The Compendium of Caraka 6.30

English (machine translation) 6.30

Language: English

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Now we shall expound the treatment of vaginal disorders.

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On the holy slope of the Himālaya, possessing divine pilgrimage places and medicinal herbs, / rich in variegated minerals and stones, frequented by gods, siddhas, and ṛṣis,

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Agniveśa questioned Punarvasu, who was wandering there through ascetic practice, / who beheld the true nature of reality, and had conquered himself:

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"O Venerable One! Since women are the supreme root of offspring for men, / and their injury is caused by diseases seated in the vagina,

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therefore I wish to hear their origin, the characteristics of those that have arisen, / along with their remedies, out of a desire to benefit mankind."

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Thus questioned by his pupil, the best of ṛṣis, born of Atri, said: / "Twenty vaginal disorders have been listed in the compendium of diseases.

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They arise in women through improper conduct, vitiated menstrual blood, / defect of the seed, and fate; hear of them individually:

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In a woman of wind-aggravating diet and activities, wind, / having increased and settled in the vagina, causes piercing pain in the vagina with aching,

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stiffness, a sensation as of crawling ants, roughness, / numbness, fatigue, and other disorders born of wind.

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It has noisy pain, and frothy, thin, rough menstrual discharge due to wind. / The disorder born of pitta arises from pungent, sour, salty, and alkaline substances.

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Afflicted with burning, suppuration, fever, and heat, with blue, yellow, or black menstrual blood, / and discharge that is extremely hot and smells of a corpse, the vagina becomes vitiated by pitta.

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If kapha, increased by channel-clogging foods, vitiates the vagina of a woman, / it makes it slimy, cold, seized by itching, and having little pain,

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pale in color, and discharging pale, slimy menstrual blood. / In a woman consuming all tastes equally, the three wastes, having become vitiated,

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settled in the vagina and uterus, endow the vagina with their respective signs. / It is afflicted with burning and colic, and discharges white, slimy fluid.

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Through blood-pitta-producing causes, a woman's blood is vitiated by pitta / and flows excessively from the vagina, even when a pregnancy has been attained; this is asṛgdara.

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If pitta situated in the vagina and uterus vitiates the blood, / that [condition] is regarded as arajaskā, causing severe emaciation and discoloration.

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Due to non-washing of the vagina, organisms that arise produce itching; / that is acaraṇā, and because of that itching she desires men excessively.

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Wind provoked by excessive intercourse causes swelling, / numbness, and pain in the vagina of a woman; that is considered aticaraṇā.

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Due to sexual intercourse in a very young girl, wind, / aching the back, hips, thighs, and groin, vitiates the vagina; this is prākcaraṇā.

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In a pregnant woman, through habituation to kapha-increasing foods and suppression of vomiting and exhalation, / wind, enraged, conveys kapha to the vagina and vitiates it.

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She discharges pale fluid with piercing pain, or discharges white kapha; / that vagina, pervaded by diseases of kapha and wind, is upaplutā.

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In a woman of pitta nature, during sexual intercourse, due to the retention of sneezing and belching, / wind combined with pitta vitiates the vagina of the woman.

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Swollen, tender to the touch, and painful, she discharges blue and yellow blood; / afflicted with pain in the pelvis, groin, and back, and with fever, this is pariplutā.

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Due to the upward inversion of urges, wind inverts the vagina upwards; / suffering from pain, she releases upward-turned menstrual blood with difficulty.

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When the menstrual blood is released, she instantly obtains ease; / because of the upward movement of the menstrual blood, this should be known by the wise as udāvartinī.

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In a woman bearing down at the wrong time, wind obstructed by the fetus, / combined with kapha and blood, produces an fleshy growth in the vagina.

