1. āyuṣkāmīyādhyāyaḥ

Sa. śrī mahāgaṇapataye kurute namaḥ| śrīānandinīmaṭhāya namaḥ| dīptyā yasyendranīlopalaśakalarajonīlayā nīlitābhāṃ lakṣmīmuttaptabhāsvatkanakarucimapi sparśaromāñcitāṅgīm| kālītyāśaṅkamānaḥ sphuradadharapuṭaścakrapāṇiḥ kilābhūdbhartā lokasya śaśvatsa bhavatu bhavatāṃ bhūtaye padmanābhaḥ|| 1|| ko matsariṇi loke'sminvidvānkiñciccikīrṣati| kintu kaścidbhavetsādhustato'yaṃ matpariśramaḥ|| 2|| śrīmanmṛgāṅkatanayaṣṭīkāmaṣṭāṅgahṛdayasya| śrīmānaruṇaḥ ke samyagdraṣṭuḥ padārthabodhāya|| 3|| iha hi śāstrārambhe śāstraparisamāptaye sarva eva sabhābhūṣaṇabhūtā nikhilajanajanitapramodasaṃdohā ruciraruciracitavacanacaṃdanacarcitaprabaṃdhāḥ prabaṃdhaviracanapravarā iṣṭadevatānamaskāraṃ tantrakārā vidadhuḥ| tadayamapi tantrakāro'bhīṣṭadevatānamaskārapuraḥsaraṃ tantramāriripsuridamāha-

Sa. rāga ādiryeṣāṃ te rāgādayaḥ| ādiśabdena dveṣalobhādiparigrahaḥ| rujantīti rogāḥ| dehamanasī santāpayantītyarthaḥ| nanu manaḥsthitatvānmana eva te rujantīti vaktuṃ yuktam| maivam| dehamanolakṣaṇayorvastunorādhārādheyabhāvena sthitatvāddvayorapi santāpo yuktaḥ| yathā ādheyenāyogolakena santaptena tadādhārasya kaṭāhādeḥ santāpaḥ| ādhāreṇa ca kaṭāhādinā santaptenādheyasya ghṛtādeḥ santāpaḥ| tadevaṃ rāgādayo dvayaṃ rujantīti nyāyyametat| tathā satatānuṣaktāḥ sarvakālaṃ prasṛtāḥ, sahajā ityarthaḥ| aśeṣakāyaprasṛtā aśeṣaścāsau kāyaścāśeṣakāyaḥ| tatra prasṛtā anugatāḥ| yadvā'śeṣāśca te kāyāścāśeṣakāyāḥ| sarvāṇi śarīrāṇi gajaturagoragādisambamdhīni tāni prakarṣeṇa sṛtā gatāḥ| tathā aśeṣāḥ na vidyate śeṣo yeṣāṃ te'śeṣāḥ sarve samūlāḥ| sabījā ityarthaḥ| tathautsukyamohāratidāḥ| autsukyaṃ viṣayotkaṇṭhā gato'bhilāṣaḥ| mohaḥ kāryākāryānabhijñatvam| aratiranavasthitiḥ| sthānāsanādiṣu| autsukyaṃ ca mohaścāratiśca tā dadati ye rāgādayasta evam| tānevaṃvidhān yo bhagavān jaghāna tasmai tathābhūtāyāpūrvavaidyāya namo'stu| taṃ pūjayāmītyarthaḥ| ata evāsāvapūrva āścaryabhūto vaidyaḥ| anyo hi yo vaidyaḥ sa jvarādīnapyacirotthitān rogānetadviśeṣaṇaiuraparāmṛṣṭānna tathā hartuṃ samarthaḥ| kimuta rāgādīnasādhyalakṣaṇalakṣitān| tathā cāsādhyalakṣaṇam|(asminnevādhyāye ślo. 32)"anupakrama eva syāt sthito'tyantaviparyaye| autsukyamohāratikṛd" iti| yadvā na vidyate pūrvo yasmādasāvapūrvaḥ| pūrvebhyaḥ prathama ityarthaḥ| apūrvaścāsau vaidyo'pūrvavaidya ityarthaḥ| evaṃvidhaṃ cābhimatanamaskāraślokaṃ viracayan granthakṛdgranthasya rogopaśāṃtiḥ prayojanamiti pratipādayati| tathā cāha carakamuniḥ (sū. a. 1|52)"dhātusāmyakriyā coktā tantrasyāsya prayojanam" iti| evaṃ ca dhātusāmyena prayojanena prayojanavadidaṃ tantram| tathā tatpāṭhāttadarthāvabodhāttadvidhyanuṣṭhānācca ārogyākhyasyopeyasya tathābhimatasyāyuṣaḥ parasya puruṣārthasya mokṣākhyasya ca paramārthata idameva tantramupāyaḥ| asmāccopāyopeyalakṣaṇasambadhāt sambandhavadidaṃ tantram| tathā hetuliṅgauṣadhyākhyaskandhatrayamasyābhidheyaṃ tenābhidheyenābhidheyavattantram| evaṃ ca granthakṛtātra prayojanasanbandhābhidheyā yuktyaivoktāḥ| indravajropendravajrāviracitatvādupajātivṛttam| yathā, "anantarāpāditalakṣmaśobhau pādau bhavetāṃ vividhairvikalpaiḥ| yāsāmimāvanyayatiprapañcau smṛtāḥ smṛtijñairupajātayastāḥ||" iti| sarvatraiva cātra tantre'nuṣṭubhā samānīpramāṇīvitānādibhedabhinnatayā viracanam| yatpunaravasarāntare vṛttāntaraviracanamiha tatsalakṣaṇaṃ vyañjayiṣyāmaḥ|

