2. sadyovraṇacikitsitam

athāta ityādi||1-2||

gurupūrvakramaṃ nirdiśannāha- dhanvantarirityādi| dharmabhṛtāmanyeṣāmapi rājarṣīṇāṃ madhye variṣṭhaḥ pradhānatamaḥ| vāgviśārada iti arthavatīṃ salakṣaṇāṃ hṛdayagrāhiṇīmapunaruktāṃ vācaṃ vadatīti vāgviśāradaḥ| anvaśāt śikṣitavān||3||

vraṇākṛtimātre viśeṣahetuṃ nirdiśannāha- nānādhārāmukhairityādi| nānāsthānāni dehasthānāni, teṣu nipātitairnikṣiptairityarthaḥ| anena ślokena nānāprakāraśastradhārā, nānāprakāraśastramukhāni, nānāprakāradehasthānāni ceti trīṇi vraṇākṛtikāraṇānyuktāni||4||

idānīṃ vraṇākṛtimāha- āyatā ityādi| caturasrāścatuṣkoṇāḥ| tryasrāstrikoṇāḥ| maṇḍalino vartulāḥ| viśālā vistīrṇāḥ| kuṭilā vakrāḥ| svayaṃ bhinnāḥ svayaṃ pakvabhinnā ityarthaḥ| na tu vaidyanimittajāḥ teṣāmāyataviśālasamapravibhaktalakṣaṇā ākṛtayo vraṇaguṇatvenaivoktāḥ, yatastā ākṛtīrbhiṣajaḥ pradeśaviśeṣa eva kurvanti||5-6||-

vraṇākṛtijñānaphalamāha ³ - bhiṣagvraṇākṛtijña ityādi| durdarśarūpeṣu gośṛṅgavadudgatamāṃsaprarohādiṣu||7||-

āgantuvraṇākṛtimāha- anekākṛtirityādi||8||-

tadeva ṣaḍvidhatvamāha- chinnamityādi| chinnaṃ bhinnaṃ ca sadhāreṇa śastreṇa, viddhaṃ punaraṇumukhena śastreṇa, kṣatādīni tu pāṣāṇalaguḍādibhirapi syuḥ||9||-

teṣāṃ pratyekaṃ lakṣaṇamāha- tiraścīna ityādi| tiraścīnaḥ tiryagvyavasthita ityarthaḥ; ṛjuravakraḥ; anayordvayorapi āyata iti viśeṣaṇam| gātrapātanaṃ śastrādiprahāreṇa hastādipātanaṃ, cakārādapātanaṃ ca kiñcicchinnamātram||10||-

bhinnamāha- kuntetyādi| śaktistrimukhī, ṛṣṭiḥ śarbalā, viṣāṇaṃ śṛṅgam; agraśabdaḥ kuntādibhiḥ pratyekaṃ sambadhyate| āśaya āmādisthānam| kiñcit sravediti kimapyanirdiṣṭamityarthaḥ| tatrodaraṃ yakṛt plīhā ca raktaṃ, bastirmūtraṃ, purīṣāśayaḥ purīṣamiti||11||-

ke punarāśayā ityāha- sthānānyāmāgnipakvānāmityādi| sthānaśabda āmādibhiḥ pratyekamabhisambadhyate||12||-

tasminnityādi| tasmin koṣṭhe ityarthaḥ| raktapūrṇa iti sarvatraiva raktasya vidyamānatvāt| atrādho nābhe raktaṃ gudamūtramārgābhyāṃ pravartate, nābherūrdhvaṃ mukhaghrāṇābhyāmiti| abhaktacchando bhojanānabhilāṣaḥ| viḍādisaṅgaḥ purīṣādinirodhaḥ| svedāsrāvaḥ svedasrutiḥ| lohagandhitvaṃ lohagandhibhāvo mukhasya||13-15||-

viśeṣamityādi| pakvāśayagate pakvāśayasthe, ‘rudhire’ iti śeṣaḥ| khebhyaḥ srotobhyaḥ||16-17||-

abhinne ityādi| kathamabhinne'pyantrāśaye raktenāntrapūraṇaṃ yujyata ityāha- pihitāsya ityādi| yathā pihitāsye ācchāditamukhe ghaṭe sūkṣmaiḥ khai randhrairudakapūraṇaṃ lakṣyata ityarthaḥ| tasya cāntrāśayasya, gauravaṃ ‘bhavati’ iti śeṣaḥ||18||-

viddhalakṣaṇamāha- sūkṣmāsyetyādi| āśayādvineti āśayam āmādisthānam| uttuṇḍitam unnamitamukhaṃ, nirgataṃ nirgataśalyam||19||-

kṣatalakṣaṇamāha- nāticchinnamityādi| nāticchinnaