8. rājayakṣmacikitsitam

Larger type: Carakasaṃhitā · indented: Cakrapāṇidatta's Āyurvedadīpikā
athāto rājayakṣmacikitsitaṃ vyākhyāsyāmaḥ||1|| iti ha smāha bhagavānātreyaḥ||2||
tridoṣajatvasāmānyāt kuṣṭhamanu rājayakṣmacikitsitamucyate| unmādāpasmārau dakṣādhvaroddhvaṃsotpannāvapyāgantutvānubandhatvāt paścāduktau||1-2||
divaukasāṃ kathayatāmṛṣibhirvai śrutā kathā| kāmavyasanasaṃyuktā paurāṇī śaśinaṃ prati||3|| rohiṇyāmatisaktasya śarīraṃ nānurakṣataḥ| ājagāmālpatāmindordehaḥ snehaparikṣayāt||4|| duhitṝṇāmasambhogāccheṣāṇāṃ ca prajāpateḥ| krodho niḥśvāsarūpeṇa mūrtimān niḥsṛto mukhāt||5|| prajāpaterhi duhitṝraṣṭāviṃśatimaṃśumān| bhāryārthaṃ pratijagrāha na ca sarvāsvavartata||6|| guruṇā tamavadhyātaṃ bhāryāsvasamavartinam| rajaḥparītamabalaṃ yakṣmā śaśinamāviśat||7|| so'bhibhūto'timahatā 1 gurukrodhena niṣprabhaḥ| devadevarṣisahito jagāma śaraṇaṃ gurum||8|| atha candramasaḥ śuddhāṃ matiṃ buddhvā prajāpatiḥ| prasādaṃ kṛtavān somastato'śvibhyāṃ cikitsitaḥ||9|| sa vimuktagrahaścandro virarāja viśeṣataḥ| ojasā 2 vardhito'śvibhyāṃ śuddhaṃ sattvamavāpa ca||10|| krodho yakṣmā jvaro roga ekārtho duḥkhasañjñakaḥ| yasmāt sa rājñaḥ prāgāsīdrājayakṣmā tato mataḥ||11|| sa yakṣmā huṅkṛto'śvibhyāṃ mānuṣaṃ lokamāgataḥ| labdhvā caturvidhaṃ hetuṃ samāviśati mānavān||12||
divaukasāmityādinā prāgutpattiṃ yakṣmaṇo darśayati| etayā ca prāgutpattyā dhātukṣayo rājayakṣmaṇaḥ pradhānaṃ kāraṇaṃ, tathā bhāryāsvasamavartitayā'dharmaśca kāraṇaṃ, bhavatīti darśyate| kāmavyasanasaṃyuktā strīpuṃsaṅgasambandhā 3| dehaḥ snehaparikṣayāditi dehasārakṣayāt; snehaśabdena hi sāravācinā śukraujasī grāhye| avadhyātamiti krodhena cintitam| gurukrodheneti yakṣmarūpeṇa| śuddhāṃ matiṃ buddhveti svāparādhajanitamātmanaḥ kṣayaṃ buddhvā candramasaḥ svadoṣaparihārārthaṃ 4 śuddhāṃ buddhiṃ jñātvā| vimuktagraha iti graheṇa yakṣmākhyena vimuktaḥ| sattvaṃ manaḥ| śuddhamiti nirdoṣam||3-12||
ayathābalamārambhaṃ vegasandhāraṇaṃ kṣayam| yakṣmaṇaḥ kāraṇaṃ vidyāccaturthaṃ viṣamāśanam||13||
ayathābalamārambhādiyakṣmahetutraye vihārarūpe āhārarūpatayā bhinnajātīyatvādviṣamāśanaṃ ‘caturthaṃ viṣamāśanam’ iti pṛthak paṭhitam| nirdeśādeva catuṣke labdhe caturthamiti padaṃ sāhasādīnāṃ prabhedānāṃ bahutve'pi sāhasādicaturvidhānatikramopadarśanārtham 5||13||
yuddhādhyayanabhārādhvalaṅghanaplavanādibhiḥ| patanairabhighātairvā sāhasairvā tathā'paraiḥ||14|| ayathābalamārambhairjantorurasi vikṣate| vāyuḥ prakupito doṣāvudīryobhau pradhāvati||15|| sa śiraḥsthaḥ śiraḥśūlaṃ karoti galamāśritaḥ| kaṇṭhoddhvaṃsaṃ ca kāsaṃ ca svarabhedamarocakam||16|| pārśvaśūlaṃ ca pārśvastho varcobhedaṃ gude sthitaḥ| jṛmbhāṃ jvaraṃ ca sandhistha uraḥsthaścoraso rujam||17|| kṣaṇanādurasaḥ 6 kāsāt kaphaṃ ṣṭhīvet saśoṇitam| jarjareṇorasā kṛcchramuraḥśūlātipīḍitaḥ||18|| iti sāhasiko yakṣmā rūpairetaiḥ prapadyate| ekādaśabhirātmajño bhajettasmānna 7 sāhasam||19||
nidānoktamapi rājayakṣmahetvādi punaḥ prakaraṇavaśāt kiñcinnidānoktaviśeṣavidhitsayocyate| uktaṃ kāraṇacatuṣkaṃ prapañcayati- yuddhetyādi| sahasā śaktimanālocya yāni kriyante tāni sāhasāni| ubhāviti kaphapitte| kṣaṇanādityādinā raktakaphaniṣṭhīvanamekameva lakṣaṇam ‘uraḥśūlātipīḍitaḥ’ ityantenocyate| uraḥśūlam uroruk, raktaniṣṭhīvanaviśeṣaṇameva; tenaikādaśarūpatvaṃ pūryate eva||14-19||
hrīmattvādvā ghṛṇitvādvā bhayādvā vegamāgatam| vātamūtrapurīṣāṇāṃ nigṛhṇāti yadā naraḥ||20|| tadā vegapratīghātāt kaphapitte samīrayan| ūrdhvaṃ tiryagadhaścaiva vikārān kurute'nilaḥ||21|| pratiśyāyaṃ ca kāsaṃ ca svarabhedamarocakam| pārśvaśūlaṃ śiraḥśūlaṃ jvaramaṃsāvamardanam||22|| aṅgamardaṃ muhuśchardiṃ varcobhedaṃ trilakṣaṇam| rūpāṇyekādaśaitāni yakṣmā yairucyate mahān||23||
hrīmattvādityādinā vegasandhāraṇajamāha| varcobhedaṃ trilakṣaṇamiti pṛthagvātādijanitatridoṣaliṅgayuktamityarthaḥ||20-23||
īrṣyotkaṇṭhābhayatrāsakrodhaśokātikarśanāt| ativyavāyānaśanācchukramojaśca hīyate||24|| tataḥ snehakṣayādvāyurvṛddho doṣāvudīrayan| pratiśyāyaṃ jvaraṃ kāsamaṅgamardaṃ śirorujam||25|| śvāsaṃ viḍbhedamaruciṃ pārśvaśūlaṃ svarakṣayam| karoti cāṃsasantāpamekādaśagadānimān 8||26|| liṅgānyāvedayantyetānyekādaśa mahāgadam| samprāptaṃ rājayakṣmāṇaṃ kṣayāt prāṇakṣayapradam||27||
īrṣyetyādinā dhātukṣayajamāha| oja iti rasaḥ, rase'pyojaḥśabdo vartate; yaduktaṃ- “malībhavati tat prāyaḥ kalpate kiñcidojase” iti; kiṃvā ojo dehasya sāram| snehakṣayāditi dehasāraśukraujaḥkṣayāt| kṣayāt prāṇakṣayapradamityatra kṣayahetutvāt kṣayaḥ; ‘prāṇakṣayāvaham’ iti vā pāṭhaḥ||24-27||
