Cakradatta (Cikitsasangraha) 22: Adhikāra 22

With sweet, sour, and salty unctuous diets, / and with massage, unction, enemata, and the like, one should treat all patients suffering from vāta. (1)

Especially when vāta resides in the alimentary tract, a person should drink caustic alkali; / when it resides in the stomach, after the patient is cleansed, treatment that removes the doṣa is to be applied. (2)

When vāta has gone to the stomach, once the patient has vomited properly, / the Ṣaḍdharaṇa formulation should be administered for seven nights with warm water. (3)

Citraka, indrayava, pāṭhā, kaṭukā, ativiṣā, and abhayā: / this formulation is known as Ṣaḍdharaṇa, which pacifies major diseases. (4)

A dharaṇa is a tenth of a pala; / this formulation is from Suśruta, therefore of this [compound] / one māṣa, measuring five guñjās, / should be properly administered daily. (5)

When vāta has gone to the colon, unctuous purgation is beneficial, / as well as cleansing enemata and those predominantly containing salt. (6)

One should burn snuhī, salt, brinjal, and oil in a covered pot / with cow-dung: this salted unctuous preparation is supreme in destroying vāta. (7)

And when it has gone to the urinary bladder, the procedure to cleanse the bladder should be performed. / When it has reached the skin, flesh, blood, and veins, one should perform blood-letting. (8)

When vāta has reached the ligaments, joints, and bones, the discerning physician / should perform oleation, poultices, cautery, bandaging, and massage. (9)

Fomentation, massage, tub baths, and pleasant food [are prescribed] when it resides in the skin; / cold plasters, purgation, and blood-letting when it resides in the blood; (10)

purgation, decoction enemata, and pacifying therapies when it resides in the flesh and fat; / one should overcome it when gone to the bones and marrow by external and internal oleations. (11)

Joy and food and drink promoting strength and semen are beneficial when it resides in the semen; / but seeing semen obstructed in its passage, one should administer purgation. (12)

When the fetus is emaciated by vāta, and in children who are emaciating, / milk boiled with sugar, liquorice, and kāśmarya is beneficial for reviving them. (13)

When vāta is situated in the head, treatment removing vāta-head-diseases [is indicated]; / in wide-open mouth, the jaw being fomented and pressed down with both thumbs, (14)

and lifted with both forefingers, raising the chin is beneficial. / In facial paralysis, a man should eat black gram cakes with fresh butter; (15)

having dined with milk and meat soup, he should drink daśamūlī decoction; / devoted to unction, massage, head-enemata, potions, and nasal medications, (16)

he overcomes facial paralysis; he should drink clarified butter after meals. / Decoction prepared with pañcamūlī, or prepared with daśamūlī, (17)

as well as dry fomentation and nasal drops, is praised in torticollis. / In impairment of speech-channels by vāta, holding unctuous mouth-gargles [is indicated]. (18)

Turmeric, vacā, kuṣṭha, long pepper, dried ginger, / cumin, ajamodā, liquorice, and rock salt— (19)

one should make fine powders of these in equal parts; / a person should consume that powder mixed with clarified butter every day. (20)

In twenty-one nights he becomes capable of retaining what he hears, / possessing a voice like a cloud or kettle-drum, and the sound of an impassioned cuckoo. (21)

This Kalyāṇaka electuary overcomes dullness, stammering, and muteness; / [dry fomentation overcomes] dry vāta gone to the sacrum and shoulder, as well as when gone to the nape of the neck. (22)

Emesis and nasya administered by a skilled [physician] cure [it]. / A warm decoction of māṣa, balā, śukaśimbī, / kattṛṇa, rāsnā, aśvagandhā, and urubūka, / combined with asafoetida and salt, drunk or used as nasya, // 23

cures hemiplegia, / torticollis, along with ear-ringing and pain. / It invariably conquers difficult facial paralysis / in seven days. // 24

Having eaten in the evening, one should drink a decoction of daśamūlī, balā, and māṣa, mixed with oil and clarified butter, / at night, in cases of viśvācī and apabāhuka. // 25

Or one should drink the fresh juice of the root of balā, pāribhadra, / or ātmaguptā. / Moreover, one who administers it as nasya with meat broth / has arms like a thunderbolt within a month. // 26

One should drink a decoction of māṣa, ātmaguptā, eraṇḍa, and vāṭyālaka, / combined with asafoetida and rock salt; it remedies hemiplegia. // 27

