18. granthyapacyarbudagalagaṇḍacikitsitam

Larger type: Suśrutasaṃhitā · indented: Ḍalhaṇa's Nibandhasaṅgraha
athāto granthyapacyarbudagalagaṇḍacikitsitaṃ vyākhyāsyāmaḥ ||1|| yathovāca bhagavān dhanvantariḥ ||2|| granthiṣvathāmeṣu bhiṣagvidadhyācchophakriyāṃ vistaraśo 1 vidhijñaḥ | rakṣedbalaṃ cāpi narasya nityaṃ tadrakṣitaṃ vyādhibalaṃ nihanti ||3||
granthiṣvityādi| śophakriyāmapatarpaṇādikāṃ virecanāntām| vistaraśo bhūyiṣṭham||1-3||
tailaṃ pibet sarpiratho dvayaṃ vā dattvā vasāṃ vā trivṛtaṃ vidadhyāt | apehivātādaśamūlasiddhaṃ vaidyaścatuḥsnehamatho dvayaṃ vā ||4||
idānīmāme granthau visrāvaṇaśodhanayoḥ snehanāṅgasnehaṃ nirdiśannāha- tailamityādi| tailaṃ pibet, sarpirvā pibet, athavā dvayaṃ tailasarpiṣī pibet| vasātailasarpiṣā ca sādhyatvāt trivṛtaṃ vidadhyāt; tribhistailasarpirvasābhirvṛto vyāptaḥ snehasaṃyogastrivṛtasañjñaḥ syāt, taṃ vidadhyāt kuryāt; ‘vaidyo granthirogiṇaḥ pānāya’ iti śeṣaḥ; athavā catuḥsnehaṃ ghṛtatailavasāmajjāsaṃyogajaṃ; dvayaṃ vā pibet, dvayamiti tailasarpiṣī, tailavase, tailamajjānau, ghṛtavase, ghṛtamajjānau, vasāmajjānau ceti evamprakāraṃ dvayaṃ, catuḥsnehaṃ vā ekībhūtaṃ pibet| kimbhūtaṃ pibet? apehivātādaśamūlasiddhamiti apehivātā prasāriṇī| tatrādyaṃ tailaṃ sarpirdvayaṃ vā yat proktaṃ tadasaṃskṛtameva, uttarārdhoktaṃ ca catuḥsnehaṃ dvayaṃ vā prasāriṇīdaśamūlakalkakvāthasaṃskṛtam, anyathā vāśabdena 2 punaruktidoṣaḥ syāt| yadyapi pṛthaṅnirdiṣṭarasavīryavipākaprabhāvāṇāṃ tailasarpirvasāmajjānāṃ saṃskṛtānāṃ granthirogiṇaḥ sāmānyenātra prayogo'bhihitaḥ, tathā'pi vātapittaśleṣmasaṃsṛṣṭasannipātārabdhagranthiṣu hetuprakṛtideśakālasātmyānubandhānavekṣya yathāvacca pānārthamupayojyā iti jñeyam| gayī tu ‘apehivātā- ’ tyatra ‘āme vidadhyāddaśamūlasiddhaṃ’ iti paṭhati vyākhyānayati ca- tailaṃ pibedityādi; tatra granthau vātabhave āme tailaṃ vātaharakvāthakalkasiddhaṃ, pittabhave ghṛtaṃ pittaharakvāthakalkasiddhaṃ, tailameva kaphaharakvāthasiddhaṃ kaphaje, saṃsargasannipāte ca dvitricatuḥsnehādisiddhaṃ vikalpyaṃ; tadeva vātaharaṃ nirdiśannāha- āme vidadhyāddaśamūlasiddhamityādi||4||
hiṃsrā'tha rohiṇyamṛtā'tha bhārgī śyonākabilvāgurukṛṣṇagandhāḥ | gojī ca piṣṭā saha tālapatryā granthau vidheyo'nilaje pralepaḥ ||5|| svedopanāhān vividhāṃśca kuryāttathā prasiddhānaparāṃśca lepān | vidārya vā pakvamapohya pūyaṃ prakṣālya bilvārkanarendratoyaiḥ ||6|| tilaiḥ sapañcāṅgulapatramiśraiḥ saṃśodhayet saindhavasamprayuktaiḥ | śuddhaṃ vraṇaṃ vā'pyuparopayettu tailena rāsnāsaralānvitena ||7|| viḍaṅgayaṣṭīmadhukāmṛtābhiḥ siddhena vā kṣīrasamanvitena |8|
