Cakradatta (Cikitsasangraha) 23: Adhikāra 23

[The physician] should treat superficial vātarakta with external applications, inunctions, affusions, and poultices,
and deep [vātarakta] with purgation, non-unctuous enemata, and the drinking of unctuous substances. // 1

In both [types], one should extract blood using a horn, needle, gourd, or leeches.
One should drain [blood] from the body at the diseased site through veins or by scarification. // 2

Blood should not be drained when there is exhaustion of the limbs, nor when it is dry and vāta is predominant.
A digestive [preparation] prepared with three karṣas each of amṛtā, dry ginger, and coriander // 3

conquers vāta associated with blood, [vāta] accompanied by āma, and all skin diseases without exception.
A decoction prepared from vatsādanī, drunk together with guggulu,
completely cures blood combined with vāta. // 4

One should drink a decoction of vāsā, guḍūcī, and caturaṅgula
with castor oil;
in due course, it conquers completely even generalized
disease arising from blood and vāta. // 5

Licking the powder of muṇḍitikā mixed with honey and clarified butter,
while drinking a decoction of chinnā, destroys vātarakta that is extremely hard to treat. // 6

Having eaten three or five [fruits of] pathyā with jaggery,
one should drink a decoction of chinnaruhā.
It inevitably pacifies that aggravated vātarakta,
even when it has split open up to the knees. // 7

Guḍūcī with clarified butter pacifies vāta; with jaggery, constipation;
with abundant sugar, pitta; and with honey, kapha.
Mixed with castor oil, it pacifies severe vātarakta;
and with dry ginger, it pacifies āmavāta. // 8

Consuming the fresh juice, paste, powder, or decoction of guḍūcī
for a long time, one is freed from vātarakta. // 9

Milk boiled with daśamūlī brings immediate relief from pain.
Affusion with lukewarm clarified butter acts likewise when vāta predominates. // 10

Having drunk a decoction prepared from paṭola, kaṭukā, abhīru, triphalā, and amṛtā,
a person conquers vātarakta accompanied by burning sensation. // 11

Wheat flour with goat's milk and clarified butter,
or castor-seed paste mixed with goat's milk,
and hundred-times-washed clarified butter should be applied as a plaster;
and for affusion, ewe's milk alone is praised. // 12

Likewise, a plaster of ground sesame seeds fried and extinguished in milk [is commended].
A paste of kaṭukā, amṛtā, yaṣṭyāhva, and dry ginger with honey, // 13

drunk with cow's urine, conquers vātarakta accompanied by kapha.
Or a decoction of dhātrī, turmeric, and mustā [is given] when kapha is predominant. // 14

In a decoction of kokilākṣa and amṛtā, one should drink kṛṣṇā when kapha is predominant;
eating wholesome food, one is freed from vātarakta within three weeks. // 15

Jaggery and clarified butter are declared to pacify kapha and blood, and to be pleasing to the heart.
In combinations [of doṣas], one should treat them mixed together according to their predominance. // 16

In all [types], one should attentively consume pathyā with jaggery,
or a decoction of guḍūcī,
or pippalī in increasing doses. // 17

Triphalā, nimba, mañjiṣṭhā, vacā, kaṭukarohiṇī,
vatsādanī, dāru, and niśā: this is the Navakārṣika decoction. // 18

Merely by drinking it, it removes vātarakta, skin disease,
pāmā, red circular patches,
and the kāpālika variety of skin disease. // 19

This Navakārṣika should be prepared with māṣas of five raktikās each.
However, when the decoction is thus prepared, an appropriate dose is administered. // 20

Clarified butter cooked with a decoction and paste of guḍūcī, along with milk,
destroys vāta as well as blood[-disorders], and conquers skin disease that is difficult to cure. // 21

Clarified butter cooked with a paste of śatāvarī inside, in four times its quantity of juice,
and with an equal amount of milk, destroys vātarakta. // 22

Amṛtā, madhuka, drākṣā, triphalā, dry ginger, balā,
vāsā, āragvadha, vṛścīra, devadāru, trikaṇṭaka, // 23

kaṭukā, śāvarī, kṛṣṇā, fruits of kāśmarya,
rāsnā, kṣuraka, gandharva, vṛddhadāra, ghana, and utpala—
making pastes of these in equal parts, one should cook a prastha of clarified butter // 24

adding an equal amount of dhātrī juice and three times as much water.
When known to be properly prepared, it is praised for food and drink. // 25

Vāta accompanied by many doṣas, swooned together with blood,
superficial as well as deep, located in the sacrum, shanks, thighs, and knees; // 26

in kroṣṭuśīrṣa, severe colic, and dreadful āmavāta;
and the exceedingly intolerable pain of one afflicted by vāta diseases; // 27

dysuria, upward movement of vāyu, obstinate urinary diseases, and irregular fever—
it swiftly destroys all these arising from vāta, pitta, and kapha. // 28

Through continuous use, it promotes complexion, lifespan, and strength.
Formulated by the Aśvins, this excellent clarified butter is unsurpassed. // 29

Oil [cooked] with a decoction and paste of balā, with four times as much milk,
cooked ten times, conquers vātarakta and vāta-pitta. // 30

It is auspicious, produces male offspring, increases semen in men,
destroys disorders of semen and vagina, and removes vāta disorders. // 31

Oil prepared with a decoction of guḍūcī and milk, or with lac juice,
or with juices of madhuka and kāśmarya, cures vātarakta. // 32

Prepared with a decoction of padmaka, uśīra, yaṣṭyāhva, and turmeric,
along with a paste of sarja, mañjiṣṭhā, vīrā, kākolī, and sandalwood:
this Khujjākapadmaka oil removes the disorder of vātarakta. // 33

