Cakradatta (Cikitsasangraha) 9: Adhikāra 9

In the beginning, [blood] that is increased should not be checked even in a strong person while he eats,
which causes disorders of the heart, anaemia, malabsorption syndrome, splenomegaly, abdominal lump, fever, and so on. // 1

For a patient with bleeding disease whose doṣa has moved upward,
fasting should first be performed if his strength, flesh, and digestive fire are not diminished. // 2

When it moves upward, refreshing drink should be given first, and purgation should be performed;
when it moves downward, thin gruel [is given] beforehand and emesis according to strength. // 3

One should administer a refreshing drink with clarified butter, honey, and parched rice flour;
drunk at the proper time, it removes upward-moving bleeding disease. // 4

Water with dates, grapes, madhūka, along with parūṣaka,
boiled and cooled, should be administered with sugar for the purpose of a refreshing drink. // 5

Trivṛt, triphalā, śyāmā, pippalī, sugar, and honey:
[this] sweet bolus destroys upward bleeding disease and fever due to sannipāta. // 6

When it moves downward, thin gruel prepared with śāliparṇī and others [should be given] first;
emesis [is induced with] a churning drink mixed with madana fruit, along with honey and sugar. // 7

Śāli rice, ṣaṣṭika rice, nīvāra, koradūṣa, praśātikā,
śyāmāka, and priyaṅgu constitute the diet for patients with bleeding disease. // 8

Lentils, green gram, chickpeas, samudga, and pigeon peas
prepared as pulse-soup or light soup are praised for patients with bleeding disease. // 9

Vegetables such as paṭola, shoot-tips of vetra, and taṇḍulīya are wholesome; / meat derived from the quail, pigeon and the like, or from the hare, blackbuck, deer and the like [is wholesome]. // 10

And one should give water prepared with the sixfold formulation (ṣaḍaṅga) without dry ginger. / A child, an elderly person, one who has a persistent consumption, // 11

one who has lost flesh and strength, and one who should neither vomit nor purge, should be treated with astringing therapies. / Having squeezed vṛṣa leaves, their juice with honey and sugar // 12

one should drink: by that, very terrible raktapitta is pacified. / In a decoction of āṭarūṣaka, having mixed priyaṅgu, earth, collyrium, / and lodhra with honey, one should drink it to cure raktapitta. // 13

A decoction of vāsā, utpala, earth, priyaṅgu, / lodhra, collyrium, and lotus filaments, / taken along with sugar and honey, / will swiftly quell a severe attack of raktapitta. // 14

The fresh juice of vāsaka mixed with powder of tālīsa / should be drunk with honey; / it relieves kapha, vāta, pitta, bronchial asthma (tamakaśvāsa), / dyspnoea, hoarseness of voice, and raktapitta. // 15

A decoction of āṭarūṣaka, mṛdvīkā, and pathyā with sugar, / rich in honey, destroys cough, dyspnoea, and raktapitta. // 16

While vāsā is available and hope of life remains, / why does one suffering from raktapitta, consumption, or cough languish in despair? // 17

The juice obtained from the fruit of the phalgu drunk with honey / swiftly arrests [loss of] blood. / Likewise a decoction prepared from the roots of madayantī with honey and sugar. // 18

Atasī flowers, samaṅgā, / pāṭhā, and roha bark drunk with water / thoroughly pacifies raktapitta, / if one eats along with mudga soup. // 19

When, by various decoction formulations, digestive fire is stimulated and kapha is overcome, / if raktapitta is still not pacified, then milk [is indicated] when vāta is predominant. // 20

Milk from a goat or from a cow boiled in five times as much water, / or milk boiled with pañcamūlī taken with sugar and honey, should be used repeatedly. // 21

Milk cooked with drākṣā, or with the parṇinīs, with kalā, or with madhuka, / or with śvadaṃṣṭrā, or with śatāvarī, overcomes blood [disorders]. // 22

Ripe udumbara, kāśmarya, pathyā, dates, and gostanā grapes, / licked individually with honey, destroy raktapitta. // 23

A paste of bhūnimba mixed with two drops of the bark juice / of mustā and śākhoṭa and double the amount of clarified butter, / brings about the cessation of upward / raktapitta, dyspnoea, and cough. // 24

The flower powder of khadira, of priyaṅgu, of kovidāra, or of śālmali // 25

licked with honey yields freedom from disease. / Abhayā combined with honey is considered digestive and appetising; // 26

it destroys kapha and raktapitta, and removes colic and diarrhoea. / Pathyā macerated seven times in the fresh juice of vāsaka, // 27

or kṛṣṇā licked with honey, rapidly conquers raktapitta. / In the maceration process, liquid should be added in such an amount that it produces thorough moistness. // 28

Cardamom, patra, and cinnamon: half an akṣa each; pippalī: half a pala; / sugar, madhuka, dates, and raisins: measured at one pala each. // 29

Having powdered them together and combined them with honey, the physician should make pills; / then, a person should consume one pill of the size of an akṣa day by day. // 30