idānīṃ vātādijanitagranthiviśeṣeṇa pralepādīnāha- hiṃsretyādi| rohiṇī kaṭukā| amṛtā guḍūcī| kṛṣṇagandhā śobhāñjanakaḥ, śamītyapare| gojī gojihvikā, śākhoṭaka ityanye| tālapatrī musalī| svedetyādi| prasiddhā lepā miśrakoktā mātuluṅgyādayaḥ| vidāryetyādi| narendraḥ kiramālakaḥ| toyaśabdo'tra kvāthe vartate| pañcāṅgula eraṇḍaḥ| anye ‘bilvārkagaṇāditoyaiḥ’ iti paṭhanti; tatra bilvādigaṇaḥ, arkādigaṇaśca, tayoḥ kvāthairityarthaḥ| śuddhamityādi| saralā trivṛt, kecit saralaṃ śālatarumāhuḥ, tayoścūrṇānvitena tailena ropayet, tathā caturguṇagokṣīrasamanvitena tailena viḍaṅgādibhiḥ kalkīkṛtaiḥ siddhena vā ropayet||5-7||-
jalaukasaḥ pittakṛte hitāstu kṣīrodakābhyāṃ pariṣecanaṃ ca ||8|| kākolivargasya ca śītalāni pibet kaṣāyāṇi saśarkarāṇi | drākṣārasenekṣurasena vā'pi cūrṇaṃ pibeccāpi harītakīnām ||9|| madhūkajambvarjunavetasānāṃ tvagbhiḥ pradehānavacārayeta | saśarkarairvā tṛṇaśūnyakandairdihyādabhīkṣṇaṃ muculundajairvā ||10|| vidārya vā pakvamapohya pūyaṃ dhāvet kaṣāyeṇa vanaspatīnām | tilaiḥ sayaṣṭīmadhukairviśodhya sarpiḥ prayojyaṃ madhurairvipakvam ||11||
jalaukasa ityādi| tṛṇaśūnyakandaiḥ ketakīmūlaiḥ| dihyāt limpet| abhīkṣṇaṃ satatam| muculundaḥ kaṇṭakīmadanaḥ, anye mucukundamāhuḥ| vidāryetyādi| vanaspatīnāṃ vaṭaplakṣapippalodumbarāṇām| tilairityādi| madhuraiḥ kākolyādibhirdravyaiḥ||8-11||
hṛteṣu doṣeṣu yathānupūrvyā granthau bhiṣak śleṣmasamutthite tu | svinnasya vimlāpanameva kuryādaṅguṣṭhalohopalaveṇudaṇḍaiḥ ||12|| vikaṅkatāragvadhakākaṇantīkākādanītāpasavṛkṣamūlaiḥ | ālepayet piṇḍaphalārkabhārgīkarañjakālāmadanaiśca vidvān ||13||
hṛteṣvityādi| yathānupūrvyā snehasvedādikrameṇa| vamanavirecanāsthāpanaśirovirecanaśoṇitasrāvaṇairdoṣeṣu kaphapittavāteṣu hṛteṣu tathā śoṇite ca hṛte svinnasya vimlāpanaṃ kāryamityāha- aṅguṣṭhalohopalaveṇudaṇḍaiḥ; vimlāpanamaṅguṣṭhādibhirmardanena śvayathuvimlāpanaṃ kuryāt| vikaṅkatetyādi| vikaṅkatavṛkṣaḥ kaṭāyikā| āragvadhaḥ kiramālakaḥ| kākaṇantī guñjā| kākādanī vāyasatindukā, ahiṃsretyanye| tāpasavṛkṣa iṅgudaḥ| piṇḍaphalā tiktālābuḥ| kālā kaṭuhiṃsrā||12-13||
amarmajātaṃ śamamaprayāntamapakvamevāpaharedvidārya | dahet sthite cāsṛji siddhakarmā sadyaḥkṣatoktaṃ ca vidhiṃ vidadhyāt ||14||
amarmetyādi| śleṣmasamutthameva granthimarmaṇyutpannaṃ śamamaprayāntaṃ pūrvoktakramaiḥ śāntimagacchantamapakvameva vidārya apaharet| sadyaḥkṣatoktavidhirmadhughṛtādiprayogaḥ| kecit ‘amarmajaṃ caivamapacyamānaṃ’ iti paṭhanti||14||
yā māṃsakandyaḥ kaṭhinā bṛhatyastāsveṣa yojyaśca vidhirvidhijñaiḥ | śastreṇa vā''pāṭya supakvamāśu prakṣālayet pathyatamaiḥ kaṣāyaiḥ ||15|| saṃśodhanaistaṃ ca viśodhayettu kṣārottaraiḥ kṣaudraguḍapragāḍhaiḥ | śuddhe ca tailaṃ tvavacāraṇīyaṃ viḍaṅgapāṭhārajanīvipakvam ||16||
yā ityādi| yāśca mahatyo māṃsakandyo māṃsaprarohāḥ, tāsviyameva kriyā| śastreṇetyādi śastreṇa pāṭanaṃ amarmaje, marmaje tu bheṣajaiḥ| pathyatamairiti kaphotthavraṇaharaiḥ| saṃśodhanairityādi| kṣārottarairyavakṣārapradhānaiḥ| ‘kṣaudraghṛtapragāḍhaiḥ’ iti pāṭhāntaram||15-16||