Sa. atheti| athaśabdo'sminmaṅgalādhikārānantaryeṣu draṣṭavyaḥ| maṅgalādīnāṃ hi śāstrāṇāṃ tadadhyetṝṇāṃ niṣpratibandhā pravṛttirabhipretārthasādhanāya jāyate| athaśabdaścāyaṃ maṅgalārthaḥ| tathā coktam-"oṅkāraścāthaśabdaśca dvāvetau brahmaṇaḥ purā| kaṇṭhaṃ bhitvā viniryātau tenemau maṅgalau smṛtau||"iti| ato'dhikāre| āyuṣkāmīyaṃ śāstramadhikriyate yāvadata ūrdhvaṃ pratanyate ātantraparisamāptestatsarvamāyuṣkāmīyaṃ veditavyam| ata ānantarye ca| namaskārādanantaramāyuṣkāmahitaṃ vyākhyāsyāma iti| kathaṃ punarekasyaiva tantrakārasya vyākhyāsyāma iti bahuvacanaṃ yujyate| brūmaḥ| "asmado dvayośca" ityekatve'pi bahuvacanavidhānādabhilaṣantīti| yuktamevātraikasminnapi bahuvacanam| āyuḥ śarīrendriyasatvātmasaṃyogaḥ| tathā ca muniḥ (ca. sū. a. 1|41)-| "śarīrendriyasattvātmasaṃyogo dhāri jīvitam| nityagaṃ cānubaddhaṃ ca paryāyairāyurucyate||" iti| etītyāyuḥ| santataṃ yātītyarthaḥ| evaṃvidhaṃ gatvarasvabhāvamapi hitāhāravihārasevādibhirahitavarjanena ca kathametat sthirībhavedityevaṃ kāmayante ye te āyuṣkāmāḥ| tebhyo hita āyuṣkāmīyaḥ| sa punarāyurvedāgamādiprakaraṇasamudāya āyuṣkāmayamānenetyādikaḥ| āyuṣkāmīya iti isusoḥ sāmarthye iti ṣādeśaḥ| tasmai hitamiti chaḥ| āyuṣkāmīyaśabdo'dhyāyaviśeṣaṇārtho nīlotpaladalavat| bahuṣvadhyāyeṣu satsu katamamadhyāyaṃ vyākhyāsyāma āyuṣkāmīyamiti| adhikṛto'dhyāyanāyetyadhyāyastaṃ vyākhyāsyāmaḥ vividhaprakāreṇa viśeṣeṇa vā kathayiṣyāmaḥ| āyuṣkāmaiḥ pūrvaṃ dṛṣṭatvādasyādhyāyasyāyuṣkāma iti saṃjñā| arthagatimadhikṛtyādhyāya iti nāma| tathā coktam| (ca. sū. a. 30|65)- "adhikṛtyeyamadhyāyanāmasaṃjñā pratiṣṭhitā" iti| tatra padasamudāyo vākyaṃ vākyasamudāyaḥ prakaraṇaṃ, prakaraṇasamudāyo yaḥ, so'dhyāyaḥ, adhyāyasamudāyaḥ sthānaṃ, sthānasamudāyastantramiti| viśabdo nānārthaḥ| āṅabhividhau| uttarākhyaścāyamalaṅkāraḥ| tasya hi lakṣaṇam| (kāvyālaṅkāre a, 7|93)- "uttaravacanaśravaṇādunnayanaṃ yatra pūrvavacanānāṃ kriyate taduttaraṃ syāt" ityādi| tato'nena vākyena śiṣyavacanamīdṛśamunnīyate| saṃsāre'sminnamī prāṇino nānārogānīkābhibhūtāstrātāramalabhamānāścaturvargād bhraśyante| tatko nu bhagavannatropāyaḥ syāditi kṛtapraśno guruḥ pratijajñe, athāta āyuṣkāmīyamadhyāyaṃ vyākhyāsyāma iti| atha śiṣyavacanānantaram| ato hetoryasmādayaṃ śiṣyaḥ śrutakulaśīlādisaṃpanno dhīmedhāguṇabhūṣaṇabhūtaśca| vi vividhaiḥ prakāraiḥ ā śiṣyabodhotpatteḥ| āyuṣkāmīyamadhyāyaṃ vyākhyāsyāmo varṇayiṣyāmaḥ| nanu kīdṛśaṃ tadvividhaprakāramākhyānam| brūmaḥ| padataḥ, tadarthataḥ, prayojanataḥ, codyataḥ, parihārataḥ, sambandhābhidheyataśca| padato yathā, āyuritīdaṃ padam| tadarthato yathā etītyāyuḥ| prayojanato yathā, atraiva dharmārthasukhasādhanam| codyato yathā, nanu kathametatkevalaṃ dharmārthasukhasādhanamiti vaktuṃ pāryate| yato'syāyuṣaḥ karmaiva kevalaṃ dharmasādhanamiti vaktuṃ no pāryate| yato'syāyuṣaḥ paripālanārthaṃ viśastāḥ kākagṛdhrabhāsādayo rājayakṣmacikitsite bhojyā ityuktam| abhakṣyāścaite| śrutismṛtyorabhakṣyatvenoktatvāt| evamabhakṣyabhakṣaṇāddhiṃsayā ca pāpayogaḥ| tadyogāccādharmasādhanaṃ na dharmasādhanamiti| parihārato yathā, atraivaṃ parihāro yajñādhikāriśarīranimittaṃ kākādīnāṃ viśasanaṃ bhakṣaṇaṃ vidhīyamānaṃ nādharmāya| itarathā krīḍārthaṃ kriyamāṇamadharmāyaiva| tathā ca kākādayo'pi tatsādhanopayogāddharmeṇa tatphalena sambadhyante yajñiyā iva paśavaḥ| tadevamāyuṣo dharmasādhanatvaṃ sthitam| sambandhābhidheyau tūktāveva| nanu santyevānyānyapi maharṣipraṇītānyāyurvedatantrāṇi, kimanena tantreṇa kṛteneti| atra brūmaḥ| aparatantrāṇāṃ sāvadyatvādidamucyate| anyāni hi tantrāṇi sadoṣāṇi| tathā hi| yadetattāvadbhagavatā carakamuninā praṇītaṃ tantraṃ ratnākara iva ganbhīryātiśayayogāddurbodham| tasyāpi sadoṣatāṃ prakaṭayanti vācāṭāḥ| tathā hyādau tatsūtram| athāto dīrghañjīvitīyamadhyāyaṃ vyākhyāsyāma iti| atra dīrghañjīvitīya iti śāstrādāvayuktam| yato (ca. sū. a. 1 ślo. 3) dīrghaṃ jīvitamanvicchannityasyānukaraṇaṃ dīrghañjīvitamiti| so'sminnadhyāye'stīti chaḥ| tasyādhyāyānuvākayorluki sati dīrghañjīvitamiti prāpnoti| tadidamaviditaparamārthaśabdasvarūpāṇāṃ vacanam| tathāhi| adhyāyānuvākayorityādau sūtre vikalpena cāyaṃ lugiṣyata iti jagāda jayādityaḥ| tena lukaḥ pākṣikatvādatra luk na bhavatītyevaṃ yuktamuktamidam| dīrghaśabdena guṇo'bhidhīyate jīvitaśabdenāpi guṇa eva| tasmāddvayorapi guṇatvādādhārādheyabhāvo na yuktaḥ, yato guṇāśrayo nokta iti| tathā ca vaiśeṣikāḥ| nirguṇā guṇā iti| atha kālaśabdaṃ luptasvarūpaṃ nirdiśya dīrghajīvitīyaśabdo nirdiśyate tadā yuktamevaitat| tathā indriyopakramaṇīye'dhyāye chapratyayotpattiḥ kathamevaṃ vidhīyatāṃ yato'sminnadhyāya indriyopakramaṇaśabdo nāstyeva| evamapāmārgataṇḍulīye'pāmārgataṇḍulaśabdasyābhāvācca pratyayotpattirdurlabhā| tathā divyāmbhaso gāṅgasamudrabhedaḥ parīkṣā ca noktā| pratyuta tatra paṭhyate| (ca. sū. a. 27|191)- "jalamekavidhaṃ sarvaṃ patatyaindraṃ nabhastalāt| tatpatatpatitaṃ caiva deśakālāvapekṣate" iti| tathā nālikerodakasya guṇā noktāḥ| tathā, apakvakvathitakṣīrasya svarūpaviśeṣo noktaḥ| tathā kaṣāye kiyadauṣadhaṃ kimavaśeṣaṃ kvathanīyamityādi ca noktam| miśrake sneha evamabhyadhādasau| "trivṛttāṃ triphalāṃ dantīṃ daśamūlaṃ palonmitam| caturguṇaṃ jalaṃ dattvā" ityādi| tadeṣāmauṣadhānāṃ kiyanmānamapi salilenaitāvatā kīdṛśaṃ kimuta kvāthaniryāsāviti| tathā kvathitaśītatoyamapi kiyatā pākena pathyaṃ bhavatīti noktam| mudgo grāhīti ca noktam| tathā ca tatpāṭhaḥ (ca. sū. a. 27|22)-"kaṣāyamadhuro rūkṣaḥ śītaḥ pāke kaṭurlaghuḥ| viśadaḥ śleṣmapittaghno mudgāḥ sūpyottamo mataḥ||" iti| tathā vāstukādīnāṃ laghutvaṃ noktam| tathāca tatpāṭhaḥ (ca. sū. a. 27|85)- "pāṭhāsuṣāsaṭhīśākaṃ vāstukaṃ suniṣaṇṇakam| vidyādgrāhi tridoṣaghnaṃ bhinnavarcastu vāstukam||" iti| tathekṣuvarge, (ca. sū. a. 27|234)- " śaityātmasādānmādhuryātpauṇḍrakādvāṃśiko varaḥ" ityasāvabhyadhāt| pauṇḍrakaśca vāṃśikādvara iti suprasiddhametat| atra mativaibhavādbhaṭṭārakahariścandrau vyākhyāviśeṣamavocatām| yathā pauṇḍrakādvāṃśiko'vara iti| evaṃ caitadupapannameva| tadevamātreyasyāpi tantre yato bahavo doṣā udbhāvyante, tataḥ kā gaṇanā tantrāntarāṇām| tathā vedotpattiriti saṃjñā tantre'sminsadoṣatvānna kṛtā| tathā hi| āyuṣo veda āyurvedaḥ, tasyotpattirāyurvedotpattiriti bhavitavyam| atra kecidāhuḥ| āyuḥśabdalopaṃ kṛtveha nirdeśaḥ kṛtaḥ| evamapi sati lopastāvadamaṅgalaḥ| so'pyāyuṣaḥ sa ca śāstrādau| ityanyāyyaivaiṣā saṃjñā| kiṃca vedotpattirityetadapi tāvadvaktuṃ na yujyate, nityatvādasya vedasya| nityo hyayamāyurvedaḥ| āyuḥsantānādinityatvāt| tathā hyāyuḥsaṃtānaḥ| sarvaprāṇisaṃvedyaśarīrāparaśarīrago manaḥprabandhanityatayā nityaḥ| asya nityatvādāyurvedo'pi nityaḥ| nityatvāccāsyotpattimattvaṃ vaktumayuktam| nanvavabodhopadeśābhyāmutpattirasyopalabhyate| yataḥ prāgupadeśānnāsāvupalabhyate| ata upadeśānantaramupadeśadvāreṇopalabhyate| tasmādavabodhopadeśāvasyotpattikāraṇatvena kalpayitvotpattimattvamasyocyata iti kaiścidūce| naitadyuktam| yataḥ sato bodhopadeśau sto nāsataḥ| tathā cācaṣṭe lokaḥ| amunā guruṇā chātrāyopadiṣṭaṃ śāstramidamiti| sata evopadeśāvabodhau staḥ| tasmānnāvabodhopadeśāvasyotpattikāraṇamityato'pi hetorvedotpattisaṃjñetyayuktā| iti saṃjñānāṃ sāvadyatvaṃ nirūpya niravadyāyuṣkāmīyasaṃjñā hi tantre kṛtā| yayoccāritamātrayaivā'śeṣastantrārthaḥ prakāśyate| pratisthānaṃ ca yo'dhyāyaḥ prathamastatsaṃjñayā sthānārthaḥ| anye ca ye'dhyāyāstantre'smiṃstatsaṃjñābhiryathāsvatantramarthajātaṃ prakāśayanta iti| idamidānīṃ pṛchyate tantrakāraḥ| yadasmiṃstantre kiṃciducyate sma bhavadbhistatsvabuddhiparikalpitamuta netyāha| itiśabda evamarthe| yathā iti ha sma, tānāha| haśabdo'nukampāyām| brūdhātoḥ sma upapade bhūtānadyatanaparokṣe 'laṭ sme' iti laṭa āhādeśaḥ| atrerapatyamātreyaḥ| 'itaścāniñaḥ' iti ḍhak| ātreya ādiryeṣāṃ dhanvantariprabhṛtīnāṃ ta evam| mahāntaśca te ṛṣayaśca maharṣayaḥ| mahatvaṃ tajjñānātiśayayogāt| tenāyamartho'nena kāraṇenānukampayā, na tu phalākāṅkṣayā, bhagavanta ātreyādayo maharṣayo'bruvan| nāsmābhiḥ svamatiparikalpitaṃ kiñcidapyatroktam| kevalaṃ dūtasandeśavacananyāyena yugānurūpaḥ kramamātro'nyathā kṛta ityarthaḥ| tathā cāsyaivasaṅgrahe- (sū. a. 1) "na mātrāmātramapyatra kiñcidāgamavarjitam| te'rthāḥ sa granthasandarbhaḥ saṃkṣepāya kramo'nyathā" iti| tadevamāgamaprāmāṇyamasya tantrasyetyuktaṃ bhavati|

Sa. āyurvedayati jñāpayati prakṛtijñānarasāyanadūtāriṣṭādyupadeśādityāyurvedaḥ| tasyopadeśā āyurvedopadeśāḥ| upadiśyanta āyurvedārthā upapattibhirityupadeśā āyurvedatantrāṇi| teṣu paramādaraḥ pāṭhāvabodhānuṣṭhānarūpa utkṛṣṭo yatnaḥ kāryaḥ| āyurvedopadeśeṣviti bahuvacananirdeśādayamartho bodhyate| bahuṣvāyurvedatantreṣu yatnaḥ kāryaḥ| anekāyurvedāvalokanāddhi cikitsāyāṃ vaidyasya na manāgapi sandeho jāyate| kiṃ kurvatā puruṣeṇa-āyuḥ kāmayamānena jīvitamabhilaṣatā| kimbhūtamāyuḥ, dharmārthasukhasādhanam| dhriyate loko'neneti dharmaḥ| arthyate yācyata ityarthaḥ| sukhaṃ dvividham, tādāttvikamātyantikaṃ ca| tādātvikaṃ kiyatkālāntarāsthāyitvātsukhāvabhāsaṃ, na paramārthataḥ sukham| tathā coktam- (ca. sū. a. 28/37) 'tādātvasukhasaṃjñeṣu bhāveṣvajño'nurajyate'| iti| tadetatsaṃjñāmātreṇa sukhaṃ na tvatyantamiti pradarśayituṃ sukhasaṃjñeṣviti muninoktam| ātyantikaṃ sukhaṃ mokṣākhyaṃ, yatra na duḥkhānāṃ śleṣaḥ| teṣāṃ sādhanamupāyo dharmārthasukhasādhanam|

Sa. brahmetyādi| brahmā āyuṣo vedaṃ smṛtvā prajāpatiṃ dakṣamajigrahad avābodhayat| smṛtvetyanenaitadgamayati brahmaṇaḥ smartṛtvamevātra na kartṛtvam| nityatvādāyurvedasya| nityatvaṃ cāsya prāk pratyapādi| graherṇyantasyātra buddhyarthatvāt prajāpatiśabdasya gatibuddhītyādinā karmasaṃjñā| sa prajāpatiraśvināvajigrahat| tau sahasrākṣamindramajigrahatāmiti vacanavipariṇāmena sambandhaḥ| sa śakro'triputrādikān munīn bodhayāmāsa| atriputra ātreya ādiryeṣāṃ dhanvantarinimikāśyapādīnāṃ ta evam| te cātreyādayo'gniveśādikānajigrahan| te tvagniveśādayaḥ ṣaṭ pṛthak pratyekaṃ tantrāṇi śāstrāṇyagniveśabheḍajātūkarṇaparāśarahārītakṣārapāṇināmābhidheyāni tantrāṇi tenire vistāritavantaścakruḥ| tantryante dhāryanta āyurvedārthā ebhiriti tantrāṇi|

