Sushruta Samhita Uttaratantra Chapter 52 Kāsa Pratiședha (Therapy of Cough)


AIAPGET Factors

    When KASA will get tremendously elevated, it can produce YAKSHMA. Su.Ut.52/6

    Kshavathu Vega Dharana is without doubt one of the most essential Nidanas of Kasa.

    Swarabheda is a symptom of Vataja Kasa.

    Recipes and ghee preparations talked about in remedy of Pittaja Kasa will also be utilized in remedy of Kshataja Kasa.

    Acharya Sushruta has described AGASTYA AVALEHA or AGASTYA HARITAKI RASAYANA within the context of KASA PRATISEDHA.

    Shatavari Ghrta and Nagabala Ghrta are indicated within the remedy of Kasa.

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The 52nd chapter of Uttaratantra of Sushruta Samhita is known as as Kāsa Pratiședha. This chapter offers with Therapy of Cough.

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

We are going to now expound käsa pratiṣedha – remedy of cough; as revealed

by the venerable Dhañvañtari.

Nidāna- samprapti- causes and pathogenesis

उक्ता ये हेतवो नॄणां रोगयोः श्वासहिक्कयोः |
कासस्यापि च विज्ञेयास्त एवोत्पत्तिहेतवः ||३||
धूमोपघाताद्रजसस्तथैव व्यायामरूक्षान्ननिषेवणाच्च |
विमार्गगत्वादपि भोजनस्य वेगावरोधात् क्षवथोस्तथैव ||४||
प्राणो ह्युदानानुगतः प्रदुष्टः सम्भिन्नकांस्यस्वनतुल्यघोषः |
निरेति वक्त्रात् सहसा सदोषः कासः स विद्वद्भिरुदाहृतस्तु ||५||

The identical causative components enumerated as causal for svasa – dyspnoea and hikka – hiccough are the identical causative components for kasa – cough additionally i.e. causative components for dyspnoea, hiccough and cough are the identical.

Beneath talked about are the precise causes of Kasa –

        extreme publicity to smoke and mud,

        indulgence in extreme bodily train,

        extreme consumption of dry meals,

        particles of meals transferring in mistaken paths i.e. into the respiratory tract (trachea) and

        suppression of urge for sneezing

Pathogenesis – Prana vata and Udana vata get aggravated as a result of above mentioned causes. These doshas come out of the mouth accompanied with loud sounds. The sound with which the doshas come out of the mouth resembles the sound of a damaged bronze piece (bronze bell). Together with Prana and Udana Vata, the opposite doshas (pitta and kapha) are additionally expelled. Students describe this situation as Kasa (cough).

Kasa Vidha – kinds of cough

स वातपित्तप्रभवः कफाच्च क्षतात्तथाऽन्यः क्षयजोऽपरश्च |
पञ्चप्रकारः कथितो भिषग्भिर्विवर्धितो यक्ष्मविकारकृत् स्यात् ||६||

Kasa is claimed to be of 5 sorts –

        one by every dosha – vataja, pittaja and kaphaja,

        one as a consequence of damage to the chest / lungs – ksataja and

        one as a consequence of loss / lower of tissues – ksayaja kasa

When Kasa will get tremendously elevated (and managed on the proper time), it could produce the illness Yaksma.

Pūrva rūpa – premonitory signs

भविष्यतस्तस्य तु कण्ठकण्डूर्भोज्योपरोधो गलतालुलेपः |
स्वशब्दवैषम्यमरोचकोऽग्निसादश्च लिङ्गानि भवन्त्यमूनि ||७||

Beneath talked about are the premonitory signs of Kasa –

        irritation of the throat,

        hindrance to swallowing,

        coating of throat and palate,

        slight dysfunction of voice,

        lack of style,

        weak spot of digestive hearth

Rūpa- scientific options

Vātaja kāsa

हृच्छङ्खमूर्धोदरपार्श्वशूली क्षामाननः क्षीणबलस्वरौजाः |
प्रसक्तमन्तःकफमीरणेन कासेत्तु शुष्कं स्वरभेदयुक्तः ||८||

Beneath talked about are the signs of vataja kasa – cough produced by vata –

        ache within the area of coronary heart, temples, head, stomach and flanks,

        emaciation of the face,

        lower of power, voice and valour,

        cough and its bouts rely upon the amount of kapha accumulation contained in the chest (lungs),

        cough is dry in nature – there isn’t a manufacturing of mucus / phlegm and

        accompanied with damaged voice

Pittaja kāsa

उरोविदाहज्वरवक्त्रशोषैरभ्यर्दितस्तिक्तमुखस्तृषार्तः |
पित्तेन पीतानि वमेत् कटूनि कासेत् स पाण्डुः परिदह्यमानः ||९||

