The twentieth chapter of Uttara Sthanam of Ashtanga Hridayam is called as Nasaroga Pratishedham. This chapter offers with the reason of ‘Therapy of ailments of the nostril’.
The subjects coated on this chapter embrace –
- Pinasa / Pratishyaya Cikitsa
- Ideally suited meals and drinks
- Chorakadi Churna
- Vyoshadi Vataka
- Shatahvadi Dhuma
- Pinasa / Pratishyaya Cikitsa – issues to keep away from
- Vataja Pratishyaya Cikitsa
- Pitta Raktaja Pratishyaya Cikitsa
- Kaphaja Pratishyaya Cikitsa
- Dusta Pinasa Cikitsa
- Ksavathu & Putaka Cikitsa
- Nasashosha Cikitsa
- Nasanaha Cikitsa
- Nasapaka and Dipti Cikitsa
- Putinasa Cikitsa
- Puyarakta Cikitsa
- Arshas – Arbuda Cikitsa
Pledge by the creator(s)
अथातो नासारोगप्रतिषेधं 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 ailments of the nostril’. Thus, say (pledge) Atreya and different sages.
Pinasa / Pratishyaya Chikitsa
सर्वेषु पीनसेष्वादौ निवातागारगो भजेत् ।
स्नेहनस्वेदवमनधूमगण्डूषधारणम् ॥ १ ॥
वासो गुरूष्णं शिरसः सुघनं परिवेष्टनम् ।
लघ्वम्ललवणं स्निग्धमुष्णं भोजनमद्रवम् ॥२॥
In all types of Pinasa (pratishyaya), at first, the affected person ought to reside in a room devoid of breeze, resort to oleation, sudation, emesis, inhalation of smoke and gargling the mouth therapies, tie a heavy, heat band of fabric spherical his head thickly; partake meals that are gentle, bitter and salty, heat, combined with fat and no liquids.
Ideally suited meals and drinks
धन्वमांसगुडक्षीरचणकत्रिकटूत्कटम् ।
यवगोधूमभूयिष्ठं दधिदाडिमसारिकम् ॥ ३ ॥
बालमूलकजो यूषः कुलत्थोत्थश्च पूजितः ।
कवोष्णं दशमूलाम्बु जीर्णां वा वारुणीं पिबेत् ॥ ४ ॥
Meat of animal of desert-like lands, jaggery, milk, caṇaka – Cicer arietinum, extra of Trikatu-Black pepper – Piper nigrum, Lengthy pepper fruit – Piper longum and Ginger – Zingiber officinale, yava – Hordeum vulgare, godhūma – Triticum aestivum processed with curds and juice of Punica granatum ought to be used as meals, soup of bālamūlakajo – tender Raphanus sativus kulatthottha: – and of Dolichos biflorus are preferrred, heat decoction of Dashamula -Bilva – Aegle marmelos, Agnimantha – Premna mucronata, Shyonaka – Oroxylum indicum, Patala – Stereospermum Suaveolens, Gambhari – Gmelina arborea, Shalaparni – Desmodium gangeticum, Prishniparni – Uraria picta, Brihati – Solanum indicum Kantakari – Solanum xanthocarpum, Gokshura – Tribulus terrestris or outdated Varuni (scum of beer) ought to be used for ingesting.
Chorakadi Churna
जिघ्रेच्चोरकतर्कारीवचाजाज्युपकुञ्चिकाः ।
coraka – Angelica glauca, tarkārī – Premna integrifolia, vacā – Acorus calamus, ajāji – Cuminum cyminum and upakuñcikāḥ – Nigella sativa (made into powder) ought to be inhaled.
Vyoshadi Vataka
व्योषतालीशचविकातिन्तिडीकाम्लवेतसम् ॥ ५ ॥
साग्न्यजाजि द्विपलिकं त्वगेलापत्रपादिकम् ।
जीर्णाद्गुडात्तुलार्धेन पक्वेन वटकीकृतम् ॥ ६ ॥
पीनसश्वासकासघ्नं रुचिस्वरकरं परम् ।
Vyosha -Black pepper – Piper nigrum, Lengthy pepper fruit – Piper longum and, Ginger – Zingiber officinale, tālīśa – Abies webbiana, cavikā – Piper chaba, tintiḍīka – Rhus parviflora, amlavetasam – Garcinia pedunculata, agni – Plumbago zeylanica, ajāji – Cuminum cyminum every two pala (98 grams), tvak – Cinnamomum zeylanica, elā – Elettaria cardamomum and patra – Cinnamomum tamala each fourth pala (12 grams) are powdered and cooked in half tula (2.4 Kg) of outdated jaggery and rolled into tablets. This cures nasal catarrah, dysponea and cough and bestows good style and voice.
