AIAPGET Factors
– The Major Doshas concerned in causation of Chardi are Udana and Vyana Vata.
– ABHAKTA RUK – ache when no meals is taken – is a function of Kaphaja Chardi.
– The signs of KRIMIJA HRDROGA are additionally current in KRIMIJA CHARDI.
– JWARAGHNA KASHAYAS could be given to sufferers affected by Chardi. (Su.Ut.49/17-18)
– Ksheera-Ghrtam cures Vataja Chardi. (Su.Ut.49/18)
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The forty ninth chapter of Uttaratantra of Sushruta Samhita is called as Chardi Pratiședha. This chapter offers with Remedy of Vomiting.
अथातश्छर्दिप्रतिषेधमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
We’ll now expound Chardi pratiṣedha- remedy of vomiting; as revealed by the venerable Dhañvañtari.
Nidāna – causes and pathogenesis
अतिद्रवैरतिस्निग्धैरहृद्यैर्लवणैरति |
अकाले चातिमात्रैश्च तथाऽसात्म्यैश्च भोजनैः ||३||
श्रमात् क्षयात्तथोद्वेगादजीर्णात् कृमिदोषतः |
नार्याश्चापन्नसत्त्वायास्तथाऽतिद्रुतमश्नतः ||४||
अत्यन्तामपरीतस्य छर्देर्वै सम्भवो ध्रुवम् |
(बीभत्सैर्हेतुभिश्चान्यैर्द्रुतमुत्क्लेशितो बलात्) ||५||
Beneath talked about are the causes of chardi – vomiting –
– consumption of meals that are very liquid, very unctuous (fatty), disagreeable and really salty;
– meals consumed at improper time,
– consumption of meals in additional amount and
– consumption of unaccustomed meals,
– extreme exertion,
– lower / depletion of tissues,
– psychological fluctuations,
– indigestion,
– infestation by worms (intestinal parasites),
– being pregnant,
– consuming meals in a short time,
– an excessive amount of accumulation of ama (undigested meals within the alimentary canal),
– horrifying causes (equivalent to sight of blood, worms, pus, foul odor and many others) and
– sudden bouts of feelings
These causes will certainly trigger vomiting.
Nirukti – definition
छादयन्नाननं वेगैरर्दयन्नङ्गभञ्जनैः |
निरुच्यते छर्दिरिति दोषो वक्त्राद्विनिश्चरन् ||६||
This illness is named chardi as a result of –
– it covers the mouth by the bouts of meals and different supplies arising,
– produces discomfort to the physique by inflicting bending of the physique and
– the doshas are expelled out from the mouth
Samprapti – Pathogenesis
दोषानुदीरयन् वृद्धानुदानो व्यानसङ्गतः |
ऊर्ध्वमागच्छति भृशं विरुद्धाहारसेवनात् ||७||
Firstly, the Udana Vata and Vyana Vata would get aggravated (on publicity to the causative components). The aggravated vata sub-types drive the doshas to maneuver upwards. These doshas come out of the mouth. All these occur because of consumption of incompatible (mutually antagonistic) meals.
Pūrvarūpa – premonitory signs
प्रसेको हृदयोत्क्लेशो भक्तस्यानभिनन्दनम् |
पूर्वरूपं मतं छर्द्या यथास्वं च विभावयेत् ||८||
Beneath talked about are the premonitory signs of vomiting –
– extreme salivation,
– oppression within the chest (nausea),
– dislike for meals
The identical signs will likely be current even within the subsequent stage additionally (i.e. when the illness will get manifested, the identical premonitory signs will change into the signs of the illness additionally).
Rūpa – medical options
प्रच्छर्दयेत् फेनिलमल्पमल्पं शूलार्दितोऽभ्यर्दितपार्श्वपृष्ठः |
श्रान्तः सघोषं बहुशः कषायं जीर्णेऽधिकं साऽनिलजा वमिस्तु ||९||
Options (signs) of Vataja Chardi – vomiting attributable to aggravated vata –
– frequent vomiting,
– the fabric is frothy and fewer in amount,
– is accompanied by ache in flanks and again,
– tiredness,
– vomiting occurs with nice sound,
– materials which is vomited is astringent in style and
– extra typically, vomiting occurs after digestion of meals
योऽम्लं भृशं वा कटुतिक्तवक्त्रः पीतं सरक्तं हरितं वमेद्वा |
सदाहचोषज्वरवक्त्रशोषो मूर्च्छान्वितः पित्तनिमित्तजा सा ||१०||
Options (signs) of Pittaja Chardi – vomiting attributable to aggravated pitta –
– the fabric which has been vomited may be very bitter,
– style in mouth is pungent or bitter,
– the fabric is yellow, mild-red or inexperienced in color,
– related to – burning sensation, sucking ache, fever, dryness of throat and fainting
यो हृष्टरोमा मधुरं प्रभूतं शुक्लं हिमं सान्द्रकफानुविद्धम् |
अभक्तरुग्गौरवसादयुक्तो वमेद्वमी सा कफकोपजा स्यात् ||११||
Options (signs) of Kaphaja Chardi – vomiting attributable to aggravated vata –
– presence of horripilations,
– vomited materials is nice in style,
– is giant in amount,
– white in color,
– chilly,
– blended with thick kapha (mucus, phlegm),
– ache when no meals is taken,
– feeling of heaviness and
– debility of the physique
सर्वाणि रूपाणि भवन्ति यस्यां सा सर्वदोषप्रभवा मता तु |१२|
Options (signs) of Chardi – vomiting attributable to all three doshas – In this sort of vomiting, all signs of all of the three doshas are current blended collectively.
