[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) › [Carakasaṃhitā](https://indike.org/pramana/in.med.samhita.caraka) › [English (machine translation)](https://indike.org/pramana/in.med.samhita.caraka~en-mt) › 6.8 # The Compendium of Caraka 6.8 English (machine translation) 6.8 - **Language:** English ### [6.8.1](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.1) Now we shall explain the treatment of rājayakṣmā. ### [6.8.2](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.2) Thus spoke the revered Ātreya. ### [6.8.3](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.3) An ancient tale concerning the Moon, connected with the vice of lust, was indeed heard by the sages as the celestials were narrating it. ### [6.8.4](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.4) Excessively attached to Rohiṇī, not guarding his body, the body of the Moon came to emaciation due to depletion of unctuousness. ### [6.8.5](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.5) Because of lack of cohabitation with the remaining daughters of Prajāpati, his wrath, in the form of a sigh, issued forth embodied from his mouth. ### [6.8.6](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.6) For the Ray-Possessing One accepted twenty-eight daughters of Prajāpati for the purpose of marriage, yet did not conduct himself equally with all of them. ### [6.8.7](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.7) Disregarded by his father-in-law, not behaving equally among his wives, overcome with rajas and weakened, yakṣmā entered the Moon. ### [6.8.8](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.8) Overpowered by the immense anger of his father-in-law, deprived of splendour, accompanied by gods and divine sages, he went for refuge to the elder. ### [6.8.9](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.9) Then, having perceived the pure mind of the Moon, Prajāpati granted grace; Soma was thereafter treated by the two Aśvins. ### [6.8.10](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.10) Released from the seizing affliction, the Moon shone with special splendour; increased in vigour by the two Aśvins, he attained pure sattva. ### [6.8.11](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.11) Wrath, yakṣmā, fever, and disease are synonyms designating suffering; because it initially affected the King \[Moon\], it is therefore considered rājayakṣmā. ### [6.8.12](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.12) That yakṣmā, driven off by the two Aśvins, came to the world of mortals; having found a fourfold cause, it enters human beings: ### [6.8.13](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.13) exertion disproportionate to strength, suppression of urges, depletion, and irregular eating—one should know these as the fourfold cause of yakṣmā. ### [6.8.14](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.14) Through fighting, study, carrying loads, long journeys, leaping, swimming, and the like, through falls, injuries, or other rash deeds; ### [6.8.15](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.15) when a person's chest is injured by exertion disproportionate to strength, vāyu, enraged, stirs up both \[other\] doṣas and courses forth. ### [6.8.16](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.16) Residing in the head, it causes headache; located in the throat, it causes irritation of the throat, cough, hoarseness of voice, and anorexia; ### [6.8.17](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.17) located in the flank, flank pain; situated in the rectum, diarrhoea; situated in the joints, yawning and fever; and situated in the chest, chest pain. ### [6.8.18](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.18) Due to injury to the chest, he spits phlegm mixed with blood from coughing; with a shattered chest, he spits with difficulty, severely tormented by chest pain. ### [6.8.19](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.19) Thus, yakṣmā born of rash exertion sets in with these eleven manifestations; therefore, one who knows one's own self should not resort to rash exertion. ### [6.8.20](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.20) When a man, out of modesty, disgust, or fear, suppresses an impelling urge that has arrived—of flatus, urine, or faeces— ### [6.8.21](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.21) then wind, stirring up phlegm and bile from the obstruction of urges, causes disorders upwards, sideways, and downwards: ### [6.8.22](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.22) coryza, cough, hoarseness of voice, anorexia, flank pain, headache, fever, crushing pain in the shoulders, ### [6.8.23](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.23) body-aches, frequent vomiting, and diarrhoea of three varieties— these are the eleven manifestations by which the great yakṣmā is designated. ### [6.8.24](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.24) From envy, longing, fear, terror, anger, grief, extreme emaciation, excessive sexual intercourse, and fasting, semen and ojas decline. ### [6.8.25](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.25) Then, through