vividhānyannapānāni vaiṣamyeṇa samaśnataḥ| janayantyāmayān ghorānviṣamānmārutādayaḥ||28|| srotāṃsi rudhirādīnāṃ vaiṣamyādviṣamaṃ gatāḥ| ruddhvā rogāya kalpante puṣyanti ca na dhātavaḥ||29|| pratiśyāyaṃ prasekaṃ ca kāsaṃ chardimarocakam| jvaramaṃsābhitāpaṃ ca chardanaṃ rudhirasya ca||30|| pārśvaśūlaṃ śiraḥśūlaṃ svarabhedamathāpi ca| kaphapittānilakṛtaṃ liṅgaṃ vidyādyathākramam||31|| iti vyādhisamūhasya rogarājasya 9 hetujam| rūpamekādaśavidhaṃ hetuścoktaścaturvidhaḥ||32||
vividhānītyādinā viṣamāśanajamāha| vaiṣamyeṇeti prakṛtikaraṇādyaṣṭāhāravidhivaiṣamyeṇa| vaiṣamyādatipravṛddhā vātādayo viṣamamunmārgeṇa gatāḥ santaḥ rudhirādīnāṃ srotāṃsi ruddhvā rogāya yakṣmarūpāya kalpanta iti yojanā| yathākramamiti pratiśyāyamityādiprathamaślokārdhavihitaṃ kaphakṛtaṃ, dvitīyaślokārdhavihitaṃ pittakṛtaṃ, śeṣaṃ tu vātakṛtam| atra pratyekamekādaśalakṣaṇapāṭhena ekādaśalakṣaṇayogenaiva rājayakṣmaṇaḥ sampūrṇatvaṃ prāyo bhavatīti darśayati| yattu ṣaḍlakṣaṇatvaṃ trilakṣaṇatvaṃ vā yakṣmaṇo vakṣyati, tadasampūrṇalakṣaṇasyaiva jñeyam| nanu śoṣāṇāmayathābalamārambhādijatvabhedena cāturvidhyakathanena kiṃ? yatastāni tānyeva lakṣaṇāni sarvatra bhavanti; tathāca sarve'pi tridoṣajāḥ tenaikarūpatvābhidhānameva yuktam; uktaṃ ca śalye- “ekādaśānāmekatra sānnidhyāttantrayuktitaḥ| kriyāṇāṃ cāvibhāgena prāgekotpādanena ca|| eka eva mataḥ śoṣaḥ sannipātātmako gadaḥ” (su.u.a.41) iti, ihāpi coktaṃ- “sarvastridoṣajo yakṣmā” ityādi| maivaṃ, hetulakṣaṇacikitsitena caturṇāmapi bhedādbhinna eveti yuktam| tatra hetavo'yathābalamārambhādaya uktā eva; liṅgaṃ ca bhinnaṃ sāhasaje kaṇṭhoddhvaṃsa uroruk jṛmbhā ca; vegasandhāraṇaje ca aṅgamardo muhuśchardistathā varcobhedastrilakṣaṇaḥ, anyatra hi varcobhedastrilakṣaṇo na bhavati; kṣayaje śvāsapārśvaśūlāṃsasantāpāḥ; viṣamāśanaje chardanaṃ rudhirasya; sāhasaje pratiśyāyābhāvaḥ, śeṣeṣu pratiśyāya ityādilakṣaṇabhedaḥ| cikitsitabhedastu asādhāraṇalakṣaṇe cikitsābhedakṛta eva; tasmādbhedo yakṣmaṇāṃ yukta eva; tantrāntare tu sthūladṛṣṭyā abheda uktaḥ; ihāpi sthūladṛśā “sarvastridoṣajo jñeyaḥ” ityādinā'bheda ukta eva; sūkṣmacintāyāṃ tvayameva bheda 10 ukto jñeyaḥ| punaśca “kāso'ṅgatāpa” ityādinā doṣalakṣaṇāni vakṣyati, tat sāmānyena yakṣmaṇaḥ prāyobhāvilakṣaṇaṃ caturṣvapi samuccityoktamiti jñeyaṃ; tena na paunaruktyam||28-32||
pūrvarūpaṃ pratiśyāyo daurbalyaṃ doṣadarśanam| adoṣeṣvapi bhāveṣu kāye bībhatsadarśanam||33|| ghṛṇitvamaśnataścāpi balamāṃsaparikṣayaḥ| strīmadyamāṃsapriyatā priyatā cāvaguṇṭhane||34|| makṣikāghuṇakeśānāṃ tṛṇānāṃ patanāni ca| prāyo'nnapāne keśānāṃ nakhānāṃ cābhivardhanam||35|| patatribhiḥ pataṅgaiśca śvāpadaiścābhidharṣaṇam| svapne keśāsthirāśīnāṃ bhasmanaścādhirohaṇam||36|| jalāśayānāṃ śailānāṃ vanānāṃ jyotiṣāmapi| śuṣyatāṃ kṣīyamāṇānāṃ patatāṃ yacca darśanam||37|| prāgrūpaṃ bahurūpasya tajjñeyaṃ rājayakṣmaṇaḥ|38|
samprati caturṇāmapi sādhāraṇaṃ pūrvarūpamāha- pūrvarūpamityādi| pratiśyāyaśca rūpe paṭhitaḥ; tena pratiśyāyaḥ pūrvarūpāntarasahitaḥ pūrvarūpaṃ bhavati, rūpāntarasahitastu rūpamiti viśeṣaḥ| na caika eva pratiśyāyaḥ pūrvarūpārtho'pi vyādhyavasthāyāṃ vartamānatvādariṣṭaṃ bhavati, “pūrvarūpāṇi sarvāṇi” (iṃ.a.5) ityādinā sarvapūrvarūpānuvartanaṃ vyādhau riṣṭamuktam| kāye bībhatsadarśanamiti vikṛtidarśanam| makṣikādīnāmannapāne ca patanānīti yojyam| patatryādibhirabhidharṣaṇaṃ svapne jñeyaṃ; patatriṇaḥ pakṣiṇaḥ, śvāpadā vyāghrādayaḥ| keśāsthirāśīnāmityādau yacca darśanamityantaṃ ‘svapne’ ityunuvartate||33-37||-
rūpaṃ tvasya yathoddeśaṃ nirdekṣyāmi 11 sabheṣajam||38|| yathāsvenoṣmaṇā pākaṃ śārīrā yānti dhātavaḥ| srotasā ca yathāsvena dhātuḥ puṣyati dhātutaḥ||39|| srotasāṃ sannirodhācca raktādīnāṃ ca saṅkṣayāt| dhātūṣmaṇāṃ cāpacayādrājayakṣmā pravartate||40|| tasmin kāle pacatyagniryadannaṃ koṣṭhasaṃśritam| malībhavati tat prāyaḥ kalpate kiñcidojase||41|| tasmāt purīṣaṃ saṃrakṣyaṃ viśeṣādrājayakṣmiṇaḥ| sarvadhātukṣayārtasya balaṃ tasya hi viḍbalam||42|| rasaḥ srotaḥsu ruddheṣu svasthānastho vidahyate 12| sa ūrdhvaṃ kāsavegena bahurūpaḥ pravartate||43|| jāyante vyādhayaścātaḥ ṣaḍekādaśa vā punaḥ| yeṣāṃ saṅghātayogena rājayakṣmeti kathyate||44|| kāsoṃ'satāpo vaisvaryaṃ jvaraḥ pārśvaśirorujā| chardanaṃ raktakaphayoḥ śvāsavarcogado'ruciḥ||45|| rūpāṇyekādaśaitāni yakṣmaṇaḥ ṣaḍimāni vā| kāso jvaraḥ pārśvaśūlaṃ svaravarcogado'ruciḥ||46|| sarvairardhaistribhirvā'pi liṅgairmāṃsabalakṣaye| yukto varjyaścikitsyastu sarvarūpo'pyato'nyathā||47||
