Cakradatta (Cikitsasangraha) 5: Adhikāra 5

The means of curing haemorrhoids is taught to be of four kinds, / according to its curability by medicine, alkali, knife, and cautery; the first is now stated. (1),

Whatever promotes the normal downward movement of vāta, and whatever increases the strength of the digestive fire, / that vehicle and medicinal substance should be constantly consumed by those with haemorrhoids. (2)

For dry haemorrhoids, a sharp procedure such as external paste is prescribed. / For bleeding [haemorrhoids], observing the blood, the treatment for bleeding disorders (rakatapitta) should be carried out. (3)

Latex of snuhī combined with turmeric destroys haemorrhoids through application. / From the friction of kośātakī powder, the growths in the anus fall off. (4)

Latex of arka, latex of snuhī, sprouts of bitter bottle gourd, / karañja, and goat urine form an excellent plaster for haemorrhoids. (5)

A suppository made of jaggery and ghoṣā fruit placed in the anus destroys haemorrhoids. / A paste made with the root of jyotsnikā is beneficial for bleeding haemorrhoids. (6)

Bottle-gourd seeds and rock salt ground with sour gruel [made into] three pills,
placed in the rectum, destroy haemorrhoids for one who eats buffalo curd. // 7

Alkali produced from the root of apāmārga combined with yellow orpiment:
[this] paste certainly destroys haemorrhoids that have arisen on the penis. // 8

Powder of pathyā and kośātakī of a large obstructive area,
applied as a paste with kapha, undoubtedly destroys a polyp of the penis. // 9

One should treat haemorrhoids with loose stools like vāta diarrhoea,
and those with hardened faeces repeatedly according to the procedure for udāvarta. // 10

When faeces are obstructed, buttermilk combined with yamānī and biḍa salt is wholesome.
For vāta- and kapha-haemorrhoids, there is no better medicament in this world than buttermilk. // 11

It should be administered unctuous or dry according to the doṣa.
Destroyed by buttermilk, anorectal growths do not grow again. // 12

Having ground the bark of citraka root, one should coat a pot [with it].
One should drink buttermilk or curd produced therein; it destroys haemorrhoids. // 13

Pacifying pitta and kapha, relieving scabies, itching, and pain,
abhayā combined with jaggery, when administered, quickly destroys anorectal growths. // 14

One should eat abhayā fried in clarified butter, combined with jaggery and pippalī,
or combined with trivṛt and dantī, which causes downward movement [of bowels]. // 15

One should eat a combination of sesame and aruṣkara, which increases the digestive fire;
it is excellent in removing skin disease and [excess] hair, and supreme in destroying haemorrhoids. // 16

Sesame, bhallātaka, pathyā, and jaggery in equal parts:
[this] destroys haemorrhoids, cough, and dyspnoea, and dispels splenomegaly, anaemia, and fever. // 17

One should give harītakī kept overnight in cow's urine, or combined with jaggery,
or one should administer buttermilk combined with the five pungents to him. // 18

Having smeared elephant-foot yam corm with clay and cooked it in fire like a closed-crucible bake,
one should eat it with oil and salt for the cure of haemorrhoids. // 19

An eggplant fruit steamed with the alkaline water of ghoṣā,
fried in clarified butter, and combined with jaggery—he who consumes this with devotion // 20

and drinks buttermilk: surely for that man
even excessively grown anorectal growths,
even congenital ones, quickly go
to destruction within seven nights. // 21

Eating a prakuñca of black sesame seeds beforehand, followed by cold water,
destroys haemorrhoids and imparts firmness to teeth and nourishment to the body. // 22

Taking one-pala parts of dantī, citraka root, and both pañcamūlas,
crushing them, one should boil them down in a droṇa of water. // 23

There one should add three palas of the pulp of triphalā
and a tulā of jaggery; it should stand for half a month in a vessel [smeared with] clarified butter. // 24

One should drink this in proper dose daily; one is fully freed from haemorrhoids.
It cures malabsorption syndrome and anaemia, and promotes the downward movement of flatus and faeces. // 25