the loss of unctuousness, vāyu increases and, stirring up the \[other\] two doṣas, causes coryza, fever, cough, body-aches, headache, ### [6.8.26](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.26) dyspnoea, diarrhoea, anorexia, flank pain, loss of voice, and burning heat in the shoulders—these eleven diseases. ### [6.8.27](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.27) These eleven symptoms announce that the great disease, rājayakṣmā, has arrived through depletion, bringing about the depletion of life. ### [6.8.28](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.28) For one who consumes various foods and drinks irregularly, the wind and other \[doṣas\], becoming abnormal, produce dreadful disorders. ### [6.8.29](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.29) Having become abnormal due to the irregularity, they obstruct the channels of blood and other \[tissues\], leading to disease, and the dhātus do not receive nourishment. ### [6.8.30](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.30) Coryza, excessive salivation, cough, vomiting, anorexia, fever, burning heat in the shoulders, and vomiting of blood, ### [6.8.31](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.31) flank pain, headache, and also hoarseness of voice: one should recognise these symptoms as caused by phlegm, bile, and wind respectively. ### [6.8.32](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.32) Thus the elevenfold symptom complex of this assembly of diseases, this king of diseases, born of its causes, has been stated, as well as its fourfold cause. ### [6.8.33](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.33) The premonitory symptom is coryza, weakness, seeing defects even in non-defective things, seeing one's own body as repulsive, ### [6.8.34](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.34) disgust while eating, depletion of strength and flesh, fondness for women, alcohol, and meat, and a liking for wrapping oneself up, ### [6.8.35](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.35) frequent falling of flies, wood-boring insects, hairs, and straw into one's food and drink, and the overgrowth of hairs and nails, ### [6.8.36](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.36) being attacked by birds, flying insects, and predatory beasts; in dreams, climbing upon heaps of hair, bones, and ashes, ### [6.8.37](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.37) and seeing reservoirs of water, mountains, forests, and even celestial bodies drying up, diminishing, or falling down— ### [6.8.38](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.38) this should be known as the premonitory symptom of multiform rājayakṣmā. Now I shall describe its manifestations in brief, along with its remedies. ### [6.8.39](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.39) The bodily dhātus undergo cooking each by its own internal heat, and through each its own channel, dhātu nourishes dhātu. ### [6.8.40](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.40) Due to the obstruction of the channels, the depletion of blood and other \[dhātus\], and the decline of the dhātu-heats, rājayakṣmā sets in. ### [6.8.41](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.41) At that time, whatever food located in the gut the digestive fire cooks mostly turns into waste; only a little goes to form ojas. ### [6.8.42](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.42) Therefore, the faeces must be protected, especially in a person suffering from rājayakṣmā; for in one afflicted by the depletion of all dhātus, his strength is indeed the strength of faeces. ### [6.8.43](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.43) When the channels are obstructed, the rasa staying in its own seat burns; arising upward with the impulse of cough, it issues forth in many forms. ### [6.8.44](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.44) From this, either six or eleven diseases arise, by whose combination it is called rājayakṣmā: ### [6.8.45](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.45) cough, heat in the shoulders, alteration of voice, fever, flank pain and headache, vomiting of blood and phlegm, dyspnoea, bowel disorder, and anorexia. ### [6.8.46](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.46) These are the eleven manifestations of yakṣmā, or these six: cough, fever, flank pain, disorder of voice and bowel, and anorexia. ### [6.8.47](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.47) If accompanied by all, half, or even three symptoms when there is depletion of flesh and strength, \[the patient\] is to be rejected; but otherwise, he is treatable, even if having all the symptoms. ### [6.8.48](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.48) Phlegm, blood, or bile residing at the root of the nose congeals against the wind in one whose head is inflated by wind. ### [6.8.49](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.49) From that, a severe coryza arises, emaciating the body. Its manifestations are headache, heaviness, nasal discharge, ### [6.8.50](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.50) fever, cough, excitation