Beneath talked about are the signs of pittaja kasa – cough produced by pitta –

        burning sensation within the chest,

        fever,

        dryness of the mouth,

        bitter style within the mouth,

        thirst,

        color of vomited materials – yellow,

        style of vomited materials – pungent and

        cough is accompanied with burning sensation within the throat

Kaphaja kāsa

प्र(वि)लिप्यमानेन मुखेन सीदन् शिरोरुजार्तः कफपूर्णदेहः |
अभक्तरुग्गौरवसादयुक्तः कासेत [१] ना सान्द्रकफं कफेन ||१०||

Beneath talked about are the signs of kaphaja kasa – cough produced by kapha –

        mouth is coated with kapha (mucus, sputum, phlegm),

        kapha falls out of the mouth typically (frequent expectoration or spitting of phlegm),

        physique is stuffed with kapha,

        aversion to meals,

        feeling of heaviness of the physique,

        debility,

        cough adopted by expectoration of thick kapha (sputum, phlegm),

Kşataja kāsa

वक्षोऽतिमात्रं विहतं तु यस्य व्यायामभाराध्ययनाभिघातैः |
विश्लिष्टवक्षाः स नरः सरक्तं ष्ठीवत्यभीक्ष्णं क्षतजं [१] तमाहुः ||११||

Chest damage (damage to the lungs contained in the chest) happens as a result of beneath talked about causes –

        extreme bodily workout routines / actions,

        lifting heavy weights,

        strolling for lengthy durations of time,

        learning in loud pitch / studying loudly and

        different kinds of assault

On this situation, the particular person coughs continually. Sputum is expelled combined with blood. That is known as Ksataja Kasa – cough prompted as a consequence of damage (to the chest or lung).

Kşayaja kasa

स गात्रशूलज्वरदाहमोहान् प्राणक्षयं चोपलभेत कासी |
शुष्यन् विनिष्ठीवति दुर्बलस्तु प्रक्षीणमांसो रुधिरं सपूयम् ||१२||
ससर्वलिङ्गं भृशदुश्चिकित्स्यं चिकित्सितज्ञाः क्षयजं वदन्ति |
वृद्धत्वमासाद्य भवेत्तु यो वै याप्यं तमाहुर्भिषजस्तु कासम् ||१३||

Beneath talked about are the signs of Ksayaja Kasa – cough prompted as a consequence of depletion of tissues –

        cough is related to ache within the physique,

        fever,

        burning sensation,

        delusion,

        lower of respiration,

        emaciation,

        debility,

        nice lower of muscle tissues,

        cough and

        expectoration of sputum combined with blood and pus

Cough presenting with the above mentioned signs is named Ksayaja Kasa by professional physicians. It turns into very troublesome to deal with this situation when it has all of the above signs.

Cough is described by the physicians as manageable or incurable when it has tremendously superior.

Normal remedy of coughs: Käsa samañya cikitsa

शृङ्गीवचाकट्फलकत्तृणाब्दधान्याभयाभार्ग्यमराह्वविश्वम् |
उष्णाम्बुना हिङ्गुयुतं तु पीत्वा बद्धास्यमप्याशु जहाति कासम् ||१४||

Powder of the beneath talked about elements needs to be ready –

        Srngi,

        Vaca,

        Katphala,

        Kattrna,

        Abda – Musta,

        Dhanya,

        Abhaya and

        Bharngi

This powder is added with Hingu and consumed with heat water.

These rapidly remedy the cough which has been blocked within the mouth i.e. longstanding cough (alt – cures cough rapidly although the cough is the one which causes blocking the mouth).

फलत्रिकव्योषविडङ्गशृङ्गीरास्नावचापद्मकदेवकाष्ठैः |
लेहः समैः क्षौद्रसिताघृताक्तः कासं निहन्यादचिरादुदीर्णम् ||१५||

Equal elements of the beneath talked about herbs are taken and their powder is ready –

        Phalatrika,

        Vyosa,

        Vidanga,

        Srngi,

        Rasna,

        Vaca,

        Padmaka and

        Devakastha

This powder is combined with honey, sugar and ghee taken in a amount equal to the powder. When consumed, it cures even continual sorts of cough.

