AIAPGET POINTS
– Qualities of MADYA are – Ushna, Tikshna, Sukshma, Vishada, Ruksha, Ashukari, Vyavayi and Vikasi.
– MADA is brought about as a consequence of consuming MADYA on an empty abdomen or in extra, when Madya will get blended with AGNI within the abdomen. MADA is claimed to be AGNI SAMAM – just like hearth in nature. (Su.Ut.47/9)
– Three Phases of MADA are – Purva, Madhya & Paschima.
– Options or Results of PURVA MADA – Enhance of Virya, Rati, Priti, Harsha, Bhashya and so on.
– 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 persons 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 could dry up AMBUVAHA SROTAS and provides rise to TRSNA.
– In Raktaja Daha, Rohini Sira current within the extremities ought 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 ought to be handled on the traces of RAKTAPITTA and SNIGDHA-ANILAPAHA Chikitsa.
– Software of paste of CHANDANA on the physique usually 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 known as as Pānātyaya Pratiṣedha Adhyaya. This chapter offers with the Remedy of Alcoholism.
अथातः पानात्ययप्रतिषेधं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
We’ll now expound Pānātyaya pratiṣedha – therapy 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,
– delicate / 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 elements | pleasure |
| Loosening | spreads to all elements 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 progress 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 consuming 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 blended with digestive hearth within the abdomen and offers rise to intoxication, being just like hearth in nature.
मदेन करणानां तु भावान्यत्वे कृते सति |
निगूढमपि भावं स्वं प्रकाशीकुरुतेऽवशः ||१०||
The capabilities of sense organs turn out to be deranged as a consequence of 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 | Enhance of valour, pleasure, need, happiness, speaking and so on. |
| 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 usually are not troubled a lot by intoxication. Intoxication can even not hassle individuals who have much less pitta, those that are unctuous and people who devour wine in restricted portions.
The individuals possessing reverse qualities are tremendously 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 ought to be rejected –
– thinning of higher lips,
– feeling of extreme coldness within the physique,
– extreme burning sensation,
– oiliness of the face,
– lips, tongue and tooth turning into black and blue in color,
– eyes turn out to be yellow or crimson in color,
– hiccup,
– fever,
– vomiting,
– trembling,
– ache within the flanks,
– cough and
– giddiness
Madatyaya cikitsă – therapy of alcoholism
तेषां निवारणमिदं हि मयोच्यमानं व्यक्ताभिधानमखिलेन विधिं निबोध |२४|
Now, I’ll describe the strategies of therapy 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 ought 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 blended with decoction of herbs belonging to candy group i.e. Kakolyadi Gana group, honey and sugar.
The affected person ought to be made to devour extra portions of sugarcane juice first. Later it’s introduced out fully 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|
Remedy rules for Kaphaja Madatyaya (intoxication attributable to kapha) – Wine blended with decoction of Bimbi and Vidala (Vetasa) ought to be given to the affected person to drink and the kapha ought to be expelled. Then, the affected person ought to devour extra portions of meat-soup processed with herbs of bitter and pungent tastes. Alternatively, soup of pulses processed with bitter and pungent tasting herbs ought to be consumed. These are stated to be helpful. Meals ready from yava – barley, meat of animals residing in arid areas and different meals which mitigate kapha and are innocent ought 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 ought 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 ought to be administered.
Additional, different common therapies that are most vital 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 elements of the beneath talked about elements ought to be ready –
– Tvak,
– Nagapuspa,
– Magadha,
– Ela,
– Madhuka,
– Dhanyaka,
– Ajaji and
– Marica
This powder ought to be dissolved in a combination of juice of kapittha after which filtered by a fabric. This could now be consumed with water and extra amount of Parusaka. This could treatment Panatyaya.
Paste of the beneath talked about herbs ought 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 ought to be poured on the physique in chilly state solely.
Panaka (syrup) ought to be used with beneath talked about elements –
– Tvak,
– Patra,
– Coca,
– Marica,
– Ela,
– Bhujangapuspa (Nagakesara),
– Flowers and bark of Slesmataka and
– Guda (jaggery)
This syrup ought to be filtered, added with Draksa and made aromatic. An individual affected by Panatyaya ought to devour this recipe.