Sa. tebhya iti| tebhyo granthebhyo'tiviprakīrṇebhyo vikṣiptebhya uccāvacoktārthatayaivetaścetaśca gatebhyaḥ| ata eva kaścidevārthaḥ kasmādeva tantrāntarājjñāyate| yathā śalyacikitsā suśrutapraṇītāttantrādevāvagamyate na tathāgniveśādikāt| ūrdhvāṅgacikitsā ca janakapraṇītāttantrādyathāvagamyate na tathā suśrutapraṇītāt| ataḥ prāyo bāhulyena sārataroccayaḥ kriyate| uccīyante saṅgṛhyante vikṣiptāḥ padārthā anenetyuccayaḥ| yathā vā yavādīnāṃ bahukṣetrajātānāmekasmin sthāne uccayo rāśīkṛtya sthāpanaṃ vidhīyate tatheha sāratarāṇāmuccayaḥ| sārataragrahaṇenaitaddyotayati, saṅgraheṇaiva sārāṇāmuccayaḥ kṛtaḥ| anena tathā sāratarāṇāṃ pradeśānāmuccayaḥ kriyata iti| kiṃ nāma aṣṭāṅgahṛdayam| etacca sānvayārthamasya nāma| yathā śarīrasya sarvāvayavebhyaḥ pradhānadeśo hi hṛdayam, tathedamaṣṭāṅgāyurvedasya pradhānabhūtatvād hṛdayamiva hṛdayam| tathā ca tantrānte vakṣyati (u. a. 40|88)- hṛdayamiva hṛdayametadityādi| aṣṭau ca tānyaṅgānyaṣṭāṅgāni, teṣāṃ pratyekaṃ hṛdayaṃ, sāratarasaṅgrahaṇāt| kīdṛśamaṣṭāṅgahṛdayam| nātisaṃkṣepavistaram| saṃkṣepaśca vistaraśca saṃkṣepavistarau, atiśayena saṃkṣepavistarau yatra na, tannātisaṃkṣepavistaram| atiśabdasyātra pratyekaṃ sambandhaḥ| atisaṃkṣepaṃ kiñcittantraṃ yathā siddhasārādi, kiñciccātivistaraṃ yathā saṅgrahādi| idaṃ tu tantraṃ nātisaṃkṣepavistaram| atisaṃkṣepoktaṃ svalpadhiyāṃ nopakṛtaye| teṣāṃ hi yathoktāgamamātraṃ śreyaḥ, na tu vākyārthaparyālocanādadhikaḥ parāmarśaḥ| ativistīrṇaṃ tu pāṭhāvabodhānuṣṭhānaisteṣāṃ duḥśakyaṃ syāt| tasmādalpamadhyottkṛṣṭabuddhiśiṣyahitārthaṃ tantrametaduddiṣṭam|

Sa. kāyeti| kāyaśca bālaśca grahaścordhvāṅgaṃ ca śalyaṃ ca daṃṣṭrā ca jarā ca vṛṣaścetītaretaradvandvaḥ| nanu sarvasyāścikitsāyāḥ kāyāśritatvāt kāyaśabdo'rthādākṣipta eva| tatkimarthaṃ kāyaśabda upādīyate| brūmaḥ| prakarṣārtham| yathā puruṣāya abhirūpāya kanyā deyetyatrābhirūpagrahaṇādabhirūpatamāyeti pratipādyate, tathehāpi prakṛṣṭo yaḥ kāyaḥ sampūrṇadhātuḥ prakṛṣṭā ca yāvasthā, tathā yuktaḥ| tatsaṅgrahārthaḥ kāyaśabda upāttaḥ| tathā 'ciñ cayane' ityasmāddhātorvyutpāditaḥ kāyaśabdaḥ| cīyate praśastadoṣadhātumalairiti kāyaḥ| tadevaṃ sarvaśarīropatāpakānāmāmapakvāśayasthanodbhavānāṃ jvararaktapittātisārādīnāṃ rogāṇāṃ yatropaśamayogo nigadyate, tatkāyacikitsānāmāṅgam| balasattvasampūrṇadhātutvād yauvanāvasthakāyasya prathamanirdeśaḥ| bāladehe'sampūrṇabaladhātutvādaprakṛṣṭavayovasthāprabhāvāt taccikitsāṅgaṃ pṛthaṅnirdiṣṭam| tathā bālaupayikabheṣajaṃ dhātrīdugdhalakṣaṇaṃ dugdhodbhavavyādhipraśamādinirdeśācca| nanvevaṃ vṛddhasya prakṛṣṭavayovasthāyā abhāvāttaddehe kāyacikitseti kathaṃ vyapadeśaḥ syāt| atra brūmaḥ| bhūtapūrvagatyā vṛddhadehena hi prakṛṣṭavayovasthā pūrvamanubhūtā| ato bhūtapūrvagatyā tatra kāyacikitsopadeśo yuktaḥ| evaṃ grahacikitsā nāma, yatra devādigrahagṛhītānāṃ prāṇināṃ śāntikarma vidhīyate| yatrordhvajatrugatānāṃ rogāṇāṃnetrakarṇaghrāṇādisaṃśritānāmāścotanaśalākādinopaśamo varṇyate tadūrdhvāṅgacikitsānāmāṅgam| atra ca janmanaḥ prabhṛti vicāropadeśādbālacikitsaiva prāgvaktuṃ yuktā| kintu kāyacikitsā prādhānyātprāgupanyastā| tato'nantaraṃ bālacikitsā| bālasya ca grahasambandhād grahacikitsā| tataḥ śarīrasya mūlarakṣārthamūrdhvāṅgacikitsā śālākyaṃ nāma| tataḥ śastrasādhanasāmānyena śalyacikitsā| pīḍākaraṇasamānatvāt daṃṣṭrācikitsā| daṃṣṭrā viṣātmikā| viṣeṇāśu ca maraṇe sambhāvyamāne rasāyanopayogo yukta iti rasāyanacikitsā| athavā viṣasya rasāyanajeyatvādrasāyanakathanaprastāvaḥ| tato'nantaraṃ vājīkaraṇasya bharaṇena prastāvaḥ| tathā cādhīte granthakṛt (u.a.40|1)- "vājīkaraṇamanvicchetsatataṃ viṣayī pumān " iti| rasāyanasya paścādityarthaḥ| yatrālpaduṣṭaretasāṃ tadāpyāyanaprasādopajananarūpā cikitsā kriyate tadvājīkaraṇam| evametāni kāyādīni, tasyāyurvedasya, aṣṭāvaṅgānyāhurvadanti| brahmā''treyādaya iti śeṣaḥ| yeṣu kāyādiṣu cikitsā saṃśritā vyavasthitā| (ca.sū.a.9|5)- " caturṇāṃ bhiṣagādīnāṃ śastānāṃ dhātuvaikṛte| pravṛttirdhātusāmyārthā cikitsetyabhidhīyate|" iti muniproktalakṣaṇaṃ neha tantrakṛdvyadhatta| cikitsāśabdādevāsyārthasya labdhatvāt| tathā ca nirdeṣṭumāha| nindākṣamāvyādhipratīkāravicāraṇāsu sā niṣpadyata iti| kiterdhātorvyādhipratīkāra evāsya vyutpāditatvāt|

Sa. vāyuriti| ca samuccaye| kapho doṣamadhye samuccīyate| ityanena prakāreṇa, samāsataḥ saṃkṣepāt, trayo doṣāḥ| nanu prastutatvādiha dhātusaṃjñayā vātādayo nirdeṣṭuṃ nyāyyāḥ, na doṣasaṃjñayā| astyevaitat| kintu rasādidūṣaṇapūrvakameṣāṃ vikārakaraṇe sāmarthyamiti pradarśanārthaṃ doṣasaṃjñayā te nirdiṣṭāḥ , na dhātusaṃjñayā| na hyete dhāturūpā jātu viruddhatvaṃ kurvate dehadhāraṇavardhakatvāt| ete munināpi carakeṇa pūrvaṃ doṣasaṃjñayaiva nirdiṣṭāḥ| tathā ca tadgranthaḥ (sū.a.1/56)- "vāyuḥ pittaṃ kaphaścoktaḥ śārīro doṣasaṅgrahaḥ " iti| 'vātapittakaphā doṣāstraya eva samāsataḥ ' ityevaṃ nirdeśe kartavye yadeṣāṃ pṛthagvibhaktyā nirdeśaḥ kṛtaḥ , sa pradhānatvakhyāpanārthaḥ| bahuvacanādeva tritve labdhe trigrahaṇaṃ niyamārtham| traya eva doṣāḥ , na caturtho'stīti| tantrāntarīyā hi caturthaṃ doṣamīhante| teṣāṃ hyayamabhiprāyaḥ| yathā doṣāṇāṃ sthānalakṣaṇakāryavikāracikitsādyupadeśastathā raktasyāpi| tatra sthānaṃ , sarvadehavyāpitve'pi plīhayakṛtī| lakṣaṇaṃ ca, padmendragopahemādītyādi| kāryaṃ, dehasyotpattisthitī| vikāraḥ, visarpaplīhādi| cikitsā, sirāvyadhādikaṃ karmeti| tadetadasāram| vātādayo hyasya dūṣyasya sataḥ kathaṃ doṣatvaṃ kartuṃ pārayanti| yataḥ prādhānyādanvarthanāmatvācca vātādīnāmeva doṣatvaṃ, na rasādīnām| vātādayo hi svātantryātpradhānāḥ| dūṣayantīti doṣā iti teṣāmeva cānugatārthā saṃjñā pravṛttā| rasādyāstu pāratantryādapradhānāḥ| te ca vātādibhirdūṣyanta iti dūṣyāḥ| tasmādraktasya dūṣyatvam, na doṣatvam| yadyevaṃ vātādīnāmanyonyadūṣaṇād dūṣyatvaṃ syāt| pittena hi śleṣmā dūṣyata iti dṛśyate| yathā pāṇḍuroganidāne (ni.a.13) pittapradhānā ityārabhya yāvat śleṣmatvagraktamāṃsāni pradūṣyetyādi| tadatra śleṣmā pittena dūṣyate| tathā śleṣmavadraktasyāpi doṣatvaprasaṅga iti yo manyeta, taṃ prati brūmaḥ| viṣama upanyāsaḥ| vātādayo hi sarvadaiva rasādīn dūṣayanti, na tu rasādayaḥ kadācidapi vātādīn dūṣyanti| vātādīnāṃ tu madhyādyadi kaściddūṣyate, sa teṣāmanyatamena| tathā ca prakṛtilakṣaṇe vātaprakṛteḥ pittaprakṛteḥ, śleṣmaprakṛteśca yathā lakṣaṇaṃ dṛśyate, naivaṃ raktaprakṛteḥ| tathā ca tantrakāreṇa jvarādayo vātādiviśeṣaṇaviśiṣṭā evoktāḥ| yathā vātajvaro'yaṃ pittajvaro'yaṃ śleṣmajvaro'yam, na tu raktajvaro'yamiti nirdiṣṭaḥ| ye'pi raktajā vikārā visarpādayasteṣvapi ghṛtadagdhanyāyena vyapadeśo bodhyaḥ| yathā ghṛtasyāntarhitenāgninā dagdho ghṛtadagdha ityucyate, tadvadraktasthairvātādibhirdoṣairjāto raktajo'yamityucyate| yatra kvacidraktasya doṣasaṃjñā kuṣṭhacikitsitādau dṛśyate, sā saṃjñāmātreṇaiva, nāsāvanugatārthā| tasya dūṣyatvenaiva pravṛtteḥ| tathā caivaṃ purīṣādīnāmapi saṃjñāmātreṇa vyavahāro dṛśyate| yathā (hṛ.ci.a.18|38)- "na ghṛtaṃ bahudoṣāya deyaṃ yanna virecanam| tena doṣo hyupastabdhaḥ" ityādi| atra purīṣasya doṣatvamuktam| tathodaracikitsite carakasya, jvaracikitsite vā asya, (hṛ.ci.a.1|10)- "doṣeṇa bhasmanevāgnau channe'nnaṃ na vipacyate| tasmādādoṣapacanājjvaritānupavāsayet||" iti| atra āmasyāpi doṣatvamuktam| tadevaṃ vātādayastraya eva doṣāḥ, na raktamiti sthitametat samāsataḥ| vistaratastu saṃsargasannipātakṣayasamatābhedabhinnāstāratamyaparikalpanayā ca kalpyamānā ānantyaṃ yānti|

Sa. vikṛtāḥ svabhāvapracyutāḥ, dehaṃ ghnanti| dehapadamatra jīvitopalakṣaṇārtham| jīvitena vinā kurvantītyarthaḥ| avikṛtāḥ punardehaṃ vartayanti yāpayanti| vikṛtānāṃ doṣāṇāṃ prāgupanyāsaḥ, teṣāṃ prakṛtyavasthāne nityaṃ bhiṣajā yatnavatā bhāvyamiti sūcanārtham| anyathā mahānpratyavāyaḥ syāt|