In wasting of the arms, one should drink Mahākalyāṇaka-ghṛta after eating. / When vāta is aggravated in the heart, milk [boiled with] aṃśumatī is beneficial. // 28

Harītakī, vacā, rāsnā, rock salt, and amlavetasa, / combined with a measured amount of clarified butter, destroys apatantraka. // 29

Half a pala or one pala of well-crushed garlic, / sprinkled and stirred with asafoetida, cumin, rock salt, / black salt, and the three pungents, // 30

powdered in the measure of a māṣaka, / eaten in the morning according to one's digestive fire, with a decoction of urubūka as a vehicle, // 31

should be administered day after day for one month continuously. / It quickly destroys vāta diseases: facial paralysis along with apatantraka, // 32

and for one suffering from monoplegia as well as one suffering from quadriplegia, / in stiffness of the thighs, and in sciatica, especially in worms in the alimentary tract. // 33

It cures disease of the hips and back, and especially abdominal disease. / Sour curd with vacā and black pepper drunk before a meal destroys [these]. // 34

Another therapeutic regimen for vāta diseases is beneficial in apatānaka. / With vāta-pacifying remedies and with daśamūlī, one should treat a hunchbacked person, // 35

or with unctuous substances and meat broths; but if it is advanced, one should avoid him. / Powder of the pippalyādi group [should be taken] with lukewarm water in tūnī and pratitūnī, // 36

or one should drink unctuous substance with salt, or alkali with asafoetida along with clarified butter. / In meteorism, fasting, fomentation with the hands, and fruit suppositories [are prescribed]; // 37

as well as appetisers, digestives, and an evacuating enema here. / In abdominal distension of the stomach, however, emesis, fasting, and appetisers [are indicated]. // 38

In pratyaṣṭhīlā and aṣṭhīlā, [the treatment is] like that for internal abscess and abdominal lumps. / Daśamūlī, balā, rāsnā, guḍūcī, and dried ginger: // 39

one should drink [a decoction of these] with castor oil in sciatica, limping, and lameness. / A decoction made with leaves of śephālikā prepared over a mild fire, // 40

immediately upon being drunk, eradicates even intractable sciatica. / A decoction of pañcamūla, castor oil, and clarified butter boiled with trivṛt, / or combined with trivṛt alone, removes sciatica, abdominal lumps, and colic. // 41

One should drink oil or clarified butter, with the juice of fresh ginger and citron, / or with vinegar and jaggery: / this is declared to remove pain in the hips, thighs, back, sacrum, abdominal lumps, / sciatica, and udāvarta. // 42

Or a man should drink castor oil with cow's urine: / this application for one month removes sciatica and stiffness of the thighs. // 43

Well-powdered pippalī drunk with cow's urine and castor oil / destroys long-standing sciatica born of kapha and vāta. // 44

The man who, suffering from sciatica, eats brinjal / prepared and cooked in castor oil recovers his former gait. // 45

Having crushed castor seeds in milk, or the seeds of rubu with ginger, / a cooked milk-porridge, when eaten, removes sciatica and hip pain. // 46

One pala of rāsnā and five karṣas of guggulu: / having made pills with clarified butter, one should eat them to remove sciatica. // 47

Knowing that a man suffering from sciatica has been properly purified with digestives and the like, / and that the man has an enkindled digestive fire, one should treat him with enemas. // 48

One must not perform the procedure of an enema at the outset as long as he is not purified above; / for him, an unctuous substance is useless, just as an oblation poured into ashes. // 49

When oleation and sudation have been thoroughly done on the calf of the sciatica patient, / and it has been massaged with the feet, sciatica, by a narrow path, // 50

having been brought down properly to the little toe, little by little; / recognizing a raised nodule situated in the tendon, // 51

having split it quickly with a surgical instrument, resembling a sprout of coral, / having extracted it and cauterised it with fire, one should smear it with liquorice and sandalwood. // 52

One should puncture the vein four finger-breadths below the indrabasti. / If it does not subside, one should burn the little toe of the foot. // 53

Whoever, crushed, drinks the fresh root of tagara with buttermilk, / is immediately freed from afflictions by vāta in the groin. / Or one should drink it with a decoction of daśamūlī or with ginger water. // 54

In all pains of the hips, oil derived from castor [is beneficial]; / and in viśvācī, in limping, in lameness, in burning and tingling sensations of the feet, // 55

in kroṣṭuśīrṣa, and in vātakaṇṭaka: / having punctured the vein as prescribed, treatment removes vāta diseases. // 56