पथ्यां सितामामलकानि लाजां समागधीं चापि विचूर्ण्य शुण्ठीम् |
सर्पिर्मधुभ्यां विलिहीत कासी ससैन्धवां वोष्णजलेन कृष्णाम् ||१६||

The beneath talked about elements are pounded and their powder ready –

        Pathya,

        Sita – sugar,

        Amalaka,

        Laja,

        Magadhi and

        Sunthi

This powder is combined with ghee and honey and needs to be consumed. 

Alternatively, Pippali and Saindhava Lavana needs to be powdered collectively. It could be consumed with heat water.

खादेद्गुडं नागरपिप्पलीभ्यां द्राक्षां च सर्पिर्मधुनाऽवलिह्यात् |
द्राक्षां सितां मागधिकां च तुल्यां सशृङ्गवेरं मधुकं तुगां च ||१७||
लिह्याद्घृतक्षौद्रयुतां समांशां सितोपलां वा मरिचांशयुक्ताम् |
धात्रीकणाविश्वसितोपलाश्च सञ्चूर्ण्य मण्डेन पिबेच्च दध्नः ||१८||

Beneath talked about recipes needs to be taken for the remedy of cough –

        jaggery combined with nagara, pippali and draksha needs to be combined with ghee and honey and licked,

        draksha, sita (sugar) and magadhika (powder) needs to be licked with ghee and honey,

        equal elements of srngavera, madhuka and tuga (vamsalocana) are taken, powdered and consumed with ghee and honey or

        sitopala added with marica needs to be consumed together with scum of curd or

        dhatri, kana, visva and sitopala needs to be powdered and consumed together with scum of curd

हरेणुकां मागधिकां च तुल्यां दध्ना पिबेत् कासगदाभिभूतः |
उभे हरिद्रे सुरदारुशुण्ठीं गायत्रिसारं च पिबेत् समांशम् ||१९||
बस्तस्य मूत्रेण सुखाम्बुना वा दन्तीं द्रवन्तीं च सतिल्वकाख्याम् |
भृष्टानि सर्पींष्यथ बादराणि खादेत् पलाशानि ससैन्धवानि ||२०||
कोलप्रमाणं प्रपिबेद्धि हिङ्गु सौवीरकेणाम्लरसेन वाऽपि |२१|

Beneath talked about recipes needs to be consumed by particular person affected by cough –

        Harenuka and Magadhika – taken in equal elements and powdered needs to be consumed combined with curds, or

        Powder of two sorts of Haridra, Suradaru, Sunthi, Gayatrisara (resin of khadira) – taken in equal elements could also be consumed together with goat urine or heat water or

        powder of danti, dravanti, tilvaka – with heat water or

        leaves of badara fried in ghee and added with saindhava lavana, or

        hingu taken in a amount of a kola (5gm) with sauviraka or juice of bitter fruits or

        powder of marica needs to be licked combined with honey

क्षौद्रेण लिह्यान्मरिचानि वाऽपि भार्गीवचाहिङ्गुकृता च वर्तिः ||२१||
धूमे प्रशस्ता घृतसम्प्रयुक्ता वेणुत्वगेलालवणैः कृता वा |२२|

Smoke is inhaled utilizing cigar or wick ready with the beneath talked about group of herbs / elements and smeared with ghee –

        Bharngi, Vaca and Hingu, or

        Bark of Venu, Ela and Lavana

These are finest to be inhaled.

मुस्तेङ्गुदीत्वङ्मधुकाह्वमांसीमनःशिलालैश्छगलाम्बुपिष्टैः ||२२||
विधाय वर्तीश्च पयोऽनुपानं धूमं पिबेद्वातबलासकासी |
पिबेच्च सीधुं मरिचान्वितं वा तेनाशु कासं जयति प्रसह्य ||२३||

Sufferers of vataja and kaphaja kasa ought to use the wick (cigar) ready with the paste of beneath talked about elements macerated in goat’s urine, for the aim of smoking –

        Musta,

        Bark of Ingudi,

        Madhuka,

        Mamsi,

        Manassila

Following this, he ought to drink milk or sidhu added with marica. Coughs would get cured simply by all these recipes.

द्राक्षाम्बुमञ्जिष्ठपुराह्वयाभिः क्षीरं शृतं माक्षिकसम्प्रयुक्तम् |२४|
निदिग्धिकानागरपिप्पलीभिः खादेच्च मुद्गान्मधुना सुसिद्धान् ||२४||

Milk needs to be boiled with –

        draksa,

        ambu,

        manjistha,

        purahva – guggulu

This milk could also be consumed with honey.

