Cakradatta (Cikitsasangraha) 37: Adhikāra 37

Of yavānī, citraka, barley alkali, / vacā, dantī, and pippalī: / this powder destroys splenomegaly / when taken with hot water, curd-whey, surā, or āsava.

One should administer pippalī steeped in palāśa alkali; / it removes abdominal lumps and splenomegaly, stimulates the digestive fire, and acts as a rejuvenator.

Having burned roasted-grain flour along with viḍaṅga, clarified butter, citraka, rocksalt, / and vacā, one should powder it and drink it with milk; / it eliminates abdominal lump and splenomegaly.

The alkali derived from palmyra flower taken with jaggery destroys splenomegaly; / or the alkali of pūtīka strained through sour liquid, taken with viḍa salt and pippalī.

To pacify splenomegaly and hepatomegaly, one should drink it in the morning according to strength. / Alkali derived from oyster shells should be drunk appropriately with milk.

Or pippalī should be administered with milk for the relief of splenomegaly. / A sweet ball of bhallātaka, abhayā, and jīraka along with jaggery

swiftly destroys very severe splenomegaly within seven nights. / A decoction of śobhāñjana combined with rocksalt, citraka, and pippalī,

or barley alkali combined with palāśa alkali should be administered; / likewise sesame seeds with salt, and clarified butter prepared with six palas [of drugs].

Every procedure indicated for splenomegaly should be applied to the liver. / One should consume garlic, pippalī root, and abhayā,

and drink cow's urine as a mouth-gargle to be freed from spleen disease. / Paste of śarapuṅkhā taken with buttermilk conquers spleen disease; / or śarapuṅkhā thoroughly chewed and eaten, or abhayā taken with thin gruel.

A decoction of śardiṣṭhā with rocksalt mixed with tamarind / is a recipe that stops splenomegaly; or ripe mango juice with honey.

When [the patient] has eaten with curd, the physician should puncture the vein / in the middle of the left arm to eliminate splenomegaly, / and on the right to eliminate hepatomegaly.

One should massage the spleen firmly to promote the flow of vitiated blood. / Māṇaka, apāmārga, amṛtā, vāsā, śālaparṇī, citraka, rocksalt,

dry ginger, and fresh palmyra bulb, each three karṣas; / and a karṣa each of viḍa salt, sauvarcala salt, alkali, and pippalī:

all this powdered should be cooked in an āḍhaka of cow's urine; / when it has thickened, one should add three palas of honey and make pills.

This eliminates hepatomegaly, splenomegaly, abdominal lump, haemorrhoids, and malabsorption syndrome; / this formula is named 'Parikara' and is an supreme stimulant of the digestive fire.

Urine or water impregnated with the powder of rohitaka and abhayā, / when drunk, destroys all abdominal diseases, splenomegaly, urinary disorders, haemorrhoids, intestinal worms, and abdominal lump.

Pippalī, dry ginger, and dantī in equal parts, and twice as much abhayā: / the powder, drunk with hot water and half a part of viḍa salt, destroys splenomegaly.

With gradual daily increase over ten days, [starting with] ten pippalīs a day, / one should increase [the dose] along with milk, and then diminish it in the exact same manner.

As each dose is digested, one should eat ṣaṣṭika rice with milk and clarified butter. / This administration of a thousand pippalīs is a rejuvenator.

The ten-pippalī [regimen] is the best; the six-[pippalī regimen] is declared middling; / that which reaches three pippalīs is considered inferior.

Nourishing, aphrodisiac, life-prolonging, destroying splenomegaly, / stabilizing youth, and promoting intellect is the rejuvenator of pippalī.

A five-pippalī increasing regimen is also observed. / Ground, they should be drunk by the strong; boiled, by men of middling strength; / and cooled, by those of low strength, according to body, doṣas, and disease.

Grinding pippalī and the root of citraka, one should properly cook / clarified butter with four times as much milk; it removes liver enlargement and splenomegaly. (24)

Clarified butter combined with pippalī paste and four times as much milk / one should drink; it is superior for curing splenomegaly, impaired digestive fire, and the like, as well as liver disease. (25)

In a decoction of one tulā of citraka, one should cook a prastha of clarified butter, / with twice that amount of sour gruel and four times as much whey, (26)

along with the pañcakola herbs, tālīsa, alkalis combined with salts; / there one should add the two types of cumin, the two types of turmeric, and black pepper. (27)

Splenomegaly, abdominal lump, abdominal disease, flatulence, anaemia, anorexia, fever, / pain in the bladder, heart, flanks, hips, and thighs, upward movement of vāyu, and chronic coryza— (28)

when drunk, it destroys these; it cures haemorrhoids, cures oedema, kindles the digestive fire, / confers strength and complexion, and also restrains excessive appetite. (29)

Twenty-five palas of superior bark of rohitaka / combined with two prasthas of jujube: one should prepare a decoction; (30)

and with one pala each of the pañcakola herbs, and an equal amount to all of them together / of rohitaka bark, ground into paste, one should cook a prastha of clarified butter. (31)

This quickly pacifies enlargement of the spleen when administered, / as well as abdominal lump, fever, dyspnoea, parasites, anaemia, and jaundice. (32)

One should crush one hundred palas of rohitaka and an āḍhaka of jujube; / having cooked them in a droṇa of water until reduced to a fourth part, (33)

having added a prastha of clarified butter and four times as much goat's milk, / one should place in it all these pastes, each measured at an akṣa: (34)

the three pungents, the three myrobalans, asafoetida, ajwain, tumburu, biḍa salt, / cumin, black salt, pomegranate, and devadāru, (35)

punarnavā, viśālā, barley alkali together with pauṣkara root, / viḍaṅga, citraka, hapuṣā, cavikā, and vacā. (36)

Clarified butter properly cooked with these one should store in a strong vessel; / one should administer a dose of three palas, observing the disease and the [patient's] strength. (37)

One should feed [the patient] with meat juice, or with soup, or with milk; / when that clarified butter is consumed, it destroys these many diseases: (38)

liver enlargement, splenomegaly, splenic colic, liver pain, / abdominal pain, heart pain, flank pain, and anorexia. (39)

It pacifies colic caused by constipation, anaemia along with jaundice, / it alleviates vomiting and diarrhoea, and destroys drowsiness and fever; / named Mahārohitaka [Ghṛta], it especially cures splenomegaly. (40)