In kroṣṭuśīrṣa, one should drink guggulu with water [decocted with] guḍūcī and triphalā, / or castor oil with milk, or vṛddhadāraka. // 57

One should frequently perform blood-letting in vātakaṇṭaka, / or drink castor oil, or cauterise [the spot] with needles alone. // 58

In khallī, sudation, massage, and poultices with unctuous, sour, and salty [substances are prescribed]. / Triphalā and pippalī, each one pala in part, powdered, // 59

should be impregnated with daśamūla decoction, combined with half a pala of cinnamon and cardamom; / having added five palas of guggulu, pills are made. // 60

This [formulation], accompanied by regular intake of meat broth, destroys vāta diseases, / especially those situated in the joints, bones, and marrow, just as Indra's thunderbolt destroys a tree. // 61

The decoctible substance equals the substance to be impregnated, and the decoction is [reduced to] one-eighth of that; / it should be impregnated as long as it remains moist each day; the impregnating procedure lasts seven days. // 62

Aśvagandhā, hapuṣā, guḍūcī, / śatāvarī, gokṣura, vṛddhadāraka, / rāsnā, dill, śaṭhī, yavānī, / and ginger: a powder of these in equal parts, // 63

an equal amount of guggulu should be added in the middle of this, / and clarified butter, half that amount. / Then, by administering it in a dose of half an akṣa, / taking surā or soups as an after-drink, // 64

Or with wine, or warm water, / or milk, or meat broth, / in stiffness of the hips, sciatica, [pain in] the arms and back, / lockjaw, [pain in] the knees, or in both feet,

in vāta residing in the joints and in the bones, / in the marrow and in the ligaments, and in kuṣṭha; / it conquers diseases connected with vāta and kapha, / cardiac stiffness caused by vāta, and disorders of the female genital tract,

and in fractures and bone-punctures, and in lameness: / those who know [it] call this Trayodaśāṅga. // 67

First conquering avaraka, / when vāta [is aggravated], vāta-pacifying treatment is beneficial. / When it is obstructed by food, expulsion of that [food], appetising, digestive, and light [measures are indicated]. // 68

In numbness due to vāta, the physician should perform blood-letting repeatedly, / and apply a warm paste of salt, soot, rubbed with oil. // 69

Drinks, unguents, and enemas made of clarified butter, oil, fat, and marrow; / unctuous sudations, a place free from draughts, and coverings; // 70

meat broths, milk, foods that are sweet, sour, and salty, / and whatever is nourishing: all this is praised for those suffering from vāta diseases. // 71

A soup made of paṭola and pālaka is aphrodisiac, relieves vāta, and is light. / A soup prepared with vāṭyālaka destroys vāta exceedingly. // 72

In a decoction of balā, or pañcamūla, or daśamūla, / along with the flesh of goat's head, aquatic animals, marshy creatures, or even carnivorous beasts separately, // 73

having cooked unctuous broths seasoned with curd, sour substances, and the three pungents, / one should feed a man tormented by vāta diseases with these, distinctively salted. // 74

Milk boiled with pañcamūlī and balā is beneficial in vāta diseases. / Aśvagandhā, the three varieties of balā, daśamūlī, ginger, / the two kinds of gṛdhrnakhī, and rāsnā: this group destroys vāta. // 75

Kola, kulattha, cedar, rāsnā, / māṣa, linseed, oil-bearing seeds, kuṣṭha, / vacā, dill, barley flour, and sour liquids: / [these,] applied warm, form a poultice for those suffering from vāta diseases. // 76

A warm poultice of mincemeat of marshy animals destroys vāta. / Boneless meat, minced, steamed, combined with jaggery and clarified butter, // 77

and mixed with long pepper and black pepper, is known as veśavāra. / The kākolyādi group together with vāta-pacifying drugs, combined with all sour substances, // 78

along with the meat of marshy animals, well steamed, endowed with all four fats, / comfortably warm, distinctly salty, is termed sālvana. // 79

With that one should always apply a warm poultice for patients suffering from vāta. / The bhadradārvādi group destroys vāta; and the kākolyādi group is from the Suśruta-saṃhitā. // 80

Here the medicinal herbs are equal to the meat, with sour liquid enough to impart sourness. / A bandage should be applied, and for fomentation, sour gruel and the like are recommended. // 81