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Because of that growth obstructing the channel of blood, it is regarded as karṇinī. / When, due to roughness, wind destroys fetus after fetus as soon as it is formed,

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arising from vitiated blood of the woman, it is known by the name putraghnī. / In a woman engaging in sexual intercourse when excessively full, pressed upon by food,

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wind, seated in the vaginal channel of a woman whose limbs are positioned improperly, / bends the orifice of the vagina; she, through pain caused by wind in the bones and flesh,

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is intensely pained and incapable of sexual intercourse; this vagina is regarded as antarmukhī. / In a female fetus, due to roughness, wind vitiating the vagina

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owing to a maternal defect, makes it have a minute aperture; this is sūcīmukhī. / In a woman suppressing urges at the time of sexual intercourse, enraged wind

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causes pain with retention of feces and urine, and dryness of the vaginal orifice. / After six days or seven nights, the semen that had entered the uterus

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is discharged with pain or without pain; that woman is vāminī. / From an ovum defect, her reproductive organs being struck by wind while residing in the womb,

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she becomes a ṣaṇḍhī, averse to men, without breasts, and incurable. / From intercourse in an uneven position on an uncomfortable bed, enraged wind

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rigidly obstructs the orifice of the uterus and vagina of the woman; / with an unclosed orifice, painful, discharging dry and frothy fluid,

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with protruding flesh and an enlarged vagina, having acute pain in the joints and groin. / Thus, by these characteristics, the twenty vaginal diseases have been declared.

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Afflicted by these doshas, the vagina does not retain semen; / therefore she does not conceive a fetus, and the woman falls into many diseases,

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such as abdominal lump, hemorrhoids, menorrhagia, and intense affliction caused by wind and the other [doshas]. / Of these, the final sixteen—the first two arise from pitta defect;

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pariplutā and vāminī are considered to be of the nature of wind and pitta; / karṇinī and upaplutā are from wind and kapha; while the remainder are born of wind.

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Wind and the other [doshas] indeed afflict their bodies with their own specific symptoms. / Oleation, sudation, enema, and the like, which remove wind, in those born of wind

should be administered, and that which destroys internal hemorrhage and is cooling in those caused by pitta; / in those born of kapha, the discerning physician should carry out a dry and warm regimen.

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In a combined condition, however, a mixed treatment should be given, as also in combined doshas. / Likewise, having lubricated and sweated the misplaced vagina, one should restore it to its position again.

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With the hand one should straighten the crooked one, expand again the constricted one, / insert the prolapsed one, and reposition the dilated one.

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For a vagina displaced from its position is regarded as a foreign body for a woman. / In every disordered vagina, however, by procedures beginning with emesis,

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by the five gentle methods, one should treat the woman after she is oleated and fomented. / When she is thoroughly cleansed in every respect, the rest of the treatment is prescribed.

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A regimen curing wind disorder is always beneficial for those afflicted by wind: / with meat of aquatic and marsh animals, with milk, with sesame and rice,

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together with wind-destroying medicines, one should treat her with tube and pot fomentations; / smeared with salted oil, with stone-slab and mixed-poultice fomentations.

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When fomented and her body sprinkled with lukewarm water, one should feed her with wind-destroying meat soups. / In a decoction of two droṇas of balā, one should cook an āḍhaka of ghee and oil

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with sthirā, payasyā, jīvantī, vīrā, ṛṣabhaka, jīvaka, / śrāvaṇī, pippalī, mudgaparṇī, māṣaparṇī, and pīlu,

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and indeed with sugar, kṣīrakākolī, and kākanāsā; / ground, with four times as much milk, when prepared it should be drunk according to strength.

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Having destroyed diseases caused by wind and pitta, it supports conception. / With kāśmarya, triphalā, drākṣā, kāsamarda, parūṣaka,

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punarnavā, the two rajanīs, kākanāsā, sahācara, / śatāvarī, and guḍūcī, each equal to an akṣa, a prastha of ghee

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prepared [with these], supreme in destroying vaginal wind and granting conception, she should drink. / Pippalī, kuñcikā, ajājī, vṛṣaka, rock salt, vacā,

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yavakṣāra, ajamodā, sugar, and citraka: / having ground these and fried them in ghee, one should administer them to drink with clear wine

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for the cessation of pain in the vagina and flanks, heart disease, abdominal lump, and hemorrhoids. / Vṛṣaka, roots of citron, and madayantikā

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she should drink with salted wines, and likewise pippalī and kuñcikā. / She should drink milk boiled with rāsnā, gokṣura, and vṛṣaka in case of acute pain,

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and one should irrigate with decoctions of guḍūcī, triphalā, and dantī. / Rock salt, tagara, kuṣṭha, bṛhatī, and devadāru:

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oil prepared with equal parts of these pastes should be retained to relieve pain. / With guḍūcī, mālatī, rāsnā, balā, madhuka, citraka,

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nidigdhikā, devadāru, and yūthikā, each measuring a karṣa, / one should cook a prastha of oil in cow's urine and double the quantity of milk.