medaḥsamutthe tilakalkadigdhaṃ dattvopariṣṭāddviguṇaṃ paṭāntam | hutāśataptena muhuḥ pramṛjyāllohena dhīmānadahan hitāya ||17|| pralipya dārvīmatha lākṣayā vā prataptayā svedanamasya kāryam | nipātya vā śastramapohya medo dahet supakvaṃ tvathavā vidārya ||18|| prakṣālya mūtreṇa tilaiḥ supiṣṭaiḥ suvarcikādyairharitālamiśraiḥ | sasaindhavaiḥ kṣaudraghṛtapragāḍhaiḥ kṣārottarairenamabhipraśodhya ||19|| tailaṃ vidadyāddvikarañjaguñjāvaṃśāvalekheṅgudamūtrasiddham |20|
ato medogranthicikitsitamāha- meda ityādi| dārvī dāruhastakaḥ| apakvamedoje śastraṃ nipātya medo'pakṛṣya dahet, pakvaṃ vā medogranthiṃ vidārya gavādimūtraiḥ prakṣālya tilaiḥ suvarcikāyavakṣārasaindhavaharitālakṣaudraghṛtapradhānairabhipraśodhya vakṣyamāṇatailāvacāraṇam| tailamityādi dvikarañjādikalkasiddhena caturguṇagomūtradraveṇa tailena ropayet| vaṃśāvalekho vaṃśatvak||17-19||-
jīmūtakaiḥ kośavatīphalaiśca dantīdravantītrivṛtāsu caiva ||20|| sarpiḥ kṛtaṃ hantyapacīṃ pravṛddhāṃ dvidhā pravṛttaṃ tadudāravīryam | nirguṇḍijātībarihiṣṭhayuktaṃ jīmūtakaṃ mākṣikasaindhavāḍhyam ||21|| abhiprataptaṃ vamanaṃ pragāḍhaṃ duṣṭāpacīṣūttamamādiśanti | kaiḍaryabimbīkaravīrasiddhaṃ tailaṃ hitaṃ mūrdhavirecanaṃ ca ||22|| śākhoṭakasya svarasena siddhaṃ tailaṃ hitaṃ nasyavirecaneṣu | madhūkasāraśca hito'vapīḍe phalāni śigroḥ kharamañjarervā ||23||
idānīmapacīcikitsāmāha- jīmūtakairityādi| jīmūtako devadālī| kośavatī kaṭukośātakī| dvidhāpravṛttam ubhayatobhāgadoṣaharam| udāravīryam utkaṭavīryam| jīmūtakakośavatyoḥ phalakalkaṃ dantyādīnāṃ tisṝṇāṃ mūlasya ca snehacaturthāṃśena kṛtvā, jalaṃ caturguṇaṃ dattvā, vipacet; kalkakvāthābhyāmityapare| nirguṇḍītyādi| barihiṣṭhaṃ vālakam| jīmūtako devadālī| nirguṇḍījātībarihiṣṭhānāmañjaliṃ salilāḍhakena niḥkvāthya pādaśeṣaṃ vidhāya tataḥ puruṣāpekṣayā jalamuṣṇamādāya, tacca jīmūtakaphalakalpena pratyekaṃ mākṣikasaindhavāḍhyaṃ kṛtvā, yuktaṃ vamanavidhinā, duṣṭāsvapacīṣūttamamādiśanti vamanadravyamuttamamādiśanti| kaiḍaryetyādi kaiḍaryaḥ parvatanimbaḥ| kaiḍaryādikalkacaturthāṃśaṃ jalacaturguṇaṃ tailaṃ sādhyam| anye tu kaiḍaryetyatra nirguṇḍīti paṭhanti| nirguṇḍīsvarase caturguṇe bimbīkaravīrakalkaṃ tailaṃ sādhyam| śākhoṭakasyetyādi| śākhoṭakavalkalānāṃ caturguṇe svarase tailaṃ siddhaṃ; nasye tu akalkamityeke, tatkalkakaṣāyamevetyanye| madhūketyādi| avapīḍya dīyate ityavapīḍaḥ, nasyabheda ityarthaḥ| kharamañjariḥ apāmārgaḥ| madhūkasāraśigruphalāpāmārgataṇḍulā uṣṇodakena piṣṭvā avapīḍo'rūkṣalakṣaṇa 3 eva||20-23||
granthīnamarmaprabhavānapakvānuddhṛtya cāgniṃ vidadhīta paścāt | kṣāreṇa vā'pi pratisārayettu saṃlikhya śastreṇa yathopadeśam ||24||
granthīnityādi| uddhṛtya ca śastreṇa paraṃ yadā auṣadhenāsādhyatvam||24||
