The tenth chapter of Cikitsasthanam of Ashtanga Hridayam is called as Grahanidosha chikitsitam Adhyayah. This chapter offers with the reason of therapy of duodenal issues.
The matters lined on this chapter embrace –
- Treating duodenal issues on the traces of indigestion
- Gruels and lightweight meals in duodenal issues
- Gruels and different helpful drinks in presence of ama in duodenal issues
- Utility of buttermilk in duodenal issues
- Amladi Curnam
- Ama destroying measures
- Kalingadi Curna
- Pippalyadi Curna
- Patvadi Curna
- Talisadi Curna
- Deepana Ghrta and Niruha Basti
- Anuvasana and Niruha Vasti, Virechana, Laghu Anna
- Pancamuladi Ghrta
- Pancamuladi Ghrta
- Pittaja Grahani Cikitsa
- Patoladi Curna
- Bhunimbadi Curna
- Nagaradi Curna
- Candanadi Ghrta
- Kaphaja Grahani Cikitsa
- Madhuka Puspasava
- Madhuka Puspasava
- Hingvadi Curnam
- Bhunimbadi Curna
- Haridradi Ksara
- Ksara yogas
- Medicated ghee in Kaphaja Grahani related to Vata
- Ksara Grta
- Panchakarma
- Therapy of praseka and different related situations
- Appraisal of sneha (fat) as greatest treatment for weak digestive fireplace
- Balancing samana vata and digestive fireplace
- Therapy of hardness of faeces
- Therapy of weak point of fireplace brought on attributable to varied causes
- Use of meat and meat soup
- Use of fat and alcoholic drinks
- Significance of fireplace within the alimentary tract
- Atyagni – Hyperactive digestive system
Pledge by the writer (s)
अथातो ग्रहणीदोषचिकित्सितं व्याख्यास्याम: व्याख्यास्याम: ।
इति ह स्माहुरात्रेयादयो महर्षय: ।
After having supplied prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of therapy of duodenal issues. Thus say (pledge) Atreya and different sages.
Treating duodenal issues on the traces of indigestion
ग्रहणीमाश्रितं दोषमजीर्णवदुपाचरेत् ।
अतीसारोक्तविधिना तस्यामं च विपाचयेत् ॥ १ ॥
The doshas localized within the Grahani (duodenum) must be handled in the identical method as treating ajirna (indigestion). The ama (undigested materials) must be cooked by remedies described for Diarrhea.
Gruels and lightweight meals in duodenal issues
अन्नकाले यवाग्वादि पञ्चकोलादिभिर्युतम् ।
वितरेत्पटुलघ्वन्नं पुनर्योगांश्च दीपनान् ॥ २ ॥
On the occasions of meals, Yavagu (skinny gruel) and many others. added with Panchakola and many others. elements, gentle meals added with salt must be given; recipes which enhance the digestive energy also needs to be given.
Gruels and different helpful drinks in presence of ama in duodenal issues
दद्यात्सातिविषां पेयामामेसाम्लां सनागराम्।
पानेऽतीसारविहितं वारितक्रं सुरादि च॥३॥
If Ama is current, Peya (skinny gruel) containing ativiṣāṃ – Aconitum heterophyllum, bitter juice, and nāgara – Zingiber officinale must be given as meals. Water, buttermilk and alcoholic drinks, prescribed for Diarrhea must be administered as a drink.
Utility of buttermilk in duodenal issues
ग्रहणीदोषिणां तक्रं दीपनग्राहिलाघवात् ।
पथ्यं मधुरपाकित्वान्न च पित्तप्रदूषणम् ॥ ४ ॥
कषायोष्णविकाशित्वाद्रूक्षत्वाच्च कफे हितम् ।
वाते स्वाद्वम्लसान्द्रत्वात्सद्यस्कमविदाहि तत् ॥ ५ ॥
For sufferers of Grahani (duodenal dysfunction), buttermilk is suited due to its properties comparable to Dipana (kindling the digestive energy), water absorbing, and lightness. Owing to the candy post-digestion impact, it doesn’t irritate Pitta. Since it’s astringent (in style), scorching (in efficiency), dilating the channels (tissue Pores) and dry (non-unctuous) it’s good for Kapha. On account of candy and bitter tastes, it’s good for Vata. By its thick consistency, recent origin it doesn’t trigger burning sensation (throughout or after digestion).
Amladi Curnam
चतुर्णां प्रस्थमम्लानां त्र्यूषणाच्च पलत्रयम् ।
लवणानां च चत्वारि शर्करायाः पलाष्टकम् ॥ ६ ॥
तच्चूर्णं शाकसूपान्नरागादिष्ववचारयेत् ।
कासाजीर्णारुचिश्वासहृत्पाण्डुप्लीहगुल्मनुत् ॥ ७ ॥
768 grams of the 4 Sours i.e; Kola (Ziziphus jujuba), Dadima (Punica granatum), Vrksamla (Garcinia indica) and Cukrika (Rumex vesicarius), three Pala (144 grams) of Piper longum, Piper nigrum and Zingiber officinale, 4 Pala (192 grams) of all of the salts (saindhava, Sauvarcala, Bida, samudra) eight Pala (384 grams) of sugar collectively transformed into nice powder and used together with greens, soup, rice, candy syrup and many others., kāsa – cures cough, ajīrṇa – indigestion, aruci – lack of style / urge for food, śvāsa – dyspnoea, hṛt – coronary heart illness, pāṇḍu – anemia, plīha – splenic issues, gulma – and belly tumors.
Ama destroying measures
नागरातिविषामुस्तं पाक्यमामहरं पिबेत् ।
उष्णाम्बुना वा तत्कल्कं नागरं वाऽथवाऽभयाम् ॥ ८ ॥
ससैन्धवं वचादिं वा तद्वन्मदिरयाऽथवा ।
nāgara – Zingiber officinale, ativiṣā – Aconitum heterophyllum, mustaṃ – and Cyperus rotundus made into decoction and consumed relieves Ama; or the paste of those herbs combined with scorching water; or the paste of Zingiber officinale or of abhayā – Terminalia chebula (with scorching water), Or vacā – Acorus calamus and many others. herbs, together with rock salt must be utilized in the identical method (with scorching water) or with madira (fermented liquor).