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One should give a tampon to the woman afflicted by wind and then insert it into the vagina. / For vaginas afflicted by wind, irrigation, inunction, and tampon procedures

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should be done warm, unctuous, and with oleating oils. The woman afflicted by wind, having anointed [herself], should insert warm hiṃsrā paste; / the woman afflicted by pitta, [paste] of the pañcavalkas; the woman afflicted by kapha, of the śyāmā group and others.

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For pitta-afflicted vaginas, however, procedures of irrigation, inunction, and tampons / should be cooling and pitta-pacifying, and ghees should be used for the purpose of oleation.

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Likewise, preparations processed with pitta-destroying medicines should be made by the physician. / One should press out four tulās of śatāvarī root;

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with that juice, equal to the milk, one should cook an āḍhaka of ghee / along with the jīvanīya drugs, śatāvarī, grapes, parūṣaka,

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ground priyāla, each in the measure of an akṣa, and two measures of yaṣṭimadhuka, by the physician. / When prepared and cooled, mixed with eight palas of honey, of pippalī,

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and ten palas of sugar, she should lick a palmful of it thereafter. / It cures defects of the vagina, blood, and semen, is aphrodisiac, and produces male offspring;

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it conquers phthisis, wounds, internal hemorrhage, cough, dyspnea, halīmaka, / jaundice, gout, erysipelas, stiffness of heart and head,

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madness, anxiety, and epilepsy caused by wind and pitta. / Thus ends the Great Śatāvarī Ghee. / In the very same way, ghee prepared from milk with the jīvanīya herbs

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is conducive to conception and is the physician's cure for pitta-afflicted vaginas. / When the vagina is vitiated by kapha, a purifying suppository is beneficial.

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[A suppository] made of shreds of cloth soaked repeatedly in boar's bile; / or barley flour soaked in milk of arka, together with rock salt,

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made into a suppository, should be retained repeatedly and then rinsed with comfortably warm water. / [Or a suppository] made with long pepper, black pepper, black gram, dill, kuṣṭha, and rock salt,

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equal [in thickness] to the index finger, should be retained to purify the vagina. / One droṇa of unripe udumbara fruits together with one droṇa of water,

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along with the pañcavalkala, kulaka, and tender shoots of mālatī and neem, / having been left in water overnight, one should boil therein one prastha of oil

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with a paste of lac, and the bark exudates of dhava and palāśa, and of śālmali. / With this prepared oil, one should insert a swab into the vagina,

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and perform irrigation with cold decoctions mixed with sugar. / A vagina that is slimy, dilated, chronically vitiated, and severe,

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becomes purified within seven days quickly, and she also obtains offspring. / From sesame seeds soaked six times in the milk of udumbara,

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an oil prepared with the decoction of that same [tree] should be retained as before. / With dhātakī, leaves of āmalakī, antimony, licorice, water lily,

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the seeds of jambū and mango, ferrous sulfate, lodhra, kaṭphala, and tinduka, / saurāṣṭrikā, pomegranate bark, and unripe udumbara fruits,

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in the measure of one akṣa each, one should boil one prastha of oil in goat's urine and twice as much milk; / one should apply a swab and introduce it into the vagina.

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One should administer anointing to the hips, back, and sacrum, and an unctuous enema. / A vagina that is slimy, discharging, as well as viplutā, upaplutā,

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shallow, elevated, swollen, eruptive, and painful is cured. / With decoctions of karīra, dhava, neem, arka, bamboo, kośāmra, jambū,

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jiṅginī, and the roots of vṛṣa; or with grape wine and sīdhu, / mixed with vinegar, moderate washing destroys vaginal discharge.