Pastes of the beneath talked about teams of herbs ought 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 elements ought to be executed 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 elements ought to be consumed with Trivrt –
– Draksa,
– Sita,
– Madhuka,
– Jiraka,
– Dhanya and
– Krsna
Under talked about ought 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 devour one anjali (160ml) of milk boiled and processed with –
– Iksvaku,
– Dhamargava,
– Vrksaka,
– Kakahva and
– Udumbara
This recipe produces vomiting and mitigates the results of Panajirna.
Under talked about elements ought to be blended 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 elements 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 devour nice khada i.e. cooked buttermilk which is helpful for him. He also needs to drink syrup ready from Draksa, Kapittha Phala and Dadima.
Pana Vibhrama will likely be cured by consumption of syrup ready from Amrataka and Kola added with extra amount of sugar and honey.
He also can devour the beneath talked about recipes –
– syrup ready from kharjura, vetrakarira, parusaka, draksa and trivrt added with sugar or
– Sriparni, Yasti and Utpala blended with chilly water
Chilly infusion ready from the beneath talked about elements shall be consumed –
– tender leaves of ksiri vrksas i.e. timber with milky sap (panca valkala and so on),
– bisa,
– jiraka,
– nagapuspa,
– patra,
– elavaluka,
– sita sariva,
– padmaka,
– amrata,
– bhavya,
– karamarda,
– kapittha,
– kola,
– vrksamla,
– vetraphala,
– jiraka and
– dadima
Meat soup ought to be added with powder of –
– Marica,
– Jiraka,
– Nagapuspa,
– Tvak patra,
– Visva,
– Cavika and
– Ela
This could now be filtered by skinny fabric and used chilly. It could subside the results of seven illnesses attributable to consuming 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
– devour tender drinks comparable to beer and so on. that are at all times cordial and cozy to the thoughts
Center aged girls (younger) having the beneath talked about options ought to hold the individual affected by panatyaya engaged (in sexual performs) –
– having curvy thighs and buttocks,
– totally elevated breasts,
– bent in skinny stomach,
– physique adorned with contemporary youthful mirth and
– geared up 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 elements 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 elements ought to be ready –
– Varsabhu,
– Yastyahva,
– Madhuka,
– Laksa,
– Tvak,
– Tender leaves of Karbudara,
– Jiraka,
– Draksa,
– Krishna and
– Kesara (Kumkuma)
This powder is added to take advantage of, blended 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 comparable to sura, asava and so on. as a consequence of extreme consumption of which the individual has fallen sick ought to be administered to the individual adhering to the routine of consuming. Or else, the individual would turn out to be 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 reduction by solely the grace of the identical king and positively not because of the grace of others. Equally, an individual who has fallen sick by the results of over-drinking will receive reduction solely by consuming wine and never by some other factor.
विच्छिन्नमद्यः सहसा योऽतिमद्यं निषेवते |
तस्य पानात्ययोद्दिष्टा विकाराः सम्भवन्ति हि ||४९||
If an individual who has discontinued consuming wine out of the blue 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 could 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 ought 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 elements ought to be cooked collectively and medicated fats ought 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 comparable to ela, karpura, jatipatra and so on)
This fats is finest for anointing. For pouring over the physique, decoction ready with herbs of chilly efficiency will likely be helpful.
Meals that are very tasty (predominantly ready with candy tasting elements) 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 ought 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 ought to be made with water which has been cooled by moonlight and hailstones.
The affected person ought to be made to lie down in a home made cool by chilly water i.e. ponds, fountains and so on.
The physique of the affected person ought to be touched by younger girls with garlands of flowers and lotus stalks.
The affected person ought to be allowed to sleep at a spot which is surrounded by chilly water ponds. These ponds ought to include lily flowers. He also can sleep on leaves of lotus, with bubbles of water floating on them.