Ama destroying measures
वर्चस्यामे सप्रवाहे पिबेद्वा दाडिमाम्बुना ॥ ९ ॥
विडेन लवणं पिष्टं बिल्वचित्रकनागरम् ।
सामे कफानिले कोष्ठरुक्करे कोष्णवारिणा ॥ १० ॥
If the feces are related to Ama and eradicated with straining, viḍena lavaṇaṃ – Vida salt made right into a paste with decoction (or juice) of Punica granatum must be consumed; if Vata and Kapha are combined with Ama and producing ache within the alimentary tract, the paste of bilva – Aegle marmelos, citraka – Plumbago zeylanica, nāgaram – Zingiber officinale must be consumed with lukewarm water.
Kalingadi Curna
कलिङ्गहिङ्ग्वतिविषावचासौवर्चलाभयम् ।
छर्दिहृद्रोगशूलेषु पेयमुष्णेन वारिणा ॥ ११ ॥
पथ्यासौवर्चलाजाजीचूर्णं मरिचसंयुतम् ।
If there’s vomiting, coronary heart dysfunction, and belly ache, then (the powder of) Holarrhena antidysenterica, Ferula narthex, Aconitum heterophyllum, Acorus calamus, Black salt and Terminalia chebula; or the powder of Terminalia chebula Black salt Cuminum cyminum and Piper nigrum must be consumed together with scorching water.
Pippalyadi Churna
पिप्पलीं नागरं पाठां शारिवां बृहतीद्वयम् ॥ १२ ॥
चित्रकं कौटजं क्षारं तथा लवणपञ्चकम् ।
चूर्णीकृतं दधिसुरातन्मण्डोष्णाम्बुकाञ्जिकैः ॥ १३ ॥
पिबेदग्निविवृद्ध्यर्थं कोष्ठवातहरं परम् ।
pippalīṃ – Piper longum, nāgaraṃ – Zingiber officinale, pāṭhāṃ – Cissampelos pareira, śārivāṃ – Hemidesmus indicus, bṛhatīdvayam – the 2 Brthati (Solanum indicum and Solanum xanthocarpum), citrakaṃ – Plumbago zeylanica, kauṭajaṃ – seeds of Holarrhena antidysenterica, kṣāraṃ – Yavaksara – alkali of Hordeum vulgare, and the 5 Lavana (salts); all these are powdered properly and consumed together with curds, scum of beer, scorching water or rice gruel for growing the power of the digestive fireplace and is greatest for mitigating Vata current within the alimentary tract.
Patvadi Churna
पटूनि पञ्च द्वौ क्षारौ मरिचं पञ्चकोलकम् ॥ १४ ॥
दीप्यकं हिङ्गु गुटिका बीजपूररसे कृता ।
कोलदाडिमतोये वा परं पाचनदीपनी ॥ १५ ॥
Drugs constructed from the powder of the 5 salts, two alkali, maricaṃ – Piper nigrum, Pancakola (Piper longum, Piper nigrum, Piper retrofractum, Plumbago zeylanica and Zingiber officinale), dīpyakaṃ – Cuminum cyminum, hiṅgu – Ferula narthex, and utilizing the juice of bījapūra – Citrus medica or juice of kola – Ziziphus jujube or dāḍima – Punica granatum are greatest digestive and carminative.
Talisadi Churna
तालीशपत्रचविकामरिचानां पलं पलम् ।
कृष्णातन्मूलयोर्द्वे द्वे पले शुण्ठीपलत्रयम् ॥ १६ ॥
चतुर्जातमुशीरं च कर्षांशं श्लक्ष्णचूर्णितम् ।
गुडेन वटकान् कृत्वा त्रिगुणेन सदा भजेत् ॥ १७ ॥
मद्ययूषरसारिष्टमस्तुपेयापयोऽनुपः ।
वातश्लेष्मात्मनां छर्दिग्रहणीपार्श्वहृद्रुजाम् ॥ १८ ॥
ज्वरश्वयथुपाण्डुत्वगुल्मपानात्ययार्शसाम् ।
प्रसेकपीनसश्वासकासानां च निवृत्तये ॥ १९ ॥
अभयां नागरस्थाने दद्यात्तत्रैव विड्ग्रहे ।
छर्द्यादिषु च पैत्तेषु चतुर्गुणसितान्विताः ॥ २० ॥
पक्वेन वटकाः कार्या गुडेन सितयापि वा ।
परं हि वह्निसम्पर्काल्लघिमानं भजन्ति ते ॥ २१ ॥
One Pala (48 grams) every of : tālīśapatra – Abies webbiana, cavikā – Piper retrofractum, marica – and Piper nigrum, two Pala (96 grams) every of kṛṣṇā – Piper longum tat mūlayo: – and its Mula (roots of Piper longum), three pala (144 grams) of śuṇṭhī – Zingiber officinale, one Karsa (12 grams) every of, caturjātaṃ – Cinnamomum zeylanica, Cinnamomum tamala, Elettaria cardamom and Messua ferrea and uśīraṃ– Vetiveria zizanioides are powdered properly and rolled into capsules with three components of jaggery, must be consumed every day together with wine, soup, meat-soup, fermented decoction, whey, skinny gruel or milk as after drinks. It cures chardi – vomiting, grahaṇī – duodenal issues, pārśva hṛt rujām – ache of the flanks and area of the hearts; jvara – fever, śvayathu – dropsy, pāṇḍutva – anemia, gulma – belly tumor, pānātyaya – alcoholism, arśas – piles, praseka – extra salivation, pīnasa – nasal catarrh, śvāsa – dyspnea and kāsa – cough arising from Vata and Kapha. If there’s obstruction to feces, abhaya – Terminalia chebula must be used rather than nāgara – Zingiber officinale, if there’s vomiting and many others. signs arising from Pitta, capsules must be ready utilizing sugar 4 occasions the amount, or Drugs ready by cooking the powder both with jaggery or sugar, since these develop into simply digestible from contact with fireplace.
