Sushruta Samhita Uttaratantra Chapter 47 Pānātyaya Pratiṣedha (Therapy of Alcoholism)

AIAPGET POINTS

–        Qualities of MADYA are – Ushna, Tikshna, Sukshma, Vishada, Ruksha, Ashukari, Vyavayi and Vikasi.

–        MADA is prompted attributable to consuming MADYA on an empty abdomen or in extra, when Madya will get combined with AGNI within the abdomen. MADA is claimed to be AGNI SAMAM – much like hearth in nature. (Su.Ut.47/9)

–        Three Levels of MADA are – Purva, Madhya & Paschima.

–        Options or Results of PURVA MADA – Improve of Virya, Rati, Priti, Harsha, Bhashya and many others.

–        Options or Results of MADHYA MADA – Pralapa, Moha, Yukta-Ayukta Kriya

–        Options or Results of PASCHIMA MADA – Visanjgna, Shete Nashta Karma Kriya Gunaha

–        KAPHA Prakriti individuals are not troubled a lot by MADA.

–        Recipe for Pana Vibhrama – syrup ready from Amrataka and Kola added with extra sugar and honey.

–        MADYAJA TRSNA – MADYA has properties of AGNI & VAYU Bhutas. Subsequently it might dry up AMBUVAHA SROTAS and provides rise to TRSNA.

–        In Raktaja Daha, Rohini Sira current within the extremities needs to be punctured in accordance with the right process. Su.Ut.47/9

–        ASRJA PURNA KOSTHA JANYA DAHA / RaktaPurnaKostha Janya Daha is handled on the linens of SADYO VRANA CHIKITSA.

–        Dhatu-Kshayaja Daha needs to be handled on the strains of RAKTAPITTA and SNIGDHA-ANILAPAHA Chikitsa.

–        Utility of paste of CHANDANA on the physique frequently prevents affliction of thoughts by MADA in accordance with Acharya Sushruta. Su.Ut.47/81

 

 

The forty seventh chapter of Uttaratantra of Sushruta Samhita is called as Pānātyaya Pratiṣedha Adhyaya. This chapter offers with the Therapy of Alcoholism.   

अथातः पानात्ययप्रतिषेधं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||

We are going to now expound Pānātyaya pratiṣedha – remedy of Alcoholism; as revealed by the venerable Dhanvantari

Madya guna- karma- properties and actions of wines (alcoholic drinks)  

मद्यमुष्णं तथा तीक्ष्णं सूक्ष्मं विशदमेव च |
रूक्षमाशुकरं चैव व्यवायि च विकाशि च ||३||
औष्ण्याच्छीतोपचारं तत्तैक्ष्ण्याद्धन्ति मनोगतिम् |
विशत्यवयवान् सौक्ष्म्याद्वैशद्यात्कफशुक्रनुत् ||४||
मरुतं कोपयेद्रौक्ष्यादाशुत्वाच्चाशुकर्मकृत् |
हर्षदं च व्यवायित्वाद्विकाशित्वाद्विसर्पति ||५||
तदम्लं रसतः प्रोक्तं लघु रोचनदीपनम् |
केचिल्लवणवर्ज्यांस्तु रसानत्रादिशन्ति हि ||६||

Under talked about are the properties of Madya (wine / alcoholic drinks) –

–        sizzling in efficiency,

–        penetrating,

–        refined / minute,

–        non-slimy,

–        dry,

–        fast performing,

–        fast spreading and

–        (causes) loosening of joints

Property / high quality of Madya	Motion
Scorching efficiency	wards off chilly
Penetrating	destroys capabilities of thoughts
Minuteness	spreads to all organs
Non-slimy	destroys kapha and semen
Dryness	aggravates vata
Fast performing	does actions shortly
Spreading to all components	pleasure
Loosening	spreads to all components of the physique

Madya is –

–        bitter in style,

–        mild in high quality (simply digestible),

–        will increase urge for food and

–        kindles starvation

In keeping with the opinion of some authorities, it has all tastes besides salt (salty style).

स्निग्धैस्तदन्नैर्मांसैश्च भक्ष्यैश्च सह सेवितम् |
भवेदायुःप्रकर्षाय बलायोपचयाय च ||७||

It bestows longevity, augments power and development when it’s consumed together with unctuous meals, meat and snacks.

काम्यता मनसस्तुष्टिर्धैर्यं तेजोऽतिविक्रमः |
विधिवत् सेव्यमाने तु मद्ये सन्निहिता गुणाः ||८||

Under talked about advantages are obtained by ingesting wine in correct process –

–        radiance,

–        contentment of the thoughts,

–        braveness,

–        valour and

–        nice bravery

Mada – intoxication

तदेवानन्नमज्ञेन सेव्यमानममात्रया |
कायाग्निना ह्यग्निसमं समेत्य कुरुते मदम् ||९||

If an ignorant individual consumes wine on an empty abdomen (with out consuming meals), or whether it is consumed in extra, it will get combined with digestive hearth within the abdomen and offers rise to intoxication, being much like hearth in nature.