Appetising and curing anorexia, this is known as Dantyariṣṭa.
The fermentation of ariṣṭas and the like [should be done] in a vessel smeared with dhātakī and lodhra. // 26

He who eats this noble sweetmeat made of nāgara, aruṣkara, and vṛddhadāruka
with jaggery,
which tears apart all haemorrhoid diseases,
immediately makes an old man into a youth. // 27

In a powder, jaggery is known to be equal to the powder; in a sweetmeat, double.
Three palas of ginger, a fourth [of a pala] of black pepper, // 28

half a kuḍava of pippalī, and one pala of cavya,
a pala of tālīsa leaves, and half a pala of keśara, // 29

two palas of pippalī root, half a karṣa of cinnamon leaf,
one karṣa of small cardamom, and a karṣa of cinnamon bark and lotus stalk, // 30

and thirty palas of jaggery: one should make a powder together [with these].
Pills the size of an akṣa [are made], and this is called Prāṇadā. // 31

It should be [taken] before or after a meal according to strength;
one should likewise drink liquor, meat soup, vegetable broth, milk, or water [afterwards]. // 32

It destroys all haemorrhoids: congenital ones and those arising from blood,
those arising from vāta, pitta, and kapha, and those born from a combination of doṣas; // 33

in alcoholism, dysuria, vāta disorders, throat obstruction,
irregular fever, weak digestive fire, and likewise in anaemia; // 34

for those suffering from intestinal worms and heart disease, and those distressed by abdominal lumps and colic,
and those afflicted with dyspnoea and cough, it is like nectar. // 35

In constipation with pitta haemorrhoids, abhayā should be given instead of dry ginger.
This Prāṇadā, having added four times sugar relative to the measure of powder, // 36

should be administered in hyperacidity, impaired digestive fire, and so forth to a patient suffering from haemorrhoids.
The vehicle to be administered in a disease born of kapha is one pala, // 37

two palas in that born of vāta, and three palas in that born of pitta.
Five palas of pathyā, one [pala] of cumin and of black pepper, // 38

pippalī, pippalī root, cavya, citraka, and dry ginger
increasing successively by one pala, two palas of barley alkali, // 39

eight palas of bhallātaka, and the yam corm is considered twice that;
with double the jaggery of these, making large pills the size of an akṣa, // 40

one should eat this in the morning and drink buttermilk or water after it.
This kindles a weak digestive fire and cures malabsorption syndrome and anaemia. // 41

By Kāṅkāyana to his disciples, without surgical knife, alkali, or cautery,
this was declared a physician's conquest, supreme for those afflicted with haemorrhoids. // 42

There should be one pala each of viḍaṅga fruit, āmalaka, and kuṣṭha,
and three [palas] of trivṛt, joined with six and twelve parts of jaggery:
thirty pills should be made [to be taken] over a month. // 43

Māṇibhadra was created by the foremost Yakṣa to ward off [diseases],
verily for the Śākya monk.
For this destroys cough, consumption, and skin disease,
fistula-in-ano, splenomegaly, ascites, and haemorrhoids. // 44

Enjoying actions, food, and recreations as he pleases,
an old man becomes a youth by this. // 45

Parts of black pepper, ginger, citraka,
and elephant-foot yam, doubled successively;
a part of jaggery equal to all: / this sweetmeat of celebrated outcome should be used. // 46

It kindles the gastric fire, / it uproots diseases of colic and abdominal lumps,
it completely finishes off filariasis, / and it quickly destroys haemorrhoids too. // 47

Sixteen parts of elephant-foot yam, eight of citraka, half of that of ginger,
combined with half of that of black pepper, and half of that [for the next]: // 48

parts of triphalā, pippalī along with its root, tālīśa, bhallātaka, and viḍaṅga
equal to the ginger; and tālamūlī equal to the citraka part; // 49

a part equal to the elephant-foot yam should be given of vṛddhadāraka too;
cinnamon and cardamom in parts equal to the black pepper: powdering all together, // 50

Mixed with twice the amount of jaggery, this modaka should be taken by those who have abundant wealth; / in others, who lack heavy and aphrodisiac food, it would cause complications.