of phlegm, hoarseness of voice, anorexia, exhaustion, and debility of the sense organs; from this, yakṣmā is produced. ### [6.8.51](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.51) Slimy, thick, foul-smelling, green, or whitish-yellow— coughing, the patient with yakṣmā spits up rasa accompanied by phlegm. ### [6.8.52](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.52) Burning heat in the shoulders and flanks, heat in the hands and feet, and fever extending over the whole body: this is the symptom complex of rājayakṣmā. ### [6.8.53](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.53) Hoarseness of voice may arise from vāta, from pitta, from kapha, from blood, from the urge of coughing, or with chronic rhinitis; from vāta the voice is rough, weak, and unsteady; ### [6.8.54](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.54) from pitta there is scorching of the palate and throat, and he hates to speak; from kapha it is broken and obstructed, and the voice rattles; ### [6.8.55](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.55) from obstruction by blood, the voice is depressed and proceeds with difficulty; from excessive coughing it is hoarse, and from chronic rhinitis it is of phlegm-wind nature. ### [6.8.56](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.56) Flank pain is irregular, characterised by constriction and extension; headache in a person with yakṣmā is accompanied by burning heat and heaviness. ### [6.8.57](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.57) When the body of a yakṣmā patient is congested due to irregular eating, blood and excited, accumulated phlegm issue forth from the throat. ### [6.8.58](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.58) Blood, because its pathways are obstructed, does not reach the flesh and other \[dhātus\]; and remaining excited in the stomach, it comes up to the throat because of its abundance. ### [6.8.59](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.59) Because of obstruction of the chest by wind and phlegm, he falls into dyspnoea; and when the digestive fire is impaired by the doṣas, he suffers from slimy diarrhoea. ### [6.8.60](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.60) Through the doṣas individually or combined residing in the tongue and heart, and through repulsive mental objects, anorexia toward food arises. ### [6.8.61](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.61) One should know anorexia caused by vāta and the other \[doṣas\] respectively by astringent, bitter, and sweet tastes in the mouth, and mental anorexia by seeing impurities. ### [6.8.62](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.62) Vomiting, which occurs from anorexia, from the urge to cough, from excitation of the doṣas, or from fear, is also a complication of the other disorders. ### [6.8.63](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.63) Yakṣmā is always born of the three doṣas; but having examined the relative strength of the doṣas according to stage, the physician should treat the emaciated patient. ### [6.8.64](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.64) In coryza, headache, cough, dyspnoea, loss of voice, and flank pain, hear of the various general treatments: ### [6.8.65](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.65) In chronic rhinitis, one should administer sudation, unction, smoke, poultices, affusion, immersion, barley groats, and vāṭya, ### [6.8.66](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.66) and meat broths that are salty, sour, pungent, and warm, enriched with unctuous substances, prepared from common quail, black partridge, cock, and buttonquail. ### [6.8.67](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.67) One should drink unctuous goat meat broth prepared with pippalī, barley, horse gram, and dried ginger, along with pomegranate and āmalaka. ### [6.8.68](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.68) By this, the six disorders beginning with chronic rhinitis are overcome. Or \[one should attend to him\] with well-prepared soups of radishes or horse gram, ### [6.8.69](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.69) with cooked foods of barley, wheat, and śāli rice according to habituation. He should drink the clear supernatant of vāruṇī wine, or water boiled with the five roots, ### [6.8.70](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.70) or \[water\] prepared with coriander and dried ginger, or boiled with tāmalakī, \[or\] with the four parṇinīs; and with that one should prepare cooked foods. ### [6.8.71](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.71) Using kṛśarā, utkārikā, black gram, horse gram, and barley cooked with milk, by the method of saṃkara sudation, on the throat, flanks, chest, and head, ### [6.8.72](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.72) one should administer sudation; and with broken leaves one should affuse the head, or with pleasantly warm waters boiled with balā, guḍūcī, and licorice. ### [6.8.73](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.73) Or one should apply tube sudation using the