Cakradatta (Cikitsasangraha) 73: Adhikāra 73

Pratimarśa, avapīḍa, nasya, pradhamana,
and śirovirecana: nasal therapy is fivefold. (1)

The amount of unctuous substance poured into the nose that reaches the mouth
upon slight sniffing is to be understood as pratimarśa by measure. (2)

Pratimarśa performs the purpose of nasal medication and is without harm;
one should constantly apply an unctuous finger into the nose in the morning and at night. (3)

For the disease-free, it should not be sniffed; that pratimarśa provides firmness.
At night, day, after eating, vomiting, day-sleep, exertion of travel, sexual intercourse, (4)

head-anointing, gargling, urination, applying collyrium, defecation,
tooth-brushing, and laughing, this two-drop [measure] should be applied at the end. (5)

Avapīḍa is considered twofold: purifying and astringent;
since it is administered by pressing, it is therefore called 'avapīḍa'. (6)

For unction of an empty head, neck, shoulders, and chest,
and for strength, unctuous substance is administered; here the word 'nasya' applies. (7)

Eight drops of the unctuous nasal medicament should be administered
into each nostril of men; this is the determination. (8)

A śukti and a pāṇiśukti: three doses are declared;
and here thirty-two drops are called a śukti. (9)

Two śuktis and a pāṇiśukti should be administered here by skilled persons.
Oil in kapha and in vāta; in vāta alone, muscle fat; (10)

one should always administer clarified butter into the nose in pitta, and bone marrow in [vāta] combined with pitta.
Dhmāpana is a purgative powder; one should blow it with the air of the mouth (11)

through a six-finger-long tube with two mouths filled with medicine.
For, being a powder, it extracts the doṣa in greater quantity. (12)

With substances for head-evacuation, or with unctuous substances prepared with them,
the wise [physician] should administer head-evacuation in these diseases: (13)

heaviness of the head, headache, stiffness, catarrh, throat diseases,
wasting, goitre, worms, glandular swellings, skin disease, epilepsy, and chronic rhinitis. (14)

For one whose head has been lubricated and fomented, and who has previously performed necessary bodily functions,
lying on a bed free of draft, one should foment the region above the collarbones again. (15)

Then, with the upper half of the body supine, hands and feet extended,
feet slightly elevated, and head slightly bent downward, (16)

closing one nostril, one should instill alternately
the medicine warmed in hot water, with a tube or with a cotton pad. (17)

When it is administered, one should massage the soles of the feet, shoulders, hands, ears, and so forth;
sniffing gently, one should then spit out to both sides. (18)

Thus one should administer nasal therapy twice or thrice until the medicine is exhausted;
at the end of evacuation, one should administer an unctuous substance with regard to the doṣas and the like. (19)

One should carry out unctuous nasal therapy for seven days, every three days;
and one should perform evacuation of the head with an interval of one day. (20)

When properly unctuous, there is ease of breathing, sleep, awakening, and sharpness of the eyes; / when ununctuous, there is stiffness of the eyes, dryness, of the nose and mouth, and emptiness of the head. // 21

When excessively unctuous, there is itching, heaviness, watering, anorexia, and catarrh; / when well purged, there is lightness of the eyes and purification of the mouth and voice. // 22

When poorly purged, there is an exacerbation of the disease; when excessively purged, there is emaciation. / In those who have drunk water, wine, artificial poison, or unctuous substances, and in those who wish to drink [them]; // 23

in those who have eaten, who have bathed their head, who wish to bathe, whose blood has flowed, / in those afflicted with acute catarrh, in puerperal women, and in those with dyspnoea and cough; // 24

in those who have been purified, in those who have been given an enema, and likewise on an unseasonal or cloudy day— / except in an emergency illness, one should not administer nasal drops to them. // 25

One should not give nasal drops to one under seven years old, nor to one past eighty years; / neither medicinal smoke to one under twelve, nor a gargle to one under five; // 26

nor purification to one under ten, nor to one who has passed seventy. / However, pratimarśa nasal therapy is commended from birth to death, like an enema. // 27

Thus ends the chapter on nasal therapy. And the chapter on the five purificatory procedures is concluded.