Cakradatta (Cikitsasangraha) 36: Adhikāra 36

Since the digestive fire in the belly is weak when the abdomen is filled with the doṣas, / therefore foods that are appetising and light should be administered.

Red rice, barley, mung beans, and arid-zone game animals and birds; / so also one should drink milk, urine, āsava, ariṣṭa, honey, and śīdhu wine.

In a strong person, one should first treat vātodara with unctuous substances; / for one who is oleated and has limbs fomented, he should administer an unctuous purgative.

When the doṣa is expelled, one should wrap the shrunken abdomen with a cloth; / thus, owing to the absence of space in it, [the abdomen] may not be inflated again by vāta.

Abdominal disease arises from excessive accumulation of doṣas / [and] from obstruction of the channels; therefore one should purge him daily.

And when he has been purged, thin gruel cooked with [drugs] that dispel the relevant doṣas is wholesome.
One suffering from vāta abdominal disease should drink buttermilk mixed with long pepper and salt; // 6

one suffering from pitta abdominal disease should drink sweet [buttermilk] combined with sugar and black pepper;
one suffering from kapha abdominal disease, [buttermilk] combined with ajwain, rock salt, cumin, and the three pungents; // 7

he should drink buttermilk mixed with honey that is distinctively sour and not too watery.
With honey, oil, sweet flag, dry ginger, dill, costus, and rock salt, // 8

prepared [buttermilk] should be drunk by one suffering from splenomegaly; but one suffering from ascites [should drink it] with the three pungents.
However, one suffering from obstructive abdominal disease [should drink buttermilk] with hapuṣā, ajwain, cumin, and rock salt; // 9

one suffering from perforated abdominal disease should drink buttermilk combined with long pepper and honey;
while one suffering from tridoṣic abdominal disease [should drink it] combined with the three pungents, alkali, and salts. // 10

For those afflicted with heaviness and anorexia, along with weak digestive fire and diarrhoea,
and for those afflicted with vāta and kapha, buttermilk serves as nectar. // 11

In vāta abdominal disease, the habitual use of milk, a non-unctuous enema of daśamūla,
and, when upward movement of vāyu is present, an unctuous enema of castor [oil] boiled with vāta-dispelling sour substances [are recommended]. // 12

One should take equal parts of sea salt, sauvarcala black salt, rock salt,
barley alkali, ajwain,
along with long pepper, leadwort, ginger,
asafoetida, and viḍa salt; // 13

these powders, inundated with clarified butter,
one should eat as the praised first mouthful [of food].
It immediately destroys vāta abdominal disease, abdominal lumps, undigested food,
aggravation of vāyu, vitiated malabsorption syndrome, // 14

vitiated haemorrhoids, anaemia,
and fistula-in-ano. // 15

In pitta abdominal disease, however, one should purge a strong patient right at the beginning.
Having administered an unctuous enema to a weak patient and purified him with a milk enema, one should purge him // 16

with milk containing paste of trivṛt, or boiled with castor root,
or boiled with śātalā and trāyamāṇā, or with āragvadha. // 17

When one suffering from kapha abdominal disease has been cleansed and fed with pungent and alkaline food,
one should treat him with urine preparations, fermented liquors, and iron preparations that dispel kapha. // 14

In tridoṣic abdominal disease, one should perform all the treatments described above.
In splenomegaly, one should perform spleen-destroying treatments as well as abdominal-disease-destroying treatments. // 19

For a patient with obstructive abdominal disease who has undergone fomentation, one should give urine combined with sharp medicaments,
and an unctuous enema alongside a non-unctuous enema containing oil and salt. // 20

And [one should give] bowel-relaxing foods and sharp purgation.
Perforated abdominal disease, except for fomentation, should be managed like kapha abdominal disease. // 21

As water accumulates again and again, it should be drained, and surgical procedures described in the treatises [performed].
In ascites particularly, one must avoid the consumption of liquids. // 22

