Cakradatta (Cikitsasangraha) 20: Adhikāra 20

In psychosis born of vāta, internal oleation [is prescribed] first, then purgation; / in that born of pitta and that born of kapha, emesis; subsequent is the course of enema and so forth. // 1

Whatever is taught in the treatment of epilepsy / is also to be done in psychosis, because the doṣas and vitiated tissues are common [to both]. // 2

Fresh juices of brāhmī, ash gourd, / vacā, and śaṅkhapuṣpī, / separately mixed with kuṣṭha and honey, / are seen to remove psychosis. // 3

Daśamūla water with clarified butter, or combined with meat juice, / or old clarified butter alone with white mustard powder [should be used]. // 4

Clarified butter kept for ten years is old clarified butter, of pungent smell; / beyond that, resembling lac dye and cool, it is very old [clarified butter]. // 5

Rice milk cooked with the northward-pointing root of white datura, / joined with jaggery and clarified butter, destroys all psychoses born of doṣas. // 6

In psychosis, the pure juice derived from a palmyra palm branch should be drunk with honey, / and mustard oil is recommended for nasal drops and massage. // 7

An unfledged sparrow drunk with milk destroys psychosis. / Bound and smeared with mustard oil, he should be placed facing upwards in the sun. // 8

White mustard, asafoetida, vacā, the two karañjas, and devadāru, / mañjiṣṭhā, triphalā, aparājitā, kaṭabhī bark, the three pungents, // 9

in equal parts, and priyaṅgu, śirīṣa, and the two turmerics; / this antidote, ground with goat's urine, is a drink and eye-salve, // 10

as well as nasal drops, paste, bath, and rubdown; / removing epilepsy, poison, and psychosis, it dispels inauspiciousness and fever; // 11

it also destroys fear of spirits and is commended in the king's gate; / or clarified butter cooked with these along with cow's urine accomplishes the same purpose. // 12

Trikaṭu, asafoetida, rock salt, vacā, kaṭukā, / seed of śirīṣa and karañja, and white mustard— // 13

ground with cow's urine, these make a wick-stick wholesome as an eye-salve; / it restrains quartan fever, epilepsy, and psychosis. // 14

When aberrant behavior persists in one who has been purified, sharp nasal drops and eye-salves / as well as beating are wholesome to arouse the mind, intellect, and memory. // 15

Threats, terrorising, gifts, consolations, delighting, fear, / and astonishment lead the mind to its natural state by causing forgetting. // 16

States arising from passion, grief, fear, anger, joy, envy, and greed / he should bring to pacification by means of their mutual opposites. // 17

When a man's mind is afflicted by the destruction of a beloved object, / one should overcome those [affections] by the acquisition of its likeness, and by soothing words and consolations. // 18

Poultices, rubbing, unguents, fumigations, and the drinking of clarified butter / should be employed to awaken the mind, intellect, memory, and consciousness. // 19

One should administer Kalyāṇaka [ghṛta], Mahākalyāṇaka [ghṛta], or Caitasa ghṛta, / as well as Nārāyaṇa oil, or likewise Mahānārāyaṇa oil. // 20

Viśālā, the three myrobalans, kauntī, devadāru, elavāluka, / sthirā, nata, the two rajanīs, the two śārivās, priyaṅgu, // 21

blue water lily, cardamom, madder, dantī, pomegranate seeds, / tālīśa leaf, bṛhatī, fresh jasmine flower, // 22

viḍaṅga, pṛśniparṇī, kuṣṭha, sandalwood, padmaka— / with pastes of these twenty-eight herbs, one akṣa of each, // 23

having added four times as much water, one should cook a prastha of clarified butter. / [It is used] in epilepsy, fever, cough, consumption, weakened digestive fire, emaciation, // 24

vātarakta, rhinitis, tertian and quartan [fever], / vomiting, haemorrhoids, dysuria, and in those stricken by erysipelas, // 25

itching, anaemia, insanity, poison, urinary disorders, and artificial poison; / for those whose minds are struck down by spirits, those who stammer, and the semen-deficient; // 26

it is commended for barren women; it brings good fortune and bestows longevity and strength; / it destroys misfortune, sin, and demons, and wards off all planetary afflictions. // 27