आसादयन् पवनमाहृतमङ्गनाभिः कह्लारपद्मदलशैवलसञ्चयेषु |
कान्तैर्वनान्तपवनैः परिमृश्यमानः शक्तश्चरेद्भवनकाननदीर्घिकासु ||५७||
Followers ought 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 ought to be uncovered to the gentle breeze of the backyard. The affected person also needs to transfer about in lengthy lawns of homes or gardens.
दाहाभिभूतमथवा परिषेचयेत्तु लामज्जकाम्बुरुहचन्दनतोयतोयैः |
विस्रावितां हृतमलां नववारिपूर्णां पद्मोत्पलाकुलजलामधिवासिताम्बुम् ||५८||
वापीं भजेत हरिचन्दनभूषिताङ्गः कान्ताकरस्पृशनकर्कशरोमकूपः |५९|
Water ought 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 contemporary and clear water from which dust is eliminated, and which comprises Padma (lotus) and Utpala (lily). He ought to play within the pond after he will get his pores and skin massaged by the fingers of girls, 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 fingers, thighs, face and laborious breasts
Girls of candy temperament who’re nicely versed in water sports activities ought to make the individual pleased with 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 consuming wine ought to keep within the inside chamber of a home. This chamber ought to be geared up with water fountains. This association would make the area of the chamber seem like a cloudy day, with a chilly breeze coming from all the edges.
The bottom of the chamber ought to have been sprinkled with water with the candy odor of flowers, particularly of Jati, Padma and Candana. Within the water used for this goal (sprinkling) flowers of Utpala, Priyaka (Bijaka) Kesara, Pundarika, Punnaga, Nagakesara and Karavira ought to have been floating. The chamber also needs to be geared up with garlands of crimson lotus. These garlands ought 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 interact the affected person who’s depressed and mentally exhausted –
– pleasing to thoughts,
– having nicely grown breasts, thighs and buttocks
– anointed with paste of hari candana,
– wearing moist garments,
– carrying 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 completely happy. Burning sensation attributable to pitta aggravated by consuming wine will be mitigated by these girls.
तृड्दाहरक्तपित्तेषु [२२] कार्योऽयं भेषजक्रमः |
सामान्यतो विशेषं तु शृणु दाहेष्वशेषतः ||६६||
These strategies of therapies shall be adopted for usually combating thirst, burning sensation and bleeding illnesses. Now, hearken to the therapies of daha i.e. burning sensation specifically.
Añyavidha daha – different sort 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 sort 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 ought to be made to quick on this situation. Afterwards, the affected person ought to be suggested to observe a routine of liquid meals.
The affected person ought 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 ought 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 will likely be just like these of pittaja jvara – fever of pitta origin. Its therapy can even be on the traces 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 outdoors the physique,
– dryness of the throat, palate and lips,
– tongue prolapse and
– irregular actions of the physique elements
The therapy rules 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 ought 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 nicely) ought to be served chilly (for consumption). After this, the therapy 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 therapy 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 embrace fainting, thirst, feeble voice, inactivity and nice debility.
Under talked about therapies are helpful 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 sort of burning sensation which develops when blood is consumed together with meals or by totally different sorts of worries.
On this situation, the burning sensation will likely be extra contained in the physique and the individual can 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 associates,
– 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 ||)
Another sort of burning sensation is attributable to damage / assault (illness) of the marmas (deadly / important spots). This situation is taken into account as very tough to treatment.
When the physique of the individual has turn out to be chilly, every kind of burning sensation ought to be rejected.
प्रशान्तोपद्रवे चापि शोधनं प्राप्तमाचरेत् ||७९||
Purificatory therapies ought to be administered even after all of the issues have subsided.
सजीरकाण्यार्द्रकशृङ्गवेरसौवर्चलान्यर्धजलप्लुतानि |
मद्यानि हृद्यान्यथ गन्धवन्ति पीतानि सद्यः शमयन्ति तृष्णाम् ||८०||
Wines or alcoholic drinks that are pleasing to the thoughts and aromatic ought 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 together 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.