samprati yakṣmarūpāṇi prapañcena vyākhyātumāha- rūpaṃ tvasyetyādi| nirdekṣyāmīti prapañcena kathayiṣyāmi| tatra rūpavyākaraṇe kartavye rūpiṇa eva tāvad yakṣmaṇaḥ śarīradhātupoṣaṇavirodhakasya utpādakramaṃ śarīradhātupoṣaṇakramakathanapūrvamāha- yathāsvenetyādi| yathāsvena yathātmīyena, ūṣmaṇā rasāgnyādirūpeṇa trayodaśavidhena| dhātuḥ puṣyati dhātuneti dhātunā rasena, dhātū raktādirūpaḥ; kiṃvā kramapariṇāmapakṣe rasena raktaṃ, raktena māṃsaṃ puṣyatīti jñeyam| evaṃ dhātupoṣaṇakramaṃ darśayitvā yakṣmaṇi tadvirodhamāha- srotasāmityādi| sannirodhāditi yakṣmakārakadoṣeṇāvaruddhatvāt; raktādisaṅkṣayo'pi srotovarodhāttathā poṣakarasāprābalyācca jñeyaḥ; dhātūṣmāpacayo'pi dhātukṣayāddoṣaprabhāvācca jñeyaḥ| yathā dhātupoṣakarasahānirbhavati tathā''ha- tasminnityādi| ojase iti sārabhāgāya, rasāyeti yāvat| viśeṣādrājayakṣmiṇa itivacanenānyeṣāmapi durbalānāṃ purīṣaṃ rakṣyamiti sūcayati| viḍbalamiti viḍādhāram| yaścāpi rasa utpadyate sa ca dhātūnna puṣṇāti, kintu svasthānastho vidahyate; svasthānastha iti hṛdayasthaḥ| sarvairiti ekādaśabhiḥ| ardhairiti ṣaḍbhiḥ, ekādaśasya jyeṣṭhabhāgaparigrahāt ṣaḍevārdhaṃ 13 bhavati; dṛṣṭā caiṣā vidhā, yathā- “triṃśanmatāḥ karmasu bastayo hi, kālastato'rdhena tataśca yogaḥ” (si.a.1) ityādau, triṃśadbastyardharūpaḥ kālaḥ śreṣṭhabhāgaparigrahāt ṣoḍaśabastirūpa eva, “kāle trayo'nte puratastathaikaḥ snehā nirūhāntaritāśca ṣaṭ syuḥ” (si.a.1) ityanenoktaḥ| tribhirityatra yāni kāni trīṇi yakṣmaṇo rūpāṇi jñeyāni, śṛṅgagrāhikayā'nirdeśāt| anye tu ‘aṃsapārśvābhitāpaśca’ ityādivakṣyamāṇalakṣaṇatrayaṃ varṇayanti| kecittu ‘aṃsapārśvābhitāpaśca’ ityādikaṃ yakṣmasambandhijvaralakṣaṇaṃ vadanti| anyatheti balamāṃsayoge sati||38-47||
ghrāṇamūle sthitaḥ śleṣmā rudhiraṃ pittameva vā| mārutādhmātaśiraso mārutaṃ śyāyate prati||48|| pratiśyāyastato ghoro jāyate dehakarśanaḥ| tasya rūpaṃ śiraḥśūlaṃ gauravaṃ ghrāṇaviplavaḥ||49|| jvaraḥ kāsaḥ kaphotkleśaḥ svarabhedo'ruciḥ klamaḥ| indriyāṇāmasāmarthyaṃ yakṣmā cātaḥ 14 prajāyate||50||
pratiśyāyaṃ vivṛṇoti- ghrāṇetyādi| mārutādhmātaśiraso mārutapūrṇaśirasaḥ| mārutaṃ prati śyāyate gacchatītyarthaḥ| mārutānugataṃ ghrāṇāt sravati| ghrāṇaviplavaḥ gandhāghrāṇādirūpaḥ| yakṣmā cātaḥ prajāyata iti anenoktalakṣaṇapratiśyāyasyaiva pūrvarūpatāmapi sūcayati||48-50||
picchilaṃ bahalaṃ visraṃ haritaṃ śvetapītakam| kāsamāno rasaṃ yakṣmī niṣṭhīvati 15 kaphānugam||51||
sa ūrdhvaṃ kāsavegena bahurūpaḥ pravartate iti yaduktaṃ yakṣmarūpaṃ tadvivṛṇoti- picchilamityādi||51||
aṃsapārśvābhitāpaśca santāpaḥ 16 karapādayoḥ| jvaraḥ sarvāṅgagaśceti lakṣaṇaṃ rājayakṣmaṇaḥ||52||
rājayakṣmaṇo jvarasya viśiṣṭaṃ lakṣaṇamāha- aṃsetyādi| lakṣaṇaṃ rājayakṣmaṇa iti aṃsapārśvābhitāpakarapādasantāparūpaḥ sarvāṅgagajvaro rājayakṣmalakṣaṇamityarthaḥ||52||
vātātpittātkaphādraktāt kāsavegāt sapīnasāt| svarabhedo bhavedvātādrūkṣaḥ kṣāmaścalaḥ svaraḥ||53|| tālukaṇṭhapariploṣaḥ pittādvaktumasūyate| kaphādbhedo 17 vibaddhaśca svaraḥ khurakhurāyate 18||54|| sanno raktavibaddhatvāt svaraḥ kṛcchrāt pravartate| kāsātivegāt kaṣaṇaḥ 19 pīnasātkaphavātikaḥ||55|| pārśvaśūlaṃ tvaniyataṃ saṅkocāyāmalakṣaṇam| śiraḥśūlaṃ sasantāpaṃ yakṣmiṇaḥ syātsagauravam||56||
svarabhedaṃ vibhajate- vātādityādi| vaktumasūyata iti vaktuṃ necchati| khurakhurāyata iti khurakhurāśabdaṃ karoti| sannaḥ avasannaḥ| kaṣaṇa iti kaṇṭhaṃ kaṣati, hinastīti yāvat| pārśvaśūlaṃ tvaniyatamiti na saṅkocarūpeṇa niyataṃ, kintu kadācidāyāmarūpaṃ kadācit saṅkocarūpaṃ, na sarvadābhāvi| śiraḥśūlatvena vāyuḥ, sasantāpatvena pittaṃ, sagauravatvena śleṣmā, evaṃ tridoṣajanyatvaṃ jñeyam||53-56||
abhisanne 20 śarīre tu yakṣmiṇo viṣamāśanāt| kaṇṭhātpravartate raktaṃ śleṣmā cotkliṣṭasañcitaḥ||57||
saraktaṃ kaphamasyatīti yaduktaṃ tallakṣaṇaṃ vivṛṇoti- abhisanna ityādi| abhitaḥ sanno'bhisannaḥ| ‘abhiṣyande’ iti pāṭhapakṣe'bhiṣyandagṛhīta ityarthaḥ; kintvabhipūrvasyandateḥ kathaṃ rūpasiddhirbhavatīti cintanīyam| sañcitotkliṣṭamiti vaktavye pūrvanipātaniyamādutkliṣṭasañcita iti kṛtam||57||
raktaṃ vibaddhamārgatvānmāṃsādīnnānupadyate 21| āmāśayasthamutkliṣṭaṃ bahutvāt kaṇṭhameti ca||58|| vātaśleṣmavibaddhatvādurasaḥ śvāsamṛcchati| doṣairupahate cāgnau sapicchamatisāryate||59||
kevalarudhiracchardanena yuktaṃ vivṛṇoti- raktamityādi| vibaddhamārgatvāditi raktasya māṃsādyabhigame yo mārgastannirodhānmāṃsādabhigacchadraktaṃ māṃsāśaye eva kṛtādhiṣṭhānaṃ prasravaṇajalamiva vibaddhamārgatvādbahu bhavati, bahutvenotkliṣṭaṃ dvārāntarāgamanāt kaṇṭhameti| evaṃ raktasya poṣakarasenāsambandhāt kṣīyamāṇasyāmāśaye eva bahutvaṃ jñeyam| tena raktādīnāṃ ca saṅkṣayādityanena raktakṣayo ya uktaḥ sa upapanna eva||58-59||