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Or one should perform it with triphalā juice combined with buttermilk, cow's urine, and vinegar. / Administrations of long pepper, iron powder, and chebulic myrobalan with honey are beneficial.

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When kapha is predominant, predominantly pungent enemas with cow's urine are beneficial; / in pitta, [enemas] with sweet substances and milk; in wind, combined with oil and sour liquids.

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For that arising from all three doṣas, mixed therapy is beneficial. / In menorrhagia, having observed the secondary connection from the colors of the blood,

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one should then administer hemostatic medicine according to the doṣa: / sesame powder, curd, ghee, molasses, boar's fat,

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mixed with honey, should be drunk to destroy wind-induced menorrhagia; / or fatty broth of boar with horse gram when wind is excessive;

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or curd mixed with sugar, honey, licorice, and dry ginger. / Payasyā, blue water lily, lotus rhizome root, lotus root, kālīyaka, and nut grass,

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with milk, sugar, and honey, she should drink in pitta-induced menorrhagia. / Pāṭhā, seeds of jambū and mango, silicious extract, rasāñjana,

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ambaṣṭhā, exudate of śālmali, samaṅgā, vatsaka bark, / bāhlīka, ativiṣā, bilva, musta, lodhra, along with red ochre,

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kaṭvaṅga, black pepper, dry ginger, dried grapes, red sandalwood, / kaṭphala, vatsaka seeds, anantā, dhātakī, licorice, and arjuna,

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gathered under the asterism Puṣya, should be made into equal parts of fine powder. / Having mixed them with honey, she should drink them with rice water.

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Blood that is passed in hemorrhoids and in diarrhea, / and those [afflictions] of children caused by the doṣas and extrinsic factors, it destroys;

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vaginal defects, menstrual disorders—white, blue, yellowish, / and whatever is greyish or reddish in women—it forcibly checks.

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This powder, named Puṣyānuga, is beneficial and praised by Ātreya. / Thus ends the Puṣyānuga powder. / The root of taṇḍulīyaka with honey and rice water,

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and rasāñjana and lac, one should drink with goat's milk. / A paste of the leaves of rājādana and kapittha fried in ghee

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pacifies pitta and wind; in a pitta condition, it overcomes bleeding disorders in every way. / Licorice, triphalā, lodhra, musta, saurāṣṭrikā, and honey,

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or neem and guḍūcī, she should drink with alcoholic drinks in kapha-induced menorrhagia. / One should drink the Mahātikta purgative in pitta-induced menorrhagia.

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And whatever has been stated as beneficial in miscarriage, one should carry out that. / Ghee prepared with a decoction of kāśmarya and kuṭaja, administered by urethral or vaginal douche,

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is beneficial for raktayoni, arajaskā, and putraghnī. / With the blood of deer, goat, sheep, or boar, curd, sour fruit, and ghee,

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an arajaskā patient should drink, or milk boiled with jīvanīya herbs. / And in karṇinī, acaraṇā, śuṣkā, and prākcaraṇā,

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and in disorders of kapha and wind, oil should be given by urethral or vaginal douche. / Linen cloth soaked twenty-one times in cow's bile or fish bile,

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or yeast powder with honey, one should apply to destroy acaraṇā; / and that clears the channels and removes itching, moistness, and swelling.

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With wind-destroying oils boiled a hundred times, a patient with prākcaraṇā or aticaraṇā / should be given decoction enemas and unctuous enemas, and fermented with wind-destroying agents,

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with unctuous substances, and foods and poultices properly applied. / With dill, barley, wheat, yeast, kuṣṭha, priyaṅgu,

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balā, ākhuparṇikā, and śṛṅgī, a thick porridge is prescribed to be retained. / And for vāminī and upaplutā, the course of unction, sudation, and so forth

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should be done; after that, an unctuous swab; after that, saturation should take place. / An unctuous swab prepared with the decoction of barks of śallakī, jiṅginī, jambū, and dhava, and the pañcavalkala,

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removes viplutā. / In karṇinī, a suppository made of kuṣṭha, long pepper, buds of arka, and rock salt

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with goat's urine should be retained, and everything that destroys kapha is beneficial. / Unction with Traivṛta, sudation, meat soups of domestic, wetland, and aquatic animals,

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and a milk enema with daśamūla in udāvarta and wind afflictions; / and an unctuous enema with Traivṛta, and the enema termed uttarabasti.

