Atisara Chikitsitam Adhyaya (Therapies of diarrhea)   

विबद्धवातवर्चास्तु बहुशूलप्रवाहिकः ॥ ३७ ॥
सरक्तपिच्छस्तृष्णार्तः क्षीरसौहित्यमर्हति ।
यमकस्योपरि क्षीरं धारोष्णं वा प्रयोजयेत् ॥३८॥
शृतमेरण्डमूलेन बालबिल्वेन वा पुनः ।
He who has obstruction to flatus and feces, related to extreme ache, watery stools, feces combined with blood and sticky materials, and is affected by thirst, deserves consolation by milk (ought to drink extra amount of milk) or he ought to drink milk immediately from the udder, which is heat. After consuming a combination of two- fat or consuming milk boiled with roots of Ricinus communis or tender fruits of Aegle marmelos, typically.

Musta Kshirapaka

पयस्युत्क्वाथ्य मुस्तानां विंशतिं त्रिगुणेऽम्भसि ॥ ३९ ॥
क्षीरावशिष्टं तत्पीतं हन्यादामं सवेदनम् ।
One a part of milk, twenty elements of mustā – Cyperus rotundus, and three elements of water are combined boiled diminished to the amount of milk, and that is consumed; cures uncooked unripe/unprocessed feces related to ache.

Pippali Maricha Churna

पिप्पल्याः पिबतः सूक्ष्मं रजो मरिचजन्म वा ॥ ४० ॥
चिरकालानुषक्तापि नश्यत्याशु प्रवाहिका ।
Tremendous powder of pippali – Piper longum and marica – Piper nigrum consumed with water, habitually, cures dysentery shortly although persisting for very long time.

Therapy of Nirama situation

निरामरूपं शूलार्तं लङ्घनाद्यैश्च कर्षितम् ॥ ४१ ॥
रूक्षकोष्ठमपेक्ष्याग्निं सक्षारं पाययेद्घृतम् ।
He who has developed signs of absence of ama, suffers from ache, emaciated / debilitated by fasting and so forth. dryness of the alimentary tract must be made to drink ghee combined with alkalies after contemplating the power of his digestive fireplace.

Therapy of ache

सिद्धं दधिसुरामण्डे दशमूलस्य चाम्भसि ॥ ४२ ॥
सिन्धूत्थपञ्चकोलाभ्यां तैलं सद्योऽर्तिनाशनम् ।
Medicated oil ready with curds and scum of sura, and decoction of dasamula and paste of rock salt and pancakola relieves the ache instantly.

Therapy of ache

षड्भिः शुण्ठ्याः पलैर्द्वाभ्यां द्वाभ्यां ग्रन्थ्यग्निसैन्धवात् ॥ ४३ ॥
तैलप्रस्थं पचेद्दध्ना निःसारकरुजापहम् ।
Medicated oil ready with 288 g of śuṇṭhi – Zingiber officinale, 96 g of every of granthi – roots of Piper longum, agni – (Plumbago zeylanica) and rock salt, 768 ml of sesame oil and curds relieves the ache of saraka (dysentery).

Appraisal of taila in atisara

एकतो मांसदुग्धाज्यं पुरीषग्रहशूलजित् ॥ ४४ ॥
पानानुवासनाभ्यङ्गप्रयुक्तं तैलमेकतः ।
तद्धि वातजितामग्र्यं शूलं च विगुणोऽनिलः ॥ ४५ ॥
On the one hand, using meat, milk and ghee within the type of drink, lubricating enema and therapeutic massage on the physique cures obstruction of feces and ache, whereas on the opposite, medicated oil alone does so when utilized in the identical method; as a result of it’s the chief amongst these which mitigate vata and ache precipitated mainly on account of abnormality of vata.

Appraisal of taila in atisara

धात्वन्तरोपमर्देद्धश्चलो व्यापी स्वधामगः ।
तैलं मन्दानलस्यापि युक्त्या शर्मकरं परम् ॥ ४६ ॥
वाय्वाशये सतैले हि बिम्बिशिर्नावतिष्ठते ॥ ४६ऊअब् ॥
Cala (vata) aggravated by the issues of the opposite dhatus (doshas, pitta and kapha) although spreading everywhere in the physique, strikes particularly in direction of its personal residence (massive gut); Sesame oil ought to beused skillfullyin case of presence of low digestive energy,which is finest for stability of dhatus.When the residence of Vata is handled with taila (medicated oil administrated orally or rectally)then dysentery doesn’t keep there in any respect.

Appraisal of taila in atisara

क्षीणे मले स्वायतनच्युतेषु दोषान्तरेष्वीरण एकवीरे ।
को निष्टनन्प्राणिति कोष्ठशूली नान्तर्बहिस्तैलपरो यदि स्यात् ॥ ४७ ॥
When there’s depletion of feces, the opposite doshas (pitta and kapha) getting displaced from their respective channels trigger affliction of vata, and turns into the only chief. The affected person of diarrhea, must pressure at stools with stomach ache, if he’s not dedicated to using medicated oil each internally and externally.

Gudabhramsa Chikitsa: Therapy of rectal prolapse

गुदरुग्भ्रंशयोर्युञ्ज्यात् सक्षीरं साधितं हविः ॥ ४८ab॥
रसे कोलाम्लचाङ्गेर्योर्दध्नि पिष्टे च नागरे ।
When there’s ache and prolapse of rectum, medicated ghee ready with: juice of bitter kola – Ziziphus mauritiana, cāṅgeri – and Oxalis corniculata. Curd, paste of Zingiber officinale must be administered with milk.