मदेन करणानां तु भावान्यत्वे कृते सति |
निगूढमपि भावं स्वं प्रकाशीकुरुतेऽवशः ||१०||

The capabilities of sense organs develop into deranged attributable to intoxication. When the individual will get intoxicated, he reveals even all of the secrets and techniques of his thoughts on his personal accord, with none management.

Madaavasthā – phases of intoxication

त्र्यवस्थश्च मदो ज्ञेयः पूर्वो मध्योऽथ पश्चिमः |
पूर्वे वीर्यरतिप्रीतिहर्षभाष्यादिवर्धनम् ||११||
प्रलापो मध्यमे मोहो युक्तायुक्तक्रियास्तथा |१२|
विसञ्ज्ञः पश्चिमे शेते नष्टकर्मक्रियागुणः ||१२|| 

There are three avasthas i.e. phases of mada (intoxication). They’re – Purva (earlier, first), Madhya (center) and Paschima (final, later).

Avastha – stage of Mada (intoxication)	Options / results
Prathama Avastha – first stage	Improve of valour, pleasure, want, happiness, speaking and many others.
Madhya Avastha – center stage	Irrelevant speak, delusion and indiscriminate actions
Paschima Avastha – final stage	Particular person lies unconscious, loses all actions and properties

श्लैष्मिकानल्पपित्तांश्च स्निग्धान्मात्रोपसेविनः |
पानं न बाधतेऽत्यर्थं विपरीतांस्तु बाधते ||१३||

These belonging to Kapha Prakriti aren’t troubled a lot by intoxication. Intoxication may even not bother individuals who have much less pitta, those that are unctuous and those that eat wine in restricted portions.

The individuals possessing reverse qualities are enormously troubled by intoxication.

Paramada

ऊष्माणमङ्गगुरुतां विरसाननत्वं श्लेष्माधिकत्वमरुचिं मलमूत्रसङ्गम् ||१९||
लिङ्गं परस्य तु मदस्य वदन्ति तज्ज्ञास्तृष्णां रुजां शिरसि सन्धिषु चापि भेदम् |२०|

Under talked about are the signs of Paramada enumerated by the realized ones –

–        elevated physique temperature,

–        feeling of heaviness within the physique,

–        unhealthy style within the mouth,

–        improve of kapha,

–        lack of style,

–        non-elimination of urine and faeces,

–        thirst and

–        ache within the head (headache) and

–        ache within the joints

Pānājirņa

आध्मानमुद्गिरणमम्लरसो विदाहोऽजीर्णस्य पानजनितस्य वदन्ति लिङ्गम् ||२०||
ज्ञेयानि तत्र भिषजा सुविनिश्चितानि पित्तप्रकोपजनितानि च कारणानि |२१|

Under talked about are the definitive signs of Panajirna –

–        flatulence,

–        vomiting,

–        feeling of bitter style within the mouth,

–        burning sensation throughout digestion of meals

The doctor ought to perceive that the majority signs of pitta aggravation will certainly manifest on this situation. 

Panavibharama

हृद्गात्रतोदवमथुज्वरकण्ठधूममूर्च्छाकफस्रवणमूर्धरुजो विदाहः ||२१||
द्वेषः सुरान्नविकृतेषु च तेषु तेषु तं पानविभ्रममुशन्त्यखिलेन धीराः |२२|

Under talked about are the signs of Panavibhrama as documented by the students –

–        pricking ache within the area of the center and physique,

–        vomiting,

–        fever,

–        feeling of presence of smoke within the throat,

–        fainting,

–        extreme salivation,

–        headache,

–        burning sensation,

–        aversion to madya (beer, wine) and

–        aversion to meals

हीनोत्तरौष्ठमतिशीतममन्ददाहं तैलप्रभास्यमति(पि)पानहतं विजह्यात् ||२२||
जिह्वौष्ठदन्तमसितं त्वथवाऽपि नीलं पीते च यस्य नयने रुधिरप्रभे च |
हिक्काज्वरौ वमथुवेपथुपार्श्वशूलाः कासभ्रमावपि च पानहतं भजन्ते ||२३||

The affected person of alcoholic intoxication with beneath talked about signs needs to be rejected –

–        thinning of higher lips,

–        feeling of extreme coldness within the physique,

–        extreme burning sensation,

–        oiliness of the face,

–        lips, tongue and enamel turning into black and blue in color,

–        eyes develop into yellow or crimson in color,

–        hiccup,

–        fever,

–        vomiting,

–        trembling,

–        ache within the flanks,

–        cough and

–        giddiness

Madatyaya cikitsă – remedy of alcoholism

तेषां निवारणमिदं हि मयोच्यमानं व्यक्ताभिधानमखिलेन विधिं निबोध |२४|

Now, I’ll describe the strategies of remedy for alcoholism (madatyaya). Hear attentively to the identical.