heads of goats or fish, on the throat, the head, and the flanks, or with milk boiled with vāta-\[pacifying herbs\]. ### [6.8.74](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.74) The flesh of aquatic and wetland animals, water boiled with the five roots, or fermented grain water with unctuous substances should be used in tube sudation. ### [6.8.75](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.75) Well-prepared warm poultices made of jīvantī, śatapuṣpā, balā, licorice, vacā, minced-meat paste, vidārī, radish, ### [6.8.76](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.76) and the flesh of aquatic and wetland animals, containing the four unctuous substances, are commended for those suffering from pain in the head, flanks, and shoulders. ### [6.8.77](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.77) Śatapuṣpā along with licorice, kuṣṭha, tagara, and sandalwood, applied as a poultice with ghee, relieves pain in the head, flanks, and shoulders. ### [6.8.78](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.78) Balā, rāsnā, sesame seeds, ghee, licorice, and blue water lily; palaṅkaṣā, devadāru, sandalwood, saffron, and ghee; ### [6.8.79](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.79) vīrā, balā, vidārī, kṛṣṇagandhā, punarnavā, śatāvarī, payasyā, kattṛṇa, licorice, and ghee — ### [6.8.80](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.80) these four warm poultices are taught in half-verses; they are recommended for those with pain in the head, flanks, and shoulders, whose bowels have moved. ### [6.8.81](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.81) Nasal administration, smoking regimens, unctuous drinks taken after meals, oils suitable for inunction, and especially enema therapy \[are indicated\]. ### [6.8.82](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.82) With a horn, a gourd, or leeches, or by venesection, one should draw out his vitiated blood in pain of the head, flanks, and shoulders. ### [6.8.83](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.83) A warm poultice with ghee made of padmaka, uśīra, and sandalwood is desirable, or made of dūrvā, licorice, mañjiṣṭhā, and saffron steeped in ghee. ### [6.8.84](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.84) Prapauṇḍarīka, nirguṇḍī, lotus stamen, blue water lily, kaśeruka, and payasyā along with ghee form an external application. ### [6.8.85](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.85) Inunction with candanādya oil or hundred-times-washed ghee, and affusion with milk or with licorice water is commended. ### [6.8.86](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.86) Affusion should be applied with very cold rainwater or \[water\] boiled with sandalwood and the rest; this is the pacifying treatment. ### [6.8.87](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.87) For those with an excess of doṣas, emesis together with purgation is commended after they have undergone unction and sudation, \[administered\] with unctuous substances so that it does not cause emaciation. ### [6.8.88](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.88) An emaciated patient loses bodily strength even from the passing of stools; how much more one who is purged, \[even\] with a dose adapted to weakness? ### [6.8.89](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.89) For those whose gut has been purified, in cough, dyspnoea, loss of voice, and pains in the head, flanks, and shoulders, one should administer these proven formulations: ### [6.8.90](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.90) Ghee prepared with herbs of the balā group or vidārigandhā group, or with vidārī or licorice, along with salt, makes an excellent errhine that improves the voice. ### [6.8.91](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.91) Prapauṇḍarīka, licorice, pippalī, bṛhatī, balā, milk, and ghee: boiled together, that makes an excellent nasal administration that improves the voice, ### [6.8.92](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.92) cures pain of the head, flanks, and shoulders, and destroys cough and dyspnoea; and ghee taken repeatedly after meals \[acts likewise\]. ### [6.8.93](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.93) Ghee prepared with daśamūla, milk, and meat broth, containing a paste of balā, quickly arrests these diseases, ### [6.8.94](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.94) administered either after or in the middle of a meal according to digestive capacity; or rāsnā-ghee with milk, or balā-ghee with milk. ### [6.8.95](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.95) Now hear further of electuaries that relieve cough, improve the voice, destroy dyspnoea and hiccup, and of unctuous substances that cure pain of the head, flanks, and shoulders: ### [6.8.96](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.96) Ghee mixed with dates, raisins, sugar, and honey, along with pippalī, cures hoarseness, cough, dyspnoea, and fever. ### [6.8.97](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.97) Fresh ghee that arises from milk boiled with daśamūla, with pippalī and honey, is supreme in restoring