Gudabhramsa Chikitsa: Therapy of rectal prolapse

तैरेव चाम्लैः संयोज्य सिद्धं सुश्लक्ष्णकल्कितैः ॥४९||
धान्योषणविडाजाजीपञ्चकोलकदाडिमैः ।
Medicated ghee ready with the identical bitter (amla, kola, cangeri and curd) and advantageous paste of dhānya – Coriandrum sativum, ūṣaṇa – Piper nigrum, Vida salt, ajājī – Cuminum cyminum, pancakola, dāḍima – Punica granatum (may additionally be administered).

Oil enema

योजयेत् स्नेहवस्तिं वा दशमूलेन साधितम् ॥ ५० ॥
शठीशताह्वाकुष्ठैर्वा वचया चित्रकेण वा ।
Oil enema must be given with oil processed with both group of 10 roots, or śaṭhī – Curcuma zedoaria, śatāhvā – Anethum graveolens, kuṣṭha – and Saussurea lappa or vaca – Acorus calamus, citraka – withPlumbago zeylanica.

Lubricating enema

प्रवाहणे गुदभ्रंशे मूत्राघाते कटीग्रहे ॥ ५१ ॥
मधुराम्लैः शृतं तैलं घृतं वाऽप्यनुवासनम् ।
pravāhaṇe – When there’s straining at stools, gudabhraṃśe – prolapse of the rectum, mūtrāghāte – retention of urine, kaṭīgrahe – and catching ache within the waist, a lubricating enema with both oil or ghee ready with candy and bitter herbs must be administered.

Gophana Bandha for rectal prolapse

प्रवेशयेद्गुदं ध्वस्तमभ्यक्तं स्वेदितं मृदु ॥ ५२ ॥
कुर्याच्च गोफणाबन्धं मध्यच्छिद्रेण चर्मणा ।
The prolapsed rectum must be anointed with fat, fomented mildly, pushed inside, and a gophana bandha (“i” bandage) must be utilized utilizing leather-based strap having a gap within the centre.

Unduru (mushaka) Taila

पञ्चमूलस्य महतः क्वाथं क्षीरे विपाचयेत् ॥ ५३॥
उन्दुरुं   चान्त्ररहितं तेन वातघ्नकल्कवत् ।
तैलं पचेद्गुदभ्रंशं पानाभ्यङ्गेन तज्जयेत् ॥ ५४ ॥
Medicated oil is ready with the decoction of mahat pancamula and milk, boiled with rats devoid of their intestines and paste of herbs which mitigate vata; used each for consuming and anointing on the prolapsed rectum after which positioned again in situ. This cures rectal prolapse.

Pitta Atisara Chikitsa

पैत्ते तु सामे तीक्ष्णोष्णवर्ज्यं प्रागिव लङ्घनम् ।
तृड्वान् पिबेत् षडङ्गाम्बु सभूनिम्बं ससारिवम् ॥ ५५ ॥
पेयादि क्षुधितस्यान्नमग्निसन्धुक्षणं हितम् ।
बृहत्यादिगणाभीरुद्विबलाशूर्पपर्णिभिः ॥ ५६ ॥
In diarrhoea arising from pitta and having ama, penetrating and sizzling issues (meals, herbs and so forth.) must be averted and fasting is run, to start with itself. If thirsty, he ought to drink sadanga paniya (chapter 1 of cikistsasthana) added with Andrographis paniculata together with Hemidesmus indicus. When hungry, it’s useful to eat meals equivalent to peya (gruel) and so forth., processed with herbs of brithatyadi gana (vide chapter 15 of sutrasthana), ābhīru – Asparagus racemosus, dvibalā – two sorts of bala (Sida cordifolia and Abutilon indicum), śūrpaparṇibhiḥ – and the 2 surpaparni (Desmodium gangeticum and Uraria picta), which kindle the digestive fireplace is sweet to take.

Pitta Atisara Chikitsa

पाययेदनुबन्धे तु सक्षौद्रं तण्डुलाम्भसा ।
कुटजस्य फलं पिष्टं सवल्कं सघुणप्रियम् ॥ ५७ ॥
पाठावत्सकबीजत्वग्दार्वीग्रन्थिकशुण्ठि वा ।
क्वाथं वाऽऽतिविषाबिल्ववत्सकोदीच्यमुस्तजम् ॥५८॥
अथवाऽतिविषामूर्वानिशेन्द्रयवतार्क्ष्यजम् ।
समध्वतिविषाशुण्ठीमुस्तेन्द्रयवकट्फलम् ॥ ५९ ॥
Nonetheless, if diarrhea persists, one ought to drink rice-washed water combined with both a paste of fruit and bark of kuṭaja – Holarrhena antidysenterica, ghuṇapriyam – Aconitum heterophyllum with honey or of pāṭhā – Cissampelos pareira, seeds of vatsaka – Holarrhena antidysenterica, bark of dārvī – Berberis aristata, granthika – roots of Piper longum and śuṇṭhi – Zingiber officinale; Or a decoction of: ativiṣā – Aconitum heterophyllum, bilva – Aegle marmelos, vatsaka – Holarrhena antidysenterica, udīcya – Pavonia odorata, mustajam – Cyperus rotundus; or of ativiṣā – Aconitum heterophyllum, mūrvā – Marsdenia tenacissima, niśā – Curcuma longa, indrayava – seeds of Holarrhena antidysenterica and tārkṣyaja – extract of Berberis aristate, ativiṣā – or of Aconitum heterophyllum, śuṇṭhī – Zingiber officinale, mustā – Cyperus rotundus, indrayava – seeds of Holarrhena antidysenterica, kaṭphalam – and Myrica nagi combined with honey.