Deepana Ghrita and Niruha Basti
अथैनं परिपक्वामं मारुतग्रहणीगदम् ।
दीपनीययुतं सर्पिः पाययेदल्पशो भिषक् ॥२२॥
किञ्चित्सन्धुक्षिते त्वग्नौ सक्तविण्मूत्रमारुतम् ।
द्व्यहं त्र्यहं वा संस्नेह्य स्विन्नाभ्यक्तं निरूहयेत्॥२३॥
तत एरण्डतैलेन सर्पिषा तैल्वकेन वा ।
सक्षारेणानिले शान्ते स्रस्तदोषं विरेचयेत् ॥ २४ ॥
Subsequent, when the Ama will get digested, in duodenal illness of Vata origin, the doctor ought to make the affected person devour little amount of ghee processed with herbs that enhance digestive energy; After the digestive energy will get barely elevated and if there’s obstruction to feces, urine and flatus, decoction enema must be administered, as soon as in two days or as soon as in three days. After giving oleation and sudation therapies; when Vata will get mitigated and different Doshas are being eradicated out, the individual must be given purgation remedy utilizing both castor oil or tilvaka Ghrta (chapter 21), combined with alkali.
Anuvasana and Niruha Vasti, Virechana, Laghu Anna
शुद्धरूक्षाशयं बद्धवर्चस्कं चानुवासयेत् ।
दीपनीयाम्लवातघ्नसिद्धतैलेन तं ततः ॥ २५ ॥
निरूढं च विरिक्तं च सम्यक्चाप्यनुवासितम् ।
लघ्वन्नप्रतिसंयुक्तं सर्पिरभ्यासयेत्पुनः ॥ २६ ॥
The affected person who has developed constipation attributable to purification and consequent dryness of the alimentary tract must be given anuvasana (oil enema) with oil ready from digestion, kindling, bitter and anti-vata herbs.
Subsequent, he must be handled with decoction enema, and purgation. After correct oil enema, gentle meals must be given and use of ghee habitually is resorted to.
Panchamuladi Ghrita
पञ्चमूलाभयाव्योषपिप्पलीमूलसैन्धवैः ।
रास्नाक्षारद्वयाजाजीविडङ्गशठिभिर्घृतम् ॥ २७ ||
शुक्तेन मातुलुङ्गस्य स्वरसेनार्द्रकस्य च ।
शुष्कमूलककोलाम्लचुक्रिकादाडिमस्य च ॥ २८ ॥
तक्रमस्तुसुरामण्डसौवीरकतुषोदकैः ।
काञ्जिकेन च तत्पक्वमग्निदीप्तिकरं परम् ॥ २९ ॥
शूलगुल्मोदरश्वासकासानिलकफापहम् ।
Medicated ghee is ready with (decoction of) panchamula, abhayā – Terminalia chebula, vyoṣa – Piper longum, Piper nigrum and Zingiber officinale, pippalīmūla – roots of Piper longum, saindhava – rock salt, rāsnā – Pluchea lanceolata, kṣāradvaya – two alkali, ajājī – Cuminum cyminum, viḍaṅga – Embelia ribes, śaṭhi – and Curcuma zedoaria, fermented buttermilk, juice of mātuluṅgasya – Citrus medica, ardraka – Zingiber officinale, śuṣkamūlaka – dry Raphanus sativus, kola – Ziziphus mauritiana, amla cukrikā – bitter Rumex vesicarius, bitter dāḍima – Punica granatum, buttermilk, whey, scum of beer, bitter gruel, water processed with chaff of grains and bitter grain, cooked collectively;
That is greatest for augmenting digestive fireplace, śūla – and to treatment colic ache, gulma – belly tumor, udara – enlargement of the stomach, śvāsa – dyspnoea, kāsa – cough and aggravated Vata and Kapha.
Panchamuladi Ghrita
सबीजपूरकरसं सिद्धं वा पाययेद्घृतम् ॥ ३० ॥
तैलमभ्यञ्जनार्थं च सिद्धमेभिश्चलापहम् ।
एतेषामौषधानां वा पिबेच्चूर्णं सुखाम्बुना ॥ ३१ ॥
वाते श्लेष्मावृते सामे कफे वा वायुनोद्धते ।
Or ghee ready with the juice of bījapūraka – Citrus medica must be consumed. Oil ready from these herbs (pancamula and many others.) must be used for therapeutic massage to mitigate Cala (vata). Or powder of those medicines must be consumed with heat water, if Vata is encircled by Kapha, Kapha is combined with Ama or Kapha is aggravated by Vata.
Pittaja Grahani Chikitsa
अग्नेर्निर्वापकं पित्तं रेकेण वमनेन वा ॥ ३२ ॥
हत्वा तिक्तलघुग्राहिदीपनैरविदाहिभिः ।
अन्नैः सन्धुक्षयेदग्निं चूर्णैः स्नेहैश्च तिक्तकैः ॥ ३३ ॥
Pitta which afflicts digestive fireplace (which has undergone enhance) must be mitigated both with purgation or emesis therapies and by meals which might be bitter, simply digestible, water absorbing, carminative and never inflicting burning sensation inside. Then after the digestive fireplace augmented by way of powder or fat ready from medicines of bitter style.
Patoladi Churna
पटोलनिम्बत्रायन्तीतिक्तातिक्तकपर्पटम् ।
कुटजत्वक्फलं मूर्वा मधुशिग्रुफलं वचा ॥ ३४ ॥
दार्वीत्वक्पद्मकोशीरयवानीमुस्तचन्दनम् ।
सौराष्ट्र्यतिविषाव्योषत्वगेलापत्रदारु च ॥ ३५ ॥
चूर्णितं मधुना लेह्यं पेयं मद्यैर्जलेन वा ।
हृत्पाण्डुग्रहणीरोगगुल्मशूलारुचिज्वरान् ॥ ३६ ॥
कामलां सन्निपातं च मुखरोगांश्च नाशयेत् ।
Powder of paṭola – Trichosanthes dioica, nimba – Azadirachta indica, trāyantī – Gentiana kurroo, tiktā – Picrorhiza kurroa, tiktaka – Swertia chirata, parpaṭa – Fumaria parviflora, kuṭaja tvak – bark of Holarrhena antidysenterica, fruits of phala – Holarrhena antidysenterica, mūrvā – Marsdenia tenacissima, madhuśigru – Moringa oleifera, phalaṃ – Randia dumetorum, vacā – Acorus calamus, dārvītvak – bark of Berberis aristata, padmaka – Prunus cerasoides, uśīra – Vetiveria zizanioides, yavānī – Trichosanthes dioica, musta – Cyperus rotundus, candanam – Santalum album, saurāṣṭrī – Coccinia grandis, ativiṣā – Aconitum heterophyllum, vyoṣa – Piper longum, Piper nigrum and Zingiber officinale, tvak – Cinnamomum zeylanica, elā – Elettaria cardamom, patra – Cinnamomum tamala and dāru – Cedrus deodara; consumed both with honey, wine or water cures hṛt –illnesses of the center, pāṇḍu – anemia, grahaṇīroga – duodenal illness, gulma – belly tumor, śūla – ache of the stomach, aruci – lack of style / urge for food, jvara – fever, kāmalā – Jaundice, sannipātaṃ ca – enhance of all of the doshas, mukharogāṃśca – and illness of the mouth – cures all these illnesses.
Bhunimbadi Churna
भूनिम्बकटुकामुस्तात्र्यूषणेन्द्रयवान् समान् ॥ ३७ ॥
द्वौ चित्रकाद्वत्सकत्वग्भागान् षोडश चूर्णयेत् ।
गुडशीताम्बुना पीतं ग्रहणीदोषगुल्मनुत् ॥ ३८ ॥
कामलाज्वरपाण्डुत्वमेहारुच्यतिसारजित् ।
Powder ready with equal portions of bhūnimba – Andrographis paniculata, kaṭukā – Picrorhiza kurroa, mustā – Cyperus rotundus, tryūṣanā – Piper longum, Piper nigrum and Zingiber officinale, indrayavān – and Indrayava (seeds of Holarrhena antidysenterica), dvau citrakāt – two components of Plumbago zeylanica, and sixteen components of vatsakatvak – bark of Holarrhena antidysenterica, if consumed together with jaggery or chilly water, grahaṇīdoṣa – duodenal issues and gulma – belly tumor will probably be cured. kāmalā – Jaundice, jvara – fever, pāṇḍutva – anaemia, meha – diabetics, aruci – lack of style / urge for food and atisāra – diarrhea additionally will get cured.
Nagaradi Churna
नागरातिविषामुस्तापाठाबिल्वं रसाञ्जनम् ॥ ३९ ॥
कुटजत्वक्फलं तिक्ता धातकी च कृतं रजः ।
क्षौद्रतण्डुलवारिभ्यां पैत्तिके ग्रहणीगदे ॥ ४० ॥
प्रवाहिकार्शोगुदरुग्रक्तोत्थानेषु चेष्यते । Equal portions of nāgara – Zingiber officinale, ativiṣā – Aconitum heterophyllum, mustā – Cyperus rotundus, pāṭhā – Cissampelos pareira, bilva – Aegle marmelos, rasāñjanam – aqueous extract of Berberis aristata, kuṭajatvak phalaṃ – bark and fruit of Holarrhena antidysenterica, tiktā – Swertia chirata, and dhātakī – Woodfordia fruiticosa – all these herbs must be powdered and used together with honey and rice wash is helpful for duodenal illnesses of Pitta origin, pravāhika – dysentery, arśo – piles, gudaruk – and ache within the rectum, rakta utthāneṣu ceṣyate – and illnesses arising from blood.
Chandanadi Ghrita
चन्दनं पद्मकोशीरं पाठां मूर्वां कुटन्नटम् ॥ ४१ ॥
षड्ग्रन्थाशारिवास्फोतासप्तपर्णाटरूषकान् ।
पटोलोदुम्बराश्वत्थवटप्लक्षकपीतनान् ॥ ४२ ॥
कटुकां रोहिणीं मुस्तां निम्बं च द्विपलांशकान् ।
द्रोणेऽपां साधयेत्तेन पचेत्सर्पिः पिचून्मितैः ॥ ४३ ॥
किराततिक्तेन्द्रयववीरामागधिकोत्पलैः ।
पित्तग्रहण्यां तत्पेयं कुष्ठोक्तं तिक्तकं च यत् ॥ ४४ ॥
Medicated ghee is ready with two Pala (96 grams) every of – candanaṃ – Santalum album, padmaka – Prunus cerasoides, uśīraṃ – Vetiveria zizanioides, pāṭhāṃ – Cissampelos pareira, mūrvāṃ – Marsdenia tenacissima, kuṭannaṭam – Oroxylum indicum, ṣaḍgranthā – root of Piper longum, śārivā – Hemidesmus indicus, asphotā – number of Hemidesmus indicus, saptaparṇa – Alstonia scholaris, āṭarūṣakān – Adhatoda vasica, paṭola – Trichosanthes dioica, udumbara – Ficus racemosa, aśvattha – Ficus religiosa, vaṭa – Ficus benghalensis, plakṣa – Ficus variens, kapītanān – Feronia limonia, kaṭukāṃ rohiṇīṃ – Picrorrhiza kurroa, mustāṃ – Cyperus rotundus, nimbaṃ ca – and Azadirachta indica are boiled in one Drona (12 Litre 228 ml) of water and decoction lowered to at least one fourth. To this, is added the paste of 1 picu every of kirātatikta – Swertia chirata, seeds of Holarrhena antidysenterica, Andropogon muricatum, māgadhikā – Piper longum, utpalaiḥ – Nymphaea stellata (and medicated ghee ready). This must be consumed in duodenal illnesses of Pitta origin Tiktaka ghrita described within the therapy of Kustha (chapter 10) might also be used.
