The Compendium of Suśruta 4.34: catustriṃśattamo+adhyāyaḥ/

Suśrutasaṃhitā 4.34

Language: Sanskrit

catustriṃśattamo+adhyāyaḥ/

4.34.1

athāto vamanavirecanavyāpaccikitsitaṃ vyākhyāsyāmaḥ//

vaidyāturanimittaṃ vamanaṃ virecanaṃ ca pañcadaśadhā vyāpadyate/ tatra vamanasyādho gatirūrdhvaṃ virecanasyeti pṛthak; sāmānyamubhayoḥ sāvaśeṣaudhatvaṃ, jīrṇauṣadhatvaṃ, hīnadoṣāpahṛtatvaṃ, vātaśūlam, ayogo, atiyogo, jīvādānam, ādhmānaṃ, parikartikā, parisrāvaḥ, pravāhikā, hṛdayopasaraṇaṃ, vibandha, aṅgapragraha iti//

4.34.4

tatra bubhukṣāpīḍitasyātitīkṣṇāgnermṛdukoṣṭhasya cāvatiṣṭhamānaṃ durvamasya vā guṇasāmānyabhāvādvamanamadho gacchati, tatrepsitānavāptirdoṣotkleśaśca†; tamāśu snehayitvā bhūyastīkṣṇatarairvāmayet//

4.34.5

apariśuddhāmāśayasyotkliṣṭaśleṣmaṇaḥ saśeṣānnasya vā+ahṛdyamatiprabhūtaṃ vā virecanaṃ pītamūrdhvaṃ gacchati, tatrepsitānavāptirdoṣokleśaśca†; tatrāśuddhāmāśayamulbaṇaśleṣmāṇamāśu vāmayitvā bhūyastīkṣṇatarairvirecayet, āmānvaye tvāmavat saṃvidhānam, ahṛdye+atiprabhūte ca hṛdyaṃ pramāṇayuktaṃ ca; ata ūrdhvamuttiṣṭhatyauṣadhe na tṛtīyaṃ pāyayet, tatastvenaṃ madhughṛtaphāṇitayuktairlehairvirecayet//

4.34.6

doṣavigrathitamalpamauṣadhamavasthitamūrdhvabhāgikamadhobhāgikaṃ vā na sraṃsayati doṣān, tatra tṛṣṇā pārśvaśūlaṃ chardirmūrcchā parvabhedo hṛllāso+aratirudgārāviśuddhiśca bhavati; tamuṣṇābhiradbhirāśu vāmayedūrdhvabhāgike, adhobhāgike+api ca sāvaśeṣauṣadhamatipradhāvitadoṣamatibalamasamyagviriktalakṣaṇamapyevaṃ vāmayet//

4.34.7

krūrakoṣṭhasyātitīkṣṇāgneralpamauṣadhamalpaguṇaṃ vā bhaktavat pākamupaiti, tatra samudīrṇā doṣā yathākālamanirhrīyamāṇā vyādhivibhramaṃ balavibhraṃśaṃ cāpādayanti, tamanalpamamandamauṣadhaṃ ca pāyayet//

4.34.8

asnigdhasvinnenālpaguṇaṃ vā bheṣajamupayuktamalpān doṣān hanti; tatra vamane doṣaśeṣo gauravamutkleśaṃ hṛdayāviśuddhiṃ vyādhivṛddhiṃ ca karoti, tatra taṃ yathāyogaṃ pāyayitvā vāmayeddṛḍhataraṃ; virecane tu gudaparikartanamādhmānaṃ śirogauravamaniḥsaraṇaṃ vā vāyorvyādhivṛddhiṃ ca karoti; tamupapādya bhūyaḥ snehasvedābhyāṃ virecayeddṛḍhataraṃ, dṛḍhaṃ bahupracalitadoṣaṃ vā tṛtīye divase+alpaguṇaṃ ceti//

4.34.9

asnigdhasvinnena rūkṣauṣadhamupayuktamabrahmacāriṇā vā vāyuṃ kopayati, tatra vāyuḥ prakupitaḥ pārśvapṛṣṭhaśroṇimanyāmarmaśūlaṃ mūrcchāṃ bhramaṃ madaṃ saṃjñānāśaṃ ca karoti, taṃ vātaśūlamityācakṣate; tamabhyajya dhāvyasvedena svedayitvā yaṣṭīmadhukavipakvena tailenānuvāsayet//