the voice, ### [6.8.98](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.98) cures pain in the head, flanks, and shoulders, and relieves cough, dyspnoea, and fever; or ghee that arises from \[milk\] boiled with the five pañcamūlas. ### [6.8.99](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.99) Ghee prepared in a decoction of the five pañcamūlas with four parts milk overcomes this sevenfold strength of yakṣmā. ### [6.8.100](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.100) Dates, pippalī, grapes, pathyā, śṛṅgī, durālabhā; triphalā, pippalī, musta, śṛṅgāṭaka, jaggery, and sugar; ### [6.8.101](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.101) vīrā, śaṭī, puṣkara, holy basil, sugar, and jaggery; dried ginger, citraka, puffed paddy, pippalī, āmalaka, and jaggery — ### [6.8.102](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.102) a man should lick these \[formulations\], prescribed by half-verses, with honey and ghee; they relieve cough and dyspnoea, improve the voice, and likewise cure flank pain. ### [6.8.103](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.103) Rock sugar, bamboo manna, pippalī, cardamom, and cinnamon, each doubled from the last in reverse order, one should have him lick with honey and ghee, ### [6.8.104](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.104) or one should make him consume it as a powder, when afflicted with dyspnoea, cough, and phlegm, with a numb tongue, loss of taste, weak digestive fire, and flank pain. ### [6.8.105](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.105) In burning of the hands, feet, and limbs, in fever, and likewise in upward internal bleeding, vāsā-ghee or \[ghee\] prepared with śatāvarī is exceedingly beneficial. ### [6.8.106](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.106) Durālabhā, śvadaṃṣṭrā, the four parṇinīs, and balā, taking one pala of each, and one pala of parpaṭaka, ### [6.8.107](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.107) one should boil in ten parts water; when reduced to one-tenth part, into the well-strained decoction one should add pastes of these drugs: ### [6.8.108](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.108) śaṭī, puṣkara root, pippalī, trāyamāṇā, tāmalakī, kirātatikta, and indrayava, ### [6.8.109](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.109) and sārivā, well crushed, in the quantity of one karṣa \[each\]; then with that, one should cook one prastha of ghee with twice as much milk. ### [6.8.110](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.110) Fever, burning sensation, dizziness, cough, pain in the shoulders, flanks, and head, thirst, vomiting, and diarrhoea: this ghee dispels them. ### [6.8.111](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.111) Jīvantī, licorice, grapes, indrayava, śaṭī, puṣkara root, vyāghrī, gokṣuraka, balā, ### [6.8.112](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.112) blue water lily, tāmalakī, trāyamāṇā, durālabhā, and pippalī: grinding these in equal amounts, the physician should cook ghee. ### [6.8.113](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.113) This foremost ghee dispels the elevenfold symptoms arisen from the king of diseases, the collection of disorders. ### [6.8.114](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.114) Having boiled balā, sthirā, pṛśniparṇī, bṛhatī, and kaṇṭakārī, in that decoction \[one should boil\] cow's milk with dried ginger, ### [6.8.115](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.115) cooked together with grapes, dates, ghee, and pippalī; and one should administer this with honey to relieve fever and cough, and to improve the voice. ### [6.8.116](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.116) Likewise is the use of goat's milk and broths of arid-land animals; / and chickpeas, mung beans, and makuṣṭha beans are prepared for soup. ### [6.8.117](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.117) The pacifying treatment that was previously described for fevers / is commended, along with ghee, for the fevers and burning sensations of patients with yakṣmā. ### [6.8.118](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.118) A strong man dominated by phlegm, suffering from excessive salivation, should vomit / with milk mixed with madanaphala, or with its juice, or with licorice decoction, ### [6.8.119](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.119) or with gruel containing ghee and prepared with emetic drugs. / Having vomited, he should take light food with digestive stimulants at mealtime. ### [6.8.120](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.120) Using barley, wheat, mādhvīka, sidhu, ariṣṭa, surā, and āsava, / and roasted meats of arid-land animals, he will overcome kapha. ### [6.8.121](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.121) Due to the excessive discharge of phlegm, vāyu drives out the phlegm; / the wise physician should overcome that excessive salivation only with unctuous and warm measures. ### [6.8.122](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.122) Whatever treatment is used for excessive salivation is commended for vomiting as