Cakradatta (Cikitsasangraha) 33: Adhikāra 33

Having boiled the excellent bark of varuṇa along with dry ginger and gokṣura, / and having added barley ash and jaggery, one should drink the wholesome [remedy]. 1.

It destroys vāta-born calculus of longstanding persistence. / Vīratara, sahacarī, darbha, vṛkṣādanī, nala, 2.

gundrā, kāśa, kuśa, aśmabheda, moraṭa, ṭuṇṭuka, / kuruṇṭikā, vaśira, vasuka, along with agnimantha, 3.

indīvarī, śvadaṃṣṭrā, and likewise kāpotavaktraka: / this group called vīratarādi dispels vāta disorders, 4.

and relieves the pain of calculus, urinary gravel, dysuria, and urinary retention. / With dry ginger, agnimantha, pāṣāṇabheda, śigru, varuṇa, and gokṣura, 5.

and with harītakī and fruit of āragvadha, an expert should make a decoction; / adding a powder of asafoetida, alkali, and salt, a man should drink it. 6.

It destroys calculus and dysuria, is digestive, and is supremely appetising. / It destroys vāta located in the alimentary tract and lodged in the pelvis, thighs, rectum, and penis. 7.

Pāṣāṇabheda, vasuka, vaśira, and aśmantaka; / śatāvarī, śvadaṃṣṭrā, bṛhatī, kaṇṭakārī, 8.

kapotavaktrā, ārtagala, kāñcana, uśīra, gulmaka, / vṛkṣādanī, bhalluka, varuṇa, fruit of śāka, 9.

barley, horse gram, jujubes, and seeds of kataka: / clarified butter prepared in a decoction of these, with pastes of the uṣakādi group added, 10.

breaks very quickly indeed calculus arisen from vāta. / One should prepare alkalis, thick gruels, thin gruels, decoctions, milks, / and foods with this group that destroys vāta. 11.

Uṣaka, rock salt, asafoetida, both kinds of kāśīsa, guggulu, / śilājatu, and tuttha are declared as the uṣakādi group. 12.

The uṣakādi group destroys kapha and purifies fat; / it eliminates calculus, gravel, and pain on urination, and dispels abdominal lumps caused by kapha. 13.

Kuśa, kāśa, śara, gulma, itkara, moraṭa, aśmabhit, / darbha, vidārī, vārāhī, root of red rice, trikaṇṭaka, 14.

bhallūka, pāṭalī, pāṭhā, pattūra, then kuruṇṭikā, / both punarnavās, and śirīṣa, boiled: cooked in these, 15.

clarified butter prepared with śilājatu, madhuka, and seeds of indīvara, / or with seeds of trapuṣa and ervāru added as paste, 16.

breaks very quickly indeed calculus arisen from pitta. / One should prepare alkalis, thick gruels, thin gruels, decoctions, milks, / and foods with this group that destroys pitta. 17.

In [the decoction of] the varuṇādi group, with guggulu, cardamom, hareṇu, / kuṣṭha, mustā, black pepper, citraka, along with deodar, 18.

goat's clarified butter prepared with these and with the uṣakādi group / breaks very quickly indeed calculus arisen from kapha. 19.

One should prepare alkalis, thick gruels, thin gruels, decoctions, milks, / and food with this group that destroys kapha. // 20

Tender ārtagala, śigru, tarkārī, madhuśigru, / meṣaśṛṅgī, both karañjas, bimbī, agnimantha, moraṭā, // 21

both kinds of śairīya, śirīṣa, darbha, varī, vasuka, citraka, / bilva, ajaśṛṅgī, and both bṛhatīs: // 22

this is indeed the varuṇādi group, which removes kapha and fat. / It completely cures headache, abdominal lumps, and other internal abscesses. // 23

A decoction of varuṇa bark, drunk when combined with jaggery, / quickly expels urinary calculi and relieves pain in the bladder. // 24

One should drink yavakṣāra mixed with jaggery and juice produced from its flower and fruit; / it eliminates retention of urine and destroys urinary gravel and calculi. // 25

One should drink a decoction of varuṇa root-bark mixed with its own paste; / and a lukewarm decoction made from śigru root destroys calculi. // 26

A decoction made from ginger, varuṇa, gokṣura, / pāṣāṇabheda, and kapotavalka, / mixed with jaggery and yavakṣāra, / when drunk, destroys severe calculi. // 27

A decoction made with varuṇa bark, pāṣāṇabheda, dried ginger, and gokṣura, / combined with alkali, also shatters gravel. // 28

