Cakradatta (Cikitsasangraha) 29: Adhikāra 29

Food that is light, appetising, unctuous, warm, carminative to vāta, / and nourishing—everything of this kind is beneficial for all patients with abdominal lumps. 1.

Sudation should be administered by the physician to an unctuated patient for the relief of abdominal lumps. / Having softened the channels and overcome aggravated vāta, 2.

And having broken up obstruction in the unctuated patient, sudation eliminates the abdominal lump. / A skilled physician should apply pot-sudation, bolus-sudation, and brick-sudation. 3.

Comfortably warm poultices such as śālvaṇa and others should also be applied, / as well as local evacuation of blood and venesection in the middle of the arm. 4.

Sudation and carminative measures are praised for all patients with abdominal lumps. / Thin gruels prepared with vāta-alleviating drugs, horsegram soup, and meat juices of wild animals, 5.

As well as sweets made with the pañcamūla, are beneficial for the diet of those suffering from abdominal lumps. / Citron juice, asafoetida, pomegranate, biḍa salt, and rock salt, 6.

Should be drunk with the scum of surā wine to relieve the pain of a vāta abdominal lump. / Half a pala of crushed dry ginger, two palas of husked 7.

Sesame, and one pala of jaggery should be administered with hot milk. / It destroys vāta abdominal lump, udāvarta, and vaginal pain. 8.

Or a person with a vāta abdominal lump should drink castor oil mixed with the scum of vāruṇī wine, / or drink that same oil with milk. 9.

One should boil four palas of purified, dried garlic / in eight times as much milk and water, and have [the patient] drink it when reduced to milk alone. 10.

That milk quickly cures vāta abdominal lump, udāvarta, sciatica, irregular fever, / heart disease, abscess, and wasting. 11.

Even a little [of this] added to milk prepared in this manner, / along with natron and kuṣṭha, or alkali prepared from ketakī, 12.

Drunk with oil, relieves an abdominal lump caused by vāta. / In a vāta abdominal lump, if kapha is increased, vomiting and powders are recommended. 13.

In one of pitta origin, unctuous purgation is advised; in that of blood origin, blood-letting. / When an abdominal lump of pitta origin has arisen through unctuous and hot things, a laxative is beneficial. 14.

When, however, it has arisen through dry and hot things, clarified butter is the supreme pacifier. / For a patient with a pitta abdominal lump, unctuated with kākolyādi, mahātiktaka, or vāsādyas, 15.

One should subsequently purge him, and then treat him with enema therapy. / In a pitta abdominal lump caused by unctuous and hot things, one desiring purgation 16.

Should lick kampillaka with honey, or drink grape juice mixed with jaggery. / Through burning sensation, pain, agitation of vāta, loss of sleep, anorexia, and fever, 17.

One should recognise that the abdominal lump is undergoing suppuration; one should apply a poultice to it. / When suppurated, it should be treated like a wound: incision, purification, and healing. 18.

If that doṣa discharges spontaneously either upwards or downwards, / one should observe for twelve days while protecting against other complications. 19.

The foremost purifier, however, is pure clarified butter [processed] with honey and bitter herbs. / Picrorhiza, neem, licorice, rinds of triphalā, 20.

And trāyamāṇā, one karṣa each; trichosanthes and trivṛt, one pala each; / and two palas of lentils are to be boiled in eight times as much water; 21.

To this remainder, equal to the clarified butter, four palas of clarified butter / is stirred and drunk; by that, an abdominal lump of pitta origin is pacified, 22.

As well as fever, thirst, pain, dizziness, fainting, and restlessness. / Those persons who have strong digestive fires, large bodies, and for whom unctuous substances are wholesome, 23.

Who suffer from abdominal lump, snakebite, or are afflicted with erysipelas, / should drink the largest dose, especially eight palas. 24.

After fasting, vomiting, and sudation have been performed, and the digestive fire is kindled, / clarified butter with alkalis and pungents should be drunk by a patient with a kapha abdominal lump. 25.

That abdominal lump which presents with sluggish digestive fire, mild pain, a heavy and stiffened alimentary tract, / nausea, and anorexia is suitable for emesis. 26.

When digestive fire is weak, vāta obstructed, and having recognised that the stomach is unctuous, / pills, powders, and decoctions should be administered to patients with a kapha abdominal lump. 27.

A group of alkalis and fermented liquors is also prescribed in burning and wasting. / Water prepared with pañcamūla, aged vāruṇī wine, 28.