pṛthagdoṣaiḥ samastairvā jihvāhṛdayasaṃśritaiḥ| jāyate'rucirāhāre dviṣṭairarthaiśca mānasaiḥ||60|| kaṣāyatiktamadhurairvidyānmukharasaiḥ kramāt| vātādyairaruciṃ jātāṃ mānasīṃ doṣadarśanāt||61||
rogādhikāre “pañca bhaktasyānaśanasthānānīti vātapittakaphadveṣāyāsāḥ” (sū.a.19) ityanena yadyapi tridoṣajā'rucirnoktā, tathā'pi cikitsārthaṃ dvandvajagulmavattridoṣajā'rucirucyate| vakṣyati- “caturo'rocakān hanyurvātādyekajasarvajān” iti| iyaṃ ca tridoṣajā'ruciḥ prakṛtisamavāyārabdhā, tena rogādhikāre pratyekadoṣajārucigrahaṇenaiva gṛhītā| prakṛtisamasamavāyārabdhatvenaiva tridoṣajāruceḥ pṛthaglakṣaṇaṃ noktam; ato vātādilakṣaṇamelakameva tasyā lakṣaṇam| kaṣāyamukharasatā vātajāyāṃ, tiktamukharasatā pittajāyāṃ, madhuramukharasatā kaphajāyāṃ, tridoṣajāyāṃ tu tridoṣamukharasatonneyā| doṣadarśanāditi dviṣṭadarśanāt||60-61||
arocakāt kāsavegāddoṣotkleśādbhayādapi| chardiryā sā vikārāṇāmanyeṣāmapyupadravaḥ||62||
chardiṃ vibhajate- arocakādityādi| vikārāṇāmanyeṣāmapyupadrava iti evambhūtā chardirna yakṣmamātraniyatā,kintvanyeṣāmapi vikārāṇāmevambhūtā chardirupadravarūpā bhavati; kiṃvā evambhūtā yā chardiḥ sā yakṣmiṇa upadravo bhavati, tathā'rocakādibhya utthitā cchardiranyeṣāmapi hikkādīnāmupadravo bhavatītyarthaḥ||62||
sarvastridoṣajo yakṣmā doṣāṇāṃ tu balābalam| parīkṣyāvasthikaṃ vaidyaḥ śoṣiṇaṃ samupācaret||63|| pratiśyāye śiraḥśūle kāse śvāse svarakṣaye| pārśvaśūle ca vividhāḥ kriyāḥ sādhāraṇīḥ śṛṇu||64||
samprati sarveṣāṃ yakṣmaṇāṃ sāmānyarūpaṃ tridoṣajatvaṃ pratipādya, doṣabalābalabhedena ca bhedaṃ sūcayitvā, sāmānyāṃ viśeṣāṃ ca cikitsāṃ sūcayannāha- sarva ityādi| vividhā iti bhinnāḥ, sādhāraṇīrityanenābhinnāśca śṛṇviti yojyam| tatra vividhāḥ pratyekaṃ pīnasādivihitā jñeyāḥ, sādhāraṇīstu ṣaḍaṅgājarasādirūpāḥ sādhāraṇavihitā jñeyāḥ||63-64||
pīnase svedamabhyaṅgaṃ dhūmamālepanāni ca| pariṣekāvagāhāṃśca yāvakaṃ 22 vāṭyameva ca||65|| lavaṇāmlakaṭūṣṇāṃśca rasān snehopabṛṃhitān| lāvatittiridakṣāṇāṃ vartakānāṃ ca kalpayet||66|| sapippalīkaṃ sayavaṃ sakulatthaṃ sanāgaram| dāḍimāmalakopetaṃ snigdhamājaṃ rasaṃ pibet||67|| tena ṣaḍvinivartante vikārāḥ pīnasādayaḥ| mūlakānāṃ kulatthānāṃ yūṣairvā sūpakalpitaiḥ 23||68|| yavagodhūmaśālyannairyathāsātmyamupācaret| pibetprasādaṃ vāruṇyā jalaṃ vā pāñcamūlikam||69|| dhānyanāgarasiddhaṃ vā tāmalakyā'thavā śṛtam| parṇinībhiścatasṛbhistena cānnāni kalpayet||70||
sapippalīkamityādike rase yavāgūsādhanavaddravyādimānaṃ jñeyaṃ; māṃsamānaṃ tu palāni dvādaśa| sūpasaṃskṛtairiti suṣṭhūpasaṃskṛtaiḥ| teneti pañcamūlyādisaṃskṛtajalena||65-70||
kṛśarotkārikāmāṣakulatthayavapāyasaiḥ| saṅkarasvedavidhinā kaṇṭhaṃ pārśvamuraḥ śiraḥ||71|| svedayet patrabhaṅgeṇa śiraśca pariṣecayet| balāguḍūcīmadhukaśṛtairvā vāribhiḥ sukhaiḥ||72|| bastamatsyaśirobhirvā nāḍīsvedaṃ prayojayet| kaṇṭhe śirasi pārśve ca payobhirvā savātikaiḥ||73|| audakānūpamāṃsāni salilaṃ pāñcamūlikam| sasnehamāranālaṃ vā nāḍīsvede prayojayet||74|| jīvantyāḥ śatapuṣpāyā balāyā madhukasya ca| vacāyā veśavārasya vidāryā mūlakasya ca||75|| audakānūpamāṃsānāmupanāhāḥ susaṃskṛtāḥ| śasyante sacatuḥsnehāḥ śiraḥpārśvāṃsaśūlinām||76||
tilataṇḍulamāṣaistu kṛśarā jñeyā| patrabhaṅgeneti patrabhaṅgakvāthena; patrabhaṅgāśca vātaharapallavāḥ| savātikairiti vātikottaravātikaiḥ; tantrāntare tu vātikānyuttaravātikāni ca gaṇena paṭhitāni; yathā- “bilvo'gnimanthaḥ kāśmaryaṃ śreyasī pāṭalā balā| śālaparṇī pṛśniparṇī bṛhatī kaṇṭakārikā|| vardhamāno mūlakaṃ ca vātikānyavatārayet| karamardaṃ sabadaraṃ kulatthāḥ śuṣkamūlakam|| śvadaṃṣṭrā veṇuparṇī ca sāśvagandhā śatāvarī| ṛṣyaproktāṃ guḍūcī ca madhukaṃ śigrureva ca|| yavānyāragvadhaścaiva yaccānyatkiñcidīdṛśam| sarvametadvijānīyādbhiṣaguttaravātikam” iti| nāḍīsvedaṃ prayojayediti nāḍīsvedaṃ yathāyogyatayā prayojayet| jīvantyādīnāṃ pratyekamupanāhā jñeyāḥ| vesavāro yathā- “nirasthi piśitaṃ piṣṭaṃ svinnaṃ guḍaghṛtānvitam| kṛṣṇāmarīcasaṃyuktaṃ vesavāra iti smṛtaḥ” iti||71-76||
śatapuṣpā samadhukaṃ kuṣṭhaṃ tagaracandane| ālepanaṃ syāt saghṛtaṃ śiraḥpārśvāṃsaśūlanut||77|| balā rāsnā tilāḥ sarpirmadhukaṃ nīlamutpalam| palaṅkaṣā devadāru candanaṃ keśaraṃ ghṛtam||78|| vīrā balā vidārī ca kṛṣṇagandhā punarnavā| śatāvarī payasyā ca kattṛṇaṃ madhukaṃ ghṛtam||79|| catvāra ete ślokārdhaiḥ pradehāḥ parikīrtitāḥ| śastāḥ saṃsṛṣṭadoṣāṇāṃ śiraḥpārśvāṃsaśūlinām||80|| nāvanaṃ dhūmapānāni snehāścauttarabhaktikāḥ| tailānyabhyaṅgayogīni 24 bastikarma tathā param||81||