Pitta Atisara Chikitsa

पलं वत्सकबीजस्य श्रपयित्वा रसं पिबेत् ।
यो रसाशी जयेच्छीघ्रं स पैत्तं जठरामयम् ॥६०॥
मुस्ताकषायमेवं वा पिबेन्मधुसमायुतम् ।
सक्षौद्रं शाल्मलीवृन्तकषायं वा हिमाह्वयम् ॥६१॥
48 grams of vatsaka bīja – seeds of Holarrhena antidysenterica is boiled in water and consumed by the one who partakes meat-soup (as meals) shortly will get cured of illness of the abdomen (diarrhoea) of pitta origin; Equally both the decoction of mustā – Cyperus rotundus must be consumed combined with equal amount of honey or the chilly infusion of śālmalīvṛnta – Bombax ceiba with honey will be made use of.     

Pittatisara Chikitsa

किराततिक्तकं मुस्तं वत्सकं सरसाञ्जनम् ।
कटङ्कटेरी ह्रीवेरं बिल्वमध्यं दुरालभा ॥ ६२ ॥
तिला मोचरसं लोध्रं समङ्गा कमलोत्पलम् ।
नागरं धातकीपुष्पं दाडिमस्य त्वगुत्पलम् ॥ ६३॥
अर्धश्लोकैः स्मृता योगाः सक्षौद्रास्तण्डुलाम्बुना ।
The formulations (powders) of herbs talked about in every of the next half verses consumed together with honey and rice-washed water are useful. kirātatiktakaṃ – Swertia chirata, mustaṃ – Cyperus rotundus, vatsakaṃ – vatsaka madhya (pulp of Holarrhena antidysenterica) and aqueous extract of sarasāñjanam – Berberis aristate, kaṭaṅkaṭerī – Berberis atistata, hrīveraṃ – Pavonia odorata, Bilva madhyaṃ – pulp of Aegle marmelos, durālabhā – and Fagonia cretica, tilā – Sesamum indicum, mocarasaṃ – Salmalia malabarica, lodhraṃ – Symplocos racemosa, samaṅgā – Rubia cordifolia, kamala – Nelumbo nucifera, utpalam – and Nymphaea stellata, nāgaraṃ – Zingiber officinale, dhātakī puṣpaṃ – flowers of Woodfordia fruticosa, dāḍimasya tvak – bark of Punica granatum, utpalam – and Nymphaea stellata.

Pittatisara Chikitsa

निशेन्द्रयवलोध्रैलाक्वाथः पक्वातिसारजित् ॥ ६४ ॥
लोध्राम्बष्ठाप्रियङ्ग्वादिगणांस्तद्वत् पृथक् पिबेत् ।
Decoction of: niśā – Curcuma longa, indrayava – seeds of Holarrhena antidysenterica, lodhra – Symplocos racemosa, elā – and Elettaria cardamomum pakva atisārajit – cures pakvatisara. Equally, the under medicines could also be consumed individually. The decoction of herbs of rodhradigana, ambasthadigana and priyagvadi gana (chapter 15 of sutrasthana)

Pitta Atisara Chikitsa

कट्वङ्गवल्कयष्ट्याह्वफलिनीदाडिमाङ्कुरैः ॥ ६५ ॥
पेयाविलेपीखलकान् कुर्यात् सदधिदाडिमान् ।
तद्वद्दधित्थबिल्वाम्रजम्बूमध्यैः प्रकल्पयेत् ॥ ६६ ॥
Peya, vilepi, and khala (all these are liquid) meals, ready with kaṭvaṅga valka – bark of Oroxylum indicum, yaṣṭyāhva – Glycyrrhiza glabra, phalinī – Callicarpa macrophylla, and dāḍima aṅkura – tender sprouts of Punica granatum combined with curds and juice of dāḍimān – Punica granatum is useful.

Equally, these ready with kernel of dadhittha – Feronia elephantum, bilva – Aegle marmelos, āmra – Mangifera indica and jambū – Syzygium cumini.

Pittatisara Chikitsa

अजापयः प्रयोक्तव्यं निरामे तेन चेच्छमः ।
दोषाधिक्यान्न जायेत बलिनं तं विरेचयेत् ॥ ६७ ॥
When there isn’t a ama, goat milk must be administered, if it doesn’t subside due to nice enhance of the doshas and if the individual is powerful, he must be given a purgation remedy.

Pittatisara Cikitsa

व्यत्यासेन शकृद्रक्तमुपवेश्येत योऽपि वा ।
पलाशफलनिर्यूहं युक्तं वा पयसा पिबेत् ॥ ६८ ॥
ततोऽनु कोष्णं पातव्यं क्षीरमेव यथाबलम् ।
प्रवाहिते तेन मले प्रशाम्यत्युदरामयः ॥ ६९ ॥
He who’s excreting feces and blood alternately, ought to drink milk together with decoction of palāśa phala – fruits of Butea monosperma adopted by consuming of heat milk solely (as meals), in accordance with his power. With discharge (voiding) of the feces the abdomen dysfunction (diarrhea) will get relieved.