Here the four fats should be in such quantity that proper steaming is achieved. / The entire group, or half of it, or whatever is available, // 82

should be used: such is the instruction everywhere in therapeutic groups. / In a decoction of aśvagandhā and its paste, with four times the quantity of milk, // 83

clarified butter cooked pacifies vāta, is aphrodisiac, and promotes muscle tissue. / In a decoction of daśamūla, with one pala each of the jīvanīya drugs, // 84

and with milk, clarified butter cooked is nourishing and removes distress caused by vāta. / Here the decoction is threefold, a prastha of clarified butter is to be cooked, equal to the milk. // 85

A goat stripped of its skin, with horns, hooves, and so forth discarded, / and the two pañcamūlīs should be boiled in a droṇa of water. // 86

With that reduced to a quarter, one prastha of clarified butter should be cooked, / along with the jīvanīya herbs, kaṭurohiṇī, milk, and śatāvarī. // 87

This, named Chāgalādya, removes all vāta disorders. / In facial palsy, earache, deafness, muteness, nasal speech, // 88

for the dull-witted, stammerers, cripples, in lameness, sciatica, hunchback, / in convulsive seizures, and in apataṃtra, this clarified butter is praised. // 89

By the authoritative teaching of a tulā of substance per droṇa, of the goat and daśamūla, / there should be separately half a tulā; the two kinds of licorice should be added because of its twofold mention. // 90

Cardamom, murā, śarala, śailaja, devadāru, kauntī, / caṇḍā, śaṭī, nalada, campaka, golden-flower, / sthauṇeya, gandharasa, pūtidala, lotus stalk, / śrīvāsa, kunduru, nakha, hrībera, padmaka, kuṣṭha, // 91

kālīyaka, mustā, karkaṭaśṛṅgī, white sandalwood, red sandalwood, / nutmeg, together with mañjiṣṭhā and saffron; / rubbing these gently with mṛkkā and turuṣka because of lightness, / one should cook oil combined with decoction of balā, milk, and curd. / This they declare beneficial in vāta diseases, enhancing strength, complexion, and body. // 92

Oil cooked with a decoction and paste of balā, along with milk, / destroys all vāta disorders; likewise that cooked with śairīya. // 93

Eight parts each of the decoction of balā roots and of daśamūlī, / and of the decoction of barley, kola, and kulattha, and likewise of milk, // 94

and one part of oil: having brought them together, / one should cook them, adding the sweet group together with rock salt; // 95

likewise aguru, sarjarasa, sarala, and devadāru, / mañjiṣṭhā, sandalwood, kuṣṭha, cardamom, kālānuśārivā, // 96

jaṭāmāṃsī, śaileyaka, tejapatra, tagara, śārivā, vacā, / śatāvarī, aśvagandhā, dill, and punarnavā. // 97

Having well prepared that, pouring it into a golden, silver, or earthen / jar, one should store it properly concealed. // 98

This, named Balātaila, removes all vāta disorders. / According to strength, a measured dose should be administered to a puerperal woman, // 99

and to a woman desiring conception, and a man depleted of semen; / when vāta is depleted, when vital points are injured, struck, or crushed, / and in fractures and exhaustion, it should be employed by all means. // 100

It dispels all convulsive seizures and other vāta diseases, / hiccup, cough, adhimantha, abdominal lumps, and difficult dyspnoea. // 101

Using this for six months, it eliminates hernia; / a person's tissues become fresh and his youth becomes firm. // 102

For this should be used by a king, and men equal to kings, / and people who are delicate, fond of comfort, and also strong. // 103

Bilva, agnimantha, śyonāka, pāṭalā, pāribhadra, / prasāraṇī, aśvagandhā, bṛhatī, kaṇṭakārī, // 104

balā, atibalā, gokṣura, and punarnavā: / one should boil ten-pala portions of these in four droṇas of water. // 105

Straining it when one quarter remains, one should add a pātra of oil, / [with a paste of] dill, devadāru, jaṭāmāṃsī, śaileyaka, vacā, // 106

Sandalwood, tagara, kuṣṭha, cardamoms, the four parṇīs, / rāsnā, turagagandhā, rock salt, and punarnavā;

Having ground these ingredients into doses of two palas each, one should throw them in. / And one should add juice of śatāvarī equal in quantity to the oil.

Having added four times as much milk, either goat's milk or cow's milk, [it should be cooked]. / It is recommended in drinks, enemas, massage, and food.

