A History of Indian Medical Literature v1.c23.513

Language: English

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The second part of the chapter, devoted to treatment, deals with the following subjects: treatment during the prodromal stage (39.97–99); the difference between symptoms and prodromes is like that between fire and smoke (39.100ab); fasting (apatarpaṇa or laṅghana) is the most important therapeutic measure after manifestation of the symptoms, but emetics should be administered when the doṣa stays in the āmāśaya; the proper duration of fasting; contra-indications; the beneficial effects of fasting; the signs of adequate and excessive fasting (39.100cd–106ab); 506 the indications for administering warm water (39.106cd–108ab);507 indications for a particular cooled down decoction (39.108cd–109ab);508 the antipyretic effects of a medicated gruel (peyā) (39.109cd–110ab);509 general indications for kaṣāyas; kaṣāyas which are useful in fevers due to vāta, pitta, kapha, or a combination of two doṣas; contra-indications for kaṣāyas (39.110cd–114);510 some general characteristics of fevers with immature (āma) and mature (pakva) doṣas (39.115a–d);511 the characteristics of maturity of the doṣas, which means that medicinal treatment may be initiated (39.115e–h); a divergent view on the recognition of maturity (39.116ab);

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the characteristics of an immature fever (āmajvara) (39.116cd–119ab);512 medicinal treatment may begin seven days after the onset of fever according to some authorities, whereas others hold the view that this period should cover ten days (39.119cd–120ab);513 exceptions to this rule (39.120cd–121ab); special directions for eliminative treatment in immature and mature fevers (39.121cd–125);514 the preliminary treatment (prākkarman) should successively consist of: emesis (vamana), an āsthāpana enema, purgation (virecana), and evacuation of the head (śirovirecana) (39.126); emesis is the most important measure in fevers caused by kapha, purgation in those caused by pitta, an enema in those caused by vāta, evacuation of the head when the head is full of phlegm (39. 127–129); treatments for special cases (39.130–132); the treatment of residual doṣas after eliminative measures (39.133–134ab); fasting is always to be recommended in strong patients (39.134cd); dietary rules for patients with various types of fever (39.135–156ab);515 things to be avoided by a patient with fever (39.156cd–159);516 rules for a patient who has just recovered from fever (39.160–162);517 the importance of bed rest during fever (39.163); indications for purificatory measures after subsidence of a fever (39.164); an emaciated patient with fever should never rashly be given a bath (39.165); all fevers should be treated with measures counteracting their causes (39.166);

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women who get fever due to an abnormal delivery or lactation should be given a treatment that appeases the doṣa(s) involved (39.167); appeasing (samśamanīya) kaṣāyas to be employed against fever by vāta (39.168–175ab) and pitta (39.175cd–178); preparations against complaints associated with fever due to pitta, such as thirst, a burning sensation, 518 desiccation of mouth and throat, and a bad taste in the mouth (vairasya) (39.179–186ab); kaṣāyas against fever caused by kapha (39.186cd–191), kapha and vāta (39.192–195ab), pitta and kapha (39.195cd–199ab), vāta and pitta (39.199cd–201ab), and all three doṣas (39.201cd–211ab); the treatment of irregular (viṣama) fevers (39.211cd–218ab); a medicated ghee against chronic (jīrṇa) fever and other disorders (39.218cd–221ab); the preparation and indications of guḍūcyādighṛta (39.221cd–223ab),519 kalaśyādighṛta (39.223cd–226ab), paṭolyādighṛta (39.226cd–229ab), kalyāṇakaghṛta (39.229cd–234ab),520 mahākalyā-ṇakaghṛta (39.234cd–240ab),521 pañcagavyaghṛta (39.240cd–242)522 and its varieties (39.243–244ab), pañcāvika-, pañcāja-, pañcamahiṣa- and caturuṣṭraghṛta (39.244c–f), triphalādighṛta (39.245–249), a second variety of paṭolādighṛta (39.250–254ab),523 pañcasāra (39.254cd–255), lākṣātaila (39.256), and kṣīrivṛkṣāditaila (39.257–258); treatments to be employed in particular kinds of irregular fever (39.259–261);524 fumigations for irregular fevers (39.262–263ab); a collyrium (39.263cd);

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the medicated ghees mentioned in the chapter on the treatment of udara 525 and the ajita ghee mentioned in the Kalpa(sthāna)526 cure (irregular) fevers (39.264); a fever arising from possession by malevolent beings should be treated with bandha,527 āveśana528 and worship, as taught in the chapters on bhūtavidyā;529 a fever of mental origin requires mental treatment (39.265);530 the treatment of fever due to fatigue and wasting (39.266ab), curses and magic (39.266cd),531 portents (utpāta) and bad influences of planets (grahapīḍana) (39.267ab); the treatment of fever resulting from a traumatic injury (39.267cd–268ab),532 the inhalation of the smell of herbs, or the ingestion of poisonous substances (39.268cd–269); the diet beneficial to patients with an irregular fever (39.270ab); these patients should also pay homage to brāhmaṇas, cows, Īśāna533 and Ambikā534 (39.270cd);535 external measures to be employed against the feeling of coldness in patients with fever (39.271–281);536 internal and external treatment when a burning sensation is the predominant symptom (39.282–294ab);537 pitta should be eliminated first in fevers caused by concerted action of the doṣas (39.294cd–295ab); the general treatment of complications of fever (39.295cd–296ab); the specific treatment of particular complications (39.296cd–305);

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the treatment of mature pitta fever, raktapitta which moves upwards, and tremors (vepathu) (39.306–307ab), fever by kapha and vāta (39.307cd), giddiness (39.308ab), fever due to vāta (39.308cd–309ab), fever due to pitta (39.309cd–312ab), a burning sensation (39.312cd), and fever due to kapha (39.313–315ab); the use of fatty substances (39.315cd–316); medicated ghees to be used in fevers caused by pitta, kapha, and combinations of doṣas (39.317); the treatment of residual doṣas (39.318–319); ghee should be administered in all fevers after the lapse of twelve days (39.320); the state of the patient during remissions (39.321);538 the signs of release from fever (39.322);539 the dangers inherent in fever (39.323–324).540