6.5.170](https://indike.org/pramana/in.med.samhita.caraka.6.5.170) &daurbalyārucihṛllāsakāsavamyaratijvaraiḥ/ tṛṣṇātandrāpratiśyāyairyujyate na sa sidhyati// &\`daurvarṇyāruci-' iti pā-. gṛhītvā sajvaraśvāsaṃ vamyatīsārapīḍitam/ hṛnnābhihastapādeṣu śophaḥ karṣati gulminam// > is accompanied by weakness, anorexia, nausea, cough, vomiting, restlessness, fever, / thirst, stupor, and catarrh, it cannot be cured. > Seizing \[him\] with fever and dyspnea, afflicted by vomiting and diarrhea, / swelling in the heart, navel, hands, and feet wastes the person with a lump. > — English (machine translation) (machine translation) ### [6.5.172](https://indike.org/pramana/in.med.samhita.caraka.6.5.172) raudhirasya tu gulmasya garbhakālavyatikrame/ snigdhāsvinnaśarīrāyai dadyāt snehavirecanam// > In a blood lump, however, once the term of gestation has passed, / for a woman whose body has been unctuated and fomented, one should give an unctuous purgative. > — English (machine translation) (machine translation) ### [6.5.173](https://indike.org/pramana/in.med.samhita.caraka.6.5.173) palāśakṣārapātre dve dve pātre tailasarpiṣoḥ/ gulmaśaithilyajananīṃ paktvā mātrāṃ prayojayet// > Two pātras of palāśa alkali, two pātras each of oil and ghee: / having cooked them, one should administer a dose that induces softening of the lump. > — English (machine translation) (machine translation) ### [6.5.174](https://indike.org/pramana/in.med.samhita.caraka.6.5.174) prabhidyeta na yadyevaṃ &dadyādyoniviśodhanam/ kṣāreṇa yuktaṃ palalaṃ sudhākṣīreṇa va punaḥ// &\`-virecanam' iti pā-. ābhyāṃ vā bhāvitān dadyādyonau kaṭukamatsyakān/ varāhamatsyapittābhyāṃ laktakān vā subhāvitān// > If it does not break thus, one should administer a vaginal purifier: / sesame paste combined with alkali, or else with euphorbia milk; > or one should insert into the vagina pungent fish steeped in these two, / or cloth rags well steeped in boar and fish bile, > — English (machine translation) (machine translation) ### [6.5.176](https://indike.org/pramana/in.med.samhita.caraka.6.5.176) adhoharaiścordhvaharairbhāvitān vā samākṣikaiḥ/ kiṇvaṃ vā saguḍakṣāraṃ dadyādyoniviśodhanam// > or steeped in downward-clearing and upward-clearing \[drugs\] together with honey; / or one should administer yeast with jaggery and alkali as a vaginal purifier. > — English (machine translation) (machine translation) ### [6.5.177](https://indike.org/pramana/in.med.samhita.caraka.6.5.177) raktapittaharaṃ kṣāraṃ lehayenmadhusarpiṣā/ laśunaṃ madirāṃ tīkṣṇāṃ matsyāṃścāsyai pradāpayet// > She should lick alkali that removes raktapitta with honey and ghee; / and one should give her garlic, sharp wine, and fish. > — English (machine translation) (machine translation) ### [6.5.178](https://indike.org/pramana/in.med.samhita.caraka.6.5.178) bastiṃ sakṣīragomūtraṃ sakṣāraṃ dāśamūlikam/ adṛśyamāne rudhire dadyādgulmaprabhedanam// > An enema with milk and cow's urine, with alkali, \[prepared with\] the ten roots, / one should give to break the lump when the blood is not seen. > — English (machine translation) (machine translation) ### [6.5.179](https://indike.org/pramana/in.med.samhita.caraka.6.5.179) pravartamāne rudhire dadyānmāṃsarasaudanam/ ghṛtatailena cābhyaṅgaṃ pānārthaṃ taruṇīṃ surām// > When the blood begins to flow, one should give food with meat broth, / inunction with ghee and oil, and young wine to drink. > — English (machine translation) (machine translation) ### [6.5.180](https://indike.org/pramana/in.med.samhita.caraka.6.5.180) rudhire 'atipravṛtte tu raktapittaharīḥ kriyāḥ/ kāryā vātarugārtāyāḥ sarvā vātaharīḥ punaḥ// > When the blood flows excessively, however, treatments that remove raktapitta / should be performed; and for one afflicted with vāta pain, all vāta-removing measures. > — English (machine translation) (machine translation) ### [6.5.181](https://indike.org/pramana/in.med.samhita.caraka.6.5.181) ghṛtatailāvasekāṃśca tittirīṃścaraṇāyudhān/ surāṃ samaṇḍāṃ pūrvaṃ ca pānamamlasya sarpiṣaḥ// > Affusions with ghee and oil, francolins and cocks, / wine with its scum, and first the drinking of sour ghee \[should