By this king of formulations, ravenous hunger was previously produced in Agastya, / and in Bhīma son of Māruta, whereby the two became voracious eaters.

This immensely potent śūraṇa does not merely cause strength of digestive fire and intellect: / it overcomes haemorrhoids even without knife, alkali, or fire.

It conquers oedema, elephantiasis, and even malabsorption syndrome arising from kapha and vāta; / it destroys wrinkles and grey hair, produces intellect, and virility.

Hiccup, dyspnoea, cough, along with consumption, prameha, / and severe splenomegaly—this rejuvenating elixir constantly cures for men.

Sixteen parts of powdered śūraṇa, / half of that of citraka, / four parts of ginger, and one of black pepper: / with jaggery, a bolus [is made] to conquer haemorrhoids.

In the bolus, jaggery causes the formation of a lump, just as in a modaka.

A powder of the three pungents, citraka, aruṣkara, viḍaṅga, sesame, and harītakī / should be constantly used together with jaggery: / it conquers haemorrhoids, skin disease, gara-poison, oedema, constipation, / weakness of the digestive fire, worms, and anaemia.

Dry ginger, pippalī, black pepper, nāgakeśara, cinnamon, and cardamom / powdered in progressively increasing quantities starting from the last; / one should eat this with an equal part of sugar in haemorrhoids, sluggishness of the digestive fire, / cough, anorexia, dyspnoea, and diseases of the throat and heart.

Saindhava salt, citraka, indrayava, and barley, / along with cirabilva and nīmba: / drink them stirred in buttermilk for seven days / if you wish to crush haemorrhoids.

Triphalā, the five salts, kuṣṭha, kaṭukī, / devadāru, viḍaṅga, and the fruits of nīmba,

balā and atibalā, both haridrās, and suvarcalā: / having gathered these ingredients, with the juice of the bark of karañja,

and having ground [them], the wise physician should make pills equal to a jujube stone. / Taking them out one by one in each specific disease:

Drunk with warm water, it rekindles an extinguished digestive fire; / with buttermilk it destroys haemorrhoids; with sour [gruel] it removes abdominal lumps;

in bites of creatures, with water; skin disease, with khadira water; / dysuria, with water; heart disease, mixed with oil;

combined with the fresh juice of indravāruṇī, it destroys all fevers; / with mātuluṅga juice, it is known to relieve colic immediately;

mixed with the juice of kapittha and tinduka, / it destroys all poisons by being used in drinks and foods;

combined with cow-dung juice, it destroys skin diseases completely; / accompanied by a decoction of śyāmā, it destroys ascites;

eaten after food, it produces an appetite for meals; / in all eye diseases, rubbed with honey, it overcomes them;

merely as an electuary, it immediately destroys menorrhagia in women. / In lawsuits, in gambling, in battle, in hunting and the like, / a man who applies this quickly attains victory.

The three triads, vacā, asafoetida, pāṭhā, yavakṣāra, the two niśās, / cavya, kaṭukī, indrayava, citraka, dill, and the salts,

pippalīmūla, bilva, and ajamodā—this group of twenty-eight is taught; / these in equal parts one should make into a fine powder.

Then one should drink a viḍālapada dose with warm water; / or mixed with castor oil, a man should constantly lick it.

It destroys cough, as well as oedema, haemorrhoids, and fistula-in-ano, / cardiac pain, flank pain, vāta abdominal lump, and abdominal disease,

hiccup, dyspnoea, prameha, jaundice, anaemia, / āma-associated conditions, upward movement of vāyu, hernia, anal diseases, and worms,

and the other disorders of malabsorption syndrome which have been proclaimed by me; / for those stricken with high fever, whose minds are afflicted by spirits,

and for childless women, it truly promotes offspring. / This powder named Vijaya was revered by Kṛṣṇātreya.