Vātaja madātyaya 

मद्यं तु चुक्रमरिचार्द्रकदीप्यकुष्ठसौवर्चलायुतमलं पवनस्य शान्त्यै ||२४||
पृथ्वीकदीप्यकमहौषधहिङ्गुभिर्वा सौवर्चलेन च युतं वितरेत् सुखाय |
आम्रातकाम्रफलदाडिममातुलुङ्गैः कुर्याच्छुभान्यपि च षाडवपानकानि ||२५||
सेवेत वा फलरसोपहितान् रसादीनानूपवर्गपिशितान्यपि गन्धवन्ति |२६|

Madya – wine added with the beneath talked about teams of herbs needs to be administered for controlling madatyaya produced by vata –

–        arka (vinegar), marica, ardraka, dipyaka and kustha and sauvarcala

–        prthvika, dipyaka, mahaushadha, hingu and sauvarcala

Under talked about meals additionally must be consumed –

–        Sadava (condiments) and Panaka (syrups) ready from fruits of amra, amrataka, dadima and matulunga or

–        soup of meat or solely meat of animals residing in marshy areas added with fruit juices and made aromatic

Pittaja madatyaya

पित्तात्मके मधुरवर्गकषायमिश्रं मद्यं हितं समधुशर्करमिष्टगन्धम् ||२६||
पीत्वा च मद्यमपि चेक्षुरसप्रगाढं निःशेषतः क्षणमवस्थितमुल्लिखेच्च |
लावैणतित्तिरिरसांश्च पिबेदनम्लान् मौद्गान् सुखाय सघृतान् ससितांश्च यूषान् ||२७||

Recipe for these affected by Pittaja Madatyaya (intoxication attributable to pitta) – Wine combined with decoction of herbs belonging to candy group i.e. Kakolyadi Gana group, honey and sugar.

The affected person needs to be made to eat extra portions of sugarcane juice first. Later it’s introduced out utterly by administering vomiting instantly. Following this, the affected person ought to drink soup of meat of lava and tittiri birds and deer with out including bitter substances. Alternatively, he can drink green-gram soup with sugar and ghee.

Kaphaja madātyaya

पानात्यये कफकृते कफमुल्लिखेच्च मद्येन बिम्बिविदुलोदकसंयुतेन |
सेवेत तिक्तकटुकांश्च रसानुदारान् यूषांश्च तिक्तकटुकोपहितान् हिताय ||२८||
पथ्यं यवान्नविकृतानि च जाङ्गलानि श्लेष्मघ्नमन्यदपि यच्च निरत्ययं स्यात् |२९|

Therapy ideas for Kaphaja Madatyaya (intoxication attributable to kapha) – Wine combined with decoction of Bimbi and Vidala (Vetasa) needs to be given to the affected person to drink and the kapha needs to be expelled. Then, the affected person ought to eat extra portions of meat-soup processed with herbs of bitter and pungent tastes. Alternatively, soup of pulses processed with bitter and pungent tasting herbs needs to be consumed. These are mentioned to be useful. Meals ready from yava – barley, meat of animals residing in arid areas and different meals which mitigate kapha and are innocent needs to be consumed.

Tridoşaja madātyaya

कुर्याच्च सर्वमथ सर्वभवे विधानं द्वन्द्वोद्भवे द्वयमवेक्ष्य यथाप्रधानम् ||२९||
सामान्यमन्यदपि यच्च समग्रमग्र्यं वक्ष्यामि यच्च मनसो मदकृत् सुखं च |३०|

In Madatyaya – alcoholic intoxication attributable to all three doshas collectively needs to be handled with therapies appropriate for all of the doshas.

In Madatyaya attributable to any two doshas, therapies appropriate for the 2 doshas concerned or predominant doshas needs to be administered.

Additional, different common therapies that are most necessary and bestow happiness to the thoughts shall be described by me.

Panatyaya cikitsă

त्वङ्गागपुष्पमगधैलमधूकधान्यैः श्लक्ष्णैरजाजिमरिचैश्च कृतं समांशैः ||३०||
पानं कपित्थरसवारिपरूषकाढ्यं पानात्ययेषु विधिवत्स्रुतमम्बरान्ते |
ह्रीवेरपद्मपरिपेलवसम्प्रयुक्तैः पुष्पैर्विलिप्य करवीरजलोद्भवैश्च ||३१||
पिष्टैः सपद्मकयुतैरपि सारिवाद्यैः सेकं जलैश्च वितरेदमलैः सुशीतैः |
त्वक्पत्रचोचमरिचैलभुजङ्गपुष्पश्लेष्मातकप्रसववल्कगुडैरुपेतम् ||३२||
द्राक्षायुतं हृतमलं मदिरामयार्तैस्तत्पानकं शुचि सुगन्धि नरैर्निषेव्यम् |
पिष्ट्वा पिबेच्च मधुकं कटुरोहिणीं च द्राक्षां च मूलमसकृत् त्रपुषीभवं यत् ||३३||
कार्पासिनीमथ च नागबलां च तुल्यां पीत्वा सुखी भवति साधु सुवर्चलां च |३४|

Good powder of equal components of the beneath talked about substances needs to be ready –

–        Tvak,

–        Nagapuspa,

–        Magadha,

–        Ela,

–        Madhuka,

–        Dhanyaka,

–        Ajaji and

–        Marica

This powder needs to be dissolved in a combination of juice of kapittha after which filtered by way of a fabric. This could now be consumed with water and extra amount of Parusaka. This might remedy Panatyaya.