One might also eat mudga cooked with nidigdhika, nagara and pippali added with honey.

उत्कारिकां सर्पिषि नागराढ्यां पक्त्वा समूलैस्त्रुटिकोलपत्रैः |
एभिर्निषेवेत कृतां च पेयां तन्वीं सुशीतां मधुना विमिश्राम् ||२५||

Utkarika – pan cake ready with the beneath talked about could also be consumed –

        extra amount of ghee,

        nagara,

        roots of truti and

        leaves of kola

Peya – skinny gruel ready with the identical elements shall even be consumed with honey.

Vataja käsa chikitsa – remedy of cough of vata origin

यत् प्लीह्नि सर्पिर्विहितं षडङ्गं तद्वातकासं जयति प्रसह्य |
विदारिगन्धादिकृतं घृतं वा रसेन वा वासकजेन पक्वम् ||२६||

Cough produced by aggravated vata is rapidly cured by consuming Sadanga Sarpi (Satpala Ghrta) which has been talked about within the remedy of Plihodara.

Alternatively, ghee ready with herbs belonging to Vidarigandhadi Gana group or with juice of Vasaka shall be utilized in curing vataja kind of cough.

विरेचनं स्नैहिकमत्र चोक्तमास्थापनं चाप्यनुवासनं च |
धूमं पिबेत् स्नैहिकमप्रमत्तः पिबेत् सुखोष्णं घृतमेव चात्र ||२७||
हिता यवाग्वश्च रसेषु सिद्धाः पयांसि लेहाः सघृतास्तथैव |२८|

Beneath talked about remedies are additionally useful –

        purgation with oily purgatives,

        decoction enema,

        unctuous enema,

        inhaling lubricating smoke,

        ingesting of comfortably heat plain ghee,

        yavagu – thick gruel ready with meat soup,

        milk boiled and ready with vata mitigating herbs and

        confections combined with ghee

Kaphaja käsa cikitsa

प्रच्छर्दनं कायशिरोविरेकास्तथैव धूमाः कवलग्रहाश्च ||२८||
उष्णाश्च लेहाः कटुका निहन्युः कफं विशेषेण विशोषणं च |
कटुत्रिकं चापि वदन्ति पथ्यं घृतं कृमिघ्नस्वरसे विपक्वम् ||२९||
निर्गुण्डिपत्रस्वरसे च पक्वं सर्पिः कफोत्थं विनिहन्ति कासम् |

Beneath talked about are the useful remedies for Kaphaja Kasa –

        emesis,

        purgation to the physique,

        purgation to the top,

        inhalation of medicated smoke,

        mouth gargles,

        confections that are sizzling in efficiency and pungent in style and

        fasting (particularly)

Cough produced by kapha can also be cured by Katutrika and ghee boiled in juice or decoction of Krimighna or juice of leaves of Nirgundi.

पाठाविडव्योषविडङ्गसिन्धुत्रिकण्टरास्नाहुतभुग्बलाभिः ||३०||
शृङ्गीवचाम्भोधरदेवदारुदुरालभाभार्ग्यभयाशटीभिः |
सम्यग्विपक्वं द्विगुणेन सर्पिर्निदिग्धिकायाः स्वरसेन चैतत् ||३१||
श्वासाग्निसादस्वरभेदभिन्नान्निहन्त्युदीर्णानपि पञ्च कासान् |३२|

Decoction is ready with the beneath talked about elements –

        patha,

        bida,

        vyosa,

        vidanga,

        sindhu (saindhava),

        trikantaka,

        rasna,

        hutabuk – citraka,

        bala,

        srngi,

        vaca,

        ambodhara – musta,

        devadaru,

        duralabha,

        bharngi, abhaya and sati

One a part of ghee and two elements of juice of Nidagdhika are added to this decoction and cooked nicely in order to arrange the medicated ghee.

Advantages – This ghee cures dyspnoea, weak digestion, problems of voice and 5 sorts of cough, although these situations are tremendously aggravated.