Trivṛt, tejovatī, dantī, gokṣura, citraka, śaṭī, / indravāruṇī, mustā, dry ginger, viḍaṅga, and harītakī,

weighing one pala each; eight palas of aruṣkara; / six palas of vṛddhadāraka; and sixteen of śūraṇa;

should be boiled in two droṇas of water, reduced to one quarter remaining. / To that strained liquid, jaggery three times the ingredients to be decocted is added;

one should cook that electuary until it sticks to the ladle. / Then, having taken it down, one should add these powders:

trivṛt, tejovatī, śūraṇa, and citraka, two palas each; / cardamom, cinnamon, black pepper, and gajapippalī, six palas;

thus, having added thirty-two palas of powder, one should store it. / Then one should administer a dose, eating milk and meat-soup when it is digested.

It conquers the five abdominal lumps, prameha, anaemia, halīmaka, / all haemorrhoids, and likewise all abdominal diseases.

It kindles sluggish malabsorption syndrome and expels consumption; / in chronic coryza, catarrh, and likewise in āḍhyavāta.

This is an auspicious, excellent electuary in all diseases; / and this foe of haemorrhoids has been observed to work quickly a thousand times.

Those who use this become free from disease for a hundred years; / it produces length of life and destroys wrinkles and grey hair.

It is a supreme rejuvenating elixir and an excellent producer of intellect. / This is proclaimed as the glorious Bāhuśāla Guḍa, the enemy of haemorrhoids.

When jaggery, dropped into a vessel filled with water, does not float, / and when dropped remains motionless, and fallen does not crumble,

when there is sticking to the ladle, or until it becomes stringy: / this is proclaimed as the [proper] cooking of all preparations such as jaggery.

When jaggery has reached proper cooking, it produces a clear sound, is pleasant to touch, / retains an imprint when pressed, and is endowed with fragrance, color, and taste.

One should boil two thousand bhallātaka nuts in a droṇa of water; / when one fourth of that liquid remains, the physician should cook one tulā of jaggery.

Having chopped half a thousand bhallātaka nuts, one should add them right there. / When this is ready, triphalā, the three pungents, ajamodā, mustā, and rock salt,

measuring one karṣa each, one should add, as well as cinnamon, cardamom, tejapatra, and nāgakeśara. / Rising in the morning, considering the strength of his digestive fire, a man should eat it.

It destroys skin disease, haemorrhoids, jaundice, urinary disorders, malabsorption syndrome, abdominal lump, and anaemia; / it destroys splenomegaly, cough, worm diseases, and fistula-in-ano; / for this Guḍabhallātaka is indeed the best for those afflicted with haemorrhoids.

A wise man should decoct daśamūla, amṛtā, bhārgī, śvadaṃṣṭrā, citraka, śaṭhī, / one thousand bhallātaka [fruits], and palāśa

in one droṇa of water until reduced to a fourth; in that liquid, / after adding one tulā of jaggery, he should cook it, and take it down once it has become an electuary.

One kuḍava each of honey, pippalī, and castor oil should be added here, / and likewise cinnamon, cardamom, and black pepper.

It destroys haemorrhoids, cough, upward movement of vāyu, anaemia, oedema, / and depression of the digestive fire; this is known as Guḍabhallātaka.

Cavya, trikaṭu, pāṭhā, alkali, and coriander, / yamānī, pippalī root, and both salts—biḍa and rock salt—,

citraka, bilva, and harītakī, having ground them, one should cook clarified butter / in four times the amount of curd formed, for promoting the downward movement of feces and vāta.

Tenesmus, prolapse of the rectum, dysuria, discharge, / and pain in the rectum and groin: this clarified butter dispels them.

Clarified butter prepared with a paste of trikaṭu in thrice the quantity of alkaline ash-water of palāśa / being drunk, haemorrhoids undoubtedly fall off.