palaṅkaṣā gugguluḥ| payasyā kṣīrakākolī| śiraḥpārśvāṃsaśūlināṃ śastā iti yojyam||77-81||
śṛṅgālābujalaukobhiḥ praduṣṭaṃ vyadhanena vā| śiraḥpārśvāṃsaśūleṣu rudhiraṃ tasya nirharet||82|| pradehaḥ saghṛtaśceṣṭaḥ padmakośīracandanaiḥ| dūrvāmadhukamañjiṣṭhākeśarairvā ghṛtāplutaiḥ||83|| prapauṇḍarīkanirguṇḍīpadmakeśaramutpalam 25| kaśerukāḥ payasyā ca sasarpiṣkaṃ pralepanam||84|| candanādyena tailena śatadhautena sarpiṣā| abhyaṅgaḥ, payasā sekaḥ śastaśca madhukāmbunā||85|| māhendreṇa suśītena candanādiśṛtena vā| pariṣekaḥ prayoktavya iti saṃśamanī kriyā||86||
śṛṅgālābujalaukobhirityatra pittaduṣṭe jalaukā, kaphaduṣṭe rakte'lābu jñeyaṃ; yaduktaṃ- “pittānvitaṃ jalaukobhiralābvā tu kaphānvitam| śoṇitaṃ vātaduṣṭaṃ tu viṣāṇenāśu nirharet” iti| vyadhanaṃ tu sirāvyadharūpam||82-86||
doṣādhikānāṃ vamanaṃ śasyate savirecanam| snehasvedopapannānāṃ sasnehaṃ yanna karśanam||87|| śoṣī muñcati gātrāṇi purīṣasraṃsanādapi| abalāpekṣiṇīṃ mātrāṃ kiṃ punaryo viricyate||88||
yanna karśanamityanena mṛduvamanavirecanaṃ yanna karśanāyeti darśayati||87-88||
yogān saṃśuddhakoṣṭhānāṃ kāse śvāse svarakṣaye| śiraḥpārśvāṃsaśūleṣu siddhānetānprayojayet||89|| balāvidārigandhādyairvidāryā 26 madhukena vā| siddhaṃ salavaṇaṃ sarpirnasyaṃ syātsvaryamuttamam||90|| prapauṇḍarīkaṃ madhukaṃ pippalī bṛhatī balā| kṣīraṃ 27 sarpiśca tatsiddhaṃ svaryaṃ syānnāvanaṃ param||91|| śiraḥpārśvāṃsaśūlaghnaṃ kāsaśvāsanibarhaṇam| prayujyamānaṃ bahuśo ghṛtaṃ cauttarabhaktikam||92|| daśamūlena payasā siddhaṃ māṃsarasena ca| balāgarbhaṃ ghṛtaṃ sadyo rogānetān prabādhate||93|| bhaktasyopari madhye vā yathāgnyabhyavacāritam| rāsnāghṛtaṃ vā sakṣīraṃ sakṣīraṃ vā balāghṛtam||94|| lehān kāsāpahān svaryāñ śvāsahikkānibarhaṇān| śiraḥpārśvāṃsaśūlaghnān snehāṃścātaḥ paraṃ śṛṇu||95|| ghṛtaṃ kharjūramṛdvīkāśarkarākṣaudrasaṃyutam 28| sapippalīkaṃ vaisvaryakāsaśvāsajvarāpaham||96|| daśamūlaśṛtāt kṣīrāt sarpiryadudiyānnavam| sapippalīkaṃ sakṣaudraṃ tat paraṃ svarabodhanam||97|| śiraḥpārśvāṃsaśūlaghnaṃ kāsaśvāsajvarāpaham| pañcabhiḥ pañcamūlairvā śṛtādyadudiyādghṛtam||98|| pañcānāṃ pañcamūlānāṃ rase kṣīracaturguṇe| siddhaṃ sarpirjayatyetadyakṣmaṇaḥ saptakaṃ balam||99|| kharjūraṃ pippalī drākṣā pathyā śṛṅgī durālabhā| triphalā pippalī mustaṃ śṛṅgāṭaguḍaśarkarāḥ||100|| vīrā śaṭī puṣkarākhyaṃ surasaḥ śarkarā guḍaḥ| nāgaraṃ citrako lājāḥ pippalyāmalakaṃ guḍaḥ||101|| ślokārdhairvihitānetāṃllihyānnā madhusarpiṣā| kāsaśvāsāpahānsvaryānpārśvaśūlāpahāṃstathā||102||
prapauṇḍarīkamityādau kṣīraṃ dravam| ye tu ‘kṣīrasarpiḥ’ ityekapadena paṭhanti, te kṣīrotthaṃ sarpirjalenaiva pācayanti| ghṛtaṃ cauttarabhaktikamiti uktameva ghṛtaṃ bhaktottaraṃ śiraḥśūlādiharaṃ bhavati| daśamūleneti atrāvāntarasāhacaryāddaśamūlasya kvātho jñeyaḥ, balāyā eva kalkaḥ; kiṃvā ‘daśamūlena payasā’ iti pāṭhaḥ; tena daśamūlasiddhena kṣīreṇetyarthaḥ| rāsnāghṛtaṃ vā rāsnākṣīraṃ vā rogānetān prabādhata iti yojanā; tathā balāghṛtaṃ balākṣīraṃ ca prabādhate iti yojanā| kāse vakṣyamāṇaṃ yad rāsnāghṛtaṃ, balāghṛtaṃ ca vātarakte vakṣyamāṇaṃ, tat kṣīreṇa sahopayuktametān rogān prabādhata ityācāryo vakṣyati| sapippalīkaṃ sakṣaudramityatra pippalīkṣaudrayoḥ prakṣepyatvaṃ jñeyam| pañcabhiḥ pañcamūlairvā yadghṛtamudiyāttat sapippalīkaṃ sakṣaudraṃ svarabodhanamityādiyojanā| pañcānāmityādinā yogāntaramāha| rase kṣīracaturguṇa iti pañcānāṃ pañcamūlīnāṃ kvāthastriguṇaḥ, ghṛtasamaṃ ca kṣīraṃ jñeyam| uktaṃ hi jatūkarṇe- “daśamūlaśṛtakṣīrājjātaṃ sarpirnavaṃ pippalīmadhuyuktaṃ yat, pañcapañcamūlakvathitādutthitaṃ ca yat tribhāgakvathitatulyapayaske pakvam” iti| phalaśrutau ‘yakṣmaṇaḥ saptakaṃ balam’ ityanena ‘svarabhedaṃ’ ityādinā ye sapta gadāḥ paṭhitāste jñeyāḥ; teṣu ca hikkā paṭhitā, sā ca rājayakṣmalakṣaṇeṣu yadyapi na paṭhitā, tathā'pyupadravarūpā jñeyā| puṣkarākhyaṃ puṣkaramūlam||89-102||
sitopalāṃ tugākṣīrīṃ pippalīṃ bahulāṃ tvacam| antyādūrdhvaṃ dviguṇitaṃ lehayenmadhusarpiṣā||103|| cūrṇitaṃ prāśayedvā tacchvāsakāsakaphāturam 29| suptajihvārocakinamalpāgniṃ pārśvaśūlinam||104||
sitopalādāvantyādūrdhvaṃ dviguṇitamiti antyāyāstvaca eko bhāgaḥ, bahulāyā bhāgadvayaṃ, pippalyā bhāgacatuṣṭayaṃ, tugākṣīrī vaṃśalocanānukāri pārthivaṃ dravyaṃ, tasyāṣṭabhāgāḥ, sitopalāyāstu ṣoḍaśa| ūrdhvaśabdena cehātītamucyate, vivakṣyamāṇordhvādhobhāgasyāsthānāt; tena kvacit ūrdhvamityādāvāgato'pi ūrdhvaśabdaścarati||103-104||