Or aged honey wine should be drunk at the proper time by one with a kapha abdominal lump. / Or, having applied a paste of sesame, castor, linseed, and mustard, 29.

The physician should apply sudation to a kapha abdominal lump with comfortably warm iron vessels. / Buttermilk powdered with ajowan and salted with biḍa salt 30.

Should be drunk to kindle the fire and promote carmination of vāta, urine, and faeces. / In a mixed doṣa condition, the entire procedure of treatment is combined. 31.

In an abdominal lump arising from a combination of all three doṣas, a regimen dispelling all three doṣas is wholesome. / Sweet flag, biḍa salt, chebulic myrobalan, dry ginger, asafoetida, kuṣṭha, leadwort, and ajowan, 32.

Taken in parts of two, three, six, four, eight, seven, and five respectively: / this powder drunk with wine or the like dispels abdominal lumps, constipation, and abdominal diseases, 33.

Cures colic, haemorrhoids, dyspnoea, and cough, and is the supreme stimulator of the malabsorption syndrome. / Ajowan, asafoetida, rock salt, alkali, black salt, and chebulic myrobalan, 34.

Should be drunk with the scum of surā wine to ward off abdominal lumps and colic. / Asafoetida, trikaṭu, pāṭhā, hapuṣā, chebulic myrobalan, śaṭhī, 35.

Ajamodā, ajagandhā, tamarind, amlavetasa, / pomegranate, pauṣkara, coriander, cumin, leadwort, sweet flag, / the two alkalis, the two salts, and cavya should be powdered together. 36.

This powder should be used without danger in food and drink, / or should be drunk before meals with wine or hot water 37.

For pain in the sides, heart, and urinary bladder, in abdominal lumps caused by vāta and kapha, / in constipation, dysuria, and pains in the rectum and vagina; 38.

In disorders of malabsorption syndrome and haemorrhoids, in splenomegaly, anaemia, anorexia, / chest obstruction, hiccup, dyspnoea, cough, and throat spasm. 39.

Or, this powder, repeatedly impregnated with the juice of citron, / should be made into pills of one karṣa each, or even more. 40.

Leaves of pūtīka, gajacirbhaṭī, cavya, agni [citraka], / and vyoṣa arranged in layers with a bedding of salt, / having burnt and powdered, should be administered with the scum of curd / in the rise of abdominal lump, abdominal disease, oedema, and anaemia. .. 41 ..

Asafoetida, puṣkaramūla, tumburu, harītakī, / śyāmā, biḍa salt, rock salt, yavakṣāra, mahauṣadha [śuṇṭhī], .. 42 ..

fried in clarified butter, one should administer to drink with decoction of barley as the water. / By this, his abdominal lump, accompanied by pain and obstinate fixation, is broken. .. 43 ..

Vacā, harītakī, asafoetida, rock salt, together with amlavetasa, / yavakṣāra, and yamānī: one should drink [these] with hot water. .. 44 ..

For this indeed breaks an agglomeration of abdominal lumps accompanied by pain and obstinate fixation / in seven nights, and kindles the digestive fire. .. 45 ..

Combined with pippalī, pippalīmūla, citraka, ajājī, and rock salt, / surā wine, when drunk, quickly destroys an abdominal lump that is very difficult to overcome. .. 46 ..

Nādeyī, kuṭaja, arka, śigru, bṛhatī, / snuk, bilva, bhallātaka, / vyāghrī, kiṃśuka, pāribhadraka root, / apāmārga, nīpa, agnika [citraka], / vāsā, muṣkaka, and pāṭalā, together with salt, / burnt, boiled in water, / and with the addition of asafoetida and other [digestives], this is declared / for abdominal lump, abdominal disease, and aṣṭhīlā. .. 47 ..

Asafoetida, ugragandhā [vacā], biḍa salt, śuṇṭhī, ajājī, / harītakī, puṣkaramūla, and kuṣṭha, / in increasing proportions: this powder is recommended / in abdominal lump, abdominal disease, indigestion, and viṣūcikā. .. 48 ..

Triphalā, kāñcanakṣīrī, saptalā, nīlinī, vacā, / trāyantī, hapuṣā, tiktā, trivṛt, rock salt, and pippalī— .. 49 ..

having powdered them, one afflicted by all abdominal lumps, abdominal disease, splenomegaly, / skin disease, haemorrhoids, and oedema should drink [it] with urine, hot water, meat soup, and the like. .. 50 ..