Kaphaja Grahani Chikitsa
ग्रहण्यां श्लेष्मदुष्टायां तीक्ष्णैः प्रच्छर्दने कृते ।
कट्वम्ललवणक्षारैः क्रमादग्निं विवर्धयेत् ॥ ४५ ॥
In duodenal illness attributable to a rise of Kapha, vomiting must be achieved through the use of robust emetic herbs first after which the digestive fireplace is augmented by way of herbs of pungent, bitter, salted tastes and alkalis in that order.
Kaphaja Grahani Chikitsa
पञ्चकोलाभयाधान्यपाठागन्धपलाशकैः ।
बीजपूरप्रगाढैश्च सिद्धैः पेयादि कल्पयेत् ॥ ४६ ॥
Skinny gruel and many others. must be ready, made into thick consistency with pañcakola – Piper longum, roots of Piper longum, Piper retrofractum, Plumbago zeylanica and Zingiber officinale, abhayā – Terminalia chebula, dhānya – Coriandrum sativum, pāṭhā – Cissampelos pareira, gandhapalāśakaiḥ – Curcuma zedoaria and extra amount bījapūra – Citrus medica.
Madhuka Pushpasava
द्रोणं मधूकपुष्पाणां विडङ्गं च ततोऽर्धतः ।
चित्रकस्य ततोऽर्धं च तथा भल्लातकाढकम् ॥ ४७ ॥
मञ्जिष्ठाष्टपलं चैतज्जलद्रोणत्रये पचेत् ।
द्रोणशेषं शृतं शीतं मध्वर्धाढकसंयुतम् ॥ ४८ ॥
एलामृणालागुरुभिश्चन्दनेन च रूषिते ।
कुम्भे मासं स्थितं जातमासवं तं प्रयोजयेत् ॥ ४९ ॥
ग्रहणीं दीपयत्येष बृंहणः पित्तरक्तनुत् ।
शोषकुष्ठकिलासानां प्रमेहाणां च नाशनः ॥ ५० ॥
One drona (12 Kg 228 grams) of flowers of madhūka – Madhuca longifolia half of it (6 Kg 114 grams) viḍaṅgaṃ – Embelia ribes, half of it (quarter drona – 3 Kg 57 grams) citraka – Plumbago zeylanica, one Adhaka (3 Kg 72 grams) of bhallātakā – Semecarpus anacardium, eight pala (384 grams) of mañjiṣṭhā – Rubia cordifolia all these are boiled in three Drona (36 Litres 684 ml) of water and decoction lowered to at least one drona (12 Litre 228 ml). After cooling, half adhaka (1.536 kg) of honey is added, made aromatic by the powder of elā – Elettaria cardamom, mṛṇāla – Nymphaea stellata, aguru – Aqualaria agallocha, candana – Santalum album, poured right into a pot and stored undisturbed for one month. Afterwards, this fermented Asava must be consumed. It stimulates the duodenum, bestows nourishment, mitigates Pitta and Rakta, cures śoṣa – consumption, kuṣṭha – pores and skin illness, kilāsa – leucoderma and prameha – diabetes.
Madhuka Pushpasava
मधूकपुष्पस्वरसं शृतमर्धक्षयीकृतम् ।
क्षौद्रपादयुतं शीतं पूर्ववत् सन्निधापयेत् ॥ ५१ ॥
तत्पिबन् ग्रहणीदोषान् जयेत्सर्वान् हिताशनः ।
Juice of flowers of Madhuca longifolia boiled and lowered to half, is combined with one fourth amount of honey cooled, and allowed to bear fermentation as described earlier.
By its use, the one that partakes all appropriate meals will get cured of duodenal dysfunction. Just like this, the fermented liquid ready from the juices of drākṣā – Vitis vinifera, ikṣu – Saccharum officinarum, kharjūra – Phoenix dactylifera must be consumed.
Hingvadi Churnam
तद्वद्द्राक्षेक्षुखर्जूरस्वरसानासुतान् पिबेत् ॥ ५२ ॥
हिङ्गुतिक्तावचामाद्रीपाठेन्द्रयवगोक्षुरम् ।
पञ्चकोलं च कर्षांशं पलांशं पटुपञ्चकम् ॥ ५३ ॥
घृततैलद्विकुडवे दध्नः प्रस्थद्वये च तत् ।
आपोथ्य क्वाथयेदग्नौ मृदावनुगते रसे ॥ ५४ ॥
अन्तर्धूमं ततो दग्ध्वा चूर्णीकृत्य घृताप्लुतम् ।
पिबेत् पाणितलं तस्मिञ्जीर्णे स्यान् मधुराशनः॥५५॥
वातश्लेष्मामयान् सर्वान् हन्याद्विषगरांश्च सः ।
Equally drākshā – Vitis vinifera, ikṣu – Saccharum officinarum, kharjūra – Phoenix dactylifera, juice of above three must be consumed Karsha (12 grams) every of hiṅgu – Ferula narthex, tiktā – Swertia chirata, vacā – Acorus calamus, mādrī – Gliricidia sepium (?), pāṭhā – Cissampelos pareira, indrayava – seeds of Holarrhena antidysenterica, gokṣuram – Tribulus terrestris and Pancakola (Piper longum, roots of Piper longum, Piper retrofractum, Plumbago zeylanica and Zingiber officinale), one Pala (48 grams) every of the 5 salts, two Kudava (192 grams) every of ghee and oil, two Prastha (1536 grams) of curds and boiled into decoction over delicate fireplace; when the water will get evaporated and fumes seem inside, the burnt materials is taken out, powdered and consumed in doses of 1 Panitala (12 grams) combined with ghee, partaking candy meals solely. This cures all illnesses arising from Vata and Kapha, additionally poison and synthetic poisons
Bhunimbadi Churna
भूनिम्बं रोहिणीं तिक्तां पटोलं निम्बपर्पटम् ॥ ५६ ॥
दग्ध्वा माहिषमूत्रेण पिबेदग्निविवर्धनम् ।
bhūnimba – Andrographis paniculata, rohiṇī – Picrorhiza kurroa, tiktā – Swertia chirata, paṭola – Trichosanthes dioica, nimba – Azadirachta indica, parpaṭa – Fumaria parviflora are burnt to ashes, which is consumed together with urine of the buffalo, will increase digestive energy.