Pittatisara Chikitsa

पलाशवत्प्रयोज्या वा त्रायमाणा विशोधनी ।
Identical to palāśa – Butea monoseprma, trāyamāṇā – Gentiana kurroo must be utilized in the identical approach.  It acts as a air purifier (purgative).

Pittatisara Cikitsa

संसर्ग्यां क्रियमाणायां शूलं यद्यनुवर्तते ॥ ७० ॥
स्रुतदोषस्य तं शीघ्रं यथावह्न्यनुवासयेत् ।
शतपुष्पावरीभ्यां च बिल्वेन मधुकेन च ॥ ७१ ॥
तैलपादं पयोयुक्तं पक्वमन्वासनं घृतम् ।
Throughout the course of samsargi kriya (routine of liquid meals equivalent to peya, vilepi and so forth), if ache within the stomach persists, on account of over-elimination of the doshas, then the affected person must be shortly given anuvasana (oil-enema remedy), relying on the power of the digestive fireplace. Medicated ghee ready with śatapuṣpā – Anethum graveolens, varī – Asparagus racemosus, bilva – Aegle marmelos, and madhuka – Glycyrrhiza glabra, oil one-fourth half, with milk is finest for anuvasana – fats enema.

Pichcha Basti: Slimy enema

अशान्तावित्यतीसारे पिच्छावस्तिः परं हितः ॥ ७२ ॥
परिवेष्ट्य कुशैरार्द्रैरार्द्रवृन्तानि शाल्मलेः ।
कृष्णमृत्तिकयाऽऽलिप्य स्वेदयेद्गोमयाग्निना ॥ ७३ ॥
मृच्छोषे तानि सङ्क्षुद्य तत्पिण्डं मुष्टिसम्मितम् ।
मर्दयेत्पयसः प्रस्थे पूतेनास्थापयेत्ततः ॥ ७४ ॥
नतयष्ट्याह्वकल्काज्यक्षौद्रतैलवतानु च ।
स्नातो भुञ्जीत पयसा जाङ्गलेन रसेन वा ॥ ७५ ॥
पित्तातिसारज्वरशोफगुल्मसमीरणास्रग्रहणीविकारान् ।
जयत्ययं शीघ्रमतिप्रवृत्तिं विरेचनास्थापनयोश्च वस्तिः ॥ ७६ ॥
In diarrhoea, if itdoes not subside by the above remedy, administrering piccha basti is finest suited. Moist flower stalks of śālmai – Bombax ceiba are tied with kuśai: ārdrai: – inexperienced Desmostachya bipinnata grass given a coating of black mud and made right into a ball, and burnt within the warmth of cow dung desserts, when the mud plaster will get dried, it must be damaged. One musti (48 grams) of this bolus of paste is macerated with 768 ml of milk and filtered. nata – Valeriana wallichii, yaṣṭyāhva – and Glycyrrhiza glabra paste of above two medicines must be added to above-mentioned liquid, together with ghee, honey and oil, this must be administered as an enema afterwards. The affected person ought to take tub and eat his meals together with both milk or soup of meat of desert-like areas. This sort of enema shortly cures –

pittātisāra – diarrhea of pitta origin, jvara – fever, śopha – dropsy, gulma – stomach tumour, samīraṇa asra – gout, grahaṇī vikārān – issues of the duodenum, extra bouts of purgation and decoction enema therapies.

Pichcha Basti: Slimy enema

फाणितं कुटजोत्थं च सर्वातीसारनाशनम् ।
वत्सकादिसमायुक्तं साम्बष्ठादि समाक्षिकम् ॥ ७७ ॥
Inspissated juice of sugarcane and seeds of kuṭaja – Holarrhena antidysenterica added with herbs of vatsakadi group and ambasthadi gana (chapter 15 of sutrasthana) combined with honey cures all varieties of diarrhoea.

Putapaka Rasa Yoga

नीरुङ्निरामं दीप्ताग्नेरपि सास्रं चिरोत्थितम् ।
नानावर्णमतीसारं पुटपाकैरुपाचरेत् ॥ ७८ ॥
The affected person of diarrhea who isn’t having painand additionally no ama,whoeliminates feces combined with bloodfor very long time,and of any coloursand having good digestive powershould be handled withputapaka (defined additional).

Putapaka Rasa Yoga

त्वक्पिण्डाद्दीर्घवृन्तस्य श्रीपर्णीपत्रसंवृतात् ।
मृल्लिप्तादग्निना स्विन्नाद्रसं निष्पीडितं हिमम् ॥ ७९ ॥
अतीसारी पिबेद्युक्तं मधुना सितयाऽथवा ।
Paste of tvak dīrghavṛntasya – bark of dirghavrnta (Bombax ceiba) is made right into a ball, lined with leaves of śrīparṇī – Gmelina arborea and given a coating of mud, barely dried, put into fireplace and brought out when it turns into purple, after cooling, the paste is taken out and juice extracted the affected person of diarrhoea ought to drink this juice, made chilly and added with both honey or sugar.