One should boil one tulā of cleaned nāgabalā,
strain it, and add an āḍhaka of oil to it,
along with an equal quantity of goat's milk mixed in, and a paste of yaṣṭīmadhuka; // 34

one should boil five palas separately. Properly cooked,
it pacifies aggravated vātarakta;
administered as an enema, it makes one disease-free in seven nights; drunk, in ten days. // 35

For a tulā of substance, a droṇa of water [is taken]; a tulā of substance is prescribed in a droṇa [of liquid]. // 36

With equal parts of beeswax and mañjiṣṭhā, along with resin of sarja and śārivā:
this Piṇḍataila, when used as an inunction, relieves the pain of vātarakta. // 37

Oil prepared with śārivā, sarja, mañjiṣṭhā, yaṣṭī, and beeswax, combined with milk, / or castor [oil cooked] without mañjiṣṭhā, relieves vātarakta. // 38

Having thrown a prastha of guggulu resembling the colour of the belly of an eye / of an excellent buffalo into a mass of water, / and triphalā in the prescribed measure, // 39

Thirty-two palas of chinnaruhā / should be added with care. / One should cook it attentively, / stirring repeatedly with a ladle until // 40

the water is reduced to half / by the contact with fire. / Having taken it down and strained it through a cloth, / one should place it again into a vessel. // 41

When it has thickened, having taken it down onto a stone slab, / half a pala of triphalā powder, / six akṣa measures of trikaṭu powder, // 42

half a pala of krimiripu powder, / a karṣa each of trivṛt and dantī, / and one pala of guḍūcī / having added, [and] having pounded them carefully together, // 43

and using soup as an after-drink, / or water with fragrant water; / indulging in desired diet and recreation, / using this medicament at all times, // 44

it conquers vātarakta affecting the skin, / born of one [doṣa] or born of two, and of long standing; / [and vātarakta] which is suppurated, dried up, / cracked, and extending to the knees. // 45

Wound, cough, skin disease, abdominal lump, / oedema, abdominal disease, anaemia, and urinary disorders, / impaired digestive fire, constipation, / and diabetic carbuncles it destroys swiftly. // 46

Constantly consumed, / in course of time it destroys all diseases. / Overcoming the defect of old age, / one attains a youthful form. // 47

Each [ingredient of] triphalā is one prastha, the water there is six āḍhakas; / the cooking of the guggulu is like [that of] jaggery, and it is especially fragrant. // 48

One prastha of guḍūcī and half a prastha of guggulu; / and of each [ingredient of] triphalā, one should prescribe that same measure [of half a prastha]. // 49

Pounding everything together, one should boil it in water in a vessel; / straining it when one-fourth remains, one should place it on the fire again. // 50

One should cook the decoction until it reaches thickness. / Dantī, vyoṣa, viḍaṅga, guḍūcī, and the rinds of triphalā: // 51

one should take half a pala of each of these, purified, / but one karṣa of trivṛtā; one should combine all together. // 52

Knowing it to be well prepared, the wise [physician] should throw [these powders] into it when lukewarm. / Then, having ascertained the strength of the digestive fire, he should administer its dose. // 53

Vātarakta, likewise skin disease, haemorrhoids, loss of digestive fire, / malignant ulcers, urinary disorders, sāmavāta, fistula-in-ano, // 54

sinus, āḍhyavāta, and oedema—it removes all these. / For this Amṛtā-named guggulu was prepared by the Aśvins in ancient times. / Half a prastha of triphalā is taken here individually. // 55

Two prasthas of amṛtā, and one prastha of guggulu, / one prastha of each [ingredient of] triphalā, and one prastha of varṣābhū: // 56

crushing all this, one should boil it in water. / One should cook it again when one-fourth remains until it reaches thickness. // 57

Roots of dantī and citraka, kaṇā, viśvā, and triphalā, / guḍūcī, and viḍaṅga—measuring half a pala each; // 58

and one karṣa of trivṛtā: one should powder all together. / When cooked and warm, one should add it there; this is the excellent Amṛtāguggulu. // 59

One should consume it according to the strength of the digestive fire, especially one suffering from acid dyspepsia. / Vātarakta, likewise skin disease, haemorrhoids, loss of digestive fire, // 60

malignant ulcers, urinary disorders, sāmavāta, fistula-in-ano, / sinus, āḍhyavāta, and oedema—this destroys all diseases. / For this Amṛtā-named guggulu was fashioned by the Aśvins in ancient times. // 61

Śatāvarī, nāgabalā, vṛddhadāraka, uccaṭā, / punarnavā, amṛtā, kṛṣṇā, vājigandhā, trikaṇṭaka: // 62

of each of these one should make ten palas of fine powder. / Combined with half that [amount of] sugar, the wise [physician] should rub the powder. // 63

He should keep it in a very firm vessel, mixed with half an āḍhaka of honey, / stirred in a prastha of clarified butter, along with one pala of the three aromatics. // 64

A person should eat it according to the strength of his digestive fire, eating whatever food and performing whatever activities he desires. / Vātarakta, phthisis, skin disease, emaciation, [diseases] arising from pitta and blood, // 65

and diseases born of vāta, pitta, and kapha, and others of that kind— / destroying [them], it makes a man free from wrinkles and grey hair. / Named Yogasārāmṛta, it increases fortune and complexion. // 66

One should avoid day-sleep, exposure to fire, exercise, as well as sexual intercourse, / and pungent, hot, heavy, channel-blocking, salty, and sour [substances]. // 67