A History of Indian Medical Literature v1.c24.35

v1.c24.35

The subjects are: the general treatment of disorders caused by vāta (13.1–3), 151 pitta (13.4–9) 152 and kapha (13.10–12); 153 combinations of doṣas require combinations of these treatments (13.13); in general, the treatment of disorders by vāta and pitta is like the regimen for the summer season, that of those by kapha and vāta like the regimen for the spring, that of those by kapha and pitta like the regimen for the autumn (13.14); a doṣa should be subdued in the stage of its accumulation (caya); when it has reached the stage of excitation (kopa), it should be treated without opposing one of the other doṣas; when all the doṣas are excited, the strongest one should be subdued without opposing the other ones (13.15); a treatment that pacifies a particular disease, but gives rise to another one, is inadequate; 154 adequate treatment leads to cure without bringing about another disease (13.16); factors which make the doṣas move from the viscera (koṣṭha) to the śākhās (extremities), bones and marmans; factors making the doṣas move from the śākhās to the viscera, where they stay, waiting for a cause (of excitation); having increased in strength, due to time, etc., they reach the stage of excitation, (not only locally,) but in other places too (13.17–19); a doṣa that has established itself in the seat of another doṣa should be treated, when weak, in accordance with the seat, but, when powerful, according to its own nature (13.20); such an āgantudoṣa should be pacified after opposing the normally present one, or the other way round (13.21ab); 155 doṣas which have moved sideways (tiryaggata)¹⁵⁶ trouble patients for a long time and should not be treated in haste; the physician should pacify them, bring them to the koṣṭha with gentle methods, and then try to expel them (13.21cd–23ab);¹⁵⁷ characteristics of doṣas associated with āma and devoid of it (13.23cd–24); the origin of āma (13.25); a divergent opinion on that subject (13.26); doṣas and corrupted dūṣyas, together with the diseases they bring about, are designated as sāma when they are mixed with this āma (13.27); the treatment of sāma conditions (13.28–33ab); the months most suitable for the elimination of doṣas (13.33cd–36); the ten periods of time for the administration of a medicine (13.37–41).¹⁵⁸