4.34.10

snehasvedābhyāmavibhāvitaśarīreṇālpamauṣadhamalpaguṇaṃ vā pītamūrdhvamadho vā nābhyeti doṣāṃścotkleśya taiḥ saha balakṣayamāpādayati, tatrādhmānaṃ hṛdayagrahastṛṣṇā mūrcchā dāhaśca bhavati, tamayogamityācakṣate; tamāśu vāmayenmadanaphalalavaṇāmbubhirvirecayettīkṣṇataraiḥ kaṣāyaiśca/ durvāntasya tu samutkliṣṭādoṣā vyāpya śarīraṃ kaṇḍūśvayathukuṣṭhapiḍakājvarāṅgamardanistodanāni kurvanti, tatastānaśeṣānmadauṣadhenāpaharet/ asnigdhasvinnasya durviriktasyādhonābheḥ stabdhapūrṇodaratā śūlaṃ vātapurīṣasaṅgaḥ kaṇḍūmaṇḍalaprādurbhāvo vā bhavati, tamāsthāpya punaḥ saṃsrehya virecayettīkṣṇena/ nātipravartamāne tiṣṭhati vā duṣṭasaṃśodhane tatsantejanārthamuṣṇodakaṃ pāyayet, pāṇitāpaiśca pārśvodaramupasvedayet, tataḥ pravartante doṣāḥ/ anupravṛtte cālpadoṣe jīrṇauṣadhaṃ bahudoṣamahaḥśeṣaṃ daśarātrādūrdhvamupasaṃskṛtadehaṃ snehasvedābhyāṃ bhūyaḥ śodhayet/ durvirecyamāsthāpya punaḥ saṃsnehya virecayet/ hrībhayalobhairvegāghātaśīlāḥ prāyaśaḥ striyo rājasamīpasthā vaṇijaḥ śrotriyāśca bhavanti, tasmādete durvirecyāḥ, bahuvātatvāt; ata eva tānatisnigdhān svedopapannāñ śodhayet//

4.34.11

sngidhasvinnasyātimātramatimṛdukoṣṭhasya vā+atitīkṣṇamadhikaṃ vā dattamauṣadhamatiyogaṃ kuryāt/ tatra vamanātiyoge pittātipravṛttirbalavisraṃso vātakopaśca balavān bhavati, taṃ ghṛtenābhyajyāvagāhya śītāsvapsu śarkarāmadhumiśrairlehairupacaredyathāsvaṃ; virecanātiyoge kaphasyātipravṛttiruttarakālaṃ ca saraktasya, tatrāpi balavisraṃso vātakopaśca balavān bhavati, †tamatiśītāmbubhiḥ pariṣicyāvagāhya vā śītaistaṇḍulāmbubhirmadhumiśraiśchardayet, picchābastiṃ cāsmai dadyāt, kṣīrasarpiṣā cainamanuvāsayet, priyaṅgvādiṃ cāsmai taṇḍulāmbunā pātuṃ prayacchet, kṣīrarasayoścānyatareṇa bhojayet//

4.34.12

tasiminneva vamanātiyoge pravṛddhe śoṇitaṃ ṣṭhīvati chardayati vā, tatra jihvāniḥsaraṇamapasaraṇamakṣṇorvyāvṛttirhanusaṃhananaṃ tṛṣṇā hikkā jvaro vaisaṃjñyamityaupadravā bhavanti; tamajāsṛkcandanośīrāñjanalājacūrṇaiḥ saśarkarodakairmanthaṃ pāyayet, phalarasairvā saghṛtakṣaudraśarkaraiḥ śuṅgābhirvā vaṭādīnāṃ peyāṃ siddhāṃ sakṣaudrāṃ varcogrāhibhirvā, payasā jāṅgalarasena vā bhojayet, atisrutaśoṇitavidhānenopacaret; jihvāmatisarpitāṃ kaṭukalavaṇacūrṇapraghṛṣṭāṃ tiladrākṣāpraliptāṃ vā+antaḥ pīḍayet, antaḥ praviṣṭāyāmamlamanye tasya purastāt khādayeyuḥ; vyāvṛtte cākṣiṇī ghṛtābhyakte pīḍayet, tṛṣṇādiṣu ca yathāsvaṃ pratikurvīta, visaṃjñe veṇuvīṇāgītasvanaṃ śrāvayet//

4.34.13

virecanātiyoge ca sacandrakaṃ salilamadhaḥ sravati tato māṃsadhāvanaprakāśamuttarakālaṃ jīvaśoṇitaṃ ca, tato gudaniḥsaraṇaṃ vepathurvamanātiyogopadravāścāsya bhavanti; tamapi niḥsrutaśoṇitavidhānenopacaret, niḥsarpitagudasya gudamabhyajya parisvedyāntaḥ pīḍayet kṣudrarogacikitsitaṃ vā vīkṣeta, vepathau vātavyādhividhānaṃ kurvīta, jihvāniḥsaraṇādiṣūktaḥ pratīkāraḥ, atipravṛtte vā jīvaśoṇite kāśmarīphalabadarīdūrvośīraiḥ śṛtena payasā ghṛtamaṇḍāñjanayuktena suśītenāsthāpayet, nyagrodhādikaṣāyekṣurasaghṛtaśoṇitasaṃsṛṣṭaiścainaṃ bastibhirupācaret, śoṇitaṣṭhīvane raktapittaraktātīsārakriyāścāsya vidhadhyāt, nyagrodhādiṃ cāsya vidadhyāt pānabhojaneṣu//