hastapādāṅgadāheṣu jvare rakte tathordhvage| vāsāghṛtaṃ śatāvaryā siddhaṃ vā paramaṃ hitam||105||
hastetyādau vāsāghṛtaṃ raktapittoktaṃ gulmoktaṃ ca; śatāvarīghṛtaṃ yonivyāpaccikitsitavakṣyamāṇam||105||
durālabhāṃ śvadaṃṣṭrāṃ ca catasraḥ parṇinīrbalām| bhāgānpalonmitān kṛtvā palaṃ parpaṭakasya ca||106|| paceddaśaguṇe toye daśabhāgāvaśeṣite| rase supūte dravyāṇāmeṣāṃ kalkān samāvapet||107|| śaṭyāḥ puṣkaramūlasya pippalītrāyamāṇayoḥ| tāmalakyāḥ kirātānāṃ tiktasya kuṭajasya ca||108|| phalānāṃ sārivāyāśca supiṣṭān karṣasammitān| tatastena ghṛtaprasthaṃ kṣīradviguṇitaṃ pacet||109|| jvaraṃ dāhaṃ bhramaṃ kāsamaṃsapārśvaśirorujam| tṛṣṇāṃ chardimatīsārametat sarpirvyapohati||110||
durālabhādye paceddaśaguṇe toye ityanena ghṛtāddaśaguṇatoyeneti jñeyaṃ, dravyāddaśaguṇatoyena kvāthasyālpatvaṃ syāt; prasthaghṛtāttu daśaguṇatoye daśabhāgāvaśiṣṭe prasthamānatvaṃ kaṣāyasya bhavati, tacca jatūkarṇānumatam||106-110||
jīvantīṃ madhukaṃ drākṣāṃ phalāni kuṭajasya ca| śaṭīṃ puṣkaramūlaṃ ca vyāghrīṃ gokṣurakaṃ balām||111|| nīlotpalaṃ tāmalakīṃ trāyamāṇāṃ durālabhām| pippalīṃ ca samaṃ piṣṭvā ghṛtaṃ vaidyo vipācayet||112|| etadvyādhisamūhasya rogeśasya samutthitam| rūpamekādaśavidhaṃ sarpiragryaṃ vyapohati||113||
jīvantyādau pūrvayogoktaṃ kṣīrayuktameva kvāthaṃ dravamicchanti; ṭīkākṛtastu bahavo jalameva dravaṃ vadanti||111-113||
balāṃ sthirāṃ pṛśniparṇīṃ bṛhatīṃ sanidigdhikām| sādhayitvā rase tasminpayo gavyaṃ sanāgaram||114|| drākṣākharjūrasarpirbhiḥ pippalyā ca śṛtaṃ saha| sakṣaudraṃ jvarakāsaghnaṃ svaryaṃ caitat prayojayet||115|| ājasya payasaścaivaṃ prayogo jāṅgalā rasāḥ| yūṣārthe caṇakā mudgā makuṣṭhāścopakalpitāḥ||116||
balāmityādi| atra ghṛte kṣīrakvāthakalkasādhye kvāthakṣīre militvā caturguṇe, kalkadravyaṃ cāṣṭabhāgena jñeyaṃ, madhu ca prakṣepārthe yojyam||114-116||
jvarāṇāṃ śamanīyo yaḥ pūrvamuktaḥ kriyāvidhiḥ| yakṣmiṇāṃ jvaradāheṣu sasarpiṣkaḥ praśasyate||117|| kaphapraseke balavāñ ślaiṣmikaśchardayennaraḥ| payasā phalayuktena mādhukena 30 rasena vā||118|| sarpiṣmatyā yavāgvā vā vamanīyopasiddhayā| vānto'nnakāle laghvannamādadīta sadīpanam||119|| yavagodhūmamādhvīkasidhvariṣṭasurāsavān| jāṅgalāni ca śūlyāni sevamānaḥ kaphaṃ jayet||120|| śleṣmaṇo'tiprasekena vāyuḥ śleṣmāṇamasyati| kaphaprasekaṃ taṃ vidvān snigdhoṣṇenaiva nirjayet||121|| kriyā kaphapraseke yā vamyāṃ saiva praśasyate| hṛdyāni cānnapānāni vātaghnāni laghūni ca||122|| prāyeṇopahatāgnitvāt sapicchamatisāryate| prāpnoti cāsyavairasyaṃ na cānnamabhinandati||123|| tasyāgnidīpanān yogānatīsāranibarhaṇān| vaktraśuddhikarān kuryādarucipratibādhakān||124|| sanāgarānindrayavān pāyayettaṇḍulāmbunā| siddhāṃ yavāgūṃ jīrṇe ca cāṅgerītakradāḍimaiḥ||125|| pāṭhā bilvaṃ yamānī ca pātavyaṃ takrasaṃyutam| durālabhā śṛṅgaveraṃ pāṭhā ca surayā saha||126|| jambvāmramadhyaṃ bilvaṃ ca sakapitthaṃ sanāgaram| peyāmaṇḍena pātavyamatīsāranivṛttaye||127|| etāneva ca yogāṃstrīn pāṭhādīn kārayet khaḍān| sasūpyadhānyānsasnehān 31 sāmlānsaṅgrahaṇān param||128|| vetasārjunajambūnāṃ mṛṇālīkṛṣṇagandhayoḥ| śrīparṇyā madayantyāśca yūthikāyāśca pallavān||129|| mātuluṅgasya dhātakyā dāḍimasya ca kārayet| snehāmlalavaṇopetān khaḍān sāṅgrāhikān param||130|| cāṅgeryāścukrikāyāśca dugdhikāyāśca kārayet| khaḍāndadhisaropetān sasarpiṣkānsadāḍimān||131|| māṃsānāṃ laghupākānāṃ rasāḥ sāṅgrāhikairyutāḥ| vyañjanārthaṃ praśasyante bhojyārthaṃ raktaśālayaḥ||132|| sthirādipañcamūlena pāne śastaṃ śṛtaṃ jalam| takraṃ surā sacukrīkā dāḍimasyāthavā rasaḥ||133|| ityuktaṃ bhinnaśakṛtāṃ dīpanaṃ grāhi bheṣajam|134|
jvarāṇāmityādinā''vasthikaṃ vidhimāha| vāmanīyāni madanaphalādīni| sadīpanamiti dīpanaśuṇṭhyādisādhitam| vamyāṃ saiva praśasyata ityatra kaphapraseko dvividhaḥ- svatantraḥ kaphakṛtaḥ, tathā vātaparādhīnoktaḥ; evaṃ chardimapi dvidhā vibhajya kaphaprasekakriyānusāreṇa śleṣmapradhānāyāṃ vamanādi, vātapradhānāyāṃ snigdhoṣṇasevānurūpā kriyā śasyata iti yojyam| khaḍo vyākṛtaḥ| anye'pi vadanti- “piśitena rasastatra, yūṣo dhānyaiḥ, khalaḥ phalaiḥ| mūlaiśca tilakalkāmlaprāyaḥ kāmbalikaḥ smṛtaḥ” iti||117-133||-
paraṃ mukhasya vairasyanāśanaṃ rocanaṃ śṛṇu 32||134|| dvau kālau dantapavanaṃ bhakṣayenmukhadhāvanam| tadvat prakṣālayedāsyaṃ dhārayet kavalagrahān||135|| pibeddhūmaṃ tato mṛṣṭamadyāddīpanapācanam| bheṣajaṃ pānamannaṃ ca hitamiṣṭopakalpitam||136|| tvaṅmustamelā dhānyāni mustamāmalakaṃ tvacam| dārvītvaco yavānī ca tejohvā pippalī tathā||137|| yavānī tintiḍīkaṃ ca pañcaite mukhadhāvanāḥ| ślokapādeṣvabhihitā rocanā mukhaśodhanāḥ||138|| guṭikāṃ dhārayedāsye cūrṇairvā śodhayenmukham| eṣāmāloḍitānāṃ vā dhārayet kavalagrahān||139|| surāmādhvīkasīdhūnāṃ tailasya madhusarpiṣoḥ| kavalān dhārayediṣṭān kṣīrasyekṣurasasya ca||140||