well, / along with agreeable, vāta-dispelling, and light food and drinks. ### [6.8.123](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.123) Generally, owing to an impaired digestive fire, slimy diarrhea occurs; / he develops an unpleasant taste in the mouth and has no relish for food. ### [6.8.124](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.124) For him, one should prepare formulations that stimulate the digestive fire, eliminate diarrhea, / cleanse the mouth, and check anorexia. ### [6.8.125](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.125) He should make him drink indrayava together with dried ginger in rice water, / and when it is digested, gruel prepared with cāṅgerī, buttermilk, and pomegranates. ### [6.8.126](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.126) Pāṭhā, bilva, and yamānī are to be drunk mixed with buttermilk; / durālabhā, fresh ginger, and pāṭhā with surā liquor. ### [6.8.127](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.127) Pulp of jambū and mango, bilva, wood apple, and dried ginger / should be drunk with the scum of thin gruel to stop diarrhea. ### [6.8.128](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.128) And from these three formulations, beginning with pāṭhā, one should prepare khaḍa soups / with pulses, unctuous substances, and sours, which are supremely bowel-binding. ### [6.8.129](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.129) Shoots of vetasa, arjuna, jambū, mṛṇālī, kṛṣṇagandhā, / śrīparṇī, madayantī, and yūthikā, ### [6.8.130](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.130) and of citron, dhātakī, and pomegranate, / he should make into khaḍa soups containing unctuous substances, sour, and salt, which are supremely bowel-binding. ### [6.8.131](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.131) He should also prepare khaḍa soups of cāṅgerī, cukrikā, and dugdhikā, / mixed with curd cream, with ghee, and with pomegranate. ### [6.8.132](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.132) Broths of easily digestible meats combined with bowel-binding ingredients / are commended as side dishes, and red śāli rice as the staple food. ### [6.8.133](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.133) For drinking, water boiled with the lesser group of five roots is beneficial, / or buttermilk, surā with cukrikā, or pomegranate juice. ### [6.8.134](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.134) Thus has been stated the digestive-fire-stimulating, bowel-binding medicine for those with loose stool; / now hear the foremost appetizer that destroys bad taste in the mouth. ### [6.8.135](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.135) Twice daily one should chew a tooth-cleaning stick and use a mouthwash; / likewise, one should rinse the mouth and hold mouth gargles. ### [6.8.136](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.136) He should then inhale medicinal smoke, and eat cleanly prepared food and drink / with digestive-stimulant and carminative medicines, wholesome and prepared to his liking. ### [6.8.137](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.137) Cinnamon, mustā, cardamom, and coriander; mustā, āmalaka, and cinnamon; / bark of dāruharidrā, yavānī, tejohvā, and pippalī; ### [6.8.138](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.138) yavānī and tintiḍīka: these five mouthwashes, / stated in the quarter-verses, are appetizers and oral cleansers. ### [6.8.139](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.139) He should keep a pill in the mouth, or cleanse the mouth with powders, / or hold these as gargles after stirring them \[in water\]. ### [6.8.140](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.140) He should hold agreeable gargles of surā, mādhvīka, and sīdhu liquors, / of oil, honey, and ghee, and of milk and sugarcane juice. ### [6.8.141](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.141) One should take yavānī, tintiḍīka, dried ginger, amlavetasa, / pomegranate, and sour jujube, one karṣa each; ### [6.8.142](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.142) coriander, sauvarcala salt, cumin, and cinnamon, half a karṣa each; / one hundred pippalī fruits, and two hundred black peppercorns; ### [6.8.143](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.143) and four palas of sugar; one should powder them together. / That powder cleanses the tongue, is pleasing to the heart, and promotes relish for food. ### [6.8.144](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.144) It relieves pain in the heart, spleen, and flanks, destroys constipation and abdominal distension, / alleviates cough and dyspnea, is bowel-binding, and cures disorders of the grahaṇī and piles. Thus ends the Yavānīṣāḍava. Tālīśapatra, black pepper, dried ginger, good pippalī, / increasing in parts in successive order, and cinnamon and cardamom, half a part each; ### [6.8.146](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.146) and eight times as much white sugar as pippalī is to be added here. / That powder relieves cough, dyspnea, and anorexia, and is a supreme digestive stimulant. ### [6.8.147](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.147) It