One prastha of clarified butter [cooked] with pañcakola along with alkali, each one pala, in thrice as much water / and an equal quantity of milk, removes fever, haemorrhoids, splenic disorder, and cough.

One should cook one hundred [palas] of kaṇṭakārī and amṛtā in four droṇas of water; / there, with [a paste of] citraka, triphalā, trikaṭu, karañja bark, and indrayava,

along with kāśmarī and viḍaṅga, [clarified butter] prepared cures haemorrhoids and urinary disorders; / this clarified butter, named Siṃhyamṛta, was taught by Bodhitattva.

Pippalī, madhuka, bilva, dill, madana, vacā, / kuṣṭha, śaṭhī, puṣkaramūla, citraka, and devadāru—

having ground these, oil is to be cooked, combined with twice the amount of milk; / that is the best unctuous enema for haemorrhoids with obstructed vāta.

Prolapse of the rectum, pain, dysuria, tenesmus, / weakness of the waist, thighs, and back, flatulence located in the groin,

slimy discharge, swelling in the rectum, retention of vāta and stool, / and frequent painful urge: one overcomes [all these] through the unctuous enema.

The physician should initially disregard bleeding that flows from bleeding haemorrhoids; / for when vitiated blood is stopped, pain, abdominal distension, and blood disorders arise.

Thin gruel prepared with parched grain / and boiled with cukrikā, plantain flower, and water lily, / or likewise with balā and pṛśniparṇī, / arrests the discharge of blood when drunk.

A decoction of kutaja alone or with ginger, or unripened bilva fruits / should be employed by those with bleeding haemorrhoids; likewise, an application of jyotsnikā root.

By habitual use of fresh butter and sesame seeds, / by habitual use of saffron, fresh butter, and sugar, / or by habitual use of curd-scum and churned curd, / bleeding haemorrhoids are pacified.

Goat's milk should be administered with samaṅgā, water lily, mocāhva, / lodhra, sesame, and sandalwood, to remove blood in haemorrhoids.

One should boil one hundred palas of kuṭaja bark in a droṇa of water; / when one eighth remains, one should take the decoction off the fire.

Having strained the decoction through a cloth, one should cook it again until it reaches the consistency of an electuary; / bhallātaka, viḍaṅga, trikaṭu, likewise triphalā,

rasāñjana, citraka, the fruits of kuṭaja, / vacā, ativiṣā, and bilva, each one pala,

having powdered them, one should add thirty palas of jaggery; / one should add a kuḍava of honey, and likewise a kuḍava of clarified butter.

This electuary pacifies haemorrhoids arising from blood, / those caused by vāta, pitta, kapha, and tridoṣa,

and it also destroys all diseases that originate from haemorrhoids: / acid gastritis, diarrhoea, anaemia, anorexia, / weakness of the malabsorption syndrome, emaciation, oedema, and jaundice.

As an after-drink, one should give clarified butter, honey, buttermilk, water, or milk; / the Kauṭaja Leha is declared for the destruction of the array of haemorrhoidal piles.

One hundred palas of fresh kuṭaja bark should be boiled with rainwater / until the substance becomes depleted of essence; its decoction should then be taken.

Mocārasa, samaṅgā, / and priyaṅgu, each in parts of a pala—these three—, / and an equal amount of kuṭaja seeds, / reduced to powder, should be added here.

Strained and boiled, thick, / full of essence, adhering to the ladle, it should be collected; / applied in proper dose and at the proper time, / this inspissated extract overcomes the discharge of blood.

Taken with goat's milk / or with thin gruel or rice-scum according to the strength of the digestive fire, / and once the medicine is digested, he should eat śāli rice / with milk or a decoction.

Diarrhoea arising from bleeding haemorrhoids, / colic, and pain with bleeding, it destroys quickly, / and also severe bleeding disorder from both passages; / for such is this inspissated extract.

With pastes of kuṭaja fruit and bark, stamens [of lotus], / blue water lily, lodhra, and dhātakī, / clarified butter should be prepared and administered / by the physician for pain in bleeding haemorrhoids.