dvau kālāviti sāyamprātaḥ| dantapavanamiti karañjakaravīrādibhistiktakaṭukaiḥ| tadvaditi tiktakaṭukṛtairjalaiḥ| tejohvā cavikā| mukhaśodhanā iti mukhagatadoṣaśodhanāḥ||134-140||
yavānīṃ tintiḍīkaṃ ca nāgaraṃ sāmlavetasam| dāḍimaṃ badaraṃ cāmlaṃ kārṣikaṃ copakalpayet||141|| dhānyasauvarcalājājīvarāṅgaṃ cārdhakārṣikam| pippalīnāṃ śataṃ caikaṃ dve śate maricasya ca||142|| śarkarāyāśca catvāri palānyekatra cūrṇayet| jihvāviśodhanaṃ hṛdyaṃ taccūrṇaṃ bhaktarocanam||143|| hṛtplīhapārśvaśūlaghnaṃ vibandhānāhanāśanam| kāsaśvāsaharaṃ grāhi grahaṇyarśovikāranut||144|| iti yavānīṣāḍavam|
yavānīṣāḍave varāṅgaṃ tvak| pippalīnāmekaṃ śatamiti ākṛtimānāt||141-144||
tālīśapatraṃ maricaṃ nāgaraṃ pippalī śubhā| yathottaraṃ bhāgavṛddhyā tvagele cārdhabhāgike||145|| pippalyaṣṭaguṇā cātra pradeyā sitaśarkarā| kāsaśvāsāruciharaṃ taccūrṇaṃ dīpanaṃ param||146|| hṛtpāṇḍugrahaṇīdoṣaśoṣaplīhajvarāpaham| vamyatīsāraśūlaghnaṃ mūḍhavātānulomanam||147|| kalpayedguṭikāṃ caitaccūrṇaṃ paktvā sitopalām| guṭikā hyagnisaṃyogāccūrṇāllaghutarāḥ smṛtāḥ||148|| iti tālīśādyaṃ cūrṇaṃ guṭikāśca|
tālīśādye śubhā iti viśeṣaṇaṃ pippalyāḥ| uktaṃ hi hārīte- “tālīśaṃ maricaṃ śuṇṭhī pippalyo bhāgavardhitāḥ| tvagele'rdhāṃśake dadyāccharkarā'ṣṭapalaṃ bhavet” ityādi| tathā jatūkarṇaḥ- “tālīśamaricanāgarakṛṣṇāḥ karṣāḥ, tvagele ardhāṃśe, dvikuḍavā sitā, guṭikā vipācyatām” iti| tvagelayorardhabhāgatvam| guṭikāpakṣe jalena sitopalāṃ paktvā guḍikāḥ kurvanti vṛddhāḥ||145-148||
śuṣyatāṃ kṣīṇamāṃsānāṃ kalpitāni vidhānavit| dadyānmāṃsādamāṃsāni bṛṃhaṇāni viśeṣataḥ||149|| śoṣiṇe bārhiṇaṃ dadyādbarhiśabdena cāparān| gṛdhrānulūkāṃścāṣāṃśca vidhivat sūpakalpitān||150|| kākāṃstittiriśabdena varmiśabdena coragān| bhṛṣṭān matsyāntraśabdena dadyādgaṇḍūpadānapi||151|| lopākān sthūlanakulān biḍālāṃścopakalpitān| śṛgālaśāvāṃśca bhiṣak śaśaśabdena dāpayet||152|| siṃhānṛkṣāṃstarakṣūṃśca vyāghrānevaṃvidhāṃstathā| māṃsādān mṛgaśabdena dadyānmāṃsābhivṛddhaye||153|| gajakhaḍgituraṅgāṇāṃ veśavārīkṛtaṃ bhiṣak| dadyānmahiṣaśabdena māṃsaṃ māṃsābhivṛddhaye||154|| māṃsenopacitāṅgānāṃ māṃsaṃ māṃsakaraṃ param| tīkṣṇoṣṇalāghavācchastaṃ viśeṣānmṛgapakṣiṇām||155|| māṃsāni yānyanabhyāsādaniṣṭāni prayojayet| teṣūpadhā, sukhaṃ bhoktuṃ tathā śakyāni tāni hi||156|| jānañjugupsannaivādyājjagdhaṃ vā punarullikhet| tasmācchadmopasiddhāni māṃsānyetāni dāpayet||157|| barhitittiridakṣāṇāṃ haṃsānāṃ śūkaroṣṭrayoḥ| kharagomahiṣāṇāṃ ca māṃsaṃ māṃsakaraṃ param||158|| yoniraṣṭavidhā coktā māṃsānāmannapānike| tāṃ parīkṣya bhiṣagvidvān dadyānmāṃsāni śoṣiṇe||159|| prasahā bhūśayānūpavārijā vāricāriṇaḥ| āhārārthaṃ pradātavyā mātrayā vātaśoṣiṇe||160|| pratudā viṣkirāścaiva dhanvajāśca mṛgadvijāḥ| kaphapittaparītānāṃ prayojyāḥ śoṣarogiṇām||161|| vidhivatsūpasiddhāni manojñāni mṛdūni ca| rasavanti sugandhīni māṃsānyetāni bhakṣayet||162|| māṃsamevāśnataḥ śoṣo mādhvīkaṃ pibato'pi ca| niyatānalpacittasya ciraṃ kāye na tiṣṭhati||163|| vāruṇīmaṇḍanityasya bahirmārjanasevinaḥ| avidhāritavegasya yakṣmā na labhate'ntaram||164|| prasannāṃ vāruṇīṃ sīdhumariṣṭānāsavānmadhu| yathārhamanupānārthaṃ pibenmāṃsāni bhakṣayan||165|| madyaṃ taikṣṇyauṣṇyavaiśadyasūkṣmatvāt srotasāṃ mukham| pramathya vivṛṇotyāśu tanmokṣāt sapta dhātavaḥ||166|| puṣyanti dhātupoṣācca śīghraṃ śoṣaḥ praśāmyati| māṃsādamāṃsasvarase siddhaṃ sarpiḥ prayojayet||167|| sakṣaudraṃ, payasā siddhaṃ sarpirdaśaguṇena vā| siddhaṃ madhurakairdravyairdaśamūlakaṣāyakaiḥ||168|| kṣīramāṃsarasopetairghṛtaṃ śoṣaharaṃ param| pippalīpippalīmūlacavyacitrakanāgaraiḥ||169|| sayāvaśūkaiḥ sakṣīraiḥ srotasāṃ śodhanaṃ ghṛtam| rāsnābalāgokṣurakasthirāvarṣābhusādhitam||170|| jīvantīpippalīgarbhaṃ sakṣīraṃ śoṣanudghṛtam| yavāgvā vā pibenmātrāṃ lihyādvā madhunā saha||171|| siddhānāṃ sarpiṣāmeṣāmadyādannena vā saha| śuṣyatāmeṣa nirdiṣṭo vidhirābhyavahārikaḥ||172||
kalpitānīti samyak saṃskāreṇa saṃskṛtāni| varmiśabdena sarpākāro dīrgho matsyaviśeṣo grāhyaḥ| gaṇḍūpadaḥ bhūmilatā| lopākaḥ alpaśṛgālo lāṅgūlapradhānaḥ| sampratyasyānyamāṃsaprayogamāha- māṃsānītyādi| anabhyāsāditi abhakṣyatvena| upadheti anyaśabdena dānamiti yāvat| tatheti sañjñāntareṇa dāne sukhaṃ yathā bhavati tathā bhoktuṃ śakyate| abhakṣyatve tu jñāte doṣamāha- jānannityādi| yoniraṣṭavidheti “prasahā” (su.sū.a.27) ityādinā proktā| sakṣaudramiti cchedaḥ| payasetyādi dvitīyaṃ ghṛtam| madhurakāṇi yāni tāni ceha kalkārtham| pippalītyādinā'niyatamānaṃ ghṛtaṃ caturguṇena kṣīreṇa sādhyate, ṣaṭpaloktadravyaghṛtamānavat||149-172||