Putapaka Rasa Yoga

एवं क्षीरिद्रुमत्वग्भिस्तत्प्ररोहैश्च कल्पयेत् ॥८०॥
कट्वङ्गत्वग्घृतयुता स्वेदिता सलिलोष्मणा ।
Equally, the juice extracted from the barks and sprouts of bushes having milky sap or bark of kaṭvaṅga – Oroxylum indicum, added with ghee and warmed on sizzling water and combined with honey. These treatment diarrohea shortly even when extreme.

Raktatisara: Therapy of bleeding diarrhea

पित्तातीसारी सेवेत पित्तलान्येव यः पुनः ।
रक्तातीसारं कुरुते तस्य पित्तं सतृड्ज्वरम् ॥ ८२ ॥
दारुणं गुदपाकं च तत्र छागं पयो हितम् ।
पद्मोत्पलसमङ्गाभिः शृतं मोचरसेन च ॥ ८३ ॥
शारिवायष्टिलोध्रैर्वा प्रसवैर्वा वटादिजैः ।
सक्षौद्रशर्करं पाने भोजने गुदसेचने ॥ ८४ ॥
The affected person of pittatisara (diarrhea brought on by pitta), who once more indulges in issues (meals and so forth) which enhance pitta; His pitta additional elevated, produces raktatisara (diarrhoea with bleeding) together with thirst and fever, and ulcerations of the rectum. For this, goat’s milk boiled with padma – Prunus cerasoides, utpala – Nymphaea stellata, samaṅga – Rubia cordifolia, mocarasa – and Salmalia malabarica, śārivā – or with Hemidesmus indicus, yaṣṭi – Glycyrrhiza glabra, lodhra – and Symplocos racemosa, with sprouts of vaṭādija – Ficus benghalensis and so forth., combined with honey and sugar is useful to be used for consuming and as meals for bathing the rectum.

Raktatisara: Therapy of bleeding diarrhea

तद्वद्रसादयोऽनम्लाः साज्याः पानान्नयोर्हिताः ।
काश्मर्यफलयूषश्च किञ्चिदम्लः सशर्करः ॥ ८५ ॥
Equally meat soup and so forth., which aren’t bitter and combined with ghee used for consuming and together with meals is useful. Soup ready with kāśmaryaphala – fruits of Gmelina arborea made barely bitter and combined with honey and sugar can be useful.

Raktatisara: Therapy of bleeding diarrhea

पयस्यर्धोदके छागे ह्रीवेरोत्पलनागरैः ।
पेया रक्तातिसारघ्नी पृश्निपर्णीरसान्विता ॥ ८६ ॥
प्राग्भक्तं नवनीतं वा लिह्यान्मधुसितायुतम् ।
Goat’s milk dded with half its amount of water combined with powders of hrīvera – Pavonia odorata, utpala – Nymphaea stellata, nāgara – Zingiber officinale, and juice of pṛśniparṇī – Uraria picta, made right into a peya (skinny gruel) cures bleeding diarrhoea. Butter combined with honey and sugar must be licked day by day earlier than (noon) meal.

Raktatisara: Therapy of bleeding diarrhea

बलिन्यस्रेऽस्रमेवाजं मार्गं वा घृतभर्जितम् ॥८७॥
क्षीरानुपानं क्षीराशी त्र्यहं क्षीरोद्भवं घृतम् ।
कपिञ्जलरसाशी वा लिहन्नारोग्यमश्नुते ॥ ८८ ॥
When there’s great amount of bleeding, then the blood of both a goat or deer, fried with ghee must be given to drink adopted with milk as an after-drink. The affected person ought to drink milk solely as meals for 3 days or eat ghee obtained from milk or soup of meat of kapinjala hen must be licked. By this he regains well being.

Raktatisara: Therapy of bleeding diarrhea

पीत्वा शतावरीकल्कं क्षीरेण क्षीरभोजनः ।
रक्तातीसारं हन्त्याशु तया वा साधितं घृतम् ॥८९॥
Paste of śatāvarī – Asparagus racemosus combined with milk and consumed by the peson who takes milk solely as meals,this cures bleeding diarrhoea shortly, so additionally the medicated ghee ready from it (satavari – Asparagus racemosus)

Raktatisara: Therapy of bleeding diarrhea

लाक्षानागरवैदेहीकटुकादार्विवल्कलैः ।
सर्पिः सेन्द्रयवैः सिद्धं पेयामण्डावचारितम् ॥९०॥
अतीसारं जयेच्छीघ्रं त्रिदोषमपि दारुणम् |
Medicated ghee ready lākṣā – with Laccifer lacca, nāgara – Zingiber officinale, vaidehī – Piper longum, kaṭukā – Picrorhiza kurroa, dārvi valkalaiḥ – bark of Berberis aristate and indrayava – seeds of Holarrhena antidysenterica consumed, combined with peya or manda (skinny gruel) shortly cures extreme diarrohea arising from the three doshas.

Raktatisara: Therapy of bleeding diarrhea

कृष्णमृच्छङ्खयष्ट्याह्वक्षौद्रासृक्तण्डुलोदकम् ॥९१॥
जयत्यस्रं प्रियङ्गुश्च तण्डुलाम्बुमधुप्लुता ।
Black soil, conch, yaṣṭyāhva – Glycyrrhiza glabra, honey and blood of goat or deer combined with rice-washed water cures bleeding diarrhoea; So additionally, priyaṅgu: – Callicarpa macrophylla combined rice-wash water and honey.