One should gently smear the abdomen with deodar, palāśa, arka, hastipippalī, and drumstick,
together with aśvagandhā and cow's urine. // 23

For those with abdominal disease, one should employ the eight urines for sprinkling and drinking.
A person suffering from abdominal disease, surviving on milk, should consume up to a thousand // 24

long pepper fruits soaked in the milky juice of snuhī according to his capacity.
The administration of bitumen, the urines, guggulu, and triphalā, // 25

and the administration of snuhī milky juice pacifies abdominal disease.
A cake made from rice flour soaked in snuhī milky juice, // 26

this recipe destroys severe abdominal disease within seven nights.
Or one may administer the increasing regimen of long pepper seen in the pharmaceutical treatises; // 27

for the destruction of abdominal diseases, there is nothing equal to it on earth.

Root of paṭola, turmeric, viḍaṅga, bark of the three myrobalans, // 28

kampillaka, nīlinī, and trivṛt should be powdered:
the first six weighing one karṣa each, and the last three weighing two, three, and four times as much. // 29

Having made a powder, a man should drink a handful of it with cow's urine.
When purged, he should eat soft cooked rice with the meat broth of arid animals. // 30

Having drunk scum of boiled rice and thin gruel, he should drink boiled milk with the three pungents for six days;
and he should drink that powder in this manner repeatedly. // 31

This powder cures all abdominal diseases, even those where fluid has accumulated;
it also removes jaundice, anaemia, and oedema. // 32

Ajwain, hapuṣā, coriander, triphalā with small black cumin,
black cumin, long pepper root, ajagandhā, zedoary, sweet flag, // 33

dill, cumin, the three pungents, svarṇakṣīrī, leadwort,
the two alkalis, pauṣkara root, costus, the group of five salts, // 34

and viḍaṅga in equal parts; likewise three parts of dantī,
trivṛt and viśālā two parts each, and śātalā should be four parts. // 35

This powder named Nārāyaṇa dispels hosts of diseases;
confronting it, diseases do not thrive, just as demons do not before Viṣṇu. // 36

It should be drunk with buttermilk by those with abdominal disease; by those with abdominal lumps, with jujube decoction;
in distended bowels from vāta, with surā wine; in vāta diseases, with clear wine; // 37

with curd whey in obstruction of stools; with pomegranate juice in haemorrhoids;
with vṛkṣāmla in tenesmus; with hot water in indigestion; // 38

in fistula-in-ano, anaemia, cough, dyspnoea, throat obstruction,
heart disease, disorders of the malabsorption syndrome, sluggish digestive fire in the alimentary tract, and fever; // 39

in snakebite poison, root poison, chronic poison, and artificial poison.
This purgative should be drunk according to appropriateness by one whose alimentary tract has been lubricated. // 40

Dantī, sweet flag, gavākṣī, śaṅkhinī, lodhra, and trivṛt:
one should drink this paste with cow's urine, which destroys abdominal diseases. // 41

A person should drink buffalo urine mixed with milk while fasting;
by this, abdominal disease subsides within seven days—this is certain. // 42

One should practise drinking cow's urine combined with paste of gavākṣī, śaṅkhinī, dantī, and nīlinī
for the destruction of all abdominal diseases. // 43

Then, one should burn an arka leaf with salt inside a closed vessel;
one should drink that ash with whey, which dispels abdominal lumps and splenomegaly. // 44

A decoction of drumstick, combined with amlavetasa, rock salt,
and containing long pepper and black pepper, destroys splenomegaly when drunk. // 45

Having taken indravāruṇī root while uttering the name [of the patient],
and throwing it far away, his splenomegaly is pacified. // 46

Urine or water infused with the powder of rohitaka and chebulic myrobalan,
when drunk, dispels all abdominal diseases, splenomegaly, urinary diseases, haemorrhoids, worms, and abdominal lumps. // 47

Having drunk deodar, drumstick, and mayūraka,
or aśvagandhā, ground with cow's urine,
one swiftly destroys advanced abdominal disease,
worms with oedema, and vitiated abdominal disease. // 48

A decoction of daśamūla, deodar, dry ginger,
guḍūcī, punarnavā, and chebulic myrobalan
conquers ascites, oedema,
elephantiasis, goitre, and diseases of vāta. // 49

A decoction of chebulic myrobalan, dry ginger, deodar,
punarnavā, and guḍūcī,
combined with guggulu and urine, should be drunk;
it is an excellent preparation for abdominal diseases with oedema. // 50

Castor oil mixed with daśamūla, / or triphalā juice combined with cow's urine, / destroys vātodara, oedema, and colic; / as does a decoction prepared from daśamūla along with [cow's] urine.

A decoction of punarnavā, nimba, paṭola, dry ginger, / kaṭukā, abhayā, dāruharidrā, and amṛtā / destroys anaemia accompanied by generalized oedema, / abdominal disease, cough, colic, and dyspnoea.

One should drink punarnavā, dāruharidrā, abhayā, and guḍūcī / mixed with [cow's] urine and combined with guggulu / in skin disorders, oedema, abdominal disease, anaemia, / obesity, salivation, and diseases of kapha in the upper body.

Or buffalo's milk combined with cow's urine, / or cow's milk mixed with triphalā, / or, eating only milk and rice, one should drink plain cow's / urine in oedema and abdominal disease.

Punarnavā, dāruharidrā, amṛtā, pāṭhā, bilva, gokṣura, / the two kinds of bṛhatī, the two kinds of haridrā, pippalī, citraka, and vāsā: / powdering equal parts of these, a man should drink it with cow's urine.

It destroys manifold oedema spreading across all limbs, / all eight abdominal diseases with colic, and even virulent ulcers.

Having crushed aged māṇaka with twice as much rice, / cooked with milk and water, one should then habitually consume that milk-rice.

It destroys vātodara, oedema, malabsorption syndrome, and also anaemia; / this has been declared by physicians to be a proven and safe formulation.

In half a tulā's decoction of daśamūla, / with pala measures of the pañcakola herbs along with alkali, / half a pātra of clarified butter cooked / with twice the whey destroys abdominal disease and abdominal lump.

In four times [the amount of] water, twice [the amount of] urine, / and a pala of citraka as paste, / one suffering from abdominal disease should drink a prastha of clarified butter prepared with alkali.

Two palas of arka latex and six palas of snuhī latex; / pathyā, kampillaka, śyāmā, āragvadha, girikarṇikā,

nīlinī, trivṛtā, dantī, śaṅkhinī, and likewise citraka: / with pala parts of these, one should cook a prastha of clarified butter.

Then, when his alimentary tract is clogged, one should administer merely drops of it: / as many drops of it as he drinks, that many times he is purged.

Skin disease, abdominal lump, upward movement of vāyu, oedema along with fistula-in-ano, / and the eight abdominal diseases it alleviates, as Indra's thunderbolt does a tree. / This is called 'drop-ghee' (bindughṛta), rubbed with which one is purged.

From a prastha of clarified butter prepared in an āḍhaka of curd scum / with a pala of snuhī latex as paste, / one should drink a dose likewise for the pacification of abdominal disease.

Likewise, one should drink a prastha of clarified butter prepared in eight times as much milk / with a pala of snuhī latex as paste / and six palas of trivṛtā.

A kuḍava measure of clarified butter cooked with a paste of / snuhī latex, dantī, triphalā, viḍaṅga, / kaṇṭakārī, trivṛt, and citraka, / [taken in the dose of] an akṣa or half a karṣa with water:

having drunk it, one should drink hot water after it; when purged, / one knowledgeable in the rules should administer lukewarm thin gruel.

This is declared to be 'Nārāca', / which, properly and repeatedly used, pacifies abdominal diseases.