Paste of the beneath talked about herbs needs to be utilized on the physique –

–        Hribera,

–        Padma,

–        Paripelava,

–        Flowers of Karavira and

–        Jaladodbhava (Padma)

Water boiled with Padmaka, herbs belonging to Sarivadi Gana group needs to be poured on the physique in chilly state solely.

Panaka (syrup) needs to be used with beneath talked about substances –

–        Tvak,

–        Patra,

–        Coca,

–        Marica,

–        Ela,

–        Bhujangapuspa (Nagakesara),

–        Flowers and bark of Slesmataka and

–        Guda (jaggery)

This syrup needs to be filtered, added with Draksa and made aromatic. An individual affected by Panatyaya ought to eat this recipe.

Pastes of the beneath talked about teams of herbs needs to be consumed dissolved in water –

–        Mmadhuka, Katurohini, Draksa and Root of Trapusa or

–        Root of Karpasini and Nagabala added with Suvarcala

Paramada cikitsā

काश्मर्यदारुविडदाडिमपिप्पलीषु द्राक्षान्वितासु कृतमम्बुनि पानकं यत् ||३४||
तद्बीजपूरकरसायुतमाशु पीतं शान्तिं परां परमदे त्वचिरात् करोति |३५|

Syrup of the beneath talked about substances needs to be finished with water –

–        Kasmarya,

–        Devadaru,

–        Bida,

–        Dadima,

–        Pippali and

–        Draksa

Then, the syrup is added with juice of Bijapura and consumed. This recipe shortly mitigates the impact of Paramada.

द्राक्षासितामधुकजीरकधान्यकृष्णास्वेवं कृतं त्रिवृतया च पिबेत्तथैव ||३५||
सौवर्चलायुतमुदाररसं फलाम्लं भार्गीशृतेन च जलेन हितोऽवसेकः ||३६||

Syrup of the beneath talked about substances needs to be consumed with Trivrt –

–        Draksa,

–        Sita,

–        Madhuka,

–        Jiraka,

–        Dhanya and

–        Krsna

Under talked about needs to be used for pouring on the physique of the affected person –

–        meat-soup added with sauvarcala,

–        juice of bitter fruits and

–        decoction of Bharngi

Panajirna cikitsā

इक्ष्वाकुधामार्गववृक्षकाणि काकाह्वयोदुम्बरिकाश्च दुग्धे |
विपाच्य तस्याञ्जलिना वमेद्धि मद्यं पिबेच्चाह्नि गते त्वजीर्णे ||३७||
त्वक्पिप्पलीभुजगपुष्पविडैरुपेतं सेवेत हिङ्गुमरिचैलयुतं फलाम्लम् |
उष्णाम्बुसैन्धवयुतास्त्वथवा विडत्वक्चव्यैलहिङ्गुमगधाफलमूलशुण्ठीः ||३८||

The affected person ought to eat one anjali (160ml) of milk boiled and processed with –

–        Iksvaku,

–        Dhamargava,

–        Vrksaka,

–        Kakahva and

–        Udumbara

This recipe produces vomiting and mitigates the consequences of Panajirna.

Under talked about substances needs to be combined in juice of bitter fruits and consumed –

–        Tvak,

–        Pippali,

–        Bhujaga Puspa (Nagakesara),

–        Bida,

–        Hingu and

–        Marica

Alternatively, sizzling water added with powder of the beneath talked about substances shall be consumed –

–        Saindhava lavana,

–        Bida lavana,

–        Tvak,

–        Cavya,

–        Ela,

–        Hingu,

–        Magadhaphala Mula, (pippali and pippalimula) and

–        Sunthi

Pānāvibhrama cikitsā

हृद्यैः खडैरपि च भोजनमत्र शस्तं द्राक्षाकपित्थफलदाडिमपानकं यत् |
तत् पानविभ्रमहरं मधुशर्कराढ्यमाम्रातकोलरसपानकमेव चापि ||३९||
खर्जूरवेत्रककरीरपरूषकेषु [१] द्राक्षात्रिवृत्सु च कृतं ससितं हिमं वा |
श्रीपर्णियुक्तमथवा तु पिबेदिमानि यष्ट्याह्वयोत्पलहिमाम्बुविमिश्रितानि ||४०||
क्षीरिप्रवालबिसजीरकनागपुष्पपत्रैलवालुसितसारिवपद्मकानि |
आम्रातभव्यकरमर्दकपित्थकोलवृक्षाम्लवेत्रफलजीरकदाडिमानि ||४१||
सेवेत वा मरिचजीरकनागपुष्पत्वक्पत्रविश्वचविकैलयुतान् रसांश्च |
सूक्ष्माम्बरस्रुतहिमांश्च सुगन्धिगन्धान् पानोद्भवान्नुदति सप्तगदानशेषान् ||४२||

The affected person ought to eat nice khada i.e. cooked buttermilk which is useful for him. He must also drink syrup ready from Draksa, Kapittha Phala and Dadima.