pārṣṇiṃ prati dve daśa cāṅgulāni mitvendrabastiṃ parivarjya dhīmān | vidārya matsyāṇḍanibhāni vaidyo niṣkṛṣya jālānyanalaṃ vidadhyāt ||25|| ā gulphakarṇāt sumitasya jantostasyāṣṭabhāgaṃ khuḍakādvibhajya | ghoṇarjuvedhaḥ surarājabasterhitvā'kṣimātraṃ tvapare vadanti ||26||
sthānakarmābhidhāya sthānāntarakarmāṇi nirdiśannāha- pārṣṇimityādi| pārṣṇiḥ gulphasya paścādbhāgaḥ| dvādaśāṅgulāni mitvordhvamindrabastiṃ parityajya, chittvā, medojālāni matsyāṇḍena nibhāni ākṛṣya agnimavacārayet| jaṅghāmadhye dvyaṅgulamindrabastiḥ, jejjaṭācāryastu ardhāṅgulamāha| anye tu pārṣṇiṃ pratītyatra pratiśabdaṃ viparītārthakamāhuḥ, tena viparītāyāṃ pārṣṇyāmityarthaḥ; tena dakṣiṇabhāgagatāyāmapacyāṃ vāmajaṅghāyāṃ, vāmabhāgagatāyāmapacyāṃ dakṣiṇajaṅghāyām, abhayatobhāgagatāyāmubhayataḥ karma kartavyamiti jñeyam| ‘bhāge ca paripratī’ ityuktatvādbhāgārtho'pi pratiśabdo vyākhyātavyaḥ; tena pārṣṇibhāge jaṅghāyāḥ pāścātyabhāge vyadhaḥ kāryaḥ| dve daśa cāṅgulānīti mitvetyatra pṛthagvibhaktinirdeśāt pārṣṇito daśāṅgulāni vihāyāṅguladvayamātro vyadhaḥ kārya iti jñeyam| indrabastiṃ trayodaśe'ṅgule sthitamardhāṅgulapramāṇaṃ parityajya hitvā, dhīmān buddhimān ūhāpohayogyo dṛṣṭakarmetyarthaḥ, vaidyaḥ yaḥ samyagāyurvedavidyāṃ vetti, jālāni medojālāni, analaṃ vidadhyāt apunarbhavāyāgnitaptayā śalākayā dahedityarthaḥ; evaṃ hi mūlocchedādapacyupaśama iti vadanti| amumevārthaṃ kecidanyena pāṭhena paṭhanti- ā gulphetyādi| ā khula(ḍa)kāt 4 gulphakarṇāt gulphau karṇāviva yasya sa tathā; khulako 5 jaṅghāpādayoḥ sandhiḥ| surarājabasterindrabasteraṣṭabhāgaṃ jaṅghāyāścaraṇahīnāyā viṃśatyaṅgulāyā aṣṭamo bhāgaḥ sārdhamaṅguladvayaṃ hitvā, yadyapi dvyaṅgula indrabastistathā'pi tadupaghātaparihārārthaṃ sārdhamevāṅguladvayaṃ jñe(he)yam| anye tu akṣimātrameva dvyaṅgulaṃ netrapramāṇaṃ hitveti vadanti| ghoṇarjuvedha iti gulphakarṇasya, khulakasya 6, ghoṇā nāsā iva ghoṇā, yathottarīyakaṇḍarā tasyāḥ ṛjuravakro vedho vyadhaḥ, ‘kuryāt’ ityatrāpi pāṭhe sa evārthaḥ| apacyāstu jaṅghākaṇḍarāgatamedomūlatāyāṃ bhojavacanaṃ- “vātapittakaphā vṛddhā medaścāpi samācitam| jaṅghayoḥ kaṇḍarāṃ prāpya matsyāṇḍasadṛśān bahūn”- ityādīti gayī; jejjaṭasyāpyayamabhiprāyaḥ| gūḍhapadabhaṅgaṭippane'nyathā vyākhyātam- ā gulphakarṇāditi gulphakarṇāvabhivyāpya, āṅatrābhividhau na maryādāyāṃ, sumitasya suniścitaṃ mitasya tasya pramāṇasya ṣaṭsaptatyaṅgulamitasyāṣṭamabhāgaḥ sārdhanavāṅgulamātraṃ, khulakāt pārṣṇibhāgād dvyaṅgulapramāṇāt 7, vibhajya pṛthakkṛtya, ghoṇā nāsā tasyā ṛju yathā bhavati tathā'vakro vedhaḥ kartavyaḥ| tacca vidha vidhāne iti dhāto rūpam, tathā'pi vedhaśabdo'tra vyadhane vartate, dhātūnāmanekārthatvāt| sa ca khulakasyāṅgulatritayamaṣṭamabhāgasya ca sārdhanavāṅgulakamevaṃ sārdhadvādaśāṅgulaparimāṇenendrabastirmarmāpi parihṛtaṃ bhavatyevamuktamindrabastiṃ hitveti| tathā coktaṃ- “trayodaśāṅgule pārṣṇiṃ prati kālāntarāsuhṛt| indrabastirasṛksrāvī māṃsago'rdhāṅgulo bhavet”- iti| akṣimātramaṅguladvayapramāṇamapare bhiṣaja iti vadanti| evaṃ prathamaślokenādhastāddvitīyaślokenendrabasterupariṣṭājjaṅghāyāḥ pāścātyabhāgagatakaṇḍarāyā dvyaṅgulamātro vyadhaḥ kārya iti sthitam; evamanupaśame vāmapārśvajāyāṃ dakṣiṇajaṅghāpṛṣṭhamadhyādindrabasteradhastādūrdhvaṃ vā śastreṇākṣimātraṃ vraṇaṃ kṛtvā, matsyāṇḍajālanibhaṃ medo'panīyagninā dahet, anenetarapārśvajā vyākhyātā, evamubhayapārśvajātāyāmubhayata iti| bhojā'trāha- “vātapittakaphā vṛddhā medaścāpi samācitam| jaṅghayoḥ kaṇḍarāṃ prāpya matsyāṇḍasadṛśān bahūn|| kurvanti granthīn yastebhyaḥ punaḥ prakupito'nilaḥ| doṣastairūrdhvago vakṣaḥkakṣāmanyāgalāśritaḥ|| nānāprakārān kurute granthīn sā tvapacī matā| vyāmiśradoṣotpannāṃ tu kṛcchrasādhyāṃ vinirdiśet|| tāsāṃ vātottarā kṛṣṇā vātikīvedanāyutā|| kṣiprapākasamutthānā dāhayuktā ca paittikī|| gūḍhā'vipākā kaṭhinā kaphāt snigdhā rujākarī|| medodhikā ślaiṣmikī ca viśeṣāt sā samārdavā|| tāṃ tu mālākṛtiṃ manyākaṇṭhahṛddhanusandhiṣu|| galamālāṃ vijānīyādapacītulyalakṣaṇām”- iti| “tasmājjaṅghāyāmeva karmaṇā mūlocchedaḥ kāryaḥ” iti gūḍhapadabhaṅgāt| vāgbhaṭena cobhayatrāpi vyadho darśitaḥ| yathā- “ityaśāntau gadasyānyapārśvajaṅghāsamāśritam| basterūrdhvamadhastādvā medo hṛtvā'gninā 8 dahet”- (vā. u. 30) iti||25-26||
maṇibandhopariṣṭādvā kuryādrekhātrayaṃ bhiṣak | aṅgulyantaritaṃ samyagapacīnāṃ nivṛttaye ||27||
hanvasthisandhimanyāgalasthitāpacyāṃ jaṅghāgataṃ karmābhidhāya kakṣākūrparasandhigatāsvapacīṣu bāhugatameva karma vinirdiśannāha- maṇibandhetyādi| atrāpi pūrvavat, “etenetarasakthi bāhū ca vyākhyātau” (śā. 8) iti vacanādindrabasteraṣṭabhāgamakṣimātraṃ vā vihāyāgre rekhātrayaṃ kuryāt| tatrāpi viṃśatyaṅgulajaṅghāyā dvādaśāṅgulāni kiñcidadhiko bhāgena, evaṃ ṣoḍaśāṅgulakūrparamaṇibandhamadhye kiñcidadhikāni navāṅgulāni mitvā reṣātrayamaṅgulāntaramiti||27||
cūrṇasya kāle pracalākakākagodhāhikūrmaprabhavāṃ masīṃ tu | dadyācca tailena saheṅgudīnāṃ yadvakṣyate ślīpadināṃ ca tailam ||28|| virecanaṃ dhūmamupādadīta bhavecca nityaṃ yavamudgabhojī |29|
vamanavirecanaśirovirecanaistathā sthānāntaragataśastrakṣārānalairantarbahiḥpramārjanābhyāmantarbahiḥśuddhīrnirdiśya saṃśamanaṃ nirdiśannāha- cūrṇasyetyādi|- cūrṇasya kāle ropaṇakāle, pracalākādīnāṃ masīrdadyāt kṣāramityarthaḥ| pracalāko mayūraḥ, kṛkalāsamanye prāhuḥ| iṅgudīnāṃ tailena kṣārameva 9 dadyāt| yāni ca tailāni ślīpade tāni ca dadyāt||28||-