Pittaja käsa cikitsa

विदारिगन्धोत्पलसारिवादीन् निष्क्वाथ्य वर्गं मधुरं च कृत्स्नम् ||३२||
घृतं पचेदिक्षुरसाम्बुदुग्धैः काकोलिवर्गे च सशर्करं तत् |
प्रातः पिबेत् पित्तकृते च कासे रतिप्रसूते क्षतजे च कासे ||३३||

Decoction is ready from the beneath talked about teams of herbs –

        vidarigandhadi gana group of herbs,

        utpaladi gana group of herbs,

        sarivadi gana group of herbs,

        madhur (kakolyadi) gana group of herbs

Ghee, sugarcane juice, milk and paste of herbs belonging to Kakolyadi Gana group are added to this decoction, processed and medicated ghee is ready.

This ghee needs to be added with sugar and consumed within the morning.

It cures cough produced by pitta (pittaja kasa) and likewise that produced as a consequence of damage to the lungs (ksataja kasa).

खर्जूरभार्गीमगधाप्रियालमधूलिकैलामलकैः समांशैः |
चूर्णं सिताक्षौद्रघृतप्रगाढं त्रीन् हन्ति कासानुपयुज्यमानम् ||३४||

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

        Kharjura,

        Bharngi,

        Magadha,

        Priyala,

        Madhulika,

        Ela,

        Amalaka

This powder is combined with extra sugar, honey and ghee and needs to be consumed. This recipe cures the three kinds of coughs.

Kşataja and kşayaja käsa chikitsa

रक्ताहरिद्राञ्जनवह्निपाठामूर्वोपकुल्या विलिहेत् समांशाः |
क्षौद्रेण कासे क्षतजे क्षयोत्थे पिबेद्घृतं चेक्षुरसे विपक्वम् ||३५||
चूर्णं पिबेदामलकस्य वाऽपि क्षीरेण पक्वं सघृतं हिताशी |३६|

Powder of equal elements of the beneath talked about needs to be licked with honey in Ksayaja and Ksataja Kasa –

        Rakta i.e. Manjistha,

        Haridra,

        Anjana,

        Vahni i.e. Chitraka,

        Patha,

        Murva and

        Upakulya – pippali

Ghee processed with sugarcane juice could also be consumed.

Alternatively, powder of Amalaka boiled and processed in milk needs to be consumed, added with ghee, by an individual who’s desirous of fine advantages.

चूर्णानि गोधूमयवोद्भवानि काकोलिवर्गश्च कृतः सुसूक्ष्मः ||३६||
कासेषु पेयस्त्रिषु कासवद्भिः क्षीरेण सक्षौद्रघृतेन वाऽपि |
गुडोदकं वा क्वथितं पिबेद्धि क्षौद्रेण शीतं मरिचोपदंशम् ||३७||

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

        godhuma,

        yava and

        herbs belonging to kakolyadi gana group

This powder needs to be consumed together with milk or honey and ghee.

Alternatively, honey and powder of marica added and combined in jaggery water could also be consumed.

Kalyāṇaka guda

प्रस्थत्रयेणामलकीरसस्य शुद्धस्य दत्त्वाऽर्धतुलां गुडस्य |
चूर्णीकृतैर्ग्रन्थिकचव्यजीरव्योषेभकृष्णाहपुषाजमोदैः ||३८||
विडङ्गसिन्धुत्रिफलायवानीपाठाग्निधान्यैश्च पिचुप्रमाणैः |
दत्त्वा त्रिवृच्चूर्णपलानि चाष्टावष्टौ च तैलस्य पचेद्यथावत् ||३९||
तं भक्षयेदक्षफलप्रमाणं यथेष्टचेष्टस्त्रिसुगन्धियुक्तम् |
अनेन सर्वे ग्रहणीविकाराः सश्वासकासस्वरभेदशोथाः ||४०||
शाम्यन्ति चायं चिरमन्तरग्नेर्हतस्य पुंस्त्वस्य च वृद्धिहेतुः |
स्त्रीणां च वन्ध्यामयनाशनः स्यात् कल्याणको नाम गुडः प्रतीतः ||४१||

Three prastha (1920 ml) of amalaka rasa (contemporary juice of gooseberry fruits) and half tula (2kg) of pure guda (jaggery) are cooked collectively.

When they’re getting boiled, eight pala (320 gm) of sesame oil needs to be added.

Likewise, powder of 1 picu (10gm) every of the beneath talked about elements are added –

        granthika,

        cavya,

        jiraka,

        vyosa,

        ibhakrsna (gaja pippali),

        hapusa,

        ajamoda,

        vidanga,

        sindhu,

        triphala,

        yavani,

        patha,

        agni and

        dhanyaka

Additionally added to it’s eight pala (320gm) of Trivrt powder.