Pana Vibhrama can be cured by consumption of syrup ready from Amrataka and Kola added with extra amount of sugar and honey.

He may eat the beneath talked about recipes –

–        syrup ready from kharjura, vetrakarira, parusaka, draksa and trivrt added with sugar or

–        Sriparni, Yasti and Utpala combined with chilly water

Chilly infusion ready from the beneath talked about substances shall be consumed –

–        tender leaves of ksiri vrksas i.e. timber with milky sap (panca valkala and many others),

–        bisa,

–        jiraka,

–        nagapuspa,

–        patra,

–        elavaluka,

–        sita sariva,

–        padmaka,

–        amrata,

–        bhavya,

–        karamarda,

–        kapittha,

–        kola,

–        vrksamla,

–        vetraphala,

–        jiraka and

–        dadima

Meat soup needs to be added with powder of –

–        Marica,

–        Jiraka,

–        Nagapuspa,

–        Tvak patra,

–        Visva,

–        Cavika and

–        Ela

This could now be filtered by way of skinny fabric and used chilly. It could subside the consequences of seven illnesses attributable to ingesting wine in nice portions.

पञ्चेन्द्रियार्थविषया मृदुपानयोगा हृद्याः सुखाश्च मनसः सततं निषेव्याः [१] |
पानात्ययेषु विकटोरुनितम्बवत्यः पीनोन्नतस्तनभरानतमध्यदेशाः ||४३||
प्रौढाः स्त्रियोऽभिनवयौवनपीनगात्र्यः सेव्याश्च पञ्चविषयातिशयस्वभावाः ||४४||
Individuals affected by Panatyaya i.e. over-drinking of wine ought to bask in –

–        pleasures of 5 sense organs or

–        eat mushy drinks reminiscent of beer and many others. that are at all times cordial and cozy to the thoughts

Center aged girls (younger) having the beneath talked about options ought to maintain the individual affected by panatyaya engaged (in sexual performs) –

–        having curvy thighs and buttocks,

–        totally elevated breasts,

–        bent in skinny stomach,

–        physique adorned with recent youthful mirth and

–        outfitted with stimulating objects of sense organs

पिबेद्रसं पुष्पफलोद्भवं वा सितामधूकत्रिसुगन्धियुक्तम् |
सञ्चूर्ण्य संयोज्य च नागपुष्पैरजाजिकृष्णामरिचैश्च तुल्यैः ||४५||

The individual ought to drink juice of Puspa Phala (Kusmanda) added with powder of beneath talked about substances taken in equal amount –

–        sita – sugar,

–        madhuka,

–        trisugandha,

–        nagapuspa,

–        ajaji,

–        krishna and

–        marica

वर्षाभूयष्ट्याह्वमधूकलाक्षात्वक्कर्बुदाराङ्कुरजीरकाणि |
द्राक्षां च कृष्णामथ केशरं च क्षीरे समालोड्य पिबेत् सुखेप्सुः ||४६||

Good powder of the beneath talked about substances needs to be ready –

–        Varsabhu,

–        Yastyahva,

–        Madhuka,

–        Laksa,

–        Tvak,

–        Tender leaves of Karbudara,

–        Jiraka,

–        Draksa,

–        Krishna and

–        Kesara (Kumkuma)

This  powder is added to exploit, combined correctly and consumed by the affected person desirous of happiness.

भवेच्च मद्येन तु येन पातितः प्रकामपीतेन सुरासवादिना |
तदेव तस्मै विधिवत् प्रदापयेद्विपर्यये भ्रंशमवश्यमृच्छति ||४७||

The identical wines reminiscent of sura, asava and many others. attributable to extreme consumption of which the individual has fallen sick needs to be administered to the individual adhering to the routine of ingesting. Or else, the individual would develop into a sufferer of many troubles.

यथा नरेन्द्रोपहतस्य कस्यचिद्भवेत् प्रसादस्तत एव नान्यतः |
ध्रुवं तथा मद्यहतस्य देहिनो भवेत् प्रसादस्तत एव नान्यतः ||४८||

The one who has been punished by the king would receive aid by solely the grace of the identical king and undoubtedly not as a result of grace of others. Equally, an individual who has fallen sick by the consequences of over-drinking will receive aid solely by ingesting wine and never by another factor.

विच्छिन्नमद्यः सहसा योऽतिमद्यं निषेवते |
तस्य पानात्ययोद्दिष्टा विकाराः सम्भवन्ति हि ||४९||

If an individual who has discontinued ingesting wine all of a sudden commences to drink once more, then all of the illnesses arising from over-drinking of wine will certainly manifest.

Madyaja tṛṣṇā – alcoholic thirst

मद्यस्याग्नेयवायव्यौ गुणावम्बु(म्भो)वहानि तु |
स्रोतांसि शोषयेयातां तेन तृष्णोपजायते ||५०||

Madya has properties of Agni and Vayu bhutas. Therefore it might dry up the Ambuvaha Srotas – channels of transportation of water within the physique and provides rise to trsna – thirst.