Haridradi Kshara
द्वे हरिद्रे वचा कुष्ठं चित्रकः कटुरोहिणी ॥ ५७ ॥
मुस्ता च छागमूत्रेण सिद्धः क्षारोऽग्निवर्धनः ।
Alkali of – dve haridre – Curcuma longa, Berberis aristata, vacā – Acorus calamus, kuṣṭhaṃ – Saussurea lappa, citrakaḥ – Plumbago zeylanica, kaṭurohiṇī – Picrorhiza kurroa and mustā – Cyperus rotundus processed with goats urine will increase digestive energy.
Kshara yogas
चतुःपलं सुधाकाण्डात्त्रिपलं लवणत्रयात् ॥ ५८ ॥
वार्ताककुडवं चार्कादष्टौ द्वे चित्रकात् पले ।
दग्ध्वा रसेन वार्ताकाद्गुटिका भोजनोत्तराः ॥ ५९ ॥
भुक्तमन्नं पचन्त्याशु कासश्वासार्शसां हिताः ।
विषूचिकाप्रतिश्यायहृद्रोगशमनाश्च ताः ॥ ६० ॥
4 pala (192 grams) of stem of sudhā – Euphorbia neriifolia, three pala (144 grams) of the three salt, one Kudava (192 grams) of Solanum indicum, eight pala (384 grams)of Calotropis gigantean, two pala (96 grams) of Citraka (Plumbago zeylanica) are burnt to ashes and made into capsules with the juice of Solanum indicum, and consumed after meals; digests the meals taken rapidly; helpful in kāsa – cough, śvāsa – dyspnoea, arśasāṃ – piles cures viṣūcikā – a extreme type of indigestion having diarrhea and vomiting collectively, pratiśyāya – nasal catarrh and hṛdroga – coronary heart illness.
Kshara yogas
मातुलुङ्गशठीरास्नाकटुत्रयहरीतकि ।
स्वर्जिकायावशूकाख्यौ क्षारौ पञ्चपटूनि च ॥६१॥
सुखाम्बुपीतं तच्चूर्णं बलवर्णाग्निवर्धनम् ।
Powder of mātuluṅga – Citrus medica, śaṭhī – Curcuma zedoaria, rāsnā – Pluchea lanceolata, kaṭutraya – Piper longum, Piper nigrum and Zingiber officinale, harītaki – Terminalia chebula svarjikā – Sodium carbonate, alkali of yava – Hordeum vulgare and the 5 salts consumed with heat water enhances power, complexion and digestive fireplace.
Medicated ghee in Kaphaja Grahani related to Vata
श्लैष्मिके ग्रहणीदोषे सवाते तैर्घृतं पचेत् ॥ ६२ ॥
धान्वन्तरं षट्पलं च भल्लातकघृताभयम् ।
In duodenal illness arising from kapha related to vata, medicated ghee must be ready with these herbs and consumed, Dhanvantara Ghrita (vide chapter 5) Shatpala Ghrta, Bhallataka Ghrta (chapter 14) or Abhaya Ghrta (chapter 15) could also be used as an alternative.
Kshara Ghrita
विडकाचोषलवणस्वर्जिकायावशूकजान् ॥ ६३ ॥
सप्तलां कण्टकारीं च चित्रकं चैकतो दहेत् ।
सप्तकृत्वः स्रुतस्यास्य क्षारस्यार्धाढके पचेत् ॥ ६४ ॥
आढकं सर्पिषः पेयं तदग्निबलवृद्धये ।
Bida (kind of black salt), Sodium chloride, alkaline salt, Sodium carbonate, alkali of yava – Hordeum vulgare, saptalāṃ – Euphorbia dracunculoides, kaṇṭakārī – Solanum xanthocarpum, and citraka – Plumbago zeylanica are burnt collectively half adhaka (1536 grams) of its alkali / ash seven occasions filtered must be cooked in a single adhaka (3 Kg 72 grams) of ghee, this must be consumed to extend the power of the digestive fireplace.
Panchakarma
निचये पञ्च कर्माणि युञ्ज्याच्चैतद्यथाबलम् ॥ ६५ ॥
In duodenal issues arising from all of the Doshas collectively, Pancakarma (the 5 purifactory therapies, viz emesi purgation, decoction enema, fat-enema, and nasal mediation) must be adopted, appropriate to the power of the affected person.
Therapy of praseka and different related situations
प्रसेके श्लैष्मिकेऽल्पाग्नेर्दीपनं रूक्षतिक्तकम् ।
योज्यं कृशस्य व्यत्यासात्स्निग्धरूक्षं कफोदये ॥६६॥
क्षीणक्षामशरीरस्य दीपनं स्नेहसंयुतम् ।
दीपनं बहुपित्तस्य तिक्तं मधुरकैर्युतम् ॥६७॥
स्नेहोऽम्ललवणैर्युक्तो बहुवातस्य शस्यते ।
For praseka (extra salivation) arising from slesma in the one that has poor digestive fireplace (however not emaciated), the digestive fireplace must be augmented by herbs that are dry (non-unctuous) and bitter, and within the emaciated having extra of kapha, by herbs that are unctuous and non-unctuous used alternately; for the one that is emaciated and debilitated, growing the facility of digestive fireplace must be achieved with herbs combined with fat (oil, ghee). For the one that has an awesome enhance of Pitta, augmentation of digestive fireplace must be achieved by bitter herbs added with candy herbs; For the one that has nice enhance of Vata, it’s best achieved by use of fat combined with herbs of bitter and salt tastes.