बीभत्सजा दौहृदजाऽऽमजा च सात्म्यप्रकोपात् कृमिजा च या [६] हि |
सा पञ्चमी तां च विभावयेत्तु दोषोच्छ्रयेणैव यथोक्तमादौ ||१२||
Añya vidha – Different type of (fifth) vomiting –
Vomiting attributable to the under talked about components is taken into account as fifth type of the illness –
– that attributable to sight, odor and many others. of horrifying issues,
– being pregnant,
– indigestion,
– consumption of unaccustomed meals and
– presence of worms – intestinal parasites / worms
The aggravation of doshas in one of these chardi ought to be decided accordingly.
शूलहृल्लासबहुला कृमिजा च विशेषतः |
कृमिहृद्रोगतुल्येन लक्षणेन च लक्षिता ||१३||
Ache and nausea are the outstanding signs of vomiting attributable to krimis – worms. Signs of coronary heart illness produced by krimi – worms – may even be current.
क्षीणस्योपद्रवैर्युक्तां सासृक्पूयां सचन्द्रिकाम् |
छर्दि प्रसक्तां कुशलो नारभेत चिकित्सितुम् ||१४||
The doctor mustn’t start remedy for vomiting when it’s related to the under talked about options / signs –
– vomiting occurring in emaciated individuals which is accompanied with issues,
– vomited materials is blended with blood, pus and shining particles and
– there’s steady vomiting
आमाशयोत्क्लेशभवा हि सर्वास्तस्माद्धितं लङ्घनमेव तासु ||१५||
वमीषु बहुदोषासु छर्दनं हितमुच्यते |
विरेचनं वा कुर्वीत यथादोषोच्छ्रयं भिषक् ||१६||
संसर्गश्चानुपूर्वेण यथास्वं भेषजायुतः |१७|
All types of vomiting come up from vitiation of the abdomen. Due to this fact fasting is useful in all types of vomiting.
Vomiting or Purgation ought to be administered relying on doshas aggravated is useful in instances of vomiting attributable to nice aggravation of doshas.
After this, routine of liquid weight loss program i.e. peya, vilepi and many others. ought to be administered together with appropriate medicines.
लघूनि परिशुष्काणि सात्म्यान्यन्नानि चाचरेत् ||१७||
यथास्वं च कषायाणि ज्वरघ्नानि प्रयोजयेत् |१८|
Mild to digest (simply digestible), nicely dried and accustomed meals ought to be consumed. Decoctions talked about within the remedy (treatment) of fevers may additionally be administered right here.
Vataja chardi cikitsă
हन्यात् क्षीरघृतं पीतं छर्दिं पवनसम्भवाम् ||१८||
ससैन्धवं पिबेत् सर्पिर्वातच्छर्दिनिवारणम् |
मुद्गामलकयूषो वा ससर्पिष्कः ससैन्धवः |
यवागूं मधुमिश्रां वा पञ्चमूलीकृतां पिबेत् ||१९||
पिबेद्वा व्यक्तसिन्धूत्थं फलाम्लं वैष्किरं रसम् |
सुखोष्णलवणं चात्र हितं स्नेहविरेचनम् ||२०||
Vomiting produced by vata is cured by consumption of ghee produced from milk.
The opposite helpful recipes / formulations which can be utilized to treatment vataja chardi embrace –
– ghee blended with saindhava lavana or
– soup of mudga and amalaka added with ghee and saindhava or
– yavagu – thick gruel ready with laghu pancamula herbs added with honey or
– juice of bitter fruits, soup of meat of viskira birds, added with saindhava lavana or
– oily purgative blended with salt and made comfortably heat
Pittaja chardi chikitsa
पित्तोपशमनीयानि पाक्यानि शिशिराणि च |
कषायाण्युपयुक्तानि घ्नन्ति पित्तकृतां वमीम् ||२१||
शोधनं मधुरैश्चात्र द्राक्षारससमायुतैः |
बलवत्यां प्रशंसन्ति सर्पिस्तैल्वकमेव च ||२२||
Vomiting attributable to pitta is cured by consuming decoctions of herbs which mitigate pitta and that are chilly in efficiency.
Purgation ought to be given with the under talked about recipes –
– herbs of candy style blended with juice of draksa or
– Tilvaka Ghrta – in robust individuals (as defined in chikitsa sthana, chapter 4)
Kaphaja chardi chikitsa
आरग्वधादिनिर्यूहं दशाङ्गयोगमेव वा |
पाययेताथ सक्षौद्रं कफजायां चिकित्सकः ||२३||
Decoction ready from the herbs of aragvadhadi gana group or of dasanga yoga (dasamula kwatha) group added with honey ought to be administered by the doctor in instances of vomiting produced by kapha.