All these are boiled and processed collectively in order to arrange its confection within the regular process. This recipe is called Kalyanaka Guda.

Dose – This recipe needs to be consumed within the dose of 1 aksa (10 gms), added with Trisugandhi (tvak, patra and ela) powder.

Advantages –

        this recipe cures all duodenal problems, dyspnoea, cough, hoarseness and dropsy,

        will increase digestive hearth despite it being weak since lengthy interval,

        will increase semen and

        cures infertility in ladies

Agastyavaleha / Agastyaharītaki rasayana

द्विपञ्चमूलेभकणात्मगुप्ताभार्गीशटीपुष्करमूलविश्वान् |
पाठामृताग्रन्थिकशङ्खपुष्पीरास्नाग्न्यपामार्गबलायवासान् ||४२||
द्विपालिकान् न्यस्य यवाढकं च हरीतकीनां च शतं गुरूणाम् |
द्रोणे जलस्याढकसंयुते च क्वाथे कृते पूतचतुर्थभागे ||४३||
पचेत्तुलां शुद्धगुडस्य दत्त्वा पृथक् च तैलात् कुडवं घृताच्च |
चूर्णं च तावन्मगधोद्भवाया देयं च तस्मिन्मधु सिद्धशीते ||४४||
रसायनात् कर्षमतो विलिह्याद्द्वे चाभये नित्यमथाशु हन्यात् |
तद्राजयक्ष्मग्रहणीप्रदोषशोफाग्निमान्द्यस्वरभेदकासान् ||४५||
पाण्ड्वामयश्वासशिरोविकारान् हृद्रोगहिक्काविषमज्वरांश्च |
मेधाबलोत्साहमतिप्रदं च चकार चैतद्भगवानगस्त्यः ||४६||

Substances –

Two pala (80gm) every of the beneath talked about herbs needs to be taken –

        herbs belonging to each pancamulas (ten herbs comprising of dasamula),

        ibhakana (gajapippali),

        atmagupta,

        bharngi,

        sati,

        puskaramula,

        visvapatha,

        amrta,

        granthika,

        sankhapuspi,

        rasna,

        agni,

        apamarga,

        bala,

        yavasa

Additionally needs to be taken –

        one adhaka (2.56 kg) of yava and

        haritaki fruits – 100 in quantity

All these are boiled and processed in a single drona (10.24kg) of water and lowered to 1 fourth in order to arrange its decoction. The decoction is filtered.

To it’s added –

        one tula (4kg) of pure guda (jaggery),

        one kudava (160gm) every of taila (sesame oil), ghrta (ghee) and powder of magadodbhava (pippali)

All these are processed and the confection is ready within the regular approach. Honey is added to the confection after it will get cooled.

Dose – This confection needs to be consumed in a single karsa (10gm )dosage. After consuming it, the particular person ought to eat two fruits of abhaya (haritaki), every single day.

Advantages – This drugs cures depletion of tissues / pulmonary tuberculosis, duodenal problems, dropsy, weak digestive hearth, hoarseness of voice, cough, anaemia, dyspnoea, headache, coronary heart illnesses, hiccup and intermittent fevers.

It additionally bestows intelligence, power, enthusiasm and psychological stamina. This drugs has been formulated by the venerable sage Agastya. 

कुलीरशुक्तीचटकैणलावान्निष्क्वाथ्य वर्गं मधुरं च कृत्स्नम् |
पचेद्घृतं तत्तु निषेव्यमाणं हन्यात् क्षतोत्थं क्षयजं च कासम् ||४७||
शतावरीनागबलाविपक्वं घृतं विधेयं च हिताय कासिनाम् ||४८||

Decoction of the beneath talked about is ready –

        meat of crab,

        insect of cowri shell,

        sparrow,

        deer and

        lava fowl (widespread quail) and

        herbs belonging to madhura / kakolyadi gana group

Ghee is processed with this decoction and medicated ghee is ready. When consumed, this ghrta cures cough brought on by damage to lungs and consumption.

Decoction of Satavari and Nagabala is ready. Ghee processed with this decoction needs to be given to the sufferers of cough.

इति सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते कायचिकित्सातन्त्रे कासप्रतिषेधो नाम (चतुर्दशोऽध्यायः, आदितः) द्विपञ्चाशत्तमोऽध्यायः ||५२||

Thus ends the fifty-second chapter by identify Käsa Pratiședha in Uttara Sthana of Suśruta Samhita.



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