पाटलोत्पलकन्देषु मुद्गपर्ण्यां च साधितम् |
पिबेन्मागधिकोन्मिश्रं तत्राम्भो हिमशीतलम् ||५१||

For this, the affected person ought to drink chilly infusions ready from Patala, Utpala Kanda and Mudgaparni. Magadhika powder needs to be added to this infusion.

सर्पिस्तैलवसामज्जदधिभृङ्गरसैर्युतम् |
क्वाथेन बिल्वयवयोः सर्वगन्धैश्च पेषितैः ||५२||
पक्वमभ्यञ्जने श्रेष्ठं सेके क्वाथश्च शीतलः |
रसवन्ति च भोज्यानि यथास्वमवचारयेत् ||५३||
पानकानि सुशीतानि हृद्यानि सुरभीणि च |५४|

Under talked about group of substances needs to be cooked collectively and medicated fats needs to be ready –

–        ghee, oil, muscle-fat and bone marrow together with

–        juice of bhrngaraja, decoction of bilva and yava and

–        paste of sarvagandha (all aromatic herbs reminiscent of ela, karpura, jatipatra and many others)

This fats is greatest for anointing. For pouring over the physique, decoction ready with herbs of chilly efficiency can be helpful.

Meals that are very tasty (predominantly ready with candy tasting substances) and candy syrups made chilly and aromatic shall be consumed by the affected person.

Dāha – burning sensation

त्वचं प्राप्तस्तु पानोष्मा पित्तरक्ताभिमूर्च्छितः |
दाहं प्रकुरुते घोरं पित्तवत्तत्र भेषजम् ||५४||

Extreme burning sensation is produced within the pores and skin when the warmth of the alcoholic drink combines with pitta and rakta on reaching the pores and skin. The identical therapies used for combating pitta aggravation needs to be adopted on this situation.

शीतं विधानमत ऊर्ध्वमहं प्रवक्ष्ये दाहप्रशान्तिकरमृद्धिमतां नराणाम् |
तत्रादितो मलयजेन हितः प्रदेहश्चन्द्रांशुहारतुहिनोदकशीतलेन ||५५||
शीताम्बुशीतलतरैश्च शयानमेनं [६] हारैर्मृणालवलयैरबलाः स्पृशेयुः |
भिन्नोत्पलोज्ज्वलहिमे शयने शयीत पत्रेषु वा सजलबिन्दुषु पद्मिनीनाम् ||५६||

Now, the strategies of mitigating burning sensation as defined by clever individuals shall be described by me.

Firstly, paste of Malayaja (candana) shall be anointed on the physique of the affected person. The paste needs to be made with water which has been cooled by moonlight and hailstones.

The affected person needs to be made to lie down in a home made cool by chilly water i.e. ponds, fountains and many others.

The physique of the affected person needs to be touched by younger girls with garlands of flowers and lotus stalks.

The affected person needs to be allowed to sleep at a spot which is surrounded by chilly water ponds. These ponds ought to include lily flowers. He may sleep on leaves of lotus, with bubbles of water floating on them.

आसादयन् पवनमाहृतमङ्गनाभिः कह्लारपद्मदलशैवलसञ्चयेषु |
कान्तैर्वनान्तपवनैः परिमृश्यमानः शक्तश्चरेद्भवनकाननदीर्घिकासु  ||५७||

Followers needs to be ready from flowers of Kalhara, Padma and Saivala which have been woven by girls. The individual ought to get uncovered to the air coming from these followers. Alternatively he needs to be uncovered to the gentle breeze of the backyard. The affected person must also transfer about in lengthy lawns of homes or gardens.

दाहाभिभूतमथवा परिषेचयेत्तु  लामज्जकाम्बुरुहचन्दनतोयतोयैः |
विस्रावितां हृतमलां नववारिपूर्णां पद्मोत्पलाकुलजलामधिवासिताम्बुम् ||५८||
वापीं भजेत हरिचन्दनभूषिताङ्गः कान्ताकरस्पृशनकर्कशरोमकूपः |५९|

Water needs to be cooled by soaking Lamajjaka, Amburuha (Padma) and Candana in it. This medicated water could also be poured in streams on the physique of the individual affected by ‘burning sensation’.

Additionally, the affected person could play in a pond containing recent and clear water from which filth is eliminated, and which incorporates Padma (lotus) and Utpala (lily). He ought to play within the pond after he will get his pores and skin massaged by the palms of ladies, who’ve been utilized with sandalwood paste throughout her physique.

तत्रैनमम्बुरुहपत्रसमैः स्पृशन्त्यः शीतैः करोरुवदनैः कठिनैः स्तनैश्च ||५९||
तोयावगाहकुशला मधुरस्वभावाः संहर्षयेयुरबलाः सुकलैः प्रलापैः |६०|

These girls ought to contact him with –

–        petals of lotus flower,

–        their palms, thighs, face and onerous breasts

Ladies of candy temperament who’re effectively versed in water sports activities ought to make the individual proud of pleasing manners and nice speak. 