karkārukairvārukanārikelapriyālapañcāṅgulabījacūrṇaiḥ ||29|| vātārbudaṃ kṣīraghṛtāmbusiddhairuṣṇaiḥ satailairupanāhayettu | kuryācca mukhyānyupanāhanāni siddhaiśca māṃsairatha vesavāraiḥ ||30|| svedaṃ vidadhyāt kuśalastu nāḍyā śṛṅgeṇa raktaṃ bahuśo harecca | vātaghnaniryūhapayomlabhāgaiḥ siddhaṃ śatākhyaṃ trivṛtaṃ pibedvā ||31||
karkārukairityādi| karkārukaṃ kūṣmāṇḍaṃ, ervāruḥ grīṣmakarkaṭī, priyālaścāraḥ, pañcāṅgula eraṇḍaḥ| kṣīraghṛtasiddhai raktapittānubandhe| upanāhayet badhnīyāt| vātaghnetyādi| vātaghnā devadārvādayaḥ| tatkvāthakṣīrasauvīrabhāgaistribhiḥ snehacaturguṇairakalkaistailapākaḥ, evameva śatadhā pakvaṃ śatapākam, evaṃ trivṛtaṃ vā majjavarjaṃ ghṛtatailavasābhirvṛtaṃ pūrvakalkavātaharakvāthapayomlaiḥ siddham; evameva śatadhā'patānakavidhānena vā siddhaṃ trivṛtaṃ, tatrāpyayameva sādhanavidhiḥ||29-31||
svedopanāhā mṛdavastu kāryāḥ 10 pittārbude kāyavirecanaṃ ca | vighṛṣya codumbaraśākagojīpatrairbhṛśaṃ kṣaudrayutaiḥ pralimpet ||32|| ślakṣṇīkṛtaiḥ sarjarasapriyaṅgupattaṅgarodhrāñjanayaṣṭikāhvaiḥ | visrāvya cāragvadhagojisomāḥ śyāmā ca yojyā kuśalena lepe ||33|| śyāmāgirihvāñjanakīraseṣu drākṣārase saptalikārase ca | ghṛtaṃ pibet klītakasamprasiddhaṃ pittārbudī tajjaṭharī ca jantuḥ ||34||
svedopanāhā ityādi| mṛduḥ svedo dravasvedaḥ, upanāho bandhaḥ kākolyādimṛdudravyakṛtaḥ kṣīrāmlapiṣṭaśca nātyuṣṇaḥ| mṛdukāyavirecanaṃ na śirovirecanamiti vyavacchedaviṣayaḥ| bhṛśaṃ vighṛṣya udumbarādipatraiḥ| tatra śākaḥ kharamasṛṇapatro mahātaruḥ; gojī dārvīpatrikā, śākhoṭaka ityanye| visrāvyetyādi| somaḥ somalatā, kaṭphalamityapare| śyāmetyādi| śyāmā trivṛt, girihvā śvetasyandaḥ, añjanakī nīlāñjanikā śāradaṃ phalaṃ, śrīphaliketi loke| saptalikā yavatiktā| klītaketyādi| yaṣṭīmadhukalkena sāmānyasnehaparibhāṣayā siddhaṃ ghṛtaṃ śodhanaṃ pittārbudī pittodarī ca pibet||32-34||
śuddhasya jantoḥ kaphaje'rbude tu rakte'vasikte tu tato'rbudaṃ tat | dravyāṇi yānyūrdhvamadhaśca doṣān haranti taiḥ kalkakṛtaiḥ pradihyāt ||35|| kapotapārāvataviḍvimiśraiḥ sakāṃsyanīlaiḥ śukalāṅgalākhyaiḥ | mūtraistu kākādanimūlamiśraiḥ kṣārapradigdhairathavā pradihyāt ||36||
śuddhasyeti vamanena| alābvā rakte'vasikte'pacyā doṣānūrdhvamadhaśca yāni dravyāṇi jīmūtakīghoṣavatīphaladantīdravantītrivṛdādīni haranti teṣāṃ kalkairlimpet| kāṃsyanīlaḥ kāṃsyamasī| śukaḥ granthiparṇaḥ 11, lāṅgalākhyā kalikārikā| kākādanī vāyasatindukā| kapotādiviḍvimiśraiḥ kāṃsyanīlādisahitairvāyasatindukāyā mūlayuktairmūtrairvilimpet; athavā kṣārapradigdhaiḥ kṣārasaṃyuktairmūtraiḥ pralimpet; ‘kṣārapraghṛṣṭairathavā’ ityanye; tatra kṣārodakena praghṛṣṭairvā kapotaviḍādibhiḥ pradihyādityarthaḥ||35-36||