removes heart disease, anemia, grahaṇī disorders, consumption, spleen disorders, and fever; / it cures vomiting, diarrhea, and colic, and directs obstructed vāta downwards. ### [6.8.148](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.148) Having cooked sugar candy, one may also prepare this powder into pills; / for pills, by contact with fire, are considered lighter than powders. Thus ends the Tālīśādya powder and pills. For those who are wasting and depleted of flesh, the skilled physician / should give prepared meats of carnivorous animals, especially as tonics. ### [6.8.150](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.150) To an emaciated patient he should give peacock, and under the name of peacock other \[birds\]: / vultures, owls, and blue jays, properly prepared as a soup; ### [6.8.151](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.151) crows under the name of partridge, and snakes under the name of varmi fish; / and he should also give fried earthworms under the name of fish entrails. ### [6.8.152](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.152) Foxes, large mongooses, and cats prepared \[as meat\], / and young jackals the physician should have given under the name of hare. ### [6.8.153](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.153) Lions, bears, hyenas, tigers, and such / carnivorous beasts he should give under the name of deer to increase flesh. ### [6.8.154](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.154) The flesh of elephants, rhinoceroses, and horses, made into spiced minced meat, / the physician should give under the name of buffalo to increase flesh. ### [6.8.155](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.155) The flesh of animals whose bodies are plumped with flesh is supremely nourishing to flesh; / due to its sharpness, heat, and lightness, that of wild beasts and birds is especially commendable. ### [6.8.156](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.156) Whatever meats one must employ that are disliked due to lack of familiarity, / in their case subterfuge \[is used\], for in that way they can be eaten comfortably. ### [6.8.157](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.157) Knowing \[what it is\], he would feel revulsion and not eat it, or having eaten he would vomit it up; / therefore, one should give these meats prepared under disguise. ### [6.8.158](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.158) The flesh of peacock, partridge, and rooster; of swans, pig, and camel; / and of donkey, cow, and buffalo is supremely flesh-building. ### [6.8.159](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.159) The eightfold origin of meats was explained in the section on food and drinks; / having examined that, the wise physician should give meats to an emaciated patient. ### [6.8.160](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.160) Meats of birds of prey, burrowing animals, marsh animals, water-born creatures, and swimmers / should be given as food in appropriate measure to one emaciated by vāta. ### [6.8.161](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.161) Pec-hunting birds, scratcher birds, and arid-land animals and birds / are to be employed for consumptive patients stricken by kapha and pitta. ### [6.8.162](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.162) Properly prepared into soup, appetizing, soft, / juicy, and fragrant, he should eat these meats. ### [6.8.163](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.163) Eating only meat and drinking mādhvīka wine, / with a controlled and generous mind, consumption does not remain long in his body. ### [6.8.164](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.164) For one who constantly drinks the clear supernatant of vāruṇī wine, resorts to external cleansings, / and does not suppress natural urges, yakṣmā finds no entry. ### [6.8.165](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.165) While eating meats, he should drink clear vāruṇī, sīdhu, / ariṣṭas, āsavas, and honey wine as appropriate post-prandial drinks. ### [6.8.166](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.166) Due to its sharpness, heat, clarity, and subtlety, liquor churns and opens / the openings of the channels quickly; from their unblocking, the seven tissues ### [6.8.167](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.167) are nourished, and through the nourishment of the tissues, consumption quickly subsides. / One should administer ghee prepared with the fresh juice of carnivorous meat ### [6.8.168](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.168) with honey; or ghee prepared with ten times the quantity of milk; / or prepared with sweet drugs and decoctions of the Daśamūla, ### [6.8.169](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.169) together with milk and meat soup—this ghee is supreme in destroying consumption. / With pippalī, pippalīmūla, cavya, citraka, and ginger, ### [6.8.170](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.170) with barley-ash and milk, ghee is a purifier of the channels. / Prepared with rāsnā, balā, gokṣuraka, sthirā, and