धारागृहे प्रगलितोदकदुर्दिनाभे क्लान्तः शयीत सलिलानिलशीतकुक्षौ ||६०||
गन्धोदकैः सकुसुमैरुपसिक्तभूमौ पत्राम्बुचन्दनरसैरुपलिप्तकुड्ये |
जात्युत्पलप्रियककेशरपुण्डरीकपुन्नागनागकरवीरकृतोपचारे [१६] ||६१||
तस्मिन् गृहे कमलरेण्वरुणे शयीत यत्नाहृतानिलविकम्पितपुष्पदाम्नि |६२|

The affected person who has been exhausted by ingesting wine ought to keep within the inside chamber of a home. This chamber needs to be outfitted with water fountains. This association would make the area of the chamber appear as if a cloudy day, with a chilly breeze coming from all the perimeters.

The bottom of the chamber ought to have been sprinkled with water with the candy scent of flowers, particularly of Jati, Padma and Candana. Within the water used for this function (sprinkling) flowers of Utpala, Priyaka (Bijaka) Kesara, Pundarika, Punnaga, Nagakesara and Karavira ought to have been floating. The chamber must also be outfitted with garlands of crimson lotus. These garlands needs to be made to swing by the present of air which is artificially made.

हेमन्तविन्ध्यहिमवन्मलयाचलानां शीताम्भसां सकदलीहरितद्रुमाणाम् ||६२||
उद्भिन्ननीलनलिनाम्बुरुहाकराणां चन्द्रोदयस्य च कथाः शृणुयान्मनोज्ञाः |
म्लानं प्रतान्तमनसं मनसोऽनुकूलाः पीनस्तनोरुजघना हरिचन्दनाङ्ग्यः ||६३||
ता एनमार्द्रवसनाः सह संविशेयुः श्लिष्ट्वाऽबलाः शिथिलमेखलहारयष्ट्यः ||६४||

Under talked about (publicity to) issues would mitigate the burning sensation –

–        Hemanta Rtu – winter season,

–        slopes of mountains like Vindya, Himavat and Malaya,

–        banks of lakes of chilly water,

–        gardens of plantains and inexperienced timber,

–        collections of blossoms of Nila, Nalina and Amburuha,

–        moonlight,

–        listening to tales which might please the thoughts

Girl with beneath talked about options ought to have interaction the affected person who’s depressed and mentally exhausted –

–        pleasing to thoughts,

–        having effectively grown breasts, thighs and buttocks

–        anointed with paste of hari candana,

–        wearing moist garments,

–        sporting waist belts and garlands loosely

हर्षयेयुर्नरं नार्यः स्वगुणै रहसि स्थिताः |
ताः शैत्याच्छमयेयुश्च पित्तपानात्ययान्तरम् [२१] ||६५||

With their behaviour in solitude, the ladies ought to make him comfortable. Burning sensation attributable to pitta aggravated by consuming wine may be mitigated by these girls.

तृड्दाहरक्तपित्तेषु [२२] कार्योऽयं भेषजक्रमः |
सामान्यतो विशेषं तु शृणु दाहेष्वशेषतः ||६६||

These strategies of therapies shall be adopted for typically combating thirst, burning sensation and bleeding illnesses. Now, hearken to the therapies of daha i.e. burning sensation specifically.

Añyavidha daha – different form of burning sensation

कृत्स्नदेहानुगं रक्तमुद्रिक्तं [२३] दहति ह्यति |
सञ्चूष्यते दह्यते च ताम्राभस्ताम्रलोचनः ||६७||
लोहगन्धाङ्गवदनो वह्निनेवावकीर्यते |
तं विलङ्घ्य विधानेन संसृष्टाहारमाचरेत् ||६८||
अप्रशाम्यति दाहे च रसैस्तृप्तस्य जाङ्गलैः |
शाखाश्रया यथान्यायं रोहिणीर्व्यधयेत् सिराः ||६९||

Rakta i.e. blood which is current all around the physique, when aggravated would give rise to the beneath talked about signs –

–        extreme burning sensation,

–        sucking kind of ache,

–        coppery color of the pores and skin and eyes,

–        odour of iron emanating from the physique and mouth and

–        feeling as if burning coal has been unfold out on the physique

The affected person needs to be made to quick on this situation. Afterwards, the affected person needs to be suggested to observe a routine of liquid meals.

The affected person needs to be given soup of meat of animals residing in arid lands if the burning sensation doesn’t subside.

Rohini Sira i.e. crimson colored veins current within the extremities needs to be punctured in accordance with the right process.

Pittajadāha

पित्तज्वरसमः पित्तात् स चाप्यस्य विधिर्हितः |७०|

In a burning sensation produced by aggravated pitta, the signs can be much like these of pittaja jvara – fever of pitta origin. Its remedy may even be on the strains of (similar as) pittaja jvara.

