Cakradatta (Cikitsasangraha) 41: Adhikāra 41

With fasting, plasters, fomentation, purgatives, and blood-letting, / largely using hot [measures] that relieve kapha, one should treat elephantiasis. (1)

A plaster made of dhūstūra, castor, nirguṇḍī, varṣābhū, śigru, and mustard / cures long-standing and very severe elephantiasis. (2)

The root-bark of rūpikā ground with sour fermented gruel, / applied as a plaster, destroys elephantiasis, even when firmly rooted and stubborn. (3)

The parasitic root arising on the piṇḍāraka tree, / drunk with clarified butter, conquers / fierce elephantiasis without fail / when bound with a thread upon the calf of the leg. (4)

And citraka or devadāru is always beneficial for anointing, / or a paste of white mustard and śigru, ground with urine and comfortably warm. // 5

In vāta-born elephantiasis, the physician should perform unction, fomentation, and poultices, / and should then puncture a vein four finger-breadths above the ankle. // 6

In pitta-born elephantiasis, he should puncture a vein below the ankle, / and apply pitta-alleviating treatment just as for a pitta-born tumour and erysipelas. // 7

Having ground mañjiṣṭhā, madhuka, rāsnā, hiṃsrā, and punarnavā / with fermented rice-water, this paste is for pacifying pitta-born elephantiasis. // 8

In kapha-born elephantiasis, he should puncture a well-identified vein on the big toe, / and the patient should frequently drink decoctions combined with honey. // 9

To cure elephantiasis, one should drink [decoction] with mustard oil, / or juice extracted from leaves of pūtīkarañja, according to one's strength. // 10

By this very method, [one should drink] juice from putrajīvaka, / or drink powder made from vṛddhadāra with sour rice-gruel or with urine. // 11

A person should drink turmeric combined with jaggery along with cow's urine; / it destroys elephantiasis that has lasted a year, and especially ringworm. // 12

He who drinks harītakī fried in castor oil along with cow's urine / becomes free from the bond of elephantiasis within seven nights. // 13

Sour fermented wash of grains combined with oil destroys kapha and vāta, / is appetising, removes the disorder of āma, and destroys this elephantiasis. // 14

A man should eat māṣa dumplings prepared with the root of godhāvatī; / he will conquer the fever arising from the aggravation of elephantiasis immediately, without doubt. // 15

Juice of guḍūcī combined with oil, taken habitually, destroys elephantiasis. / Trikaṭu, triphalā, cavya, dārvī, varuṇa, gokṣura, // 16

alambuṣā, and guḍūcī—one should powder these in equal parts. / Taking the powder of all these, an equal amount of vṛddhadāra [is added]. // 17

And that should be drunk with sour rice-gruel in the measure of one akṣa. / When it is digested, there are no dietary restrictions; food may be taken entirely as desired. // 18

It eliminates elephantiasis, obesity, severe rheumatism, / cures abdominal lumps, skin diseases, and vāta, and dispels fever born of vāta and kapha. // 19

Pippalī, triphalā, dāru, dry ginger, together with punarnavā, / in measures of two palas each; equal to these [combined] is vṛddhadāraka. // 20

One should drink the powder with sour rice-gruel in the measure of one karṣa. / When it is digested, there are no dietary restrictions; food may be taken entirely as desired. // 21

It destroys elephantiasis, diseases of vāta, and enlargement of the spleen; / it kindles a fierce digestive fire and restrains excessive appetite. // 22

One karṣa of pippalī, citraka, and dantī; half a pala of the best [ingredients]; / twenty harītakīs, and two palas of jaggery; / one should eat it as a sweet bolus with honey: it cures intractable elephantiasis. // 23

Surasā, devadāru, trikaṭu, and triphalā, / then all salts, viḍaṅga, and citraka, // 24

cavikā, pippalī root, guggulu, hapuṣā, vacā, / barley ash, pāṭhā, śaṭī, cardamom, and vṛddhadāruka: // 25

With pastes of one karṣa of each of these, one should cook a prastha of clarified butter / with a decoction of daśamūla and a fluid made of coriander soup, // 26

together with curd whey, one prastha of each separately. / When cooked and strained from the paste, one should drink three karṣas of this sweet clarified butter. // 27

It destroys elephantiasis attributed to kapha and vāta, that seated in muscle and blood, / and that seated in fat and born of pitta; of this there is no doubt. // 28

It cures chronic lymphadenitis, cervical lymphadenitis, intestinal hernia, and tumours, / disorders of the malabsorption syndrome, oedema, and haemorrhoids. // 29

It is an excellent kindle of digestive fire, good for the heart, and destroys parasites in the alimentary tract. / Clarified butter named Saureśvara, when taken, cures elephantiasis; / indeed, formulated by Jīvaka, it destroys the whole army of diseases. // 30

One should cook oil with viḍaṅga, black pepper, arka, dry ginger, citraka, / bhadradāru, elavālu, and all salts, / and drink it to dispel elephantiasis. // 31