Sushruta Samhita Uttaratantra Chapter 57 Arocaka Pratişedha (Therapy of Anorexia)

AIAPGET Factors

–        There are 5 kinds of Arochaka. Vataja, Pittaja, Kaphaja, Sannipataja & Chinta Janya.

–        Hrt Shula is without doubt one of the options of Vataja Arochaka.

–        Hrd Daha-Chosha are the essential options of Pittaja Arochaka.

–        Virasa ananam is a function of Vataja Arochaka. Mukha Tiktata is a function of Pittaja Arochaka. Madhura Asya is a function of Kaphaja Arochaka.

–        Kashaya or Leha ready with Mustadi Gana, Rajataru (Aragvadhadi Gana) and Dashanga (Dashamula) is used for remedy of Arochaka.

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The 57th chapter of Uttaratantra of Sushruta Samhita is called as Arocaka Pratiședha. This chapter offers with Therapy of Anorexia.

अथातोऽरोचकप्रतिषेधमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||

We’ll now expound Arocaka pratiṣedha – remedy of Anorexia (lack of style) as revealed by the venerable Dhañvañtari.

Nidāna-samprāpti – Causes and Pathogenesis

दोषैः पृथक् सह च चित्तविपर्ययाच्च भक्तायनेषु हृदि चावतते प्रगाढम् |
नान्ने रुचिर्भवति तं भिषजो विकारं भक्तोपघातमिह पञ्चविधं वदन्ति ||३||

Arocaka manifests as 5 sorts – three sorts by every particular person aggravated dosha, one sort by aggravation of all of the three doshas and the fifth sort by issues of the thoughts (an excessive amount of of kama, soka, bhaya and many others causative components).

On this approach the doshas get collected tremendously and unfold out within the seats of (channels of) meals (style) and the center. On this situation, the particular person doesn’t relish the meals (current in his mouth). This illness known as by the physicians as Bhaktopaghata (arocaka), stated to be of 5 sorts.

 Lakşana – Scientific options

हृच्छूलपीडनयुतं विरसाननत्वं वातात्मके भवति लिङ्गमरोचके तु |
हृद्दाहचोषबहुता मुखतिक्तता च मूर्च्छा सतृड् भवति पित्तकृते तथैव ||४||
कण्डूगुरुत्वकफसंस्रवसादतन्द्राः श्लेष्मात्मके मधुरमास्यमरोचके तु |
सर्वात्मके पवनपित्तकफा बहूनि रूपाण्यथास्य हृदये समुदीरयन्ति ||५||
संरागशोकभयविप्लुतचेतसस्तु चिन्ताकृतो भवति सोऽशुचिदर्शनाच्च |६|

Arochaka can be produced by the under talked about components –

–       Lust

–       Grief

–       Concern

–       Fear

–       Seeing soiled issues like terrifying or disgusting issues, obnoxious odor and many others

Cikitsā – Therapy

वाते वचाम्बुवमनं कृतवान् पिबेच्च स्नेहैः सुराभिरथवोष्णजलेन चूर्णम् ||६||
कृष्णाविडङ्गयवभस्महरेणुभार्गीरास्नैलहिङ्गुलवणोत्तमनागराणाम् |७|

For vataja arochaka –

Vamana – emesis must be induced first by administering Kashaya – decoction of Vacha – Acorus calamus.

Subsequent, the affected person is given the powder of the under talked about herbs blended with both oil, sura – beer or heat water, for licking –

–       Krshna

–       Vidanga

–       Yava Bhasma

–       Harenu

–       Bharangi

–       Rasna

–       Ela

–       Hingu

–       Lavanottama

–       Nagara

पित्ते गुडाम्बुमधुरैर्वमनं प्रशस्तं स्नेहः ससैन्धवसितामधुसर्पिरिष्टः ||७||

For Pittaja Arochaka –

Vamana – emesis must be administered by making the affected person drink jaggery water and candy tasting herbs (Madhuka and many others)

Later, Sneha – oils or ghee added with the under talked about elements must be given –

–       Saindhava

–       Sita

–       Madhu

–       Sarpi

निम्बाम्बुवामितवतः कफजेऽनुपानं राजद्रुमाम्बु मधुना तु सदीप्यकं स्यात् |
चूर्णं यदुक्तमथवाऽनिलजे तदेव …सर्वैश्च सर्वकृतमेवमुपक्रमेत ||८||

In Kaphaja Arochaka –

Vamana – emesis must be induced by administering the decoction of Nimba – Azadirachta indica.

The affected person is later given decoction of Rajadruma added with honey and Dipyaka for consuming.

Alternatively, the powder prescribed for Vataja Arochaka will be prescribed.

For Tridoshaja Arochaka, all of the therapies must be appropriately adopted.