Sa. adhaśca madhyaścordhvaṃ cādhomadhyordhvāni, tāni saṃśraya āśrayo yeṣāṃ te'dhomadhyordhvasaṃśrayāḥ| hṛcca nābhiśca hṛnnābhī, tayorhṛnnābhyoḥ| te vātādayo yāpino'pi sarvaśarīracarā api hṛnnābhyoradhomadhyordhvasaṃśrayāḥ| viśeṣeṇeti vākyaśeṣaḥ| nanu kimidaṃ vākyaśeṣatvaṃ nāma| ucyate| yasmin khalu pade'nuccāryamāṇe'rthagatiṃ paśyantyācāryāḥ, taccheṣamiti| uccāraṇakāle tena vinā'bhidheyasiddheḥ| vyākhyākāle tu mandabuddhivyutpattaye vyācakṣate| tatra nābheradho vāyoḥ sthānam| hṛnnābhyormadhye pittasya| hṛdayādūrdhvaṃ kaphasya| nanu hṛnnābhyoriti kathaṃ nirdeśo yāvatā prāṇyaṅgatvādekavadbhāve sanapuṃsakamiti napuṃsakatve hṛnnābhi iti prāpnoti| atra brūmaḥ| prāṇyaṅgānāṃ samāhāra eva dvandva ityasya prāyikatvānnaikavadbhāvaḥ| tadabhāvācca tadāśrayaṃ napuṃsakatvaṃ na bhavati| tathā coktam| sarvo'pi dvandvo vibhāṣaikavadbhavatīti| dṛśyate cānyatrāpi| tathā ca rudrabhaṭṭaḥ (rudraṭaḥ kāvyālaṅkāre a.7/81)- - "kauṭilyaṃ kacanicaye karacaraṇādharadaleṣu rāgaste" ityādi| tathā, asyaiva granthakṛtaḥ (ni.a.7/19) "śiraḥpṛṣṭhorasāṃ śūlaṃ" iti| tathā, (ni.a.16|6) "jānujaṅghorukaṭyaṃsahastapādāṅgasandhiṣu" iti| tathā, "vāyuḥ sandhyasthimajjasu" ityādi| tasmāddhṛnnābhyoriti prayogo nyāyya eva|

Sa. vayaśca ahaśca rātriśca bhuktaṃ ca vayohorātribhuktāni teṣāṃ, kramādyathāsaṃkhyaṃ, te vātādayaḥ, antamadhyādigā bhavanti| antaśca madhyaścādiścāntamadhyādayasteṣu gacchantītyantamadhyādigāḥ| anyatrāpi dṛśyata iti ḍaḥ| tenāyamarthaḥ, vayasaḥ manuṣyāyuṣaḥ, antaḥ paścimo bhāgaḥ, vāyoḥ kopakālaḥ| madhyo bhāgaḥ pittasya| ādyo bhāgaḥ kaphasya| evamahno rātreśca yojyam| bhuktamāhāraḥ, tasyānte jaṭharāgnisaṃyogavaśādrasānāṃ jīrṇaprāyāvasthā, vāyoḥ kopakālaḥ| madhyo vidāhāvasthā, pittasya| ādyāvasthā tu yasyāṃ madhurībhāva āhārasya, tatra kaphasya kopakālaḥ| yadyapi cāhārasya jaṭharāgnisaṃyogavaśādbahvyo'pi sūkṣmā avasthāḥ sambhāvyante, tathāpyetāsāmeva sutarāmupayogitvādiha nirdeśaḥ| tathā etā eva tisro'vasthāḥ svakarma darśayanti| vakṣyati hi (śā.a.3/57)- - "ādau ṣaḍrasamapyannaṃ madhurībhūtamīrayet| phenībhūtaṃ kaphaṃ, yātaṃ vidāhādamlatāṃ tataḥ| pittamāmāśayātkuryāccyavamānaṃ, cyutaṃ punaḥ| agninā śoṣitaṃ pakvaṃ piṇḍitaṃ kaṭu mārutam" iti|

Sa. taiśca vātādibhiḥ puṃso yathākrameṇāgnirviṣamastīkṣṇo mandaśca bhavet| vātādayaśca samuditā eva śarīrajanane samarthāḥ, ityavaśyaṃ sarvaireva bhavitavyam| iha tu ya ekasya vyapadeśastatrotkarṣo draṣṭavyaḥ| vātotkarṣeṇa viṣamaḥ, pittotkarṣeṇa tīkṣṇaḥ, kaphotkarṣeṇa manda iti| samairhānyutkarṣavarjitaiḥ samaḥ| lakṣaṇameṣāmaṅgavibhāge śārīre vakṣyati (śā. a. 3/74)- yaḥ pacetsamyagevānnamityārabhya yāvaccirātpacediti| yatra tu dvayordoṣayorutkarṣatvaṃ, tatra sadvaidyena svadhiyā kalpyam| yathā, vātapittayorutkarṣe vāyoryogavāhitvāttīkṣṇaḥ| evaṃ vātakaphayorutkarṣe mandaḥ| kaphapittayostūtkarṣe āhāraviśeṣavaśātkadācittīkṣṇaḥ kadācinmanda iti|

Sa. tairvātādibhiḥ, yathākramaṃ krūramṛdumadhyalakṣaṇaḥ koṣṭho bhavati| vātotkarṣeṇa krūraḥ| pittotkarṣeṇa mṛduḥ| kaphotkarṣeṇa madhyaḥ| samaiḥ punaretairhānyutkarṣavarjitairmadhya eva koṣṭhaḥ| krūrādīnāṃ tu lakṣaṇaṃ vamanavirecanavidhau (sū.a.18/34) vakṣyati| nanu samairvātādibhiḥ kathaṃ madhyakoṣṭhatā syāditi| brūmaḥ| samānāṃ vātādīnāṃ madhye dvayorvātapittayoḥ svaṃ svaṃ krūrakoṣṭhatvamṛdukoṣṭhatvalakṣaṇākhyaṃ ca viruddhaṃ karma yugapatkartuṃ na ghaṭate| tṛtīyastu sama eva kaphaḥ| so'nayormadhye madhyamāṃ vṛttimāśritya sthito naikenāpi saha virudhyate| ata eva tatkāryaṃ madhyakoṣṭhatālakṣaṇaṃ te vātapitte niṣeddhuṃ naiva ghaṭete| evaṃ ca tenāvaśyamātmīyaṃ madhyakoṣṭhatālakṣaṇaṃ karma kartavyam, yato vātakarmaṇaḥ krūrakoṣṭhatālakṣaṇasya pittakarmaṇo mṛdukoṣṭhatālakṣaṇasya ca viruddhatvāt| ato madhyakoṣṭhataiva samairvātādibhirnyāyyā| ityāṃstu viśeṣaḥ| pūrvo yo madhyakoṣṭhaḥ so'vaśyaṃ pramāṇādhikena kaphena janyate| madhyaḥ syāttaiḥ samairapīti samagrahaṇaliṅgāt| itarastu madhyakoṣṭhaḥ samadoṣamadhyasthitena samenaiva svapramāṇasthitena śleṣmaṇā bhavatītyanayā rītyā hetubhedādanyatvam| tathā madhyakoṣṭhayorlakṣaṇabhedo'pi dṛśyate| yathā (ca.si.a.1/8)- "śleṣmādhikaśchardayate hyaduḥkhaṃ viricyate mandakaphastu samyak" iti| tadayamatrārthaḥ| śleṣmādhike madhyakoṣṭhe na samyag virecitvaṃ, samakaphe tu madhyakoṣṭhe suvirecitvamiti|

Sa. taiśca vātādibhistisraḥ prakṛtayaḥ pṛthagbhaveyurhīnamadhyottamāḥ| prakṛtiḥ śarīrasvarūpam| śukrārtavasthairiti, śukraṃ piturdvitribindukāvasthaṃ retaḥ| ṛtau bhavamārtavam, māturdvitribindukāvasthaṃ śoṇitam| śukraṃ cārtavaṃ ca śukrārtave, tatra tiṣṭhantīti śukrārtavasthāḥ, taistathāvidhairjanmādau garbhādhānakāle janmaprārambhe garbhādāvityarthaḥ| nanu ca yadā vātādayo'dhikāḥ śukrārtave tiṣṭhanti, tadā kutaḥ śarīrasya niṣpattirbhavatīti| yataśca yo doṣāṇāmadhiko bhāvaḥ saiva vikṛtiḥ| tatkathaṃ doṣā ādhikyaṃ prāptāḥ prakṛteḥ kāraṇatāmutsahante, vikṛtatvāt| na hi vikṛtiḥ kadācitprakṛteḥ kāraṇamiti vaktuṃ yujyate| kāraṇasadṛśena ca kāryeṇa bhavitavyamityāśaṃkya saparihāraṃ dṛṣṭāntamāha| viṣeṇeva viṣakrimeriti| yathā viṣeṇa jīvitanāśahetunāsya viṣakrimerjanma prakṛteḥ sambhavo dṛśyate| tathā etairdūṣaṇasvabhāvairapi pramāṇādhikairdoṣaiḥ śukrārtavasthaireva janmādau śarīrasya niṣpattirbhavatīti| vātotkarṣeṇa hīnā| pittotkarṣeṇa madhyamā| kaphotkarṣeṇottamā| sarvāsu prakṛtiṣu madhye yā samadhātuḥ prakṛtiḥ, sā samā śreṣṭhottamā caturthī| samā dhātavo yasyāḥ| dhātuśabdo'tra doṣaparyāyaḥ, "dhāraṇāddhātavaḥ" iti (saṃ.sū.a.20) vacanāt| yā vātapittajā vātaśleṣmajā pittaśleṣmajā iti miśradoṣajāstisraḥ prakṛtayastā nindyā garhaṇīyāḥ, anārogyāspadatvāt|

Sa. tatreti nirdhāraṇe| tatra teṣu doṣeṣu madhye, anilo vāyuḥ, rūkṣo, laghuḥ, śītaḥ, kharo'mṛduḥ, sūkṣmaḥ srotaḥpracāritvāt, calo gamanaśīlo naikatra tiṣṭhatīti| nanvanuṣṇāśīto vāyuḥ kāṇādaiḥ paṭhitaḥ| ihāpi yogavāhyanujñānādanuṣṇāśīta eveṣyata iti| tathā coktam (ca.ci.a.3/38)- "yogavāhī paraṃ vāyuḥ saṃyogādubhayārthakṛt| dāhakṛttejasā yuktaḥ śītakṛtsomasaṃśrayā" iti| tathā (hṛ.ni.a.2/48)- "pavane yogavāhitvācchītaṃ śleṣmayute bhavet| dāhaḥ pittayute" iti| ucyate| satyametadanuṣṇāśīta eva vāyuḥ| tasya yogavāhitve'pi tāvanmātrāddāhodayācchaityaṃ svābhāvikaṃ na vinaśyati| śītaguṇavyāvarṇane cedaṃ prayojanamuṣṇenāyamupaśāmyatīti pratipattyartham| sasnehamīṣatsnigdham| saśabda īṣadarthe| yathā (ca.sū.a.27/237)- "satiktā yā saśarkarā"| evamīṣatsneho yasya tatsasneham| tīkṣṇaṃ śīghrakāri mandaviparītaṃ sūcīva bhinatti| uṣṇam| laghu| visraṃ durgandhi matsyāmagandhi| saraṃ vyāptiśīlaṃ saraṇaśīlamūrdhvādhaḥ pravartate na sthiramāste, śakṛdvisraṃsi vā| dravaṃ ca| snigdhaguṇayogātsnigdhaḥ| śīto'nuṣṇaḥ| gururlaghurna bhavati| mandaścirakārī, tīkṣṇaviparītaḥ| ślakṣṇo'paruṣaḥ| mṛtsno mṛdyamāno'ṅguligrāhī picchilaguṇayuktaḥ cakacakāyamānaḥ| sthiro'vyāptiśīlaḥ| evaṃ tadguṇayogāt guṇaguṇinorabhedopacārādvātādayo guṇato nirdiṣṭāḥ|