Cough, dyspnoea, fever, hiccup, vomiting, fainting, intoxication, giddiness, / spitting of blood, thirst, pain in the flanks, anorexia, // 31

oedema, splenomegaly, severe vāta disorders, hoarseness of voice, and wasting from chest-wounds (kṣatakṣaya)— / this nourishing and virilising pill also destroys raktapitta. // 32

When the exhalation smells of iron and the eructation smells of blood, / one should eat cardamom in the measure of a śāṇa, with double the amount of sugar. // 33

Finely ground āmalaka roasted in clarified butter / checks blood flowing from the nose / by plastering it on the head, / just as a dam checks the force of water. // 34

When bleeding starts from the nose, water only, / or milk with sugar, should be administered through the nose. / Or one should drink grape juice, milk-clarified butter, / or sugarcane juice with sugar, which is beneficial. // 35

Nasal administration of juice from pomegranate flowers, or from dūrvā, / or from mango stones, or from onion, overcomes bleeding from the nose. // 28

When it flows excessively into the penis, the enema named the urethral douche (uttarabasti) [is indicated]; / or one may drink milk boiled with the five grasses called the tṛṇapañcamūlī. // 37

Dūrvā, together with utpala filaments, mañjiṣṭhā, elavālukā, / sugar, śīta, uśīra, mustā, sandalwood, and padmaka, // 38

in the measure of a karṣa each—with these, one should cook goat's clarified butter over a mild fire, / having also added rice-water and goat's milk in fourfold quantity. // 39

Drinking it is for one vomiting blood; nasal administration is when it is located in the nose; / but in one whose [blood] issues from the ears, one should fill both of his ears. // 40

When blood is discharging from the eyes, one should fill both eyes with it. / When it has issued from the penis or anus, one should employ it in enema treatments; / and when it issues from the hair follicles, one should use it for inunction. // 41

Having crushed śatāvarī, pomegranate, tintiḍīka, / kākolī, the two medās, madhuka, vidārī, / and the root of phalapūraka, / the wise [physician] should cook clarified butter with four times as much milk. // 42

That clarified butter destroys cough, fever, abdominal distension, constipation, colic, / and raktapitta. // 43

Two prasthas of the juice of śatāvarī roots are considered [necessary]; / and an equal amount of milk should be cooked in one prastha of clarified butter. // 44

Jīvaka, ṛṣabhaka, medā, and likewise mahāmedā, / kākolī, kṣīrakākolī, mṛdvīkā, and madhuka, // 45

mudgaparṇī, māṣaparṇī, vidārī, and red sandalwood: / when prepared and mixed with sugar and honey, the physician should strain it. // 46

It should be given in disorders of raktapitta, in diseases of vātarakta, / and to those with depleted semen, as an excellent virilising agent. // 47

Burning sensation in the shoulders, burning in the head, fever arising from pitta, / vaginal pain, burning sensation, and dysuria due to pitta— // 48

it swiftly destroys these diseases, just as wind destroys shattered clouds. / This śatāvarī clarified butter promotes strength, complexion, and digestive fire. // 49

The paste is remembered as one-fourth of the fat; honey and sugar should be like the paste: / on the authority of this statement, they should be a quarter [part] when added to the fat. // 50

Having prepared a decoction of vāsā with branches, leaves, and roots, / and having added a paste of its flowers, one should cook that clarified butter; / taken with honey, it swiftly destroys blood [disorders]. // 51

Of śaṇa, kovidāra, vṛṣa, and kakubha: / because of the abundance of paste, there should be four palas of flower-paste in a prastha [of clarified butter]. // 52

One hundred palas of aśvagandhā, and half that amount of gokṣura;
śatāvarī, vidārī, śāliparṇī, and also balā;

the aerial shoots of aśvattha, lotus seed, punarnavā,
kāśmarī fruit, and likewise black gram seed—

one should boil these separate portions of ten palas each in four droṇas of water.
When a fourth part remains, one should take down the decoction.

Raisins, padmaka, kuṣṭha, long pepper, red sandalwood,
vālaka, nāgapuṣpa, and one pala of ātmaguptā;

blue water lily, the two kinds of śārivā, and especially the jīvanīya [group],
each equal to one karṣa, and two palas of sugar;

one should add thereto an āḍhaka of juice of pauṇḍraka sugarcane;
[and] boil down one prastha of clarified butter with four times as much milk.

It destroys raktapitta, emaciation due to injury, jaundice, vātaśoṇita,
halīmaka, oedema, discoloration, loss of voice,

anorexia, dysuria, and pain in the flanks.
This should be administered to kings who frequent large harems,

and to women without offspring, to weak persons,
to the impotent, those of scanty semen, the aged, and those of diminished reproductive fluid.

It is an excellent tonic, beneficial to the heart, aphrodisiac, a drinkable rasāyana,
promoting vigour and splendour, and increasing longevity and vitality.