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This very same [regimen] is prescribed in mahāyoni and in prolapse. / Fat of bear and boar, and ghee boiled with sweet herbs,

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having filled the mahāyoni [with these], one should bind it with linen rags. / Having smeared the prolapsed [vagina] with ghee, fomented it with milk, and reduced it,

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one should bind it with a bolus of veśavāra until the time of urination. / And whatever procedure has been stated for wind disorders, one should carry out that

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in all vaginal disorders, an intelligent physician, especially in mahāyoni; / for indeed, without wind, the vagina of women is never vitiated.

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Having pacified that, one should administer remedy for the other doṣa. / In pale menorrhagia, one should drink paste of the roots of rohītaka,

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or āmalakī seeds with water, or paste [thereof] with sugar and honey; / or one should make her lick powder or juice of āmalaka with honey;

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likewise, one should drink paste of lodhra with a decoction of banyan bark; / or in vaginal discharge, one should retain a linen cloth soaked therewith.

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Or she should insert a ball of powdered bark of plakṣa made with honey, / or of lodhra, priyaṅgu, and madhuka, into the vagina anointed with unctuous substance.

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A suppository mixed with honey and made of astringent [substances] of all kinds should be inserted; / or, to arrest vaginal discharge, the anointed [vagina] should be fumigated with [substances] soaked in ghee:

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with saralā, guggulu, barley, and pungent fish along with oil. / Kāsīsa, triphalā, alum, samaṅgā, mango stone, dhātakī—

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in unctuousness, [this] powder combined with honey is a producer of clarity. / Bark of palāśa, sarja, and jambū, samaṅgā, mocā, and dhātakī:

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a paste [of these] is desired as an arrester of sliminess and excessive moistness. / For [vaginas that are] stiff and rough, a softener must be applied.

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One should insert veśavāra, milk-rice, or kṛśarā; / for foul-smelling ones, there should be a decoction or paste of tuvaraka,

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or a powder of all aromatic substances, which removes foul odors. / In this way, when their vaginas are purified, women attain pregnancy,

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provided the seed is incorrupt and natural, and descent of the living soul takes place. / And having examined the semen of a man purified by the five actions

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according to the colors of the doṣas, if it is vitiated, one should treat it with [remedies] that destroy them. / Here occur [verses]: The disorders of the vagina together with symptoms, etiology, and treatment,

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have been stated in detail properly by the sage who sees the truth. / Agniveśa, however, once again inquired of the best of physicians,

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having approached Ātreya: 'O sinless one! The semen disorders / described by you completely in the chapter on diseases are indeed eight for men.

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Their etiology, O best of physicians, the form of the vitiated and unvitiated, / the treatment in its entirety, and impotence which is of four kinds,

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and the menorrhagia that is mentioned among the complications of vaginal [disorders]— / their etiology, symptoms, and treatment indeed according to truth,

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declare in brief and in detail, O best of physicians!' / To him desiring to hear, the foremost of sages spoke:

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'Since in sexual intercourse the seed arising from the source of pleasure / is called male semen, therefore I will declare it; listen to that:

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Just as a seed spoiled by untimely water, worms, insects, or fire / does not germinate when vitiated, so also the semen of living beings [fails].