bahiḥsparśanamāśritya vakṣyate'taḥ paraṃ vidhiḥ| snehakṣīrāmbukoṣṭheṣu svabhyaktamavagāhayet||173|| srotovibandhamokṣārthaṃ balapuṣṭyarthameva ca| uttīrṇaṃ miśrakaiḥsnehaiḥ punarāktaiḥ sukhaiḥ karaiḥ||174|| mṛdnīyāt sukhamāsīnaṃ sukhaṃ cotsādayennaram| jīvantīṃ śatavīryāṃ ca vikasāṃ sapunarnavām||175|| aśvagandhāmapāmārgaṃ tarkārīṃ madhukaṃ balām| vidārīṃ sarṣapaṃ kuṣṭhaṃ taṇḍulānatasīphalam||176|| māṣāṃstilāṃśca kiṇvaṃ ca sarvamekatra cūrṇayet| yavacūrṇatriguṇitaṃ dadhnā yuktaṃ samākṣikam||177|| etadutsādanaṃ kāryaṃ puṣṭivarṇabalapradam| gaurasarṣapakalkena kalkaiścāpi sugandhibhiḥ||178|| snāyādṛtusukhaistoyairjīvanīyauṣadhaiḥ śṛtaiḥ|179|
uttīrṇamityādau punarāktairiti miśrakasnehairāktaiḥ karaiḥ punaḥ punaḥ mardayet; punarāktamiti pāṭhe tu punarmiśrakaiḥ snehairāktamityarthaḥ| utsādayediti udvartayet| vikasā mañjiṣṭhā| tarkārī jayā| samākṣikamiti īṣanmākṣikam||173-178||-
gandhaiḥ samālyairvāsobhirbhūṣaṇaiśca vibhūṣitaḥ||179|| spṛśyān saṃspṛśya sampūjya devatāḥ sabhiṣagdvijāḥ| iṣṭavarṇarasasparśagandhavat pānabhojanam||180|| iṣṭamiṣṭairupahitaṃ sukhamadyāt 33 sukhapradam| samātītāni dhānyāni kalpanīyāni śuṣyatām||181|| laghūnyahīnavīryāṇi svādūni gandhavanti ca| yāni praharṣakārīṇi tāni pathyatamāni hi||182|| yaccopadekṣyate pathyaṃ 34 kṣatakṣīṇacikitsite| yakṣmiṇastat prayoktavyaṃ balamāṃsābhivṛddhaye||183|| abhyaṅgotsādanaiścaiva vāsobhirahataiḥ priyaiḥ| yathartuvihitaiḥ snānairavagāhairvimārjanaiḥ||184|| bastibhiḥ kṣīrasarpirbhirmāṃsairmāṃsarasaudanaiḥ| iṣṭairmadyairmanojñānāṃ gandhānāmupasevanaiḥ||185|| suhṛdāṃ ramaṇīyānāṃ pramadānāṃ ca darśanaiḥ| gītavāditraśabdaiśca priyaśrutibhireva ca||186|| harṣaṇāśvāsanairnityaṃ gurūṇāṃ samupāsanaiḥ| brahmacaryeṇa dānena tapasā devatārcanaiḥ||187|| satyenācārayogena maṅgalyairapyahiṃsayā| vaidyaviprārcanāccaiva rogarājo nivartate||188|| yayā prayuktayā ceṣṭyā rājayakṣmā purā jitaḥ| tāṃ vedavihitāmiṣṭimārogyārthī 35 prayojayet||189||
ataḥ paraṃ manasa ānukūlyaṃ yakṣmārambhakadoṣaṃ hantītyato sarvāsu ceṣṭāsu sadaiva manonukūlaṃ syāttathaiva vartanīyaṃ, yayā ca yuktyā daivavyapāśrayacikitsā kartavyā tadāha- gandhairityādi||179-189||
tatra ślokau- prāgutpattirnimittāni prāgrūpaṃ rūpasaṅgrahaḥ| samāsād vyāsataścoktaṃ bheṣajaṃ rājayakṣmaṇaḥ||190|| nāmaheturasādhyatvaṃ sādhyatvaṃ kṛcchrasādhyatā| ityuktaḥ saṅgrahaḥ kṛtsno rājayakṣmacikitsite||191||
prāgutpattirityādisaṅgrahaḥ| nāmaheturiti “sa rājñaḥ pūrvamāsīdvai rājayakṣmā tato mataḥ” iti||190-191||
ityagniveśakṛte tantre carakapratisaṃskṛte cikitsāsthāne rājayakṣmacikitsitaṃ nāmāṣṭamo'dhyāyaḥ||8||
iti śrīcakrapāṇidattaviracitāyāṃ carakatātparyaṭīkāyāmāyurvedadīpikāyāṃ cikitsitasthāne rājayakṣmacikitsitaṃ nāmāṣṭamo'dhyāyaḥ||8||

pāṭhāntarāḥ

  1. 1 ‘'tiguruṇā’ iti, ‘'tibalinā’ iti ca pā.
  2. 2 ‘tejasā’ iti pā.
  3. 3 ‘strīprasaṅgasambaddhā’ iti pā.
  4. 4 ‘svabhāvadoṣaparihārārthaṃ śuddhabuddhimupetyeti jñātavyam’ iti pā.
  5. 5 ‘…caturjātyanatikramopadarśanārtham’ iti pā.
  6. 6 ‘kṣaṇanāccoraso raktaṃ kāsamānaḥ kaphānugam| jarjareṇorasā kṛcchramuraḥśūlī nirasyati’ iti pā.
  7. 7 ‘sevetāto na sāhasam’ iti pā.
  8. 8 ‘ekādaśamahāgrahaḥ’ iti pā.
  9. 9 ‘rogeśasya samutthitam’ iti pā.
  10. 10 ‘bhedo yuktyā’ iti pā.
  11. 11 ‘paraṃ śṛṇu’ iti pā.
  12. 12 ‘vivardhate’ iti pā.
  13. 13 ‘ṣaḍeṣāmardhaṃ’ iti pā.
  14. 14 ‘cātha pravartate’ iti pā.
  15. 15 ‘vyāpannaṃ ṣṭhīvati rasaṃ kāsan yakṣmī’ iti pā.
  16. 16 ‘tāpaḥ pādakarasya ca’ iti pā.
  17. 17 ‘kaphānmandaḥ’ iti pā.
  18. 18 ‘khunakhunāyate’ iti pā.
  19. 19 ‘karuṇaḥ’ iti pā.
  20. 20 ‘atikhinne’ iti pā.
  21. 21 ‘nopapadyate’ iti pā.
  22. 22 ‘pānakaṃ iti pā.
  23. 23 ‘sūpasaṃskṛtaiḥ’ iti pā.
  24. 24 ‘tailānyabhyaṅgayogaśca’ iti pā.
  25. 25 ‘prapauṇḍarīkaṃ padmasya keśaraṃ nīlamutpalam’ iti pā.
  26. 26 ‘balāvidārīgandhābhyāṃ pippalyā’ iti pā.
  27. 27 ‘sādhitaṃ kṣīrasarpiśca tat svaryaṃ nāvanaṃ param’ iti pā.
  28. 28 ‘kharjūramṛdvīkāmadhukaiḥ saparūṣakaiḥ| sapippalīkaiḥ’ iti pā.
  29. 29 ‘śvāsakāsajvarāpaham’ iti pā.
  30. 30 ‘madhureṇa’ iti pā.
  31. 31 ‘sacukradhānyān’ iti pā.
  32. 32 ‘vakṣyāmyūrdhvaṃ rucikaraṃ mukhavairasyanāśanam’ iti pā.
  33. 33 ‘hitamadyāt’ iti pā.
  34. 34 ‘kiñcit’ iti pā.
  35. 35 ‘ārogyārthaṃ’ iti pā.