Sa. etaduktaṃ bhavati| dvayoḥ svapramāṇādhikayoḥ kṣīṇayorvā saṃyogaḥ saṃsargaḥ| trayāṇāṃ doṣāṇāṃ vṛddhānāṃ kṣīṇānāṃ vā saṃyogaḥ sannipātaḥ|

Sa. rasādayaḥ sapta dhātusaṃjñāḥ śarīradhāraṇāddhātavaḥ| te ca dūṣyāḥ, vātādibhirdūṣyanta iti dūṣyāḥ| yasmādvātādīnāṃ dūṣaṇasvabhāvatvādyā doṣasaṃjñā, sānvarthasaṃjñā| dūṣayantīti doṣāḥ| ato'vaśyaṃ te dūṣyamapekṣante| karma vinā kartuḥ kriyāyā asambhavāt| kartāraṃ vinā karmaṇo na karmatvam| evaṃ doṣairvinā rasādīnāṃ dūṣyanāma na ghaṭate| tairvinā'pi vātādīnāṃ doṣanāma| tasmātparasparāpekṣatvādanayordūṣyadoṣayordūṣyatvena doṣatvena ca saṃjñālābhaḥ|

Sa. mūtraśakṛdādayo malā ucyante| apicetiśabdād dūṣyāśceti| na kevalaṃ rasādaya eva dūṣyāḥ, yāvanmalāste'pi vātādibhirdūṣyanta iti dūṣyāḥ| evaṃ ca rasādīnāṃ dūṣyasaṃjñā dhātusaṃjñā ca| tathā viṇmūtrādīnāṃ malasaṃjñā dūṣyasaṃjñā ca| iti doṣadhātumalanirdeśena deho vyākhyātaḥ| tathā cottaragranthe (sū.a.11/1)- "doṣadhātumalā mūlaṃ sadā dehasya" iti| tasya ca dehasya yathā santataṃ kenacidupāyena paripālanaṃ niṣpadyate, tamupāyaṃ darśayitumāha-

Sa. sarveṣāṃ doṣadhātumalādīnāṃ śarīrāśritānāṃ, samānaistulyasadbhāvaiḥ, vṛddhiḥ svapramāṇādhikyam| viparītairviśiṣṭatayā vyavasthitaiḥ, viparyayaḥ kṣayaḥ| ayanaṃ ayaḥ gatiḥ, viparītā gatirviparyayo'pacayaḥ| sāmānyaviśeṣairdravyaguṇakarmabhedena triprakāro'dhigacchati| tathā cāhuḥ- "sarveṣāṃ sarvadā vṛddhistulyadravyaguṇakriyaiḥ| bhāvairbhavati bhāvānāṃ viparītairviparyayaḥ"| dravyato yathoktam (saṃ.sū.a.19)- "raktamāpyāyyate raktena, māṃsaṃ māṃsena, medo medasā, asthi taruṇāsthnā, majjā majnā, śukraṃ śukreṇa, tathā garbhaścāmagarbheṇa"| tatra raktena raktamityubhayamapyaudakam| māṃsena māṃsamiti pārthivam| tathā, salilātmakaṃ payastadātmakameva śleṣmāṇamabhivardhayati| tadvatkṣīrajātaṃ ghṛtaṃ śukram| tathā jīvantīkākolyādayaḥ somātmāno dravyaviśeṣāḥ saumyadhātvekakāraṇāni snehabalapuṃstvaujāṃsi| marīcapañcakolabhallātakādayo buddhimedhāgnyādīn saṃvardhayanti| guṇataḥ- cocamocakharjūrāṇi pārthivāni dravyato nirdiṣṭānyapi śleṣmāṇamudakātmakamabhivardhayanti, snigdhaguruśītādiguṇasāmānyāt| karmāpi trividhaṃ kāyavāṅmanovyāpārātmakam| tatra kāyikāni- dhāvanalaṅghanaplavanādīni calatvasāmānyādvāyorvṛddhaye| vācikāni--bhāṣyādhyayanageyādīni, mānasāni-manovyāpārāścintākāmaśokabhayāni, tānyapi manasaḥ kṣobhaṇahetutvādvāyorvṛddhikarāṇi| tathā santāpakṛttvasāmānyātkrodherṣyādi pittasya| svapnālasyaśayyāsukhādīni sthairyasāmānyātkaphasyeti| viparyayastu kṣayāya| yathāha| dravyataḥ (saṃ.sū.a.14, ca.sū.a.25)- "gavedhukānnaṃ karśanīyānām"| tatra vātātmikayā gavedhukayā pārthivānāṃ māṃsādīnāṃ kraśimā kriyate| tathā taijasena kṣāreṇa śleṣmaṇaḥ| guṇato yathā- āranālamaudakaṃ śleṣmāṇaṃ tadviparītairlaghurūkṣoṣṇatīkṣṇaviśadaguṇaiḥ kṣapayati| karmataḥ- nidrālasyasaumanasyāni saparispandaṃ vātamaparispandasvabhāvatayā'pacinvanti| tathā parispandarūpāścintāvyavāyavyāyāmā mandaparispandavaiparītyātkaphamiti|

Sa. svādvādayaḥ ṣaḍrasāḥ, rasanendriyagrāhyatvādrasāḥ| te ca rasā dravyaṃ pañcabhūtātmakamāśritāḥ, yathāpūrvaṃ ca balāvahāḥ| yo yaḥ pūrvo yathāpūrvaṃ, balāvahā balaprāpakāḥ| balamāvahanti prāpayantīti yāvat| tasmātsarvebhyo rasebhyo madhuro rasaḥ prakarṣeṇa dehināṃ balakaraḥ| kaṣāyastu sarvebhyo jaghanyabalāvahaḥ| tatra svādurmadhuro ghṛtaguḍādiḥ| amlo'mlikāmātuluṅgādiḥ| lavaṇaḥ saindhavādiḥ| tikto bhūnimbādiḥ| ūṣaṇaḥ kaṭuko marīcādiḥ| kaṣāyo harītakyādiḥ| svādurmadhuraparyāyaḥ| ūṣaṇaḥ kaṭukaparyāyaḥ| yathā tryūṣaṇaṃ trikaṭukamucyate| kaṣāya eva kaṣāyakaḥ, yathā kaṭureva kaṭukaḥ| ṣaḍiti ṣaḍeva, na nyūnā adhikā vā| yadyapi te rasā guṇāḥ svādvādibhedatastathā saṃsargatastathā'nurasatastāratamyaparikalpanāvaśato'pi bhidyamānarūpā api ṣaṭtvaṃ nātivartante|

Sa. tatra teṣu raseṣu madhye, ādyāstrayaḥ svādvamlalavaṇāḥ, mārutaṃ ghnanti śamayanti| anye tu tiktoṣaṇakaṣāyāstameva cānilaṃ kurvate kopayanti| tiktādayastrayastiktoṣaṇakaṣāyāḥ kaphaṃ ghnanti praśamayanti| anye tu madhurāmlalavaṇāstameva kaphaṃ kurvate| kaṣāyatiktamadhurāḥ pittaṃ ghnanti| anye tvamlalavaṇakaṭukāstadeva pittaṃ kurvate| etenedamuktaṃ bhavati| madhuro vātapittaghnaḥ śleṣmakaraḥ| amlo vātaṃ hanti, kaphapitte tu janayati| lavaṇo mārutaṃ hanti, kaphapitte tu kurute| tiktaḥ kaphapitte nāśayati, vātaṃ tu janayati| ūṣaṇaḥ kaphaṃ nāśayati, vātapitte tu janayati| kaṣāyaḥ kaphapitte hanti, vātaṃ tu karotīti|

Sa. iti anena prakāreṇa śamanādibhedena, tridhā triprakāraṃ, dravyam| anyena prakāreṇa dvidhā athavā anekadhā| itiśabdaḥ prakārārthe'bhihitaḥ| yat kupitān vātādīn doṣān śamayati, tacchamanam| yathā- tailaṃ ghṛtaṃ mākṣikam| tatra tailaṃ snehauṣṇyagauravayogādvātaṃ tadviparītaguṇaṃ śamayati| sarpirmādhuryaśaityamāndyaguṇayogāttadviparītaguṇaṃ pittam| madhu ca raukṣyataikṣṇyakaṣāyayogāttadviparītaguṇaṃ kapham| yadvātādīn doṣān rasādīndhātūn mūtrādīnmalāṃśca kopayati, tatkopanam| yathā- yavakapāṭalabhāṣamatsyāmamūlakasārṣapamandakadadhikilāṭaviruddhamatsyapayaḥ prabhṛti| doṣādīnāṃ malaparyantānāṃ svapramāṇasthitānāṃ sāmyānuvṛttiheturyaddravyaṃ tat svasthebhyo hitam| yacca svāsthyānuvṛttiṃ karoti, ṛtucaryādhyāye sevyatvenoktam| tathā mātrāśitīyādhyāye raktaśāliṣaṣṭikayavagodhūmajāṅgalamāṃsajīvantīśākadivyodakakṣīrādi| tathā yadūrjaskaraṃ rasāyanavājīkaraṇaṃ sarvadā śīlanīyatvena nirdiṣṭam|

Sa. tatra tasmin dravye, vīryaṃ dvividham| viṃśaterguṇānāṃ madhyāddvāvuṣṇaśītau, tadutkarṣādvīryamiti sarvāyurvedaprasiddhau, dvāveva guṇau śītoṣṇau vīryakaraṇahetū| vīryaṃ śaktiḥ| uṣṇaguṇotkarṣa uṣṇaguṇātiśaya eva kaściduṣṇavīryākhyāṃ labhate| tathā śītaguṇotkarṣaḥ śītaguṇātiśaya eva śītavīryākhyām| yadyapi nānātmakamapi dravyaṃ, tathāpyagnīṣomātmakatvājjagato dvidhaiva vīryam|

Sa. vipākastrividhaḥ, sarvadravyāṇāṃ pariṇāmakālabhāvī kāryānumeyo jāṭharāgnisambandhādrasasya svarūpāntaraprādurbhāvaḥ| sa tridhaiva, rasaṣaṭtve'pi na ṣoḍhā| tena kiñcitsvādupākaṃ, kiñcidamlavipākaṃ, kiñcitkaṭuvipākaṃ, dravyam| tatra madhuralavaṇayormadhuro vipākaḥ| amlasyāmlaḥ| tiktakaṭukaṣāyāṇāṃ kaṭukaḥ| sa ca kāryānumeyaḥ| tathā ca vakṣyati (sū.a.9/20)- 'jāṭhareṇāgninā yogādyadudeti rasāntaram| rasānāṃ pariṇāmānte sa vipāka iti smṛtaḥ' iti| ata eva sopasargaḥ pākaśabda upāttaḥ| viśiṣṭaḥ pāko vipākaḥ, na pākamātrasvarūpaḥ| tathā ca bhaṭṭārakacarakamunī (ca.sū.a.26/68)-'raso nipāte dravyāṇāṃ vipākaḥ karmaniṣṭhayā| vīryaṃ yāvadadhīvāsānnipātāccopalabhyate' iti| evaṃ karmaniṣṭhānumita ekarūpāvastho jāṭharāgnisaṃyogādyo rasānāṃ rasāntarodbhavaḥ, sa eva vipākaḥ| na tu yo jāṭharāgnisaṃyogamātrādrasānāmanekāvasthaḥ, prāṅmadhuro'nantaraṃ sa eva pacyamāno'mlastato vipacyamānaḥ sa eva kaṭurvipākaḥ|