Appraisal of sneha (fat) as greatest treatment for weak digestive fireplace
स्नेहमेव परं विद्याद्दुर्बलानलदीपनम् ॥ ६८ ॥
नालं स्नेहसमिद्धस्य शमायान्नं सुगुर्वपि ।
Fat alone are greatest to enhance the weak digestive fireplace, even very heavy meals (not simply digestible or extra in amount) are incapable of mitigating / weakening the digestive fireplace, augmented by fat.
Balancing samana vata and digestive fireplace
योऽल्पाग्नित्वात्कफे क्षीणे वर्चः पक्वमपि श्लथम् ॥ ६९ ॥
मुञ्चेत् पट्वौषधयुतं स पिबेदल्पशो घृतम् ।
तेन स्वमार्गमानीतः स्वकर्मणि नियोजितः ॥ ७० ॥
समानो दीपयत्यग्निमग्नेः सन्धुक्षको हि सः ।
The affected person who, due to poor digestion and reduce of Kapha, eliminates free feces, although properly cooked, must be given to drink little portions of ghee processed with salt and Zingiber officinale, by this the Samana Vata introduced into its regular path, engaged to do its regular perform, it augments the digestive fireplace as a result of it’s the (Samana Vata) that enhances the power of the digestive fireplace.
Therapy of hardness of faeces
पुरीषं यश्च कृच्छ्रेण कठिनत्वाद्विमुञ्चति ॥७१॥
स घृतं लवणैर्युक्तं नरोऽन्नावग्रहं पिबेत् ।
The individual, who eliminates feces with problem, due to its hardness, ought to drink ghee combined with salt and stop it from popping out within the upward course by consuming meals instantly.
Therapy of weak point of fireplace brought on attributable to varied causes
रौक्ष्यान्मन्देऽनले सर्पिस्तैलं वा दीपनैः पिबेत् ॥७२॥
क्षारचूर्णासवारिष्टान् मन्दे स्नेहातिपानतः ।
उदावर्तात्तु योक्तव्या निरूहस्नेहवस्तयः ॥ ७३ ॥
दोषातिवृद्ध्या मन्देऽग्नौ संशुद्धोऽन्नविधिं चरेत् ।
व्याधिमुक्तस्य मन्देऽग्नौ सर्पिरेव तु दीपनम् ॥७४॥
In case of weak digestive exercise attributable to dry issues (meals and actions), he ought to drink ghee or oil processed with carminative herbs. If weak point of digestive exercise outcomes from overdrinking of fat, powder of alkalies must be added to asava or arista (fermented decoction) and consumed. If Udavarta (upward motion of Vata) is current, then decoction enema and oil enema must be administered. If weak digestion perform is because of nice enhance of the Dosha, purifactory therapies adopted by routine of weight loss plan must be adopted. In case of weak point of digestive exercise, occurring after the treatment of the illness, ghee solely is the perfect carminative.
Therapy of weak point of fireplace brought on attributable to varied causes
अध्वोपवासक्षामत्वैर्यवाग्वा पाययेद्घृतम् ।
अन्नावपीडितं बल्यं दीपनं बृंहणं च तत् ॥७५॥
When weak point (of digestive exercise) is because of lengthy distance strolling, fasting and emaciation. The individual ought to drink yavagu (gruel) or ghee, in the midst of the meal. This confers power, will increase starvation and stoutens the physique.
Use of meat and meat soup
दीर्घकालप्रसङ्गात्तु क्षामक्षीणकृशान् नरान् ।
प्रसहानां रसैः साम्लैर्भोजयेत्पिशिताशिनाम् ॥७६॥
लघूष्णकटुशोधित्वाद्दीपयन्त्याशु तेऽनलम् ।
मांसोपचितमांसत्वात्परं च बलवर्धनाः ॥ ७७ ॥
The one who has develop into incapable of doing any work, debilitated, and emaciated, due to power affected by illnesses, must be made to devour meals together with juice (soup) of meat of Carnivorous animals of Prasaha sort (vide-chapter of Sustrasthana) combined with bitter subtances, to these accustomed to eat meat; these being simply digestible, scorching in efficiency, pungent and purifactory, increase the digestive fireplace rapidly, and are greatest to extend the power (of the individual) as a result of these are nourished by meat (of different animals).
Use of fat and alcoholic drinks
स्नेहासवसुरारिष्टचूर्णक्वाथहिताशनैः ।
सम्यक्प्रयुक्तैर्देहस्य बलमग्नेश्च वर्धते ॥ ७८ ॥
With the correct use of fat, Asava, Sura, Arista (fermented drinks) powders and decoctions (of herbs) and appropriate meals, when used correctly, each the power and digestive capability of the individual, get elevated.
Significance of fireplace within the alimentary tract
दीप्तो यथैव स्थाणुश्च बाह्योऽग्निः सारदारुभिः ।
सस्नेहैर्जायते तद्वदाहारैः कोष्ठगोऽनलः ॥ ७९ ॥
Simply because the exterior fireplace burns properly and stays regular when fed with arduous wooden (faggots) and fat, equally, the hearth within the alimentary tract (stays exercise and regular) with meals (wholesome and combined with fat).
Significance of fireplace within the alimentary tract
नाभोजनेन कायाग्निर्दीप्यते नातिभोजनात् ।
यथा निरिन्धनो वह्निरल्पो वाऽतीन्धनावृतः ॥८०॥
The digestive fireplace doesn’t get kindled by not taking the meals and in addition doesn’t get kindled by consuming an excessive amount of meals identical to the (exterior) small amount of fireplace not supplied with gas or lined with an excessive amount of gas (doesn’t kindle the hearth, in actual fact put it off).