niṣpāvapiṇyākakulatthakalkairmāṃsapragāḍhairdadhimastuyuktaiḥ | lepaṃ vidadhyāt kṛmayo yathā'tra mūrcchanti muñcantyatha makṣikāśca ||37|| alpāvaśiṣṭe kṛmibhakṣite 12 ca likhettato'gniṃ vidadhīta paścāt | yadalpamūlaṃ traputāmrasīsapaṭṭaiḥ samāveṣṭya tadāyasairvā ||38|| kṣārāgniśastrāṇyasakṛdvidadhyāt prāṇānahiṃsan bhiṣagapramattaḥ | āsphotajātīkaravīrapatraiḥ kaṣāyamiṣṭaṃ vraṇaśodhanārtham ||39|| śuddhe ca tailaṃ vidadhīta bhārgīviḍaṅgapāṭhātriphalāvipakvam | yadṛcchayā copagatāni pākaṃ pākakrameṇopacaredvidhijñaḥ ||40||
niṣpāvetyādi|- niṣpāvaḥ śimbaḥ| vidadhyāt kuryāt| mūrcchanti patanti| muñcantyatha makṣikāśceti ‘kṛmīn’ iti śeṣaḥ| śikharāṇāṃ ca kṛmibhirbhakṣitatvādalpāvaśiṣṭatvam| asakṛt anekavāram| apramattaḥ sāvadhānaḥ| āsphotā sārivā| śuddha ityādi| śuddhe ca ropaṇārthaṃ bhārgyāditailaṃ tailapākakalpena| yadṛcchayetyādi| yadṛcchayā punarākasmikotpāde abhighātādinimitte'buddhipūrvake vā||37-40||
medorbudaṃ svinnamatho vidārya viśodhya sīvyedgataraktamāśu | tato haridrāgṛhadhūmarodhrapataṅgacūrṇaiḥ samanaḥśilālaiḥ ||41|| vraṇaṃ pratigrāhya madhupragāḍhaiḥ karañjatailaṃ vidadhīta śuddhe | saśeṣadoṣāṇi hi yo'rbūdāni karoti tasyāśu punarbhavanti ||42|| tasmādaśeṣāṇi samuddharettu hanyuḥ saśeṣāṇi yathā hi vahniḥ |43|
meda ityādi| pataṅgo raktakāṣṭham 13| ālaṃ haritālam| karañjatailaṃ vidradhyuktaṃ, tatphalatailamevetyanye||41-42||-
saṃsvedya gaṇḍaṃ pavanotthamādau nāḍyā'nilaghnauṣadhapatrabhaṅgaiḥ ||43|| amlaiḥ samūtrairvividhaiḥ payobhiruṣṇaiḥ satailaiḥ piśitaiśca vidvān | visrāvayet svinnamatandritaśca śuddhaṃ vraṇaṃ cāpyupanāhayettu ||44|| śaṇātasīmūlakaśigrukiṇvapriyālamajjānuyutaistilaistu | kālāmṛtāśigrupunarnavārkagajādināmākarahāṭakuṣṭhaiḥ ||45|| ekaiṣikāvṛkṣakatilvakaiśca surāmlapiṣṭairasakṛt pradihyāt ||46|| tailaṃ pibeccāmṛtavallinimbahaṃsāhvayāvṛkṣakapippalībhīḥ | siddhaṃ balābhyāṃ ca sadevadāru hitāya nityaṃ galagaṇḍaroge ||47||
saṃsvedyetyādi| patrabhaṅgaiḥ pallavaiḥ| anilaghnaṃ vātaharam| eraṇḍādipallavayutaṃ tu śuddhavāte, amlaiḥ kāñjikādibhiḥ pittāvṛte vāyau, kaphāvṛte mūtrakvathitaiḥ; raktāvṛte payobhiḥ kṣīraiḥ, piśitaiśceti piśitarasaiḥ kvathitaiḥ, athavā piśitairmāṃsaiḥ pallavaiḥ saha kvathitairdhātukṣayaje vāyau| visrāvayet jalaukādibhiḥ, ūrumūlasaṃśritasirāvyadhena vā| raktādiharaṇaśuddhaṃ 14 galagaṇḍaṃ nirantaraṃ śaṇādibījairupanāhayet| śuddhamiti vacanāt sauśrute'pi raktāharaṇasya śuddhisañjñā; tena “catuṣprakārā saṃśuddhiḥ” (ca. sū. 22) iti carakavacanaṃ tu prāyikaṃ 15 smṛtam| kiṇvaṃ surābījam| kāletyādi| kālā hiṃsrā, gajādināmā hastipippalī, karahāṭaṃ madanaphalam| ekaiṣikā ambaṣṭhā, trivṛdityeke; vṛkṣakaḥ kuṭajaḥ| asakṛt anekavāram| pradihyāt limpet| tailamityādi| haṃsāhvayā haṃsapadī| tailaṃ pibet siddhamiti sambandhaḥ||43-47||
svedopanāhaiḥ kaphasambhavaṃ tu saṃsvedya visrāvaṇameva kuryāt | tato'jagandhātiviṣāviśalyāviṣāṇikākuṣṭhaśukāhvayābhiḥ ||48|| palāśabhasmodakapeṣitābhirdihyāt suguñjābhiraśītalābhiḥ | daśārdhasaṅkhyairlavaṇaiśca yuktaṃ tailaṃ pibenmāgadhikādisiddham ||49|| pracchardanaṃ mūrdhavirecanaṃ ca dhūmaśca vairecaniko hitastu | pākakramo vā'pi sadā vidheyo vaidyena pākaṅgatayoḥ kathañcit ||50||