Raktatisara: Therapy of bleeding diarrhea

कल्कस्तिलानां कृष्णानां शर्करापाञ्चभागिकः॥९२॥ आजेन पयसा पीतः सद्यो रक्तं नियच्छति ।
Paste of tilānāṃ kṛṣṇānāṃ – krsnatila (Sesamum indicum) added with one-fifth a part of sugar, combined with goat’s milk and consumed stops the bleeding instantly.

Raktatisara: Therapy of bleeding diarrhea

पीत्वा सशर्कराक्षौद्रं चन्दनं तण्डुलाम्बुना ॥९३॥
दाहतृष्णाप्रमोहेभ्यो रक्तस्रावाच्च मुच्यते ।
गुदस्य दाहे पाके वा सेकलेपा हिता हिमाः ॥९४॥
Paste of candanaṃ – Santalum album, added with sugar, honey combined with rice wash and consumed cures burning sensation, thirst, delusion and bleeding. If there’s burning sensation and ulceration of the rectum, bathing the half or topical utility with chilly factor is useful.

Raktatisara: Therapy of bleeding diarrhea

अल्पाल्पं बहुशो रक्तं सशूलमुपवेश्यते ।
यदा विबद्धो वायुश्च कृच्छ्राच्चरति वा न वा ॥ ९५ ।
पिच्छावस्तिं तदा तस्य पूर्वोक्तमुपकल्पयेत् ।
When the affected person eliminates little portions of blood, many instances accompanied with ache or vayu (flatus) getting obstructed, comes out with problem or doesn’t come out in any respect, then he must be given (sticky enema) as described earlier.

Raktatisara: Therapy of bleeding diarrhea

पल्लवान् जर्जरीकृत्य शिंशिपाकोविदारयोः ॥९६॥
पचेद्यवांश्च स क्वाथे घृतक्षीरसमन्वितः ।
पिच्छास्रुतौ गुदभ्रंशे प्रवाहणरुजासु वा ॥ ९७ ॥
पिच्छावस्तिः प्रयोक्तव्यः क्षतक्षीणबलावहः ।
Tender leaves of śiṃśipāko – Dalbergia sissoo, vidārayoḥ – Bauhinia variegata are crushed and cooked, mixing it with Hordeum vulgare. This decoction added with ghee and milk, administered as a picchabasti is beneficial for rectal exudation, rectal prolapse, straining and ache. An individual debilitated from damage to the chest will get power.

Raktatisara: Therapy of bleeding diarrhea

प्रपौण्डरीकसिद्धेन सर्पिषा चानुवासनम् ॥ ९८ ॥
Anuvasana (oil enema) must be given with ghee ready with Nelumbo nucifera.

Raktatisara: Therapy of bleeding diarrhea

रक्तं विट्सहितं पूर्वं पश्चाद्वा योऽतिसार्यते ।
शतावरीघृतं तस्य लेहार्थमुपकल्पयेत् ॥ ९९ ॥
For the affected person who eliminates blood combined with feces, both earlier to or after elimination of feces, satavari Ghrta must be given to him for licking.

Raktatisara: Therapy of bleeding diarrhea

शर्करार्धांशकं लीढं नवनीतं नवोद्धृतम् ।
क्षौद्रपादं जयेच्छीघ्रं तं विकारं हिताशिनः ॥ १०० ॥
Butter obtained contemporary, combined with sugar half of its amount and honey, quarter of its amount. This treatment,licked each day adopted by partaking appropriate meals cures the above ailments shortly.

Raktatisara: Therapy of bleeding diarrhea

न्यग्रोधोदुम्बराश्वत्थशुङ्गानापोथ्य वासयेत् ।
अहोरात्रं जले तप्ते घृतं तेनाम्भसा पचेत् ॥१०१॥
तदर्धशर्करायुक्तं लेहयेत्क्षौद्रपादिकम् ।
अधो वा यदि वाऽप्यूर्ध्वं यस्य रक्तं प्रवर्तते ॥१०२॥
Sprouts of nyagrodha – Ficus benghalensis, udumbara – Ficus racemosa, aśvattha – and Ficus religiosa, āpothya – are barely crushed, soaked in sizzling water and saved undisturbed for a day and night time. Ghee must be cooked on this water, combined with half its amount of sugar and one-fouth amount of honey and made right into a confection. Thus, must be licked each day by one who hasbleeding both within the downward or upward instructions.

Kaphatisara Chikitsa

श्लेष्मातीसारे वातोक्तं विशेषादामपाचनम् ।
कर्तव्यमनुबन्धेऽस्य पिबेत्पक्त्वाऽग्निदीपनम् ॥ १०३ ॥
बिल्वकर्कटिकामुस्तप्राणदाविश्वभेषजम् ।
वचाविडङ्गभूतीकधानकामरदारु वा ॥ १०४ ॥
अथवा पिप्पलीमूलपिप्पलीद्वयचित्रकम् ।
In diarrhoea of kapha origin, the remedy prescribed for that of vata origin itself must be achieved, particularly so, these which cook dinner the ama. If the diarrhoea persists, the remedy must be achieved which incorporates consuming of decoction ready with bilva – Aegle marmelos, karkaṭikā – Cucumis sativus, musta – Cyperus rotundus, prāṇadā – Terminalia chebula, viśvabheṣajam – Zingiber officinale, vacā – Acorus calamus, viḍaṅga – Embelia ribes, bhūtīka – Cybopogon citrates, dhānakā – Coriandrum sativum, amaradāru vā – and Cedrus deodara or of pippalīmūla – roots of Piper longum, pippalīdvaya – Piper longum and Scindapsus officinalis, citrakam – Plumbago zeylanica, which improve digestive fireplace.