Gokṣura, castor leaves, ginger, and varuṇa bark: / one should drink the excellent decoction of these in the morning to break down calculi. // 29

The root of gokṣura, ikṣuraka, and castor, / and of both kinds of bṛhatī, ground with milk / and stirred into sweet curds, should be drunk / for seven days in order to break calculi. // 30

Juice of ripe ikṣvāku, with alkali and sugar, removes calculi. // 31

Wine mixed with sauvarcala salt overcomes the agony of the stone-disease; / likewise, the ashes of sesame stalks mixed with honey and milk, taken for three nights. // 32

With cardamom, pippalī, madhuka, aśmabheda, / harenukā, gokṣura, vāsā, and castor, / one should drink a decoction enriched with bitumen / in dysuria accompanied by gravel and calculi. // 33

Powder of the seeds of gokṣura mixed with honey / one should drink with ewe's milk for seven days to destroy calculi. / In sperm-calculus, however, the general procedure that destroys calculi [should be used]. // 34

Pāṣāṇabheda, vāsā, gokṣura, / pāṭhā, harītakī, tryūṣaṇa, śaṭhī, dantī, / hiṃsrā, kharāśvā, asitimāraka, / and the seeds of ervāruka and trapuṣa, // 35

black cumin, asafoetida, amlavetasa, / the two bṛhatīs, hapuṣā, and vacā: / one should drink the powder which breaks calculi, or clarified butter / cooked with these along with four parts of cow's urine. // 36

The pith of horsegram, rock salt, and viḍaṅga, / with sugar, śītalī, and yavakṣāra, / seeds of kūṣmāṇḍa and gokṣura: / a man should cook clarified butter in a decoction of varuṇa. // 37

All difficult-to-cure urinary calculi, dysuria, / trauma to the bladder, and retention of urine: / it quickly destroys all of these, / just as a lightning strike fells mature trees. // 38

Or, one should cook a prastha of clarified butter with a decoction of the śarādi pañcamūla / and a paste of gokṣura; when prepared, one should consume it with sugar. / It relieves urinary calculi and dysuria, and eliminates pain in the seminal passage. // 39

One should boil one tulā of crushed varuṇa in a droṇa of water. / Straining it when one-fourth remains, one should boil a prastha of clarified butter [with it], // 40

and one should add varuṇa, kadalī, bilva, the grass-born pañcamūla, / guḍūcī, bitumen, and seed from trapuṣa, // 41

bamboo alkali, sesame alkali, palāśa alkali, / and roots of yūthikā, adding a karṣa of each. // 42

A person should drink a dose of this, having regard to place, time, and so forth. / When that has digested, he should first drink old jaggery with whey. / It destroys calculi, gravel, and dysuria. // 43

The oil named saindhavādya which was taught under the chapter on bradhna: / that oil, with twice the amount of milk, one should cook with the vīratarādi group // 44

decoction, and with the previously stated paste, prepared by eminent physicians. / This foremost, excellent oil is a destroyer of calculi. // 45

In retention of urine, dysuria, crushed conditions, and churning [pain], / in fractures, and in exhaustion, it is praised in every way. // 46

From the bark, leaf, root, and flower of varuṇa, along with gokṣura, / one should cook an oil with the decoction, for use as an enema and retention enema. / It destroys pain from gravel and calculi, and relieves dysuria. // 47

If it does not subside, the surgeon, after giving a prognosis, should extract it / when it has entered between the anus and the penis, using two fingers inserted into the rectum. // 48

And leaving a space of just a barley-grain to the left side of the perineal raphe, / making an incision the size of the calculus, the expert in surgical procedures should extract it. // 49

If the bladder is torn due to lack of skill, death will ensue, even without the calculus. / One should remove the calculus entirely and drain the blood from the bladder. // 50

Once the calculus is removed, one should immerse [the patient] in lukewarm water and feed him / jaggery to purify the urine; then, the wound smeared with honey and clarified butter, // 51

one should give him thin gruel with clarified butter prepared with urine-cleansing herbs for three days; / thereafter, up to ten days, one should give soft cooked rice with milk. // 52

One should foment [the patient], give plenty of barley and honey, and wash the wound with decoctions; / and one should plaster it with prapauṇḍarīka, mañjiṣṭhā, yaṣṭīmadhu, and lodhra. // 53

Clarified butter prepared with the decoctions of these is wholesome for massage. / If the wound has not subsided after seven days, cauterisation also is desired. / And if by chance one is lodged in the navel, one should cut open and extract it. // 54