A horse or an elephant or a man crippled by vāta, / a paraplegic, or one who crawls using a stool, is cured by this oil.

For vātas residing in the lower part of the body, and those situated in the head and middle; / in toothache, trismus, torticollis, and throat spasm;

for one whose single limb is withered, and whose gait is unsteady; / and men whose sense-organs are depleted, whose semen is lost, and who are emaciated by fever;

for the deaf, those with stammering tongues, and those of dull intellect; / and for a woman of few offspring, and one who does not conceive;

and for those whose testicles are afflicted by vāta, and who have severe scrotal enlargement. / This excellent oil for them is known by name as Nārāyaṇa [Taila]. / Here tagara means nata; in its absence, śīyalichopaḍa [may be used].

25. Śatāvarī, aṃśumatī, pṛśniparṇī, śaṭī, varā, / roots of castor, of both bṛhatīs, and of pūtika,

roots of gavedhuka, and also of sahacara: / one should thoroughly cook parts of ten palas each of these in a droṇa of water.

When a quarter remains and it is strained, one should add this paste: / punarnavā, vacā, cedar, dill, sandalwood, agarwood,

śaileya, tagara, kuṣṭha, cardamom, māṃsī, sthitā, balā, / aśvāhvā, rock salt, and rāsnā: one should grind half-palas [of each].

One should add two prasthas each of cow's and goat's milk here. / One should cook [these with] one prastha of śatāvarī juice and one prastha of sesame oil.

Now hear the potency of this prepared oil: / for horses crippled by vāta, for elephants, and likewise for men,

this oil is to be administered, dispelling all vāta. / And a man, having drunk it, definitely becomes long-lived and robust.

Even a mule would conceive offspring, so what to say of a woman? / [It cures] pain in the heart, pain in the flanks, and also hemicrania,

and it destroys scrofula, cervical lymphadenitis, vātarakta, lockjaw, / jaundice, anaemia, and even urinary calculus.

This oil was proclaimed by the blessed Viṣṇu; / renowned as Nārāyaṇa, it is the supreme ender of vāta.

26. Having boiled a hundred [palas] of aśvagandhā in a droṇa of water until a quarter remains, / and strained it, one should cook oil after adding four times as much milk,

with pastes of lotus stalk, lotus root, lotus filaments, mālatī flowers, / hrībera, liquorice, śārivā, filaments of padma,

medā, punarnavā, grapes, mañjiṣṭhā, both bṛhatīs, / cardamom, elavālu, triphalā, musta, sandalwood, and padmaka.

When prepared, it cures vāta seated in the blood, raktapitta, and menorrhagia; / it provides nourishment and strength, and promotes flesh in the emaciated;

it destroys disorders of semen and vagina, and removes dryness of the nose; / it makes even eunuchs virile by means of drinks, massage, and unctuous enemas.

27. One should cook together equal parts of radish juice, oil, milk, curd, and sour gruel, / with pastes of balā, citraka, rock salt,

pippalī, ativiṣā, rāsnā, cavikā, agarwood, citraka, / bhallātaka, vacā, kuṣṭha, śvadaṃṣṭrā, ginger,

puṣkaramūla, śaṭī, bilva, dill, nata, and cedar. / When prepared, drunk, it cures extremely severe intoxications caused by vāta.

28. If one afflicted by diseases of vāta drinks oil / cooked with the paste and fresh juice of garlic, / his vāta diseases quickly vanish indeed, / like voluminous treatises that have been poorly learned.

29. That which is cooked with an abundant juice of ketakī, nāgabalā, and atibalā, / an oil prepared with plenty of tuṣodaka, / destroys vāta that has gone into the bones.

From the expression 'plenty', the decoction and the tuṣodaka are in equal amounts there; / an unctuous substance that is to be prepared in liquid alone may also be without paste.

30. Two palas of rock salt, five of dry ginger, two of pippalī-root and two of citraka, / twenty marking-nut seeds, and two āḍhakas

of sour gruel: with these one should cook a prastha of oil; it bestows offspring / and cures sciatica, stiffness of the thighs, haemorrhoidal suffering, and all vāta disorders.

31. Oil prepared with black gram and rock salt is for massage in contractures; / for conditions affecting the arms and head, it is used as nasal drops and taken as a drink after meals. / Here the decoction is prepared from black gram, and rock salt is the paste.