This clarified butter is called Kalyāṇaka, and it is supreme among rites for male offspring. / But this same [formulation], with twice as much water and four parts of milk, is Kṣīrakalyāṇaka. // 28

Boiling in water the twenty-one ingredients from this very [recipe], beginning with sthirā, / in that decoction one should cook clarified butter with four times as much milk of a cow newly calved, // 29

with equal parts of pastes of vīrā, the two māṣaparṇīs, kākolī, kapikacchū, ṛṣabhaka, ṛddhi, / and medā; that is Mahākalyāṇaka. / It is especially nourishing and is the foremost remover of tridoṣic disorders. // 30

The lesser group of five roots, barley, kāśmarī, rāsnā, castor, trivṛt, balā, / mūrvā, and śatāvarī: with two palas each of these decoction substances, // 31

and with the ingredients of Kalyāṇaka [for the paste], that clarified butter is known as Caitasa. / It is considered the supreme pacifier of all disorders of the mind. // 32

A prastha of clarified butter is to be cooked here; a decoction prepared from a droṇa of water, / reduced to a fourth, is to be provided here, with the paste stated for Kalyāṇaka. // 33

Jaṭilā, pūtanā, keśī, cāraṭī, markaṭī, vacā, / trāyamāṇā, jayā, vīrā, coraka, kaṭurohiṇī, // 34

vayasthā, śūkarī, chatrā, aticchatrā, palaṅkaṣā, / mahāparuṣadantā, vayasthā, the two varieties of nākulī, // 35

kaṭumbharā, vṛścikālī, and also sthirā: clarified butter / prepared with these destroys quartan fever, insanity, seizures by spirits, and epilepsy. // 36

This clarified butter, named Mahāpaiśācika, is like ambrosia; / it produces intellect, discernment, and memory, and promotes body growth in children. // 37

An āḍhaka of clarified butter with two palas each of asafoetida, black salt, and the three pungents, / cooked with four times as much cow's urine, destroys insanity. // 38

Half a tulā of sound, unblemished garlic, husked, / and half that amount of the ten roots should be cooked in two āḍhakas of water. // 39

When one-fourth remains, [one adds] a prastha of clarified butter and garlic juice, / along with the juices of kola, radish, vṛkṣāmla, mātuluṅga, and fresh ginger; // 40

pomegranate juice, surā, whey, and kāñjika sour gruel in half that measure; / one should prepare it with the three myrobalans, devadāru, salt, the three pungents, dīpyaka, // 41

yamānī, cavya, asafoetida, and amlavetasa, half a pala each. / One should drink this prepared [ghṛta], which removes colic, abdominal lumps, haemorrhoids, and abdominal disease; // 42

it eradicates hernia, anaemia, splenomegaly, disorders of the female genital tract, worms, fevers, / other vāta-kapha diseases, and cases of insanity. // 43

For exogenous [insanity], procedures such as the drinking of clarified butter and mantras are desired: / by worship, animal offerings, presents, sacrifices, oblations, mantras, collyriums, and the like, // 44

a clean physician should overcome exogenous insanity in the prescribed manner. / A collyrium made of pippalī, black pepper, rock salt, honey, and cow's bile // 45

destroys the severe insanity arising from all spirits. / A pill-collyrium made of tree turmeric and honey under the Puṣya asterism, // 46

or black pepper kept with meat and bile in the hot sun, is to be applied as a collyrium / for someone whose memory is destroyed by doṣas or spirits, when he sees hallucinations. // 47

A fumigation with neem leaves, vacā, asafoetida, snake's slough, and mustard seeds / dispels ḍākinīs and the like, and destroys spirit-induced insanity. // 48

Cotton seeds, peacock feathers, bṛhatī, / cast-off flower-offerings, madana fruits, / twak, māṃsī, cat's dung, chaff, vacā, / hair, snake's slough, / cow's horn, ivory, asafoetida, and black pepper, / in equal parts, made into a fumigation, / is remembered as destroying Skanda seizures, insanity, possession by piśācas, rākṣasas, or gods, and fever. // 49

An errhine made of ripe indravāruṇī fruit with [cow's] urine conquers brahma-rākṣasas; / an errhine made with white jyeṣṭhāmbha and clarified butter destroys spirits. // 50

For one made insane by gods, ṛṣis, ancestors, or gandharvas, the wise [physician] / should avoid harsh collyriums and severe treatments. // 51