Kaphatisara Chikitsa

पाठाग्निवत्सकग्रन्थितिक्ताशुण्ठीवचाभयाः ॥१०५॥
क्वथिता यदि वा पिष्टाः श्लेष्मातीसारभेषजम् ।
pāṭhā – Cissampelos pareira, agni – Plumbago zeylanica, vatsaka – Hollarhena antidysenterica, granthi – roots of Piper longum, tiktā – Swertia chirata, śuṇṭhī – Zingiber officinale, vaca – Acorus calamus, abhayā – and Terminalia chebula made right into a decocton or paste is one of the best drugs for diarrhea of kapha origin.

Kaphatisara Chikitsa

सौवर्चलवचाव्योषहिङ्गुप्रतिविषाभयाः ॥ १०६ ॥
पिबेच्छ्लेष्मातिसारार्तश्चूर्णिताः कोष्णवारिणा ।
मध्यं लीढ्वा कपित्थस्य सव्योषक्षौद्रशर्करम् ॥ १०७ ॥
कट्फलं मधुयुक्तं वा मुच्यते जठरामयात् ।
The individual affected by diarrhoea arising from kapha ought to eat the powder of Black salt, vacā – Acorus calamus, vyoṣa – Piper longum, Piper nigrum and Zingiber officinale, hiṅgu – Ferula narthex, prativiṣa – Aconitum heterophyllum, abhayā – and Terminalia chebula combined with heat water. He who licks the marrow of kapittha  Feronia limonia, combined with powder of Piper longum, Piper nigrum and Zingiber officinale, honey, sugar; kaṭphalaṃ – or Myrica nagi madhuyuktaṃ vā – combined with honey, will get cured of ailments of the abdomen (diarrhea).

Kaphatisara Chikitsa

कणां मधुयुक्तां लीढ्वा तक्रं पीत्वा सचित्रकम्॥१०८॥
भुक्त्वा वा बालबिल्वानि व्यपोहत्युदरामयम्।
Licking the (powder of) kanam – Piper longum with honey, consuming buttermilk combined with chitrakam – Plumbago zeylanica or consuming tender fruits of Aegle marmelos cures ailments of the abdomen (diarrhoea).

Kaphatisara Chikitsa

पाठामोचरसाम्भोदधातकीबिल्वनागरम् ॥१०९॥
सुकृच्छ्रमप्यतीसारं गुडतक्रेण नाशयेत् ।
pāṭhā – (Powder of) Cissampelos pareira, Salmalia malabarica, Cyperus rotundus, Woodfordia fruticosa, Aegle marmelos and Zingiber officinale consumed combined with jaggery and buttermilk destroys diarrhoea even ifvery extreme.

Kapitthastaka Churna

यवानीपिप्पलीमूलचातुर्जातकनागरैः ॥ ११० ॥
मरिचाग्निजलाजाजीधान्यसौवर्चलैः समैः ।
वृषाम्लधातकीकृष्णाबिल्वदाडिमदीप्यकैः ॥१११॥
त्रिगुणैः षड्गुणसितैः कपित्थाष्टगुणैः कृतः ।
चूर्णोऽतीसारग्रहणीक्षयगुल्मगलामयान् ॥ ११२ ॥
कासश्वासाग्निसादार्शःपीनसारोचकाञ्जयेत् ।
Equal elements every of yavānī – Trachyspermum ammi, pippalīmūla – root of Piper longum, cāturjātaka – Cinnamomum zeylanicum, Cinnamomum tamala, Elettaria cardamom, Messua ferrea, Zingiber officinale, maricā – Piper nigrum, agni – Plumbago zeylanica, jala – Pavonia odorata, ajājī – Cuminum cyminum, dhānya – Coriandrum sativum, sauvarcalaiḥ – Black salt collectively making one half, triguṇaiḥ – collectively making three elements, by equal elements of vṛṣksamla – Garcinia indica, dhātakī – Woodfordia fruticosa, kṛṣṇā – Piper longum, bilva – Aegle marmelos, dāḍima – Punica granatum, dīpyakaiḥ – and Cuminum cyminum, sita – sugar, six elements, kapitthā – and Feronia linonia eight elements kṛtaḥ cūrṇo – are all transformed into a pleasant powder. Consumed in applicable dose, this cures atīsāra – diarrhoea, grahaṇī – duodenal illness, kṣaya – consumption, gulma – stomach tumour, gala āmayān – ailments of throat, kāsa – cough, śvāsa – dyspnoea, agnisāda – weak digestion, arśaḥ – piles, pīnasa – power nasal catarrah, ārocaka – and lack of style / urge for food.

