A History of Indian Medical Literature v1.c15.14

v1.c15.14

Subjects dealt with are: sneha facilitates the removal of the doṣas from the body, in the same way as water can easily be removed from a vessel after greasing it; sveda makes the fixed (sthira) doṣas flow out (viṣyandayati) of the body after application of sneha, as fire acts upon damp wood; śodhana (purification) eliminates the impurities (mala = doṣa), as dirt is removed from a cloth by water (6.11–13); a purificatory drug should not be taken during a disorder of digestion (ajīrṇa) (6.14); characteristics of a proper dose (6.15–17); the preparatory diet (6.18–19ab); the signs of proper elimination (6.19cd–20); removal of the remains of too large a dose (6.21–22ab);³³ the treatment to be applied when the signs of proper digestion of the drug are not observed (6.23); after-treatment (6.24); the treatment to be applied when kapha and pitta are only slightly eliminated (6.25);³⁴ signs indicating proper and improper digestion of the drug (6.26–27); types of improper administration (6.28); ten disorders (vyāpad) due to improper purification are enumerated:³⁵ ādhmāna (tympanitis), parikartikā,³⁶ srāva,³⁷ hṛdgraha,³⁸ gātragraha,³⁹ jīvādāna (bleeding), vibhramśa,⁴⁰ stambha (stiffness), upadrava (complications), and klama (exhaustion) (6.29–30); cases of wrong application of purificatory measures and their treatment (6.31–57);⁴¹ the symptoms and treatment of ādhmāna (6.58–60),⁴² parikartikā (6.61–67),⁴³ parisrāva (6.68–70),⁴⁴ hṛdgraha (6.71–75),⁴⁵ aṅgagraha (= gātragraha) (6.76–77), jīvādāna (6.78–84),⁴⁶ the three types of vibhramśa: gudabhramśa (prolapse of the rectum), saṃjñānāśa (loss of consciousness), and a syndrome characterized by kaṇḍū (itching) and other signs (6.85–87), stambha (6.88–89),⁴⁷ upadrava (6.90–91),⁴⁸ and klama (6.92–93).¹⁹