Atyagni: Hyperactive digestive system
यदा क्षीणे कफे पित्तं स्वस्थाने पवनानुगम् ।
प्रवृद्धं वर्धयत्यग्निं तदाऽसौ सानिलोऽनलः ॥ ८१ ॥
पक्त्वाऽन्नमाशु धातूंश्च सर्वानोजश्च सङ्क्षिपन् ।
मारयेत् स्यात् स ना स्वस्थो भुक्ते जीर्णे तु ताम्यति ॥८२॥
तृट्कासदाहमूर्छाद्या व्याधयोऽत्यग्निसम्भवाः ।
When Kapha is decreased, pitta will get elevated in its personal seat (Amasaya – abdomen) adopted by Pavana (Vata), getting elevated, additional will increase the digestive fireplace, then each anila (vata) and anala (pitta) collectively digests the meals rapidly and causes depletion of all of the tissues of the physique and Ojas, and kills the individual. Such an individual finds consolation by consuming meals and suffers when it will get digested. tṛṭ – Thirst, kāsa – cough, dāha – burning sensation, mūrchā – fainting and many others., are some illnesses arising from atyagni (tremendously elevated digestive exercise).
Atyagni: Hyperactive digestive system
तमत्यग्निं गुरुस्निग्धमन्दसान्द्रहिमस्थिरैः ॥ ८३ ॥
अन्नपानैर्नयेच्छान्तिं दीप्तमग्निमिवाम्बुभिः ।
मुहुर्मुहुरजीर्णेऽपि भोज्यान्यस्योपहारयेत् ॥ ८४ ॥
निरिन्धनोऽन्तरं लब्ध्वा यथैनं न विपादयेत् ।
कृशरां पायसं स्निग्धं पैष्टिकं गुडवैकृतम् ॥ ८५ ॥
अश्नीयादौदकानूपपिशितानि भृतानि च ।
मत्स्यान् विशेषतः श्लक्ष्णान् स्थिरतोयचराश्च ये ॥ ८६ ॥
आविकं सुभृतं मांसमद्यादत्यग्निवारणम् ।
Such a tremendously elevated digestive fireplace must be introduced below management by meals and drinks which possess qualities comparable to heaviness, unctuous, fatty, gradual, strong, chilly in efficiency, and static, simply as controlling the exterior fireplace by water. He must be given meals, time and again, regardless that he has indigestion, in order that it (elevated digestive fireplace) shouldn’t kill the individual, when there is no such thing as a gas (meals). After acquiring power rice boiled with inexperienced gram candy pudding ready from milk combined with fat / ghee eatables ready from corn flour, and derivatives of jaggery, meat of well-fed animals residing in water and marshy areas, particularly the fish, that are easy (comfortable) and residing in stagnant water must be consumed. Meat of sheep which is properly–fed must be consumed for mitigating tremendously elevated digestive fireplace.
Atyagni: Hyperactive digestive system
पयः सहमधूच्छिष्टं घृतं वा तृषितः पिबेत् ॥ ८७ ॥
गोधूमचूर्णं पयसा बहुसर्पिःपरिप्लुतम् ।
आनूपरसयुक्तान् वा स्नेहांस्तैलविवर्जितान् ॥८८॥
श्यामात्रिवृद्विपक्वं वा पयो दद्याद्विरेचनम् ।
असकृत् पित्तहरणं पायसप्रतिभोजनम् ॥ ८९ ॥
When he’s thirsty, ought to drink milk or ghee added with beeswax, milk combined with flour of wheat and added with extra of ghee or drink the soup of meat of animals of marshy land, combined with fat besides oil; milk boiled with Operculina turpethum, must be given to induce purgation, and partake Payasa (milk pudding) repeatedly, at every meal to be able to mitigate pitta.
Atyagni: Hyperactive digestive system
यत्किञ्चिद्गुरु मेद्यं च श्लेष्मकारि च भोजनम् ।
सर्वं तदत्यग्निहितं भुक्त्वा च स्वपनं दिवा ॥९०॥
Every kind of meals that are heavy / not simply digestible, fatty and producing Kapha, are good for typically elevated digestive fireplace, so additionally sleeping through the day after taking meals.
Atyagni: Hyperactive digestive system
आहारमग्निः पचति दोषानाहारवर्जितः ।
धातून् क्षीणेषु दोषेषु जीवितं धातुसङ्क्षये ॥९१॥
Fireplace (digestive fireplace) cooks the meals, within the absence of meals, it cooks the Doshas, when the Doshas develop into decreased, it (fireplace) cooks the tissues and when the tissues develop into depleted, it cooks (cuts shorts) the life itself.
Atyagni: Hyperactive digestive system
एतत्प्रकृत्यैव विरुद्धमन्नं संयोगसंस्कारवशेन चेदम् ।
इत्याद्यविज्ञाय यथेष्टचेष्टाश्चरन्ति यत्साऽग्निबलस्य शक्तिः ॥ ९२ ॥
तस्मादग्निं पालयेत्सर्वयत्नैस्तस्मिन्नष्टे याति ना नाशमेव ।
दोषैर्ग्रस्ते ग्रस्यते रोगसङ्घैर्युक्ते तु स्यान्नीरुजो दीर्घजीवी ॥ ९३ ॥
He who indulges in meals, as and the way he wishes with out contemplating whether or not the meals is incompatible by its very nature, by its mixture (with different substances), processing and many others. and lives on fortunately, does so by the power of his digestive fireplace. Therefore the digestive fireplace must be protected (taken care of fastidiously) by each effort, as a result of when it’s misplaced, the individual additionally turns into misplaced (dies), when it will get seized by the Doshas, the individual will get seized by group of illnesses, when it’s regular, the individual enjoys lengthy life freed from illnesses.
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां चतुर्थे चिकित्सितस्थाने ग्रहणीदोषचिकित्सितं नाम दशमोऽध्याय: ॥१॥
Thus ends the chapter Grahanidosha Cikitsita- the tenth of Cikitsita Sthana of Asthangahrdaya Samhita, composed by Srimad Vagbhata, son of sri Vaidyapati Simhagupta.