It increases semen, and a man whose faculties are weakened
becomes freed from all diseases, like a tree sprinkled with water.

Known as ‘Kāmadeva’, it is praised in all diseases.

With the juices of śatāvarī, milk, grapes, vidārī, sugarcane, and āmalakī,

combined with clarified butter, one should cook a seven-prastha measure of clarified butter.
Combined with a quarter-part of sugar, one should drink it; it cures raktapitta.

In chest wounds, pitta-colic, vaginal vāta, and menorrhagia,
it is strengthening, invigorative, aphrodisiac, and cures hunger and heart disease.

One hundred palas of kūṣmāṇḍaka, well-steamed and deseeded,
one should cook slowly in a heated prastha of clarified butter in a firm copper vessel.

When the cooking resembles honey, then one should add one hundred [palas] of sugar candy;
two palas each of long pepper and fresh ginger, and of cumin;

half a pala of cinnamon, cardamom, patra, black pepper, and coriander;
one should throw [them] powdered therein and stir repeatedly with a ladle.

When cooked, one should place it in a vessel, having added honey equal to half the clarified butter.
One suffering from raktapitta and emaciation from injury should eat it according to the strength of his digestive fire,

as also one afflicted with cough, dyspnoea, fainting, vomiting, thirst, and fever.
It is aphrodisiac, rejuvenating, and promotes strength and complexion.

It heals the chest, is nourishing, and clears the voice.
This successful Kūṣmāṇḍaka-rasāyana was formulated by the Aśvins.

According to the measure of candied sugar and āmalaka, one pātra of juice from kūṣmāṇḍaka
should be given for cooking, or as much juice as is obtained.

Here too, cooking is done by sealing [the pot]; peeled, deseeded,
and fifty palas steamed from kūṣmāṇḍa, with a prastha of clarified butter.

One hundred palas of candied sugar should be taken and cooked in an āḍhaka of decoction of vāsā;
with one-karṣa portions of mustā, dhātrī, śubhā, bhārgī, and the three aromatics;

one pala each of aileyaka, dry ginger, coriander, and black pepper;
and one should add a kuḍava of long pepper and […] of honey.

It dispels cough, dyspnoea, wasting, hiccup, raktapitta, halīmaka,
heart disease, acid dyspepsia, and chronic catarrh.

Taking a tulā of vāsā, one should boil it in eight times as much water.
With that reduced to a fourth part, the physician should cook an āḍhaka

of harītakī powders, and one hundred [palas] of pure candied sugar,
two palas of long pepper powder, and, when ready and cooled, from honey

a kuḍava; and having thrown in and stirred just one pala of the four aromatics well-powdered,
one suffering from raktapitta, emaciated from chest wound,
afflicted with cough and dyspnoea, and oppressed by pulmonary consumption should eat it.

Śatāvarī, chinnaruhā, vṛṣa, muṇḍatī, balā,
tālamūlī, gāyatrī, and the rinds of triphalā;

bhārgī and puṣkaramūla—five palas of each—
should be cooked in a droṇa of water until reduced to an eighth part.

Twelve palas of powder of pyrites-incinerated iron
or iron killed by divine herbs should be added;

the wise should add clarified butter equal to the candied sugar, sixteen palas;
one should cook it in a copper vessel, following the manner of treacle-cooking.

Half a prastha of honey should be added, purified bitumen, cinnamon bark,
śṛṅgī, viḍaṅga, long pepper, dry ginger, and cumin—one pala each;

triphalā, coriander, patra, two akṣas each of black pepper and keśara;
having added the powders and stirred well, one should place it in an unctuous vessel.

Then at the proper time one should administer a biḍālapadaka dose of it,
with an anupāna of cow's milk, and should consume meat broth and milk.

The vehicle should be heavy and aphrodisiac, and unctuous, nourishing meat and the like [should be eaten].
It destroys raktapitta, wasting, cough, and especially digestive colic;

vātarakta, prameha, urticaria, vomiting, exhaustion,
oedema, anaemia, skin disease, splenomegaly,

constipation with distension, haemorrhage, and acid dyspepsia.
Beneficial to the eyes, nourishing, aphrodisiac, auspicious, increasing affection,

giving health, granting sons, excellent, increasing desire, digestive fire, and strength,
bestowing prosperity, producing lightness—it is proclaimed as Khaṇḍakādya.

Meat of goat, pigeon, partridge, grey partridge, hare,
gazelle, and blackbuck—one should use their meats.

Drinking coconut water; suniṣaṇṇaka, vāstuka,
dried radish, cumin, paṭola, and the fruit of bṛhatī;

the fruit of eggplant, ripe mango, dates, sweet pomegranate;
and whatever meat starts with the letter 'k' and is derived from marshy ground

is especially to be avoided by one taking Khaṇḍakādya.
Here also, as with other irons, processes such as roasting are desired.

Whatever external and internal medicament has been stated for pitta fever
is beneficial in raktapitta, and that which is wholesome in chest wounds and wasting.