Sa. tatra dravye gurvādayo daśa guṇāḥ saviparyayā viṃśatirvejñeyāḥ| eṣāṃ kramādviparītā laghutīkṣṇoṣṇarūkṣakharadravakaṭhinasarasthūlapicchilāḥ| gurustadviparyayo laghuḥ| mandastadviparyayastīkṣṇaḥ| himastadviparyaya uṣṇaḥ| snigdhastadviparyayo rūkṣaḥ| ślakṣṇastadviparyayaḥ kharaḥ| sāndrastadviparyayo dravaḥ| mṛdustadviparyayaḥ kaṭhinaḥ| sthirastadviparyayaḥ saraḥ| sūkṣmastadviparyayaḥ sthūlaḥ| viśadastadviparyayaḥ picchilaḥ|

Sa. kālaḥ śītoṣṇavarṣalakṣaṇastrividhaḥ| arthāḥ śabdasparśarūparasagandhā mahābhūtaguṇāḥ| tathā cāgamaḥ (ca.śā.a.1/29)- "arthāḥ śabdādayo jñeyā gocarā viṣayā guṇāḥ" iti| karma kriyā, kāyavāṅmanaśceṣṭā| kālaścārthaśca karma ca tāni kālārthakarmāṇi, teṣāṃ yogaḥ sambandhaḥ, kālārthakarmaṇāṃ yogaḥ| kimbhūtaḥ, hīnamithyātimātrakastathā samyagyogaśceti| ye kālādīnāṃ yogā hīnamithyātimātrakāḥ, te rogaikakāraṇam| teṣāmeva yaḥ samyagyogaḥ, sa ārogyaikakāraṇaṃ pradhānakāraṇamiti| ekaśabdaḥ pradhānavacanaḥ| yathā- 'ekaḥ pārtho dhanurdharaḥ' iti| kālasya hīnayogaḥ svarūpahāniḥ| mithyāyogaḥ svarūpādvaiparītyam| atiyogaḥ svarūpātiśayaḥ| yathā- hīnaśītatā hīnoṣṇatā hīnavarṣatā hīnayoge| śītakālāvasare'tyauṣṇyamuṣṇakālāvasare śītaṃ varṣākāle'vṛṣṭirmithyāyoge| atiśaityamatyauṣṇyamativarṣaṇamatiyoge| etadyogatrayaṃ rogakāraṇam| samyagyogo yathāsvarūpasthitirārogyakāraṇam| arthānāṃ punaḥ svena svenārthenendriyasya hīnaḥ saṃyogo hīnayogaḥ| puruṣānabhimatādinārthajātenendriyasya yogo mithyāyogaḥ| atyantasaṃyogo'tiyogaḥ| ete trayo rogakāraṇam| yathāsvaṃ samyagyoga ārogyakāraṇam| kāyādikarmaṇo hīnapravṛttirhīnayogaḥ| vegodīraṇādikaṃ sāmibhuktabhāṣaṇādikaṃ rāgadveṣādikaṃ ca yathāsvamuttaratra (sū.a.12/40) vakṣyamāṇaṃ mithyāyogaḥ| atipravṛttiratiyogaḥ| sarveṣāṃ samā pravṛttiḥ samayogaḥ| tena hīnādayo yogāstrayo rogakāraṇam| samyagyogastvārogyakāraṇam|

Sa. doṣāṇāṃ vātādīnāṃ, vaiṣamyaṃ svapramāṇādekasya dvayostrayāṇāṃ vā vṛddhiḥ kṣayo vā, rujākaratvādroga eva| vaiṣamyaṃ viṣamatā svarūpāccyāvaḥ| tataḥ kāryakāraṇayorabhedena paṭhito roga iti| doṣāṇāṃ sāmyaṃ svarūpādapracyutiḥ samabhāvo'rogatā ārogyaṃ, svāsthyamiti yāvat|

Sa. tatra tayo rogārogyayoḥ, rogā dvidhā nijāgantubhedena| nijā vātādidoṣajanmānaḥ| āgantavo bāhyahetavaḥ| tathā cācāryavacanam (saṃ.sū.a.22)- "nijāstridoṣotthāḥ| bāhyahetujāstvāgantavaḥ"| anayoriyānviśeṣaḥ| nije roge vātādayaḥ pūrvaṃ vaiṣamyaṃ gatvā paścādvyathāmabhinirvartayanti| āgantavaḥ punaḥ vyathāpūrvamevotpadyante, anantaraṃ tatra vātādayaḥ kupyantīti| anenobhayasya nijāgantubhedabhinnasya vyādheścetaḥ santāpakatvaṃ boddhavyam|

Sa. teṣāṃ nijāgantukānāṃ vikārāṇāṃ rogāṇāṃ, kāyamanobhedena dvividhamadhiṣṭhānaṃ sthānam| jvarāsrapittakāsādīnāṃ kāyaḥ| madamūrchāsannyāsagrahabhūtonmādāpasmārarāgadveṣādīnāṃ manaḥ| adhitiṣṭhantyasminnityadhiṣṭhānam| kāyaḥ śarīram| manaścetaḥ|

Sa. manaścetaḥ, tasya rajastamasī doṣau, upaplavāvavidyāsambhavau| atra ca prādhānyādādau rajo nikṣiptam| caśabdaḥ pavanādīnāmapyupasaṅgrahārthaḥ| yasmātte'pi manaḥ saṃśritya vikurvate| saṅgrahe hyuktam (u.a.9)- "ṣaḍunmādā bhavanti vātapittakaphasannipātā''dhiviṣanimittāḥ" ityādi| udāhṛtau ityudāharaṇamātramuddeśamātraṃ vacanamātram| atrāyurvedaśāstre, rajastamasorna sākalyena vyākaraṇamanilādīnāmiva| te khalvatra svabhāvasthānādibhiḥ prakārairaśeṣamuktāḥ, na tu rajastamasī|

Sa. rogo'syāstīti rogī vyādhitaḥ, taṃ darśanādibhiḥ parīkṣeta| darśanena dṛṣṭyā, kāsamehādyārteṣu pītaśuklavarṇasaṃsthānapramāṇopacayacchāyāviṇmūtraccharditādikam| sparśanena hastakāyasparśena, jvaragulmavidradhyādyārtam, tathā śītoṣṇastabdhaspandaślakṣṇakharasparśādikaṃ ca| praśnena pṛcchayā, śūlārocakacchardihṛdardatvaṃ succhandaduśchandatvaṃ mṛdukrūrakoṣṭhatāṃ svapnadarśanamabhiprāyaṃ janmāmayapravṛttinakṣatradviṣṭeṣṭasukhaduḥkhāni ca, ityāturamukhātparīkṣeta|

Sa. rogaṃ nidānādibhiḥ pañcabhiḥ parīkṣeta| nidānaṃ kāraṇaṃ heturityanarthāntaram| taccāsannaviprakṛṣṭabhedena dvidhā| āsannamapi dvividham, āsannātyāsannabhedena| āsannaṃ rūkṣalaghuśītādidravyopayogaḥ| atyāsannaṃ tu yataḥ samanantarameva rogotpattiḥ| yathā vātādayo doṣāḥ kruddhāḥ| viprakṛṣṭaṃ yat ādikāle rudrakopādi jvarādīnām| tathā haviḥprāśādi mehakuṣṭhādīnām| tenaivaṃvidhamarthajātamevaṃvidhasya rogasya hetutvenopadiṣṭam, evaṃvidhaścotpanno'to nidānājñjñāyate rogaḥ| prāgrūpaṃ pūrvarūpaṃ bhaviṣyato vyādheraprakāśitadoṣaviśeṣādhiṣṭhitasya lakṣaṇam, udbubhūṣurjvarādirāmayo vātādidoṣaviśeṣeṇāliṅgitarūpābhāso yenāvabhāsyate, yathāyathamalpatvādyadavyaktamasphuṭaṃ liṅgaṃ tatprāgrūpam| lakṣaṇaṃ punastadeva prāgrūpādvilakṣaṇam, yena sakaladoṣaviśeṣāliṅgitaḥ sphuṭaliṅgo vyādhirdṛśyate lakṣyate| upaśayaḥ sukhānubandhyāhārādyupayogaḥ| evaṃvidhenāhārādikena hi tasya pīḍā nābhūt, evaṃvidhena cābhūt, ata upaśayājñjñāyate'yaṃ roga iti| sa vyādhisātmyaḥ svāsthyahetuḥ sukhāvahaḥ| āptirnirvṛttiḥ samprāptirāgatirjātirityanarthāntaram| evaṃ duṣṭenaivaṃ sthānasthitenaivamanugatenānayā kalpanayaivaṃmārgeṇa doṣeṇeti parikalpanam, ata āptyā jñāyate'yaṃ roga iti|

Sa. ihāsminnāyurvedaśāstre, ācāryā dvidhā dviprakāraṃ, deśamāhuḥ kathayanti| bhūmibhedena dehabhedena ca|

Sa. bhūdeśaṃ punastridhā triprakāram, ādiśet vadet| tatra jāṅgalo deśo'lpodakataruparvatatvena vakṣyamāṇalakṣaṇaḥ, vātabhūyiṣṭho vātapracuraḥ| tatra jātā oṣadhikhagapuruṣamṛgādayo vātapradhānā bhavanti| pracurodakavṛkṣo yo nirvāto durlabhātapaḥ so'nūpa iti| sa ca kaphapradhānaḥ| tajjāścauṣadhyādayaḥ snigdhā bhavanti| sādhāraṇaḥ punarubhayalakṣaṇo madhyapatito vyāmiśrarūpaḥ| sa ca samamalo vātādisamadoṣaḥ| atra doṣā eva malaśabdenoktāḥ| vakṣyati hi (saṅgrahe sū.a.20)| "dehasya malinīkaraṇādāhāramalatvācca malāḥ|"

Sa. kālo dvividhaḥ, kṣaṇādilakṣaṇo vyādhyavasthālakṣaṇaśca| bheṣajasyauṣadhasya, yogaṃ karoti| tadarthasampādanasāmarthyaṃ karotītyarthaḥ| bheṣajasya yogo bheṣajayogaḥ, taṃ karoti| kṣaṇādiḥ prasiddhaḥ| ādigrahaṇāllavatruṭimuhūrtayāmāhorātrapakṣamāsartvayanasaṃvatsarāṇāṃ parigrahaḥ| kṣaṇādikālasyodāharaṇam| yathā- "pūrvāhṇe vamanaṃ deyaṃ madhyāhne tu virecanam| madhyāhne kiñcidāvṛtte bastiṃ dadyādvicakṣaṇaḥ||" vyādhyavasthā sāmanirāmamṛdumadhyatīkṣṇatvāttattadyogyauṣadhavisṛṣṭiḥ| yathā (ca,ci.a.3/140 , hṛ.ci.a.1/21)- "laṅghanaṃ svedanaṃ kālo yavāgvastiktako rasaḥ| malānāṃ pācanāni syuryathāvasthaṃ krameṇa vā||" yathā (ca.ci.a.30/287)- "jvare peyāḥ kaṣāyāśca sarpiḥ kṣīraṃ virecanam| tryahaṃ vā ṣaḍahaṃ yuṃjyādvīkṣya doṣabalābalam||" yathā (hṛ.ci.a.1/44)- "mṛdurjvaro laghurdehaścalitāśca malā yadā| acirajvaritasyāpi bheṣajaṃ yojayettadā||" asyāmavasthāyāṃ dattamauṣadhamārogyāya bhavati|

Sa. samāsātsaṃkṣepataḥ, yatkiñcijjagatyauṣadhaṃ sambhavati, tadanekaprakāraṃ sambhavadapi dvairūpyānatikramācchodhanaśamanalakṣaṇāt dvidhetyuktam| ekaṃ śodhanarūpamaparaṃ śamanarūpamiti| śodhanaṃ yat kupitān doṣān bahirniḥsārya rogopaśamanaṃ karoti| śamanaṃ yatsvasthānasthitānāmeva sāmyahetuḥ|