Shatahvadi Dhuma
शताह्वात्वग्बला मूलं श्योणाकैरण्डबिल्वजम् ॥ ७ ॥
सारग्वधं पिबेद्धूमं वसाज्यमदनान्वितम् ।
अथवा सघृतान् सक्तून् कृत्वा मल्लकसम्पुटे ॥ ८ ॥
śatāhvā – Anethum sowa, tvak – Cinnamomum zeylanica, balā mūlaṃ – root of Sida cordifolia, śyoṇāka – root of Oroxylum indicum, eraṇḍa – Ricinus communis and bilvajam – Aegle marmelos āragvadhaṃ – together with Cassia fistula (made into coarse powder) added with muscle fats, ghee or beeswax ought to be used for smoke inhalation utilizing a casket of saucers; or saktu (flour of barley) added with ghee could also be used.
Pinasa / Pratishyaya Chikitsa: Issues to keep away from
त्यजेत्स्नानं शुचं क्रोधं भृशं शय्यां हिमं जलम् ।
The affected person ought to keep away from baths, ablutions (with chilly water), anger, sleeping for lengthy hours and chilly water.
Vataja Pratishyaya Chikitsa
पिबेद्वातप्रतिश्याये सर्पिर्वातघ्नसाधितम् ॥ ९ ॥
पटुपञ्चकसिद्धं वा विदार्यादिगणेन वा ।
स्वेदनस्यादिकां कुर्यात्चिकित्सामर्दितोदिताम् ॥ १० ॥
In Pratishyaya of Vata origin,the affected person ought to devour medicated ghee ready with herbs mitigating Vata or with Patupanchaka (5 salts) or herbs of Vidaryadi Gana (chapter 15 of sutrasthana), undertake sudation and nasal medicine therapies described within the therapy of Ardita (chapter 21 of Cikistsathana).
Pitta Raktaja Pratishyaya Chikitsa
पित्तरक्तोत्थयोः पेयं सर्पिर्मधुरकैः शृतम् ।
परिषेकान् प्रदेहांश्च शीतैः कुर्वीत शीतलान् ॥ ११ ॥
धवत्वक्त्रिफलाश्यामाश्रीपर्णीयष्टितिल्वकैः ।
क्षीरे दशगुणे तैलं नावनं सनिशैः पचेत् ॥ १२ ॥
In these of Pitta and Rakta origin, the affected person ought to devour ghee ready with herbs of candy style, bathing and utility of paste of herbs of chilly efficiency, ought to be resorted to in chilly state; medicated oil ready with (the decoction and paste) of dhavatvak – bark Anogeissus latifolia, triphala- Haritaki – Terminalia chebula, Vibhitaki – Terminalia bellerica, Amalaki – Emblica officinalis, śyāmā – Ipomoea petaloides, śrīparṇī – Gmelina arborea, yaṣṭi – Glycyrrhiza glabra, tilvakaiḥ – Symplocos racemosa, niśaiḥ – and Curcuma longa, added ten components of milk ought to be used as nasal drops.
Kaphaja Pratishyaya Chikitsa
कफजे लङ्घनं लेपः शिरसो गौरसर्षपैः ।
सक्षारं वा घृतं पीत्वा वमेत्पिष्टैस्तु नावनम् ॥ १३ ॥
बस्ताम्बुना पटुव्योषवेल्लवत्सकजीरकैः ।
In that of Kapha origin, the affected person ought to quick (keep away from meals), the paste of gaurasarṣapaiḥ – Sinapis alba ought to be utilized on the top, devour ghee combined with alkali ready of Hordeum vulgare after which vomit (by consuming emetic herbs); salt, Vyosa- Black pepper – Piper nigrum, Lengthy pepper fruit – Piper longum and Ginger – Zingiber officinale, vella – Embelia ribes, vatsaka – Holarrhena antidysentirica and jīrakaiḥ – Cuminum cyminum ought to be macerated in goat’s urine and drops of this paste put into the nostril.
Dusta Pinasa Chikitsa
कटुतीक्ष्णैर्घृतैर्नस्यैः कवलै: सर्वजं जयेत् ॥ १४ ॥
यक्ष्मकृमिक्रमं कुर्वन् यापयेद्दुष्टपीनसम् ।
व्योषोरुबूककृमिजिद्दारुमाद्रीगदेङ्गुदम् ॥ १५ ॥
वार्ताकबीजं त्रिवृता सिद्धार्थः पूतिमत्स्यकः ।
अग्निमन्थस्य पुष्पाणि पीलुशिग्रुफलानि च ॥ १६ ॥
अश्वविड्रसमूत्राभ्यां हस्तिमूत्रेण चैकतः ।
क्षौमगर्भां कृतां वर्तिं धूमं घ्राणास्यतः पिबेत् ॥ १७ ॥
Dusta Pinasa ought to be handled with the therapies advocated for Yakshma (pulmonary tuberculosis) and Krimi (intestinal worms, micro organism and so forth.), ought to be gained with pungent and robust ghee, nasal medicine, and gargles used for all three doshas. Medicinal wick (cigarette like) ought to be ready with Vyosa-Black pepper – Piper nigrum, Lengthy pepper fruit – Piper longum and, Ginger – Zingiber officinale, urubūka – Ricinus communis, kṛmijit – Embelia ribes, dāru – Berberis aristata, mādrī – Aconitum heterophyllum, gada – Saussurea lappa, iṅgudam – Balanites aegyptiaca,vārtākabījaṃ – seeds of Solanum melongena, trivṛtā – Operculina turpethum, siddhārthaḥ – Brassica juncea, unhealthy smelling fish, flowers of agnimanthasya – Premna mucronata, fruit of pīlu – Salvadora persica and śigru – Moringa oleifera, macerated with any one of many following liquids, juice of horse dung, urine, elephant urine and enveloped with fibers of jute (flax), its smoke ought to be inhaled by means of the nostril and mouth.