Trṣṇanirodhaja daha

तृष्णानिरोधादब्धातौ क्षीणे तेजः समुद्धतम् ||७०||
सबाह्याभ्यन्तरं देहं दहेद्वै मन्दचेतसः |
संशुष्कगलताल्वोष्ठो जिह्वां निष्कृष्य चेष्टते ||७१||
तत्रोपशमयेत्तेजस्त्वब्धातुं च विवर्धयेत् |
पाययेत् काममम्भश्च शर्कराढ्यं पयोऽपि वा ||७२||
शीतमिक्षुरसं मन्थं वितरेच्चेरितं विधिम् |७३|

When an individual controls his thirst (doesn’t drink water), the water within the physique turns into decreased and the warmth within the physique will increase.

This results in –

–        manifestation of burning sensation, each inside and out of doors the physique,

–        dryness of the throat, palate and lips,

–        tongue prolapse and

–        irregular actions of the physique components

The remedy ideas in these circumstances can be to scale back the warmth of the physique and to extend the water content material within the physique. For this, he needs to be made to drink water or milk with extra sugar. The amount shall be as a lot as he can drink. Additionally, sugarcane juice or mantha (answer of corn flour and sugar churned effectively) needs to be served chilly (for consumption). After this, the remedy of pittaja jvara which has been talked about earlier shall be adopted.

Raktapürnakoşthaja daha

असृजा पूर्णकोष्ठस्य दाहो भवति दुःसहः ||७३||
विधिः सद्योव्रणीयोक्तस्तस्य लक्षणमेव च |७४|

Extreme burning sensation additionally develops when blood accumulates within the stomach. The signs and remedy for a similar has been described already within the context of Sadyo Vrana Chikitsa i.e. in Chikitsa Sthana part, chapter 2.

Dhātukşayaja daha

धातुक्षयोक्तो यो दाहस्तेन मूर्च्छातृषान्वितः ||७४||
क्षामस्वरः क्रियाहीनो भृशं [३२] सीदति पीडितः |
रक्तपित्तविधिस्तस्य हितः स्निग्धोऽनिलापहः ||७५||

Burning sensation develops even from Dhatu Ksaya i.e. lower or lack of tissues, primarily blood. The opposite signs embody fainting, thirst, feeble voice, inactivity and nice debility.

Under talked about therapies are useful on this situation –

–        therapies prescribed for bleeding illnesses,

–        unctuous and vata mitigating therapies

Kşataja daha

क्षतजेनाश्नतश्चान्यः शोचतो वाऽप्यनेकधा |
तेनान्तर्दह्यतेऽत्यर्थं तृष्णामूर्च्छाप्रलापवान् ||७६||
तमिष्टविषयोपेतं सुहृद्भिरभिसंवृतम् |
क्षीरमांसरसाहारं विधिनोक्तेन साधयेत् ||७७||

There’s one other form of burning sensation which develops when blood is consumed together with meals or by completely different sorts of worries.

On this situation, the burning sensation can be extra contained in the physique and the individual may even have thirst, fainting and delirium.

Whereas treating this situation, the beneath talked about shall be supplied to the affected person –

–        issues he likes,

–        firm of mates,

–        meals with milk and meat soup and

–        different comforts

Marmabhighätaja daha

मर्माभिघातजोऽप्यस्ति स चासाध्यतमः स्मृतः |
सर्व एव च वर्ज्याः स्युः शीतगात्रेषु देहिषु ||७८||
(एवंविधो भवेद्यस्तु मदिरामयपीडितः ||)

Yet one more kind of burning sensation is attributable to damage / assault (illness) of the marmas (deadly / important spots). This situation is taken into account as very troublesome to remedy.

When the physique of the individual has develop into chilly, all types of burning sensation needs to be rejected.

प्रशान्तोपद्रवे चापि शोधनं प्राप्तमाचरेत् ||७९||

Purificatory therapies needs to be administered even after all of the problems have subsided.

सजीरकाण्यार्द्रकशृङ्गवेरसौवर्चलान्यर्धजलप्लुतानि |
मद्यानि हृद्यान्यथ गन्धवन्ति पीतानि सद्यः शमयन्ति तृष्णाम् ||८०||

Wines or alcoholic drinks that are pleasing to the thoughts and aromatic needs to be added with the beneath talked about –

–        jiraka,

–        ardraka,

–        srngavera,

–        sauvarcala and

–        half amount of water

When consumed, these wines would mitigate thirst.

जलप्लुतश्चन्दनभूषिताङ्गः स्रग्वी सभक्तां पिशितोपदंशाम् |
पिबन् सुरां नैव लभेत रोगान् मनोनुविघ्नं च मदं न याति ||८१||

An individual who does the beneath talked about issues, he won’t get intoxication which interferes along with his thoughts –

–        anoints his physique with paste of candana – sandalwood made with water,

–        wears garlands of flowers,

–        consumes meals together with meat and condiments and

–        consumes sura – beer or different alcoholic drinks

इति सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते कायचिकित्सातन्त्रे मदात्ययप्रतिषेधो नाम (नवमोऽध्यायः, आदितः) सप्तचत्वारिंशत्तमोऽध्यायः ||४७||

Thus ends the forty seventh chapter by title Madatyaya Pratişedha in Uttara Sthana of Suśruta Samhita.