Sa. śarīrajānāṃ vātādīnāṃ, krameṇa yathāsaṃkhyena paripāṭhyoddeśanirdeśena, paramauṣadhaṃ pradhānauṣadhaṃ, bastyādivamanāntaṃ śodhanarūpaṃ, tailādimadhvantaṃ śamanarūpam| tena vātasya bastirgudapraṇidheyasnehakvāthādi paramauṣadham| pittasya vireko mukhapītaṃ gudamārgeṇāntaḥsthitasya doṣasya niḥsāraṇaṃ paramauṣadham| kaphasya vamanaṃ mukhena pītaṃ tenaiva doṣasya niḥsāraṇaṃ paramauṣadham| iti śodhanarūpeṇa doṣāṇāmauṣadham| tailādi tu śamanasvarūpeṇauṣadham| tatheti krameṇaiva| vātasya tailaṃ, pittasya ghṛtaṃ, kaphasya mākṣikaṃ paramauṣadham| pradhānamauṣadhamiti yāvat|

Sa. manodoṣayo rajastamasoḥ, rogavighnakāri dhīdhairyādikaṃ, paramauṣadham| dhīśca dhairyaṃ cātmādivijñānaṃ ca tattathāvidham| tatra dhīrbuddhirbāhyādhyātmikānāṃ bhāvānāṃ hitāhitaparicchedavibhāgakāriṇī| dhairyaṃ dhṛtiścetasaḥ sthiratvamacāpalam, yena pratiṣiddheṣu na pravartate, hiteṣu ca na sīdati| ātmavijñānaṃ yogābhyāsasamādhinā paramātmasvarūpavijñānam| ādigrahaṇājjñānavijñānasmṛtideśakālādīnāṃ parigrahaḥ| manodoṣasamutthakāmādijarogārthaḥ paraśabdo viśeṣaṇatvena nirdiṣṭaḥ|

Sa. cikitsitasya rogopaśamalakṣaṇasya, pādacatuṣṭayamaṅgacatuṣṭayamuktam| pratyekaṃ taccaturguṇamevaṃ ṣoḍaśaguṇaṃ cikitsitaṃ bheṣajaṃ bhiṣajo bhāṣante| bhiṣagvaidyaḥ, tasya prādhānyādagre nirdeśaḥ| tathā cāgamaḥ (carake sū.a.9/10)- "yoktā prayoktā śāstā ca pradhāno bhiṣagatra tu||" tathā saṅgrahe'pi (sū.a.2)- "yadvaidye viguṇe pādā guṇavanto'pyanarthakāḥ| sa pādahīnānapyārtān guṇavān yacca yāpayet|| cikitsāyāstamevātaḥ pradhānaṃ kāraṇaṃ viduḥ|" dravyāṇyauṣadhāni| upasthātā paricārakaḥ| rogī āturaḥ| etatpādacatuṣṭayaṃ nirdiṣṭamācāryeṇa|

Sa. dakṣaḥ- karmaṇi caturaḥ| tīrthādupādhyāyādviditāgamādātto gṛhītaḥ śāstrārtho yena sa tīrthāttaśāstrārthaḥ, "anekamanyapadārthe" iti tṛtīyārthe bahuvrīhiḥ, āgamaprāptaśāstrasvarūpaḥ| bahuśo dṛṣṭaṃ karma yena cikitsālakṣaṇaṃ sa dṛṣṭakarmā-abhyastakarmā śataśaścikitsitarogaḥ| śuciḥ- kāyavāṅmanovyāpārairmalīmasairaparāmṛṣṭaḥ, alipsāvān arthopajīvikāhetorna karoti paraṃ dharmopārjaneneti śuciḥ|

Sa. bahavaḥ kalpāḥ yasmin sambhavanti svarasakvāthacūrṇādyāstadbahukalpaṃ-vyādhīnāṃ nivāraṇakṣamaṃ na tu lavaṇavadekakalpam| taddhi sukhamupayujyate| nānāśaktayo hi sattvāḥ| bahavo guṇā yasya gurumandādayastadbahuguṇam, athavā yadanekarogavināśanasamartham| sampannaṃ-sampattiyuktaṃ, na vipannam, praśastabhūmideśajātādiguṇayuktam| tathā ca granthaḥ (hṛdaye ka.a.1/1)- "dhanve sādhāraṇe deśe same sanmṛttike śucau| śmaśānacaityāyatanaśvabhravalmīkavarjite|" iti| athavā pākasaṃskārādiyuktam| yogyaṃ-dātuṃ yadyatrārhati tacca tatra yogyam| vyādhideśakāladoṣadūṣyadehavayobalādīn jñātvā, yujyate dīyata iti tadyogyaṃ, rogasya rogiṇaśca|

Sa. anurakto-dṛḍhabhakta āturasya| śuciḥ- kāyavāṅmanovyāpārairduṣṭairaparāmṛṣṭaḥ| dakṣaḥ- sarvaceṣṭāsu caturaḥ| buddhimān- viśiṣṭayā buddhyā yuktaḥ, pravīṇa iti yāvat|

Sa. āḍhyo-dhanavān| bhiṣagvaśyo-vaidyāyattaḥ, taduktakārī| jñāpako-nidānāvasthādīnāmāvedakaḥ, vaidyaṃ rogāhāravihārādīnāmanvayavyatirekaṃ bodhayituṃ samarthaḥ| sattvavān-dhairyayuto mohavarjitaḥ, dhairyeṇa prāyaścittavaccikitsāṃ karoti| api samuccaye|

Sa. sarvauṣadhakṣame deha utpanno vyādhiḥ sukhasādhyaḥ sukhopāyaḥ, tathā kālenālpena sādhyate| sarvāṇyauṣadhāni yaḥ kṣamate sahate tīkṣṇmadhyamṛdurūpāṇi nānādeśajāni śamanāni tathā śodhanarūpāṇi tathā viṣakṣārādīni| yūnaḥ- vayasyasya, taruṇasyetyarthaḥ| puṃso- na striyāḥ| puṃgrahaṇaṃ strīnivṛttyartham| yatastasyāḥ sarvadā bhīrutvamabuddhimattvaṃ ca, ato yathoktānurūpaguṇābhāvaḥ| sā tu yasmāttīkṣṇoṣṇauṣadhāni na sahate, saukumāryādiyogāt| jitātmano'lolupasya, jita ātmā yena, viṣayābhilāṣaṃ pariharataḥ| amarmago- na marmasthaḥ, marmāṇi- śirohṛdayabastiprabhṛtīni, teṣu gacchatīti marmagaḥ, na marmago'marmagaḥ, hṛtkaṇṭhādipīḍākaraṇāsamarthaḥ| alpahetvagrarūparūpa iti| hetuścāgrarūpaṃ ca rūpaṃ ca tāni hetvagrarūparūpāṇi, alpāni hetvagrarūparūpāṇi yasya sa tathāvidhaḥ| heturnidānam, agrarūpaṃ- pūrvarūpam, rūpaṃ- lakṣaṇam, etānyalpāni yasya| anupadrava iti| na vidyate upadravo yasya, utpannasya vyādheranantaraṃ jāyate yo'nyo vyādhiḥ, na tallakṣaṇabhūto'pradhānaḥ, na yathāsvalakṣaṇaḥ, tadupakramanirodhakaḥ, sa upadravaḥ| tathā cāgamaḥ- "vyādherupari yo vyādhirbhavatyuttarakālajaḥ| upakramavighātī ca sa hyupadrava ucyate||" iti| atulyadūṣyadeśartuprakṛtiriti| dūṣyaśca deśaśca ṛtuśca prakṛtiśca tā dūṣyadeśartuprakṛtayaḥ, atulyā dūṣyadeśartuprakṛtayo yasya| atulyāḥ- na sadṛśāḥ| yathā- dūṣye medomajjādau, anūpadeśe, śītartau, āturo vātaprakṛtiḥ, tasya kupitaṃ pittaṃ sukhasādhyamiti| atulyadūṣyo yathā- śleṣmaṇā śītena raktamuṣṇaṃ dūṣitam| atulyadeśo vyādhiryathā- anūpadeśe pittasambhūtaḥ| atulyarturyathā- śaradi kaphodbhavaḥ| atulyaprakṛtiryathā- pittaprakṛteḥ śleṣmodbhavo vyādhiḥ| nanvatulyadūṣyadeśartuprakṛtitvādasau kṛcchrasādhyo yāpyo vā prāptaḥ, na sukhasādhyaḥ, anekasukhopakramasādhyatvāt| yato dūṣyādīnāmatulyatvātparasparamanya evopakramaḥ| ekasukhopakramaḥ sukhasādhyo vyādhiḥ| ata eva sādhyayāpyaparityājyā mehāḥ śleṣmapittavātotthāḥ (hṛ.ni.a.10/6)- "samāsamakriyatayā mahātyayatayāpi ca" ityevaṃ nirdiśati| atrocyate| tathāprabhāvatvātpramehākhyasya vyādheḥ, yaduta śleṣmapramehaḥ samakriyatvātsādhyaḥ, pittaprameho viṣamakriyatvādyāpyaḥ, mahātyayatvācca vātapramehaḥ pratyākhyeyaḥ| kiñca tulyadūṣyadeśartuprakṛtitvānmahārambho niṣpratyanīko vyādhirjāyate, ato'sau na sukhasādhyaḥ| kutracidvyādhau tulyadūṣyādirapi sukhasādhyatvena jyāyān| tathā ca granthaḥ- "jvare tulyartudoṣatvaṃ pramehe tulyadūṣyatā| raktagulme purāṇatvaṃ sukhasādhyatvahetavaḥ||" pādasampadīti| bhiṣagādīnāṃ caturṇāṃ pādānāṃ sampatsamṛddhiḥ, tasyāṃ satyāṃ, aṅgacatuṣṭaye paripūrṇe sati| graheṣvanuguṇeṣviti| grahāḥ- sūryādayaḥ, teṣvanuguṇeṣvanukūlarāśisthiteṣu śobhanasthānagateṣu satsu| ekadoṣamārga iti| doṣaśca mārgaśca doṣamārgam, ekaṃ doṣamārgaṃ yasya sa tathoktaḥ| doṣo- vātādiḥ| mārgastrividhaḥ śākhādirvakṣyamāṇo bāhyābhyantaramadhyabhedena| tenaikena vātādīnāmanyatamena doṣeṇa yo jāto na dvābhyāṃ tribhirvā, tathaikenāpi mārgeṇa bāhyena madhyenābhyantareṇa vā jātaḥ| navo- na jaraṭhaḥ, acirotpanna ityarthaḥ| yasmādvatsarātītā vyādhayo'sādhyāḥ| sa tathāvidho vyādhiḥ sukhaḥ- sukhena sādhyate| tathā ca granthaḥ (saṃ.sū.a.2, ca.ni.a.8)- "sukhasādhyaḥ sukhopāyaḥ kālenālpena sādhyate" iti|

Sa. yo gado rogaḥ, śastrādisādhanaḥ śastrādibhiḥ sādhyate, sa kṛcchrasādhyaḥ kṛcchrapratīkāro mahadbhirupāyaiḥ sādhyate tathā cireṇa| tathā ca granthaḥ (saṃ.sū.a.2)- "kṛcchrairupāyaiḥ kṛcchrastu mahadbhiśca cireṇa ca||" ādigrahaṇena kṣārāgnikarmaviṣalepādayo gṛhyante| tathā, saṅkare ca- tataḥ pūrvoktātsādhyaliṅgātsaṅkīrṇatve sati- yo gada uptannaḥ, so'pi kṛcchrasādhyaḥ| caśabdaḥ samuccaye| tatastasmāduktasādhyalakṣaṇādyaḥ saṅkare dvitriviparyaye sati sthitaḥ| tathā ca- yuvā āturaḥ kintu na vijitātmā| vijitātmā vā kintu rogo marmasthānagaḥ| sarvauṣadhakṣame dehe jātaḥ kintu vṛddhaḥ| kadācidyuvā na sarvauṣadhakṣamo dehaḥ| evamanayā diśā sarvamapyūhyam|