Kshavathu & Putaka Chikitsa
क्षवथौ पुटकाख्ये च तीक्ष्णैः प्रधमनं हितम् ।
शुण्ठीकुष्ठकणावेल्लद्राक्षाकल्ककषायवत् ॥ १८ ॥
साधितं तैलमाज्यं वा नस्यं क्षवपुटप्रणुत् ।
In Kshavathu and Putaka, it’s useful to do pradhamana (blowing the powder of herbs into the nostril) with herbs of sturdy motion, medicated ghee or oil ready with the paste and decoction of śuṇṭhī – Zingiber officinale, kuṣṭha – Saussurea lappa, kaṇā – Piper longum, vella – Embelia ribes and drākṣā – Vitis vinifera nasyaṃ praṇut – used for nasal medicine cures Kshavathu and Putaka.
Nasashosha Chikitsa
नासाशोषे बलातैलं पानादौ भोजनं रसैः ॥ १९ ॥
स्निग्धो धूमस्तथा स्वेदो
In Nasashosha, Bala Taila (chapter 21 of Cikista Sthana) ought to be used for ingesting and so forth. (anointing, nasal medicine), Meals ought to be consumed alongside withjuice of meat, snigdha dhuma (lubricatory inhalation) and sveda (fomentation) ought to be carried out.
नासानाहेऽप्ययं विधिः ।
Even for Nasanaha, the identical therapy is appropriate
Nasapaka and Deepti Chikitsa
पाके दीप्तौ च पित्तघ्नं तीक्ष्णं नस्यादि संस्रुतौ ॥ २० ॥
In Nasapaka and Deepti, therapy which mitigate Pitta ought to be carried out, in case of copious discharges from the nostril, sturdy nasal medicine and so forth. ought to be carried out.
Putinasa Chikitsa
कफपीनसवत्पूतिनासापीनसयोः क्रिया ।
लाक्षाकरञ्जमरिचवेल्लहिङ्गुकणागुडैः ॥ २१ ॥
अविमूत्रद्रुतैर्नस्यं कारयेद्वमने कृते ।
शिग्रुसिंहीनिकुम्भानां बीजैः सव्योषसैन्धवैः ॥ २२ ॥
सवेल्लसुरसैस्तैलं नावनं परमं हितम् ।
The therapy of Putinasa is similar as prescribed for Pinasa of Kapha origin.lākṣā – Laccifer lacca, karañja – Pongamia pinnata, marica – Piper nigrum, vella – Embelia ribes, hiṅgu – Ferula asafoetida, kaṇā – Piper longum and jaggery are macerated with sheep’s urine and drops of it put into the nostril, after the affected person has been given emesis remedy. Medicated oil ready with seeds of śigru – Moringa oliefera, siṃhī – Solanum indicum and nikumbhānāṃ – Baliospermum montanum, Vyosa-Black pepper – Piper nigrum, Lengthy pepper fruit – Piper longum and, Ginger – Zingiber officinale, rock salt, vella – Embelia ribes and surasai: – Ocimum sanctum is extremely useful when used as nasal drops.
Puyarakta Chikitsa
पूयरक्ते नवे कुर्याद्रक्तपीनसवत्क्रमम् ॥ २३ ॥
अतिप्रवृद्धे नाडीवद्द
In Puyarakta of current onset, the therapy ought to be carried out much like that of Pinasa attributable to blood; when it’s extremely superior the therapy is much like that of Nadivrana (Sinus ulcer).
Arshas: Arbuda Chikitsa
द्दग्धेष्वर्शोऽर्बुदेषु च ।
निकुम्भकुम्भसिन्धूत्थमनोह्वालकणाग्निकैः ॥ २४ ॥
कल्कितैर्घृतमध्वक्तां घ्राणे वर्तिं प्रवेशयेत् ।
शिग्र्वादिनावनं चात्र पूतिनासोदितं भजेत् ॥ २५ ॥
Arshas and Arbuda burnt (cauterised) first and after {that a} cotton wick smeared with the paste of nikumbha – Baliospermum montanum, kumbha – Fatropha glandulifera, rock salt, realgar, āla – arsenic trisulphidum, kaṇā – Piper longum and agnikaiḥ – Plumbago zeylanica, added with ghee ought to be launched into the nostril. Nasal drops with śigru – Moringa oliefera and different herbs talked about within the therapy of Putinasa ought to be resorted to
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां षष्ठे उत्तरस्थाने नासारोगप्रतिषेधो नाम विंशोऽध्याय: ॥ २० ॥
Thus, ends the chapter Nasaroga Pratishedha the 20 th in Uttara sthana of Astanga Hridaya Samhita composed by Srimad Vagbhata, son of Sri Vaidyapati Simhagupta.