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From excessive sexual intercourse, physical exercise, and use of unwholesome things; / or when practicing coitus at an improper time, in an improper organ, or not [properly];

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from use of dry, bitter, astringent, excessively salty, sour, and hot things; / from copulation with women devoid of desire, and through old age;

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from anxiety, grief, lack of trust, mishap with surgical instruments, caustic alkali, or fire; / from fear, anger, black magic, and in one emaciated by diseases;

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from suppression of natural urges, injury, and corruption of the tissues— / the doṣas, individually or collectively, having reached the semen-carrying channels,

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swiftly vitiate the semen; that I shall explain in parts: / frothy, thin, dry, discolored, putrid, slimy,

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mixed with other tissues, and sediment-forming as the eighth. / Frothy, thin, dry, and passed with difficulty and in small quantity due to wind—

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the semen becomes impaired [thus]; it does not serve for pregnancy. / Semen vitiated by pitta comes out burning the penis,

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bluish or yellow, exceedingly hot, and foul-smelling. / Obstructed in its path by phlegm, however, it becomes exceedingly slimy.

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From excessive indulgence in women, injury, or wound, / the semen of a man issues generally accompanied by blood.

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From suppression of natural urges, the semen checked in its passage by wind / comes out with difficulty, knotted, and sediment-forming as the eighth.

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Thus the eight disorders of semen have been stated along with their symptoms. / Unctuous, dense, slimy, sweet, non-burning,

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white, and resembling crystal—one should know such semen to be pure. / By means of beneficial aphrodisiac formulations agreeable in use,

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by recipes that remove bleeding disorders, and likewise those for vaginal disorders, / when semen becomes vitiated, then one should treat it.

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Ghee prepared with vitalizing herbs, cyavanaprāśa, / and the administration of bitumen remove defects of semen.

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In semen affected by wind, non-unctuous enemas accompanied by unctuous enemas are beneficial; / and in that of pitta, the Abhayāmalakīya rasāyana is recommended.

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The rasāyana of māgadhī, amṛtā, iron, and triphalā, / and that of bhallātaka destroy semen disorders arising from phlegm.

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Semen that is mixed with other tissues: examining that skillfully, / one should apply medicine according to the doṣa and the tissue, in keeping with the doṣas.

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Ghee, milk, meat broths, śāli rice, barley, wheat, and ṣaṣṭika rice / are praised in semen disorders, especially the procedure of enema.

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Thus the treatment of the eight semen disorders has been stated by the sage. / Because impotence arising from semen defects is cured precisely by purification,

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therefore I shall explain to you properly, O Agniveśa, according to the facts: / From injury to the seed, from injury to the penis, from old age, and from loss of semen,

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impotence is produced; listen to its general symptom: / Though constantly inclined by desire toward a beloved and compliant woman,

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he does not engage because of flaccidity of the penis; or if he engages at any time, / afflicted with panting, with limbs perspiring, his intentions and actions futile,

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with flaccid penis and seedless—this is the sign of impotence. / This is indeed the general symptom; it will now be declared in detail:

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From cold, dry, scanty, contaminated, incompatible, and undigested food; / from grief, anxiety, fear, and terror, and excessive indulgence in women;

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from sorcery, lack of confidence, depletion of plasma and other tissues, / disharmony of wind and other doṣas, likewise from fasting and fatigue;

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from insensitivity to women, and misconduct in the five cleansing procedures— / through injury to the seed, a man becomes pale-colored, very weak,

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with little vitality and little pleasure regarding women, / afflicted with heart disease, anemia, bronchial asthma, jaundice, and fatigue,

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suffering from vomiting, diarrhea, and colic, afflicted with cough and fever. / Impotence born of seed-injury [is thus explained]; hear now that produced by collapse of the penis:

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From excessively sour, salty, alkaline, incompatible, and unwholesome food; / from drinking excessive water, irregular eating, and heavy meals of flour preparations;

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from using curd, milk, and wetland meat; from emaciation through disease; / from coitus with young girls, and from unnatural intercourse;

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with one suffering from chronic disease, one abandoned long ago, and likewise one menstruating, / foul-smelling, with diseased vagina, and likewise one with discharge—

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whoever approaches such a woman out of delusion, excited by lust; / from coitus with quadrupeds, and from trauma to the penis;

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or from not washing the penis, from injury by weapon, teeth, or nails; / from blows with sticks, crushing, and excessive application of irritating beetles—

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And from suppression of semen, collapse of the penis arises. / I shall now declare the symptoms that belong to it: swelling, pain, and redness are observed in the penis,

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severe eruptions appear, and suppuration of the penis also occurs; / fleshy growth may arise in it, and ulcers quickly form.