Śaṭhī and puṣkaramūla, dantī, citraka, āḍhakī, / śṛṅgavera, and vacā: one should take one pala of each; .. 51 ..

and one pala of trivṛtā, and three [palas] of asafoetida, / two palas of yavakṣāra, and two palas of amlavetasa; .. 52 ..

yamānī, ajājī, black pepper, and coriander: one karṣa each; / along with upakuñcikā and ajamodā, each one aṣṭamikā [half a karṣa]. .. 53 ..

With the juice of mātuluṅga alone, the physician should make pills. / Of them, one should drink one, two, or three with warm water, .. 54 ..

or with sour liquids, wines, soups, clarified butter, or milk. / This pill, taught by Kāṅkāyana, destroys abdominal lumps; .. 55 ..

it pacifies haemorrhoids and heart disease, and destroys worms. / Taken with cow's urine, it pacifies a longstanding kapha abdominal lump; .. 56 ..

with milk, a pitta abdominal lump; with wines and sour liquids, a vātik one; / and with triphalā decoction and cow's urine, one should subdue a sānnipātika one. / And in women's blood abdominal lump, one should administer it to drink with camel's milk. .. 57 ..

With hapuṣā, vyoṣa, pṛthvīkā, cavya, citraka, rock salt, / along with ajājī, pippalīmūla, and dīpyaka, one should cook clarified butter, .. 58 ..

together with the juice of kola and radish, milk, curd, and pomegranate. / That is supreme in destroying vāta abdominal lump, and dispels colic, flatulence, and constipation. .. 59 ..

Disorders of the female genital tract, haemorrhoids, malabsorption syndrome, dyspnoea, cough, anorexia, fever, / and pain in the flanks, chest, and bladder: this clarified butter removes them. .. 60 ..

One-fourth of a picu [karṣa] of pippalī, two palas of pomegranate, one pala / of coriander, five [palas] of clarified butter, a karṣa of śuṇṭhī, and four times as much milk: .. 61 ..

clarified butter prepared with these immediately treats vāta abdominal lump, / pain in the female genital tract, headache, haemorrhoids, and irregular fevers. .. 62 ..

Prepared with tryūṣaṇa, triphalā, coriander, viḍaṅga, cavya, and citraka / made into a paste, clarified butter, along with milk, destroys vāta abdominal lump. .. 63 ..

Four palas of trāyamāṇā should be boiled in ten times as much water; / reduced to a fifth part and strained, combined with one-karṣa pastes of: .. 64 ..

rohiṇī, kaṭukā, mustā, trāyamāṇā, durālabhā, / with pastes of tāmalakī, vīrā, jīvantī, sandalwood, and utpala, .. 65 ..

and having added separately eight palas each of the juice of āmalakī, / milk, and clarified butter, one should cook it properly. .. 66 ..

Pitta abdominal lump, blood abdominal lump, erysipelas, paittika fever, / heart disease, jaundice, and skin disease: this excellent clarified butter will destroy. .. 67 ..

When a measure is given by explicit mention of palas, doubling is not desired here; / therefore the water, ten times as much, should be forty palas. .. 68 ..

Drākṣā, madhuka, kharjūra, vidārī together with śatāvarī, / parūṣaka fruits, and triphalā: one should boil one pala of each .. 69 ..

in an āḍhaka of water, [reduced] until a quarter remains; and [with] juice of āmalaka, / clarified butter, sugarcane juice, milk, and a quarter part of abhayā paste, .. 70 ..

one should cook clarified butter; when ready, one should add a quarter part of sugar and honey: / it destroys pitta abdominal lump and removes all pitta disorders. .. 71 ..

From association [in this formulation], clarified butter and the others are separately equal in quantity to the decoction. .. 72 ..

In fresh juice of dhātrī fruits, one should cook the six-ingredient clarified butter [ṣaḍaṅga-ghṛta], / combined with sugar and rock salt; it is beneficial for all suffering from abdominal lumps. .. 73 ..

Cooked with a total of six palas of the paste of the fruits and roots of pippalī, cavya, / viśvauṣadha, and jvalana [citraka], and yavakṣāra, / one prastha of clarified butter in a decoction of daśamūla, urubūka, and bhārgī, / as well as in milk and curd, is named Ṣaṭpala. .. 74 ..