Tridoşaja chardi chikitsa
कृतं गुडूच्या विधिवत् कषायं हिमसञ्ज्ञितम् |
तिसृष्वपि भवेत् पथ्यं माक्षिकेण समन्वितम् ||२४||
Chilly infusion of Guduci ought to be ready as per process. Honey ought to be added to this infusion and administered. It’s best suited to vomiting attributable to all of the three doshas collectively.
Añya chardi chikitsa
बीभत्सजां हृद्यतमैर्दौहृदीं काङ्क्षितैः फलैः |
लङ्घनैर्वमनैश्चामां सात्म्यैः सात्म्यप्रकोपजाम् ||२५||
कृमिहृद्रोगवच्चापि कृमिजां साधयेद्वमीम् |
वितरेच्च यथादोषं शस्तं विधिमनन्तरम् ||२६||
Administering issues that are nice to the thoughts is the treatment for vomiting attributable to horrifying issues.
Vomiting because of being pregnant ought to be handled by fulfilling her wishes.
Administering vomiting and purgation therapies are the most effective methods of treating vomiting attributable to ama.
If vomiting is attributable to use of unaccustomed issues, remedy ought to be given by offering accustomed issues.
Likewise, therapies prescribed for krimija hrdroga ought to be administered within the remedy of vomiting attributable to worms.
Afterwards, the remedies acceptable to the aggravated doshas ought to be administered.
दधित्थरससंसक्तां पिप्पलीं माक्षिकान्विताम् |
मुहुर्मुहुर्नरो लीढ्वा छर्दिभ्यः प्रवि(ति)मुच्यते ||२७||
समाक्षिका मधुरसा पीता वा तण्डुलाम्बुना |
तर्पणं वा मधुयुतं तिसृणामपि भेषजम् ||२८||
स्वयङ्गुप्तां सयष्ट्याह्वां तण्डुलाम्बुमधुद्रवाम् |
पिबेद्यवागूमथवा सिद्धां पत्रैः करञ्जजैः ||२९||
युक्ताम्ललवणाः पिष्टाः कुस्तुम्बुर्योऽथवा हिताः |
तण्डुलाम्बुयुतं खादेत् कपित्थं त्र्यूषणेन वा ||३०||
Vomiting would get cured by licking typically the paste of pippali added and blended in juice of dadhici (kapittha) and honey.
Beneath talked about are the best recipes for treating all three sorts of vomiting –
– juice of madhurasa (murva) blended with honey or rice-wash
– tarpana i.e. combination of corn flour, ghee and sugar, added with honey
Paste of Svayamgupta and Yasti ought to be made. This paste ought to be added with rice-wash and honey and consumed.
Alternatively Yavagu – thick gruel ready from Karajna leaves could also be consumed.
Additionally, paste of Kustumbari added with bitter issues and salt can also be helpful.
Kapittha additionally could also be consumed together with rice-wash or tryushana.
सिताचन्दनमध्वाक्तं लिह्याद्वा मक्षिकाशकृत् |
पिबेत् पयोऽग्नितप्तं च निर्वाप्य गृहगोधिकाम् ||३१||
सर्पिःक्षौद्रयुतान् वाऽपि लाजशक्तून् पिबेत्तथा |
सर्पिःक्षौद्रसितोपेतां मागधीं वा लिहेत्तथा ||३२||
धात्रीरसे चन्दनं वा घृष्टं मुद्गदलाम्बुना |
कोलामलकमज्जानं लिह्याद्वा त्रिसुगन्धिकम् ||३३||
सक्षौद्रां शालिलाजानां यवागूं वा पिबेन्नरः |
घ्रेयाण्युपहरेच्चापि मनोघ्राणसुखानि च ||३४||
जाङ्गलानि च मांसानि शुभानि पानकानि च |
भोजनानि विचित्राणि कुर्यात्सर्वास्वतन्द्रितः ||३५||
For licking – excreta of flies added with sugar, sandalwood and honey ought to be used.
Grha Godha i.e. home lizards ought to be fried and made purple sizzling in fireplace. It ought to then be put into milk and that milk could also be consumed. Alternatively, powder of Magadhi could also be licked blended with ghee and honey.
Paste of Candana – sandalwood ought to be ready with juice of Dhatri. This can be consumed together with water.
Additionally, soup of mudga or marrow (fleshy half) of kola and amalaka, added with trisugandha (trijataka) could also be licked.
Yavagu ought to be ready with Sali or Laja. It ought to be added with honey and could also be consumed.
The affected person ought to inhale substances that are pleasing to the thoughts and nostril.
Beneath talked about issues ought to be used with none laxity –
– meat of animals of arid lands,
– good candy syrups and snacks (eatables) of various sorts that are pleasing to the thoughts
इति श्री सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते कायचिकित्सातन्त्रे छर्दिप्रतिषेधो नाम एकादशोऽध्यायः, आदितः) एकोनपञ्चाशत्तमोऽध्यायः।।४९।।
Thus ends the forty ninth chapter by title Chardi pratişedha in Uttarasthana of Suśruta samhita.