Dadimastaka Churna

कर्षोन्मिता तवक्षीरी चातुर्जातं द्विकार्षिकम् ॥११३॥
यवानीधान्यकाजाजीग्रन्थिव्योषं पलांशकम् ।
पलानि दाडिमादष्टौ सितायाश्चैकतः कृतः ॥ ११४ ॥
गुणैः कपित्थाष्टकवच्चूर्णोऽयं दाडिमाष्टकः ।
भोज्यो वातातिसारोक्तैर्यथावस्थं खलादिभिः ॥११५॥
12 grams of tavakṣīrī – Bambusa bambos, cāturjātaṃ – Cinnamomum zeylanica, Cinnamomum tamala, Elettaria cardamom and Messua ferrea in 24 g amount, pala aṃśakam – one pala (48 grams) every of: yavānī – Trachyspermum ammi, dhānyaka – Coriandrum sativum, ajājī – Cuminum cyminum, granthi – root of Piper longum, vyoṣaṃ – and Piper longum, Piper nigrum and Zingiber officinale, eight pala (384 grams) every of dāḍima – Punica granatum and sugar – all are made into a pleasant powder. This dadimastaka churna is much like the sooner kapitthastaka curna in qualities and must be consumed together with khala and so forth., described within the stage-wise treatement in diarrhoea of vata origin.

Vidangadi Khala

सविडङ्गः समरिचः सकपित्थः सनागरः ।
चाङ्गेरीतक्रकोलाम्लः खलः श्लेष्मातिसारजित् ॥११६॥
Khala ready with viḍaṅga – Embelia ribes, marica – Piper nigrum, kapittha – Feronia linonia, nāgara – Zingiber officinale and cāṅgerī – Oxalis corniculata combined with buttermilk kola amlaḥ – bitter fruit of Ziziphus jujuba cures diarrhoea of kapha origin.

Medicated ghee

क्षीणे श्लेष्मणि पूर्वोक्तमम्लं लाक्षादि षट्पलम् ।
पुराणं वा घृतं दद्याद्यवागूमण्डमिश्रितम् ॥ ११७ ॥
If kapha is decreased, medicated ghee described earlier equivalent to amla ghrita (verse 48) laksadi ghrita (verse 90) satpalaghrta (chapter 5/22) and even previous ghee must be given or combined with yavagu and skinny gruel could also be consumed.

Pichcha Basti

वातश्लेष्मविबन्धे वा स्रवत्यति कफेऽपि वा।
शूले प्रवाहिकायां वा पिच्छावस्तिः प्रशस्यते॥११८॥
वचाबिल्वकणाकुष्ठशताह्वालवणान्वितः।
If there’s obstruction of vata and kapha or if kapha solely is being eradicated drastically, or when these is ache and straining at stools, picchabasti (slimy enema) containing vacā – Acorus calamus, bilva – Aegle marmelos, kaṇā – Piper longum, kuṣṭha – Saussurea lappa, śatāhvā – Anethum graveolens and salt is finest suited.

Anuvasana Basti

बिल्वतैलेन तैलेन वचाद्यैः साधितेन वा ॥ ११९ ॥
बहुशः कफवातार्ते कोष्णेनान्वासनं हितम् ।
Oil obtained from the marrow of bilva – Aegle marmelos fruits or oil processed with vacā – Acorus calamus and so forth., (enumerated above) made heat and used for anuvasana (oil of enema), many instances is useful for the individual affected by (enhance of) kapha and vata.

Pichcha Basti

क्षीणे कफे गुदे दीर्घकालातीसारदुर्बले ॥ १२० ॥
अनिलः प्रबलोऽवश्यं स्वस्थानस्थः प्रजायते ।
स बली सहसा हन्यात्तस्मात्तं त्वरया जयेत् ॥ १२१ ॥
वायोरनन्तरं पित्तं पित्तस्यानन्तरं कफम् ।
जयेत्पूर्वं त्रयाणां वा भवेद्यो बलवत्तमः ॥ १२२ ॥
When kapha is decreased, the rectum turns into weak on account of lengthy continued atīsāra – diarrhoea; the vata residing in is its personal seat (the rectum) definetly turns into very highly effective. This highly effective Vata kills the individual instantly. Therefore it must be received instantly. After successful vata, pitta must be received after successful pitta, kapha must be received. Or amongst three whichever is most predominant, must be received first.

Pichcha Basti

भीशोकाभ्यामपि चलः शीघ्रं कुप्यत्यतस्तयोः ।
कार्या क्रिया वातहरा हर्षणाश्वासनानि च ॥ १२३ ॥
Vata will get aggravated quickly, even by concern and grief, therefore even for the diarrhoea brought on by these (concern and grief) remedy which mitigates vata and in addition remedy which gives happiness and braveness of the affected person must be resorted to.

Pichcha Basti

यस्योच्चाराद्विना मूत्रं पवनो वा प्रवर्तते ।
दीप्ताग्नेर्लघुकोष्ठस्य शान्तस्तस्योदरामयः ॥ १२४ ॥
The illness of the abdomen (diarrhoea)is to be thought of as cured when the individual is ready to eradicate urine or flatus with out the elimination of feces,when his digestive fireplace is elevated and alimentary tract is gentle.

इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां चतुर्थे चिकित्सितस्थानेऽतीसारचिकित्सितं नाम नवमोऽध्याय: ॥९॥
Thus, ends the chapteratisara cikitsa the ninth in cikitsita sthana of astangahrdayasamhita, composed by Srimadvagbhata, son of Sri Vaidyapati Simhagupta.