Sa. bāhulyena viparyaye sādhyalakṣaṇaviparītatve satyāyuṣo jīvitasya śeṣatvādakṣīṇatvānmārayitumasamarthaḥ, pathyairāhāravihārairyāpyo yāpanīyaḥ, nāsau pratyākhyeyaḥ| etāvānevāsya pratyākhyeyādvyādherviśeṣo yadāyuḥśeṣatvaṃ, yāpyasya vyādherāyuḥśeṣamātraṃ varjayitvā yadanyattatsarvaṃ samānaṃ prāyeṇāsya ca pratyākhyeyasya vyādheḥ| kasya viparyaye sati ? prakṛtatvātsukhasādhyasya| pathyairāhāravihārairabhyasanamabhyāsaḥ punaḥ punaḥ karaṇam, tasmāddhitāhāravihārasevanādyāpyaḥ| sa ca cikitsāyāmalpaṃ sukhaṃ dattvā punaḥ so'lpenaiva hetunā pratanyate| tathā ca granthaḥ (saṃ.sū.a.2)- "dattvālpaṃ sukhamalpena hetunā sa pratanyate| yāti nāśeṣatāṃ rogaḥ karmajo niyatāyuṣaḥ| prapatanniva viṣkambhairdhāryate'trāturo hitaiḥ"|

Sa. na vidyata upakramaḥ pratīkāro yasya so'nupakramo'cikitsyaḥ, pratyākhyeya iti yāvat| ko'sāvanupakramaḥ ? yo'tyantaviparyaye sthitaḥ| yo gado'rthādyāpyalakṣaṇādavaśiṣṭāyuḥ śeṣarūpādatyantaviparyaye sthitaḥ, sarvakriyāpathātikrāntaḥ, majjaśukrādigambhīradhātugataḥ, marmasandhisamāśritaḥ, so'nupakrama evācikitsyaḥ, sādhayitumaśakyatvāt| tathautsukyādikṛditi| autsukyaṃ ca mohaścāratiśca tāḥ karotītyautsukyamohāratikṛt| autsukyaṃ viṣayotkaṇṭhā, moho- vaicityaṃ cittanāśo'jñānam, aratirasukhaṃ na kutracidavasthitiḥ sthānāsanādiṣvanirvṛtiścetasaḥ, etāvato yaḥ karoti so'nupakramaḥ| tathā dṛṣṭariṣṭa iti| dṛṣṭaṃ riṣṭaṃ maraṇakhyāpakaṃ cihnaṃ yasmin sa dṛṣṭariṣṭaḥ, dṛṣṭamaraṇakhyāpakalakṣaṇo'nupakrama eva| tathā'kṣanāśana iti| akṣāṇīndriyāṇyucyante| cakṣurādīnyapi nāśayati so'kṣanāśanaḥ, indriyoparodhī rogo'nupakramo yaḥ śīghramindriyavighātakṛt| evaṃ purā parīkṣya vyādhicikitsāmārabheta| anyathā'vaśyaṃ svārthādihānimavāpnuyādvaidyaḥ| tathā ca granthaḥ (saṃ.sū.a.2)- "vyādhiṃ purā parīkṣyaivamārabheta tataḥ kriyām| svārthavidyāyaśohānimanyathā dhruvamāpnuyāt" iti|

Sa. evaṃvidhamārtamāturamupakramyamapi tyajetpariharet| bhiṣagbhūpairdviṣṭaṃ- bhiṣagbhistathā bhūpai rājabhirdviṣṭam, vaidyā rājānaśca yaṃ dviṣanti| tathā, teṣāṃ dviṣaṃ-śatruṃ, bhiṣagbhūpānyo dveṣṭi, tamapi tyajet| dviṣṭaṃ-śatruṃ cātmanaḥ| hīnopakaraṇamiti upakaraṇavikalaṃ hīnacikitsāṅgam| vyagraṃ- kāryabahulamanyakāryāpekṣiṇaṃ kāryāntarāsaktacetasam| avidheyaṃ- bhiṣajaḥ, tadājñāṃ yo na karoti, tamapi tyajet| gatāyuṣaṃ- parikṣīṇajīvitam| caṇḍaṃ- sahasāpakārakaraṇabuddhiṃ krūrakarmāṇam| śokāturaṃ- stryādivirahotthena śokena śucārtam| bhīruṃ- sabhayam| kṛtaghnaṃ- yaḥ kṛtopakāro'pyapakāraṃ karoti| vaidyamāninaṃ- avaidyo'pi yo vaidyamivātmānaṃ manyate svamatenaivauṣadhaṃ karoti mūḍhaḥ, tamapi tyajet|

Sa. asya- aṣṭāṅgahṛdayākhyasya, tantrasya- tantryante dhāryante'nenāyurvedārthā iti tantram tasya, adhyāyasaṅgrahaḥ- adhyāyānāṃ saṅgrahaḥ saṃkṣepa ekatra rāśīkaraṇam, ataḥ paraṃ- asmādūrdhvam, sukhasmaraṇāya mayā vakṣyate| ime pūrvoktāstriṃśadadhyāyāḥ, sūtrasthānamuktam| āyuṣkāmaśca dinartvīhe ca rogānutpādanaṃ ca dravaśceti dvandvaḥ| īhā caryā ceṣṭetyeko'rthaḥ| tena āyuṣkāmīyo dinacaryā ṛtucaryā rogānutpādanīyo dravadravyavijñānīyo'nnasvarūpavijñānīyo'nnasaṃrakṣā mātrāśitīyo dravyādivijñānīyo rasabhedīyo doṣādivijñānīyo doṣabhedīyo doṣopakramaṇīyo dvividhopakramaṇīyaḥ śodhanādigaṇasaṅgrahaḥ snehavidhiḥ svedavidhirvamanavirecanavidhirbastividhirnasyavidhirdhūmavidhirgaṇḍūṣādividhi rāścotanāñjanavidhistarpaṇapuṭapākavidhiryantravidhiḥ śastravidhiḥ śirāvyadhavidhiḥ śalyāharaṇavidhiḥ śastrakarmavidhiḥ kṣārāgnikarmavidhiḥ| sūcanātsūtram, sūcyate'nena sakalatantrārtha iti sūtrasthānam, sakalasya tantrasya śiraḥsthānīyam|

Sa. śārīraṃ śārīrasthānamucyate| kiṃsthānamadhyāyasaṅgrahaḥ| ke punaste ? tānāha| tatra garbhāvakrāntiśārīram| tasya vyāpat tadvyāpat , tasyeti garbhaparāmarśaḥ, garbhavyāpacchārīram| aṅgavibhāgaṃ śārīram| marmavibhāgaṃ śārīram| vikṛtivijñānīyaṃ śārīram| dūtādivijñānīyaṃ śārīram| evamete ṣaḍadhyāyāḥ, śārīrasthānam|

Sa. sarvaroganidānam| jvaranidānam| raktapittakāsanidānam| śvāsahikkānidānam| rājayakṣmādinidānam| madātyayādinidānam| arśonidānam| atīsāragrahaṇīdoṣanidānam| mūtrāghātanidānam| pramehanidānam| vidradhivṛddhigulmanidānam| udaranidānam| pāṇḍuśophavisarpanidānam| kuṣṭhaśvitrakṛminidānam| vātavyādhinidānam| vātaśoṇitanidānam| ityevaṃ ṣoḍaśādhyāyāḥ, nidānasthānam|

Sa. cikitsitasthānaṃ dvāviṃśatiradhyāyāḥ| jvaracikitsitam| raktapittacikitsitam| kāsacikitsitam| śvāsahikkācikitsitam| rājayakṣmacikitsitam| chardihṛdrogatṛṣṇācikitsitam| madātyayacikitsitam| arśaścikitsitam| atīsāracikitsitam| grahaṇīdoṣacikitsitam| mūtrāghātacikitsitam| pramehacikitsitam| vidradhivṛddhicikitsitam| gulmacikitsitam| udaracikitsitam| pāṇḍurogacikitsitam| śvayathucikitsitam| visarpacikitsitam| kuṣṭhacikitsitam| śvitrakṛmicikitsitam| vātavyādhicikitsitam| vātaśoṇitacikitsitam| ime dvāviṃśatiradhyāyāścikitsitasthānam|

Sa. ata ūrdhvaṃ kalpasthānam| atra kalpe vamanakalpaḥ| virecanakalpaḥ| vamanavirecanavyāpatsiddhiḥ| bastikalpaḥ| bastivyāpatsiddhiḥ| ṣaṣṭho bheṣajakalpaḥ| ityevaṃ ṣaḍadhyāyāḥ, kalpasiddhisthānam|

Sa. ata uttaraṃ, ato'smātkalpasiddhisthānādūrdhvamuttaratantram| bālopacaraṇīyaḥ| bālāmayapratiṣedhaḥ| bālagrahapratiṣedhaḥ| bhūtavijñānīyaḥ| bhūtapratiṣedhaḥ| unmādapratiṣedhaḥ| apasmārapratiṣedhaḥ| vartmarogavijñānīyaḥ| vartmarogapratiṣedhaḥ| sandhisitāsitarogavijñānīyaḥ| timirapratiṣedhaḥ| liṅganāśapratiṣedhaḥ| sarvākṣirogavijñānīyaḥ| sarvākṣirogapratiṣedhaḥ| karṇarogavijñānīyaḥ| karṇarogapratiṣedhaḥ| nāsārogavijñānīyaḥ| nāsārogapratiṣedhaḥ| mukharogavijñānīyaḥ| mukharogapratiṣedhaḥ| śirorogavijñānīyaḥ| śirorogapratiṣedhaḥ| vraṇavijñānīyapratiṣedhaḥ| sadyovraṇapratiṣedhaḥ| bhaṅgapratiṣedhaḥ| bhagandarapratiṣedhaḥ| granthyarbudaślīpadādivijñānīyaḥ| granthyarbudādipratiṣedhaḥ| kṣudrarogavijñānīyaḥ| kṣudrarogapratiṣedhaḥ| guhyarogavijñānīyaḥ| guhyarogapratiṣedhaḥ| viṣapratiṣedhaḥ| sarvaviṣapratiṣedhaḥ| kīṭalūtādiviṣapratiṣedhaḥ| mūṣikālarkaviṣapratiṣedhaḥ| rasāyanādhyāyaḥ| vājīkaraṇādhyāya iti| evamete catvāriṃśadadhyāyā uttaratantram| taditi bālasya parāmarśaḥ| dvau dvāviti vartmani dvau, sandhau dvau, yathāsaṃkhyena| traya iti dṛktamoliṅganāśeṣu pratyekamekaikaḥ| granthyādikṣudrarogaguhyarogeṣu pṛthagdvayaṃ pratyekaṃ dvau dvau| anapatyānāmaprajānāṃ puṃsāṃ catvāriṃśo'dhyāyo bījapoṣaṇaḥ śukravṛddhiheturiti| ityevamanena prakāreṇa, saviṃśamadhyāyaśataṃ ṣaḍbhiḥ sthānaiḥ sūtraśārīranidānacikitsākalpasiddhyuttaratantrairudīritamiti bhadram| iti śrīmṛgāṅkadattaputraśrīmadaruṇadattaviracitāyāmaṣṭāṅgahṛdayaṭīkāyāṃ sarvāṅgasundarākhyāyāṃ sūtrasthāna āyuṣkāmīyo'dhyāyaḥ prathamaḥ|| 1||