4.34.14

jīvaśoṇitaraktapittayośca jijñāsārthaṃ tasmin picuṃ plotaṃ vā kṣipet, yadyuṣṇodakaprakṣālitamapi vastraṃ rañjayati tajjīvaśoṇitamavagantavyaṃ; sabhaktaṃ ca śune dadyācchaktusaṃmiśraṃ vā, sa yadyupabhuñjīta tajjīvaśoṇitamavagantavyam; anyathā raktapittamiti//

4.34.15

saśeṣānnena bahudoṣeṇa rūkṣeṇānilaprāyakoṣṭhenānuṣṇamasnigdhaṃ vā pītamauṣadhamādhmāpayati, tatrānilamūtrapurīṣasaṅgaḥ samunnaddhodaratā pārśvabhaṅgo gudabastinistodanaṃ bhaktāruciśca bhavati, taṃ cādhmānamityācakṣate; tamupasvedyānāhavartidīpanabastikriyābhirupacaret//

4.34.16

kṣāmeṇātimṛdukoṣṭhena mandāgninā rūkṣeṇa vā+atitīkṣṇoṣṇātilavaṇamatirūkṣaṃ vā pītamauṣadhaṃ pittānilau pradūṣya parikartikāmāpādayati, tatra gudanābhimeḍhrebastiśiraḥsu sadāhaṃ parikartanamanilasaṅgo vāyuviṣṭambho bhaktāruciśca bhavati; tatra picchābastiryaṣṭīmadhukakṛṣṇatilakalkamadhughṛtayuktaḥ, śītāmbupariṣiktaṃ cainaṃ payasā bhuktavantaṃ ghṛtamaṇḍena yaṣṭīmadhukasiddhena tailena vā+anuvāsayet//

4.34.17

krūrakoṣṭhasyātiprabhūtadopasya mṛdvauṣadhamavacāritaṃ samutkliśya doṣānna niḥśeṣānapaharati, tataste doṣāḥ parisrāvamāpādayanti, tatra daurbalyodaraviṣṭambhārucigātrasadanāni bhavanti, savedanau cāsya pittaśleṣmāṇau parisravataḥ, taṃ parisrāvamityācakṣate; tamajakarṇadhavatiniśapalāśabalākaṣāyairmadhusaṃyuktairāsthāpayet, upaśāntadoṣaṃ snigdhaṃ ca bhūyaḥ saṃśodhayet//

4.34.18

atirūkṣe+atisnigdhe vā †bheṣajamavacāritamaprāptaṃ vātavarca udīrayati vegāghātena vā, tadā pravāhikā bhavati; tatra savātaṃ sadāhaṃ saśūlaṃ guru picchilaṃ śvetaṃ kṛṣṇaṃ saraktaṃ vā bhṛśaṃ pravāhamāṇaḥ kaphamupaviśati; tāṃ parisrāvavidhānenopacaret//

4.34.19

yastūrdhvamadho vā bheṣajavegaṃ pravṛttamajñatvādvinihanti tasyopasaraṇaṃ hṛdi kurvanti doṣāḥ, tatra pradhānamarmasantāpādvedanābhiratyarthaṃ pīḍyamāno dantān kiṭakiṭāyate †udgatākṣo jihvāṃ svādati pratāmyatyacetāśca bhavati, taṃ parivarjayanti mūrkhāḥ; tamabhyajya dhānyasvedena svedayet, yaṣṭimadhukasiddhena ca tailenānuvāsayet, śirovirecanaṃ cāsmai tīkṣṇaṃ vidadhyāt, tato yaṣṭimadhukamiśreṇa taṇḍulāmbunā chardayet, yathādoṣocchrāyeṇa cainaṃ bastibhirupācaret//

4.34.20

yastūrdhvamadho vā pravṛttadoṣaḥ śītāgāramudakamanilamanyadvā seveta, tasya doṣāḥ srotaḥsvavalīyamānā †ghānībhāvamāpannā vātamūtraśakṛdgrahamāpādya vibadhyante†, tasyāṭopo dāho jvaro vedanāśca tīvrā bhavanti; tamāśu vāmayitvā prāptakālāṃ kriyāṃ kurvīta; adhobhāge tvadhobhāgadoṣaharadravyaṃ saindhavāmlamūtrasaṃsṛṣṭaṃ virecanāya pāyayet, āsthāpanamanuvāsanaṃ ca yathādoṣaṃ vidadhyāt, yathādoṣamāhārakramaṃ ca; ubhayatobhāge tūpadravaviśeṣān yathāsvaṃ pratikurvīta//

Commentaries (1)

Nibandhasaṅgraha — Ḍalhaṇa, Sanskrit