varṣābhū, ### [6.8.171](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.171) containing a paste of jīvantī and pippalī, with milk, ghee dispels consumption. / He should drink a dose of it with barley gruel, or lick it with honey, ### [6.8.172](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.172) or eat with food from these prepared ghees. / This dietary regimen is prescribed for those suffering from consumption. ### [6.8.173](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.173) Hereafter, the regimen relying on external touch will be spoken. / After being well anointed, he should bathe in tubs of unctuous substances, milk, or water ### [6.8.174](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.174) for the purpose of relieving channel obstruction, and indeed for strength and nourishment. / When he has emerged, with pleasant hands anointed again with mixed oils, ### [6.8.175](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.175) one should rub the comfortably seated man and pleasantly apply paste to him. / Jīvantī, śatavīryā, vikasā, along with punarnavā, ### [6.8.176](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.176) aśvagandhā, apāmārga, tarkārī, madhuka, balā, / vidārī, mustard seed, kuṣṭha, grains of rice, linseed fruit, ### [6.8.177](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.177) māṣa beans, sesame seeds, and yeast—one should powder all together in one mass; / tripled with barley flour, mixed with curd and honey, ### [6.8.178](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.178) this paste application should be made, granting nourishment, complexion, and strength. / With paste of white mustard and fragrant pastes, ### [6.8.179](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.179) he should bathe with waters comfortable for the season, boiled with revitalizing drugs. / Adorned with fragrances, garlands, fine garments, and ornaments, ### [6.8.180](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.180) touching auspicious things and worshipping deities together with physicians and twice-born, / drinks and foods possessing desired complexion, taste, touch, and aroma, ### [6.8.181](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.181) pleasing and served by loved ones, giving happiness, he should eat at ease. / Grains older than one year are to be prescribed for those with consumption, ### [6.8.182](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.182) light, unimpoverished in potency, sweet, and fragrant; / indeed, those which cause delight are the most wholesome. ### [6.8.183](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.183) And whatever wholesome \[regimen\] will be taught in the treatment of chest wound and wasting, / that should be applied for the yakṣmā patient for the increase of strength and flesh: ### [6.8.184](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.184) By massage and paste applications, by new and pleasing garments, / by seasonal baths, tub-immersions, and cleansings, ### [6.8.185](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.185) by enemas, milk, and ghee, by meats, meat soups, and cooked rice, / by favored wines, by resorting to delightful fragrances, ### [6.8.186](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.186) by seeing delightful friends and lovely women, / by the sounds of songs and musical instruments, and indeed by hearing pleasant things, ### [6.8.187](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.187) by cheering and consoling, by constantly serving teachers, / by chastity, charity, austerity, and worshipping the deities, ### [6.8.188](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.188) by truth, adherence to good conduct, auspicious rites, and non-violence, / and through the worship of physicians and Brahmins, the king of diseases recedes. ### [6.8.189](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.189) By performing which sacrifice rājayakṣmā was overcome of old, / that Vedic sacrifice the seeker of health should perform. ### [6.8.190](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.190) Here are two verses: ### [6.8.190\_1](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.190_1) The primeval origin, causes, premonitory symptoms, collection of symptoms, / the treatment of rājayakṣmā described in brief and in detail, ### [6.8.191](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.191) the reason for its name, incurability, curability, and difficulty of cure— ### [6.8.191\_1](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.191_1) thus the entire summary in the treatment of rājayakṣmā has been spoken. ### [6.8.191\_2](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8.191_2) Thus ends the eighth chapter, named The Treatment of Rājayakṣmā, in the section on therapeutics in the treatise composed by Agniveśa and redacted by Caraka. //8 ## Linked texts (1) - [Carakasaṃhitā](https://indike.org/pramana/in.med.samhita.caraka.6.8.1) — Agniveśa (Āyurveda) & Caraka, Sanskrit --- Source: [https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8](https://indike.org/pramana/in.med.samhita.caraka~en-mt.6.8) · Pramāṇa