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Discharge resembling thin grain-wash water, dusky and reddish in hue, appears, / and circular constriction with hard induration develops.

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Fever, thirst, dizziness, fainting, and vomiting arise in him, / and blood discharges—black, dark-blue, or turbid-red.

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There is severe burning pain accompanied by distress, as if burnt by fire, / in the bladder, testicles, perineal raphe, or groins.

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Sometimes the discharge becomes slimy or pale; / a mild swelling appears, indolent and with little exudate;

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it ripens slowly or is quickly released; / worms arise, and it becomes moist and foul-smelling.

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The glans penis sloughs away, as well as the shaft and both testicles. / This is described as impotence caused by collapse of the penis.

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Some describe this collapse of the penis as being of five kinds. / Now listen as I declare the impotence that arises from old age.

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Age is said to be of three kinds: inferior, middle, and advanced. / In those of advanced age, men's semen generally diminishes,

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due to the depletion of chyle and the other tissues, and likewise from using non-aphrodisiacs, / and from the gradual decline of strength, vigor, and the sense faculties;

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and from the exhaustion of life-span, from fasting, exertion, and fatigue. / From these causes impotence arising from old age occurs in men.

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Because of that, having excessively depleted tissues and being very weak, / discolored, feeble, and miserable, he quickly incurs disease.

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This is that arising from old age; now listen to the fourth kind, born of depletion: / from excessive worrying, grief, anger, and fear,

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a man who constantly falls into envy, longing, intoxication, and agitation, / or who, emaciated, partakes of unctuous-less food, drink, and medicine,

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is of weak constitution, and remains without food; / and from unwholesome eating, that which resides in the heart—

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the chyle, which is indeed the foremost tissue—rapidly diminishes in men; / and then blood and the other tissues of that embodied soul diminish,

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ending with semen; and of these, semen is considered the supreme seat. / Or if one indulges excessively in coitus through great excitement of the mind,

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his semen rapidly declines, and thence he reaches total wasting; / he incurs dreadful disease or meets death.

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Therefore, semen must be protected especially by one desiring health. / Thus impotence of four kinds has been spoken of by etiology and signs.

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Some, however, declare two types of impotence to be incurable: those born of collapse of the penis and of depletion; / [and also] from excision of the penis and tearing out of the testicles.

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From defects in the seeds of mother and father, and from evil deeds of one whose mind was uncontrolled, / when the doshas, reaching the semen-carrying channels of the embryo,

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quickly dry them up, through their destruction the semen is also ruined; / therein, though complete in all limbs, the man becomes a non-man.

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These are explained as incurable because of the culmination of all three doshas combined. / Hear now, in brief and in detail, the treatment thereafter:

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Whatever remedy was prescribed by me for seminal disorders, O sinless one, / and whatever is beneficial for the depleted and chest-injured, one should employ to pacify impotence.

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Enemas, milk-ghees, aphrodisiac formulations, / and rasāyana regimens—all these one should employ,

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having evaluated the body, doshas, digestive fire, and strength, knowing the proper time for medicine. / In impotence born of excessive coitus, as well as from disorder of the tissues,

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and in that born of sorcery, spiritual therapy [is prescribed]. / In brief, this remedy has been indicated for pacifying impotence;

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I will state again the treatment for the forms of impotence in detail: / for one whose body has been well sweated and unctuated, purgation combined with unctuous substance [is administered].

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Then one should give food, or again non-unctuous enema / the intelligent physician should administer; then he should give an unctuous enema.

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Afterward he should administer a non-unctuous enema with palāśa, eraṇḍa, mustā, and the like; / and the aphrodisiac formulations described previously

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should be administered by the physician in impotence born of seed injury. / Having identified impotence caused by collapse of the penis, one should carry out its management:

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one should apply poultices, irrigation, or bloodletting; / and one should administer intake of unctuous substance and unctuous purgation;

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Linked texts (1)

Carakasaṃhitā — Agniveśa (Āyurveda) & Caraka, Sanskrit