Abdominal lump, abdominal disease, anorexia, fistula-in-ano, impaired digestion, / cough, fever, consumption, head ailments, and disorders of malabsorption syndrome, / and whatever arises from kapha and vāta, it brings to immediate pacification; / those who know call this Bhārgyākhya-ṣaṭpala. .. 75 ..

With one-pala amounts of pippalī, pippalīmūla, cavya, citraka, and nāgara, / together with yavakṣāra, one should cook a prastha of clarified butter .. 76 ..

with a prastha of milk. That clarified butter destroys an abdominal lump consisting of kapha; / it cures malabsorption syndrome and anaemia, and removes splenomegaly, cough, and fever. .. 77 ..

Two palas of bhallātaka and one pala of pañcamūla, / enriched with vidārīgandhā, should be boiled in an āḍhaka of spring water. .. 78 ..

When a quarter remains and is strained, having ground pippalī, nāgara, vacā, / viḍaṅga, rock salt, asafoetida, yāvaśūka [yavakṣāra], biḍa salt, śaṭhī, .. 79 ..

citraka, madhuka, and rāsnā, equal to a karṣa each, the physician, / having added a prastha of milk, should cook a prastha of clarified butter. .. 80 ..

This, named Bhallātaka [Ghṛta], is supreme in removing kapha abdominal lump, / and cures splenomegaly, anaemia, dyspnoea, malabsorption syndrome, cough, and abdominal lump. .. 81 ..

Clarified butter [cooked] in fresh juice of garlic, together with the decoction of pañcamūla, / along with surā wine, āranāla, sour curd, and fresh radish juice, .. 82 ..

with one pala each of the three pungents, pomegranate, tamarind, carom seed, cavya, rock salt, / asafoetida, amlavetasa, cumin, and dīpyaka.

This clarified butter, when prepared, overcomes abdominal lump, malabsorption syndrome, haemorrhoids, dyspnoea, insanity, consumption, fever, / cough, epilepsy, sluggish digestive fire, spleen disease, colic, and disorders of vāta. // 84

In one droṇa of water, one should cook twenty-five abhayās, / as many palas of dantī, and likewise of citraka. // 85

With that reduced to an eighth part, one should cook jaggery equal in quantity to the dantī, / and those abhayās, along with four palas of trivṛt powder and four palas of oil. // 86

When the electuary is prepared and cooled, one should add one pala each of pippalī and dry ginger, / honey equal in amount to the oil, and one pala of the group of four aromatics. // 87

Then, having licked one pala of the electuary and eaten one harītakī, / the unctuous, healthy patient is happily purged of a prastha of doṣa. // 88

Splenomegaly, oedema, abdominal lump, haemorrhoids, heart disease, anaemia, malabsorption syndrome, / nausea, irregular fever, skin diseases, and anorexia are alleviated. // 89

One should cook vṛścīra, castor root, varṣābhū, the two bṛhatīs, / and citraka in a droṇa of water, reduced to a quarter part. // 90

One should place it into a jar smeared with long pepper, citraka, and honey, / having added a prastha of honey along with half a prastha of pathyā powder. // 91

Having let it ferment for ten days, a man should drink it when his food has digested. / This ariṣṭa conquers abdominal lump and intractable indigestion. // 92

In the case of a bloody abdominal lump, however, when the time of pregnancy has passed, / one should administer an unctuous purgative to a woman whose body has been unctuated and fomented. // 93

A paste prepared from dill, cirabilva bark, devādāru, bhārgī, and pippalī, / when drunk with a decoction of sesame seeds, eliminates blood-born abdominal lump. // 94

A sesame decoction combined with jaggery, the three pungents, asafoetida, and bhārgī / should be the drink for women in cases of blood-born abdominal lump and amenorrhoea. // 95

A woman suffering from a blood lump should drink wine with the three pungents along with alkali; / and she should drink clarified butter cooked with the alkaline water of palāśa. // 96

Or she should break it open with hot substances; when it has broken open, the regimen for menorrhagia is beneficial. / If it does not break open in this way, one should administer a vaginal purifier. // 97

Sesame paste combined with alkali, or with the milk of spurge, [is applied]; / but when bleeding is excessive, the treatment is that which removes bleeding disease. // 98

One should drink clarified butter cooked with the paste and decoction of bhallātaka, / mixed with sugar; / when drunk, it destroys bleeding disease, / and, mixed with honey, it destroys a kapha abdominal lump. // 99

One suffering from abdominal lump should not eat dried meat, radish, fish, dried vegetables, sedge, / the root of the water-lily, or sweet fruits. // 100