द्राक्षापटोलविडवेत्रकरीरनिम्बमूर्वाभयाक्षबदरामलकेन्द्रवृक्षैः |
बीजैः करञ्जनृपवृक्षभवैश्च पिष्टैर्लेहं पचेत् सुरभिमूत्रयुतं यथावत् ||९||
मुस्तां वचां त्रिकटुकं रजनीद्वयं च भार्गीं च कुष्ठमथ निर्दहनीं च पिष्ट्वा |
मूत्रेऽविजे द्विरदमूत्रयुते पचेद्वा पाठां तुगामतिविषां रजनीं च मुख्याम् ||१०||
मण्डूकिमर्कममृतां च सलाङ्गलाख्यां मूत्रे पचेत्तु महिषस्य विधानविद्वा |
एतान्न सन्ति चतुरो लिहतस्तु लेहान् गुल्मारुचिश्वसनकण्ठहृदामयाश्च ||११||

Drakshadi Leha –

The paste of the under talked about herbs added with cow’s urine and cooked to arrange confection and administered –

–       Drākşā,

–       Patola

–       Bida

–       Vetrakarira

–       Nimba

–       Murva

–       Abhaya

–       Aksa

–       Badara

–       Amalaka

–       Indravrksha

–       Seeds of Karanja

–       Nrpavrksha

Mustadi Leha

The paste of the under talked about elements are added with sheep’s urine and made into confection and administered –

–       Musta

–       Vacha

–       Trikatuka

–       Haridra

–       Daruharidra

–       Bharngi

–       Kustha

–       Nirdahani (Chitraka)

Pathadi Leha

Powder of the under talked about elements are boiled and cooked with elephant’s urine to kind a confection and administered –

–       Patha

–       Tuga

–       Ativisha and

–       Rajani

Mandukaparnyadi Leha

Paste of the under talked about elements must be cooked with buffalo’s urine, confection ready and administered –

–       Mandukaparni

–       Arka

–       Amrta

–       Langalaka

Any one that consumes one of many above defined confections will get relieved from the under talked about ailments –

–       Belly tumours

–       Anorexia

–       Dyspnoea

–       Ailments of the throat

–       Ailments of the center

सात्म्यान् स्वदेशरचितान् विविधांश्च भक्ष्यान् पानानि मूलफलषाडवरागयोगान् |
अद्याद्रसांश्च विविधान् विविधैः प्रकारैर्भुञ्जीत चापि लघुरूक्षमनःसुखानि ||१२||
आस्थापनं विधिवदत्र विरेचनं च कुर्यान्मृदूनि शिरसश्च विरेचनानि |१३|

Under talked about are the strategies of taking meals in case of Arochaka –

–       Consumption of various sorts of accustomed eatables, drinks, condiments and salads

–       Meals ready in his personal nation from roots and fruits

–       Consumption of meat soup together with

–       Completely different sorts of simply digestible meals

–       Meals that are dry and pleasing to the thoughts

On this illness the under talked about therapies are additionally helpful and must be administered in a gentle approach –

–       Decoction enema

–       Purgation

–       Head purging 

त्रीण्यूषणानि रजनीत्रिफलायुतानि चूर्णीकृतानि यवशूकविमिश्रितानि ||१३||
क्षौद्रायुतानि वितरेन्मुखबोधनार्थ मन्यानि तिक्तकटुकानि च भेषजानि |

Powder of the under talked about must be licked together with honey to stimulate the tongue –

–       Tryusana – Trikatu – Pippali, Maricha and Shunti

–       Rajani

–       Triphala – Haritaki, Bibhitaki and Amalaki

–       Yavasuka / Yavaksara

Equally, bitter or pungent tasting herbs must be made into powder and given for licking with honey.

मुस्तादिराजतरुवर्गदशाङ्गसिद्धैः क्वाथैर्जयेन्मधुयुतैर्विविधैश्च लेहैः ||१४||
मूत्रासवैर्गुडकृतैश्च तथा त्वरिष्टैः क्षारासवैश्च मधुमाधवतुल्यगन्धैः |१५|

This illness shall be handled by utilizing the under talked about, blended with honey or confections ready and administered

–       decoction of herbs of mustādi gana,

–       rājataru (āragvadhadi gana) and

–       daśāñga (dasamūla)

The under talked about additionally must be administered –

–       fermented infusions ready utilizing urines or jaggery

–       fermented decoctions and infusions ready from alkalis fermented infusions comprised of urines or guda (jaggery) possessing the odor of honey or wine

स्यादेषएवकफवातहतेविधिश्चशान्तिंगतेहुतभुजिप्रशमायतस्य।।१५।।

Kapha and Vata get mitigated by the administration of those therapies. Following this, therapies must be accomplished to boost the digestive fireplace.

इच्छाभिघातभयशोकहतेऽन्तरग्नौ भावान् भवाय वितरेत् खलु शक्यरूपान् |
अर्थेषु चाप्यपचितेषु पुनर्भवाय पौराणिकैः श्रुतिशतैरनुमानयेत्तम् ||१६||
दैन्यं गते मनसि बोधनमत्र शस्तं यद्यत् प्रियं तदुपसेव्यमरोचके तु ||१७||

Many occasions, arochaka is brought on due to not getting the issues one needs and in addition because of concern or grief. All these causes would lead to lack of digestive fireplace and energy. For these sufferers, substitutes for these desired issues shall be given. Alternatively, when such substitutes can’t be procured, the affected person must be consoled by narrating him the tales from mythology. As soon as the thoughts of the affected person turns into calm by the above-mentioned strategies, the affected person must be inspired to utilize different issues as per his want.

इति श्री सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते कायचिकित्सातन्त्रेऽरोचकप्रतिषेधो नाम (एकोनविंशोऽध्यायः, आदितः) सप्तपञ्चाशत्तमोऽध्यायः।।५७।।

Thus ends the fifty-seventh chapter by identify Arocaka pratiședha in Uttara sthana of Suśruta Samhita.