32. With well-ground black gram, ātmaguptā, ativiṣā, castor, / rāsnā, dill, and salts, / oil prepared in four times as much decoction of black gram and balā / cures hemiplegia.

33. Having added a prastha of black gram, one should boil it properly in an āḍhaka of water; / into that liquid, when a quarter remains, one should add four times as much milk,

and a prastha of sesame oil, having added a karṣa-measured paste / of the eight restorative [herbs], dill, with rock salt,

rāsnā, ātmaguptā, liquorice, balā, the three pungents, and trikaṇṭaka. / In hemiplegia, facial palsy, vāta, severe earache,

dulled hearing, deafness, and visual impairment born of all three doṣas; / in trembling of the hands, trembling of the head, brachial neuralgia, and frozen shoulder;

and in lathyrism, this supreme Māṣataila is recommended / by means of drinking, massage, and enemas; it removes diseases above the clavicle.

34. With decoctions of black gram, linseed, barley, kuruṇṭaka, kaṇṭakārī, / gokaṇṭa, roots of ṭuṇṭuka, kapikacchu, / cotton seeds, sunn-hemp seeds, horse gram, and jujube, / and with the broth of goat's meat;

cooked with dry ginger, māgadhikā, and dill, / with castor root, punarnavā, and saraṇī, / rāsnā, balā, amṛtalatā, and pungent herbs, / this oil called Māṣataila cures frozen shoulder;

wasting of hemiplegia, tetanic convulsions, āḍhyavāta, / convulsions, along with trembling of the arms and trembling of the head, / through nasal drops, enema procedure, and affusion, / and it destroys all pains of the waist, buttocks, and thighs.

35. In a decoction of black gram, a decoction of balā, and that born of rāsnā and daśamūla, / each separately, and that arising from barley, jujube, horse gram, and goat's meat;

To one prastha of oil, add one prastha of each [of the aforementioned decoctions] and four times as much milk; / with rāsnā, ātmaguptā, rock salt, śatāhvā, eraṇḍa, mustaka,

the jīvanīya [drugs], balā, and vyoṣa, each equal to one akṣa, the physician should cook it. / In tremor of the hands, tremor of the head, wasting of the arms, in avabāhuka,

in deafness, earache, and severe tinnitus, / in viśvācī, ardita, hunchback, sciatica, and apatānaka,

he should employ it in enemata, anointing, drinks, and nasal medication. / This Māṣataila is supreme in eliminating diseases of the supraclavicular region. // 152

Here, precisely six prasthas of decoctions are stated, each ending in a case-termination. / [36] Having taken half an āḍhaka of māṣa and half a tulā of daśamūla, // 153

one should cook thirty palas of goat meat in a droṇa of water. / When the decoction is strained, cooled, and reduced to a fourth part, // 154

one should add a prastha of sesame oil and four times as much milk, / [and pastes of] ātmaguptā, urubūka, śatāhvā, the three salts, // 155

the jīvanīya [drugs], mañjiṣṭhā, cavya, citraka, kaṭphala, / along with vyoṣa, pippalīmūla, rāsnā, madhuka, rock salt, // 156

devadāru, amṛtā, kuṣṭha, vājigandhā, vacā, and śaṭī. / With these pastes, each equal to one akṣa, one should cook it over a gentle digestive fire. // 157

In hemiplegia, facial paralysis from vāta, deafness, lockjaw, / tinnitus, headache, and timira caused by the three doṣas, // 158

in trembling of the hands, feet, head, and neck, in slowness of walking, / in lathyrism, lameness, paraplegia, sciatica, and avabāhuka, // 159

in drinking, enema, also in anointing, nasal medication, and ear and eye drops, / they praise this oil as one that eliminates all pains of vāta. // 160

[37] Having decocted the two pañcamūlīs with sixteen times as much water as the oil, / and having boiled an āḍhaka of māṣa, taking four times as much of its extract, // 161

the wise physician should cook a prastha of oil with an equal amount of milk, / adding the ingredients for the paste: // 162

aśvagandhā, śaṭī, dāru, balā, rāsnā, prasāraṇī, / kuṣṭha, parūṣaka, bhārgī, the two vidārīs, punarnavā, // 163

citron fruit, ajājī, rāmaṭha, śatapuṣpikā, / śatāvarī, gokṣuraka, pippalīmūla, citraka, // 164

and bringing together the entire jīvanīya group, along with rock salt. / Recognizing it to be well-prepared, this Mahāmāṣataila // 165

he should employ in enemata, anointing, drinks, and nasal drops. / In hemiplegia, lockjaw, facial paralysis, apatantraka, // 166

in avabāhuka and viśvācī, in lameness and paraplegia, / in rigidity of the jaw and neck, and in vātika adhimantha, // 167

in loss of semen, tinnitus, and severe earache, / one should prescribe this medicament for the alleviation of lathyrism. // 168