pittagalagaṇḍābhāvādanantaraṃ kaphajasya cikitsitaṃ darśayannāha- svedetyādi| svedo'tra rūkṣaḥ, upanāhaśca sakṣāramūtraḥ| ajagandhā bovayikā, viśalyā agniśikhavṛkṣaḥ 16, viṣāṇikā āvartanikā, śukāhvayaḥ carmakāravaṭaḥ| daśetyādi daśārdhasaṅkhyairlavaṇairiti pañcalavaṇaiḥ| māgadhikādisiddhaṃ pippalyādikvāthakalkābhyāṃ siddham| pākaṅgatayoḥ pākaṃ prāptayorvātakaphajayoḥ||48-50||
kaṭutrikakṣaudrayutāḥ samūtrā bhakṣyā yavānnāni rasāśca maudgāḥ | saśṛṅgaverāḥ sapaṭolanimbā hitāya deyā galagaṇḍaroge ||51||
sarvagalagaṇḍaviṣaye yogaṃ nirdiśannāha- kaṭutriketyādi| bhakṣyā dhānollumbādayaḥ| yavānnāni gṛñjanādīni| samūtrā iti mūtrasvinnaśuṣkāṇāṃ bhakṣyayavāṇāmiti boddhavyam| kaṭutrikamadhubhyāṃ yojanā| rasāśca maudgā mudgayūṣāḥ| saśṛṅgaverāḥ sārdrakā deyāḥ||51||
medaḥsamutthe tu yathopadiṣṭāṃ vidhyet sirāṃ snigdhatanornarasya | śyāmāsudhālohapurīṣadantīrasāñjanaiścāpi hitaḥ pradehaḥ ||52|| mūtreṇa vā''loḍya hitāya sāraṃ prātaḥ pibet sālamahīruhāṇām | śastreṇa vā''pāṭya vidārya cainaṃ medaḥ samuddhṛtya hitāya sīvyet ||53|| majjājyamedomadhubhirdahedvā dagdhe ca sarpirmadhu cāvacāryam | kāsīsatutthe ca tato'tra deye cūrṇīkṛte rocanayā samete ||54|| tailena cābhyajya hitāya dadyāt sārodbhavaṃ gomayajaṃ ca bhasma | hitaśca nityaṃ triphalākaṣāyo gāḍhaśca bandho yavabhojanaṃ ca ||55||
medaḥsamuttha ityādi| yathopadiṣṭāmiti ūrusandhinirdiṣṭām| śyāmetyādi|- śyāmā trivṛt, sudhā sehuṇḍaḥ, lohapurīṣaṃ lohamalam; anye tu lohamagaruṃ vadanti, tathā purīṣaṃ kapotapārāvataviṭ| mūtreṇetyādi| sālasārāditarūṇāṃ sārakalkaṃ karṣamātraṃ gomūtreṇa pibet| jejjaṭastu sārodbhavaṃ bhasma mūtreṇāloḍya pibediti vadati| śastreṇetyādi| dāhe ca madhughṛtāvacāraṇaṃ paścātkarma| kāsīsetyādi| tato'nantaraṃ kāsīsatutthagorocanācūrṇāvacāraṇaṃ vraṇe| sārodbhavaṃ sālasārādisārodbhavam| prakṣālane triphalākaṣāyaśca||52-55||
iti suśrutasaṃhitāyāṃ cikitsāsthāne granthyapacyarbudagalagaṇḍacikitsitaṃ nāmāṣṭādaśo'dhyāyaḥ ||18||
iti śrīḍalha(hla)ṇaviracitāyāṃ nibandhasaṅgrahākhyāyāṃ suśrutaṭīkāyāṃ cikitsāsthāne'ṣṭādaśo'dhyāyaḥ|

pāṭhāntarāḥ

  1. 1 ‘śophakriyāyāṃ vihitaṃ’ iti pā.
  2. 2 “dvayaśabdena” iti pā.
  3. 3 ‘rūkṣa eva’ iti pā.
  4. 4 ‘khulukāt’ iti pā.
  5. 5 ‘khulukaḥ’ iti pā.
  6. 6 ‘khulukasya’ iti pā.
  7. 7 ‘tryaṅgulapramāṇāt’ iti pā.
  8. 8 ‘hitvā’ iti pā.
  9. 9 ‘masīmeva’ iti pā.
  10. 10 ‘pathyāḥ’ iti pā.
  11. 11 ‘carmakāravaṭaḥ’ iti pā.
  12. 12 ‘kṛmibhiḥ kṛte ca’ iti pā.
  13. 13 ‘raktacandanam’ iti pā.
  14. 14 ‘raktāharaṇaśuddhyā śuddhaṃ’ iti pā.
  15. 15 ‘anulomitam’ iti pā.
  16. 16 ‘kāṣṭhapāṭalā’ iti pā.