be employed\]; > — English (machine translation) (machine translation) ### [6.5.182](https://indike.org/pramana/in.med.samhita.caraka.6.5.182) prayojayeduttaraṃ vā jīvanīyena sarpiṣā/ atipravṛtte rudhire satiktenānuvāsanam// > or one should administer an urethral/vaginal enema with jīvanīya-ghee; / when blood flows excessively, an unctuous enema with bitter \[drugs\]. > — English (machine translation) (machine translation) ### [6.5.183](https://indike.org/pramana/in.med.samhita.caraka.6.5.183) tatra ślokāḥ snehaḥ svedaḥ sarpirbastiścūrṇāni bṛṃhaṇaṃ guḍikāḥ/ vamanavirekau mokṣaḥ kṣatajasya ca vātagulmavatām// > Here are the verses: Unction, fomentation, ghee, enema, powders, nourishing therapy, pills, / emesis, purgation, and bloodletting for those with a vāta lump; > — English (machine translation) (machine translation) ### [6.5.184](https://indike.org/pramana/in.med.samhita.caraka.6.5.184) sarpiḥ satiktasiddhaṃ kṣīraṃ prasraṃsanaṃ nirūhāśca/ raktasya cāvasecanamāśvāsanasaṃśamanayogāḥ// > ghee prepared with bitters, milk, mild laxative, and non-unctuous enemas, / blood-letting, comforting, and soothing formulations; > — English (machine translation) (machine translation) ### [6.5.185](https://indike.org/pramana/in.med.samhita.caraka.6.5.185) upanāhanaṃ saśastraṃ pakvasyābhyantaraprabhinnasya/ saṃśodhanasaṃśamane pittaprabhavasya gulmasya// > poultice with surgical intervention when ripe and broken internally: / purificatory and soothing treatments for a lump arising from pitta; > — English (machine translation) (machine translation) ### [6.5.186](https://indike.org/pramana/in.med.samhita.caraka.6.5.186) snehaḥ svedo bhedo laṅghanamullekhanaṃ virekaśca/ sarpirbastirguṭikāścūrṇamariṣṭāśca sakṣārāḥ// > unction, fomentation, breaking, lightening, upward clearing, and purgation, / ghee, enema, pills, powders, and fermented liquors with alkalis, > — English (machine translation) (machine translation) ### [6.5.187](https://indike.org/pramana/in.med.samhita.caraka.6.5.187) gulmasyānte dāhaḥ kaphajasyāgre 'apanītaraktasya/ gulmasya raudhirasya kriyākramaḥ strībhavasyoktaḥ// > cauterisation at the end for a kapha lump; for a blood lump / occurring in women, after the blood has been removed, the course of treatment has been declared. > — English (machine translation) (machine translation) ### [6.5.188](https://indike.org/pramana/in.med.samhita.caraka.6.5.188) pathyānnapānasevā hetūnāṃ varjanaṃ yathāsvaṃ ca/ nityaṃ cāgnisamādhiḥ snigdhasya ca sarvakarmāṇi// heturliṅgaṃ siddhiḥ kriyākramaḥ sādhyatā na yogāśca/ gulmacikitsitasaṃgraha etāvān vyāhṛto 'agniveśasya > Use of wholesome food and drink, avoidance of their respective causes, / constant concentration on the digestive fire, and all procedures on an unctuated patient; > cause, signs, success, course of treatment, curability, non-curability, and formulations— / this entire summary of the treatment of gulma has been spoken to Agniveśa. > — English (machine translation) (machine translation) ### [6.5.188\_1](https://indike.org/pramana/in.med.samhita.caraka.6.5.188_1) ityagniveśakṛte tantre carakapratisaṃskṛte cikitsitasthāne gulmacikitsitaṃ nāma pañcamo 'adhyāyaḥ// > Thus ends the fifth chapter, named the Treatment of Gulma, in the Cikitsitasthāna of the treatise composed by Agniveśa and redacted by Caraka. > — English (machine translation) (machine translation) ## Translations (1) - [English (machine translation)](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.5.1) — English, machine translation ## Linked texts (4) - [Bower Manuscript](https://indike.org/pramana/in.med.yoga.bower.16) — Sanskrit - [Yogaratnākara (Mayūrapāda Bhikṣu)](https://indike.org/pramana/in.med.yoga.yogaratnakara-mayurapada-bhiksu.245.1-13) — Mayūrapāda Bhikṣu 1700, Sanskrit - [Vāgbhaṭamaṇḍana](https://indike.org/pramana/in.med.paribhasa.vagbhatamandana.30.16) — Narahari, Sanskrit - [Paribhāṣāpradīpa](https://indike.org/pramana/in.med.paribhasa.paribhasapradipa.4.23) — Govindasena, Sanskrit --- Source: [https://indike.org/pramana/in.med.samhita.caraka.6.5](https://indike.org/pramana/in.med.samhita.caraka.6.5) · Pramāṇa