Boiling an āḍhaka of daśamūla in a droṇa [of water], the decoction should be reduced to a quarter, / being four times the oil; this rule applies also to the decoction of māṣa. // 169

[38] One should boil broken bones of domestic, marsh, and aquatic animals in water. / That fat one should cook again with the decoction of daśamūla, // 170

with jīvaka, ṛṣabhaka, āsphotā, vidārī, and kapikacchu, / and with pastes of vāta-destroying and jīvanīya [drugs], with two parts of milk. // 171

When prepared, through nasal medication, anointing, drinking, and unctuous enema, / it quickly drives away vāta situated in the head, flanks, bones, and alimentary tract. // 172

For those whose bone marrow is severely depleted, and whose semen and ojas are depleted, / this gives strength and nourishment, and is like ambrosia. // 173

[39] Let there be a prastha of triphalā and two kuḍavas of kulattha; / of the bark of kṛṣṇagandhā and of āḍhakī there should be five palas each; // 174

two [palas] each of rāsnā and citraka, and one pala of daśamūla. / One should boil [these] in a droṇa of water until a quarter remains; [and take] one prastha each // 175

of surā, āraṇāla, sour curds, sauvīraka, tuṣodaka, / juice of kola, dāḍima, and vṛkṣāmla, oil, clarified butter, muscle fat, // 176

marrow, and milk, and six palas of paste of the jīvanīya [drugs]. / Adding [these], one should cook this great unctuous preparation properly. // 177

When vāta has entered the vessels, marrow, and bones, and in patients with all-body or single-limb disease, / in tremors, spasms, and pain, one should administer that as an anointment. // 178

[40] One should cook a hundred [palas] of crushed prasāraṇī in an armaṇa of good water. / When a quarter remains, one should add an equal amount of oil, curds, along with kāñjika, // 179

and add twice as much milk, and two-pala pastes of: / citraka, pippalīmūla, madhuka, rock salt, vacā, // 180

śatapuṣpā, devadāru, rāsnā, vāraṇapippalī, / roots of prasāraṇī, māṃsī, and bhallātaka. // 181

One should cook the oil with a gentle digestive fire; it conquers diseases of vāta and kapha. / It removes the eighty vāta diseases present in men and women. // 182

It also restrains hunchback, stiff lameness, sciatica, gout, facial paralysis, / and stiffness of the jaw, back, head, or neck. // 183

[41] One tulā of prasāraṇī, and one tulā each of aśvagandhā and daśamūla, / boiled separately in a droṇa of water until a quarter remains; // 184

an āḍhaka of oil, four times as much milk, curds equal [to the oil], twice as much kāñjika; / with two palas each of granthika, alkali, prasāraṇī, akṣa, rock salt, // 185

together with mañjiṣṭhā, agni, yaṣṭyāhva, and one pala each of the jīvanīya [drugs]; / adding five palas of dry ginger and thirty bhallātakas, // 186

one should cook it; through enemata and other [methods] it destroys vāta located in the joints and vessels, / and promotes virility, energy, memory, intelligence, strength, complexion, and the digestive fire. // 187

This is Prasāraṇī-triśatī; here, akṣa denotes sauvarcala. / [42] Having uprooted prasāraṇī along with its roots and leaves in the autumn season, // 188

one hundred [palas] of it should be taken, likewise one hundred of sahacara, one hundred of śatāvarī, / and one hundred each of balā, ātmaguptā, aśvagandhā, and ketakī. // 189

The physician should boil [them] in four times as much water; with the liquids, one āḍhaka of oil, / an āḍhaka each of whey, meat broth, sour vinegar, and milk, // 190

combined with an āḍhaka of curds, he should cook over a gentle digestive fire. / The measure of the [following paste] ingredients to be added is half a pala each: // 191

tagara, madana, kuṣṭha, keśara, mustaka, tvac, / rāsnā, rock salt, pippalī, māṃsī, mañjiṣṭhā, yaṣṭikā, // 192