Avākpuṣpī, balā, dārvī, pṛśniparṇī, gokṣura, / banyan, udumbara, aśvattha, and śaṅkhinī, measured at two palas each—

this is the decoction; while the paste consists of jīvantī, kaṭurohiṇī, / pippalī, pippalī root, black pepper, and devadāru,

indrayava, flowers of silk-cotton, vīrā, sandalwood, rasāñjana, / kaṭphala, citraka, mustā, priyaṅgu, and ativiṣā,

filaments of lotus and water lily, samaṅgā with kaṇṭakārī, / dry ginger, mocārasa, and pāṭhā—the parts should be one karṣa each.

Boiled down from four prasthas, one should take down one prastha of decoction; / a prastha is to be understood here as thirty-two palas.

Two prasthas of the fresh juice of suniṣaṇṇaka and cāṅgerī; / with all these as indicated, one should cook one prastha of clarified butter.

This [clarified butter], in haemorrhoids, diarrhoea, tridoṣa, discharge of blood, / tenesmus, prolapse of the rectum, various kinds of slimy discharges,

frequent bowel urges, rectal disorders with swelling and pain, / intestinal obstruction, deep-seated vāta, weak digestive fire, and anorexia,

should be administered according to rule, promoting strength, complexion, and the digestive fire, / in various foods and drinks, or by itself, without adverse effect.

On an auspicious day and constellation, having first performed auspicious rites, / one should gather kālamuṣkaka, burn it, and collect the ashes. 138

Taking one āḍhaka of it, the physician should boil it in a droṇa of water; / with the water reduced to a fourth part and filtered through a cloth, 139

having added a kuḍava of conch powder, he should cook it again / slowly over a gentle fire until it becomes of thick consistency. 140

Adding the powders of sarjikā, yavakṣāra, dried ginger, black pepper, long pepper, / vacā, ativiṣā, and likewise asafoetida and citraka, 141

eight māṣakas of each separately, / stirred with a ladle, he should place it in an iron vessel. 142

This caustic alkali is declared by Kāśyapa and others to be equal to fire. / A wise person should boil one āḍhaka of ashes of kālamuṣkaka / in six times as much water in a sturdy iron vessel, stirring it slowly with a ladle. / Having burnt fragments of many conch shells in fire, he should throw them into the strained residue. / If this caustic alkali burns the stalk of an eraṇḍa within a hundred spoken words, it is superior. 143

When it has generally reduced to a third, clarity, sliminess, and redness / arise; then the alkaline water should be strained and collected as desired. 144

The conch powder from the alkaline water mixed in the proportion of a fourth, an eighth, / or a sixteenth part is prescribed in order as moderate or superior. 145

The cooking of the caustic alkali is said to be neither too thick nor too thin. / This application of caustic alkali is indicated in haemorrhoids and similar conditions. 146

The drinkable [caustic alkali] used in abdominal lump and the like should be strained twenty-one times / in six times as much water; some say in four times as much. 147

A thread well-treated repeatedly with turmeric powder and the latex of snuhī / cuts haemorrhoids and fistula-in-ano by firmly tying them. 148

First the right one, then the left, then the posterior, and then the anterior one in order; / having lubricated them with pañcatikta, one should cauterise them with caustic alkali or fire. 149

Haemorrhoids born of vāta and kapha [should be treated] with caustic alkali; those born of blood and pitta, / if large and thin-rooted, one should cut and then cauterise in a strong patient. 150

Likewise, having excised a skin-wart, one should cauterise it with either [alkali or fire]. / The colour resembling a ripe jambū fruit when burnt with caustic alkali is commended. 151

Having scraped the haemorrhoid with leaves of gojī or śephālikā, one should smear it / with caustic alkali, close the opening of the speculum, and wait for a hundred spoken words. 152

Removing it, he should examine whether it resembles a ripe jambū fruit. / If it does, then it is well; if not, he should smear it again in the same way. 153

Flooded with washings of husked rice and mixed with clarified butter, it should be smeared with the paste of liquorice; / when burnt by fire, it should not be depressed, should look like the colour of a palmyra fruit, and bleeding should cease. 154

Having extinguished the pain caused by fire with honey and clarified butter, / when properly cauterised, with tugākṣīrī, plakṣa, sandalwood, red ochre, 155

and amṛtā combined with clarified butter, the physician should apply an ointment. / Then, he should make him sit for a muhūrta in a basin filled with water. 156

Caustic alkali should be drunk with hot water in case of retention of urine and faeces. / In burning sensation arising in the bladder and related areas, an ointment made with hundred-times-washed clarified butter should be applied. 157

Freshly harvested grain, black gram, buttermilk, and the like should be used by one knowing how to digest them; / for purification of qualities, one should drink a decoction of the three myrobalans with guggulu. 158

When [the food] is digested, rice made of winter rice, mung bean, etc., is wholesome along with bitter clarified butter and rock salt. / Once all wounds have healed, the physician, having given caustic alkali, should administer an unctuous enema. 159

He should use appetising and digestive [food] with pippalyādi oil. / Roots of trivṛt, citraka, nirguṇḍī, snuhī, and muṇḍī, 160

eight palas of each, should be boiled in a droṇa of water; / three palas of viḍaṅga, three karṣas each of the three pungents, 161

five palas of triphalā, and one pala of bitumen should be added; / also of gold-like iron incinerated with divine herbs or incinerated with vaikaṅkata, 162

twelve palas of powder should be given; / mixed with twenty-four palas each of honey and sugar, 163

when it has become thick and well-cooled, after taking it down, he should administer it. / This, named Agnimukha, is supreme in destroying haemorrhoids. 164

It quickly makes the digestive fire normal, with brilliance equal to the fire of time. / Even mountains are digested by a person from consuming this. 165

Heavy, aphrodisiac food and drink, milk, and meat soup are beneficial. / It removes haemorrhoids, anaemia, oedema, skin disease, and splenomegaly. 166

It also cures premature greying of hair, rheumatoid arthritis, and rectal diseases. / There is no disease that it does not destroy in an instant. 167

One should avoid caper, sour gruel, and anything beginning with the syllable 'ka'; / otherwise the iron and its hard-to-digest slag flow out of the body. 168

Citraka, triphalā, musta, pippalī root, cavikā, amṛtā, / hastipippalī, apāmārga, daṇḍotpala, and kuṭheraka: 169

portions of four palas of these should be boiled in a droṇa of water. / Two thousand bhallātaka nuts, sliced, should be added right there. 170

With that reduced to a fourth part, the physician should cook in an iron vessel / half a tulā of sharp iron [powder] and two kuḍavas of clarified butter. 171

The three pungents, triphalā, citraka, rock salt, biḍ salt, audbhida salt, / sauvarcala salt, and viḍaṅga: he should take one pala each; 172

a kuḍava of vṛddhadāraka, and likewise of tālamūlī, / and eight palas of elephant-foot yam, made into powder, should be thrown in. 173

When prepared and cooled, two kuḍavas of honey must be added. / Then, in the morning and at the time of eating, one should eat it according to one's strength. 174

It quickly banishes haemorrhoids, malabsorption syndrome, anaemia, anorexia, / worms, abdominal lumps, urinary calculi, urinary disorders, and colic. 175

It brings about an increase of semen and destroys wrinkles and greying of hair. / This is an excellent rejuvenating tonic, supreme in curing all diseases. 176

Mercury is one-fourth part, equal [parts of] viḍaṅga, black pepper, and mica; / having ground them repeatedly in the juice of gaṅgāpālaṅkī, 177

a dose of one raktikā destroys rectal haemorrhoids and greatly kindles the digestive fire. / Suppression of natural urges, women, riding on horseback, sitting on one's haunches, / and food that aggravates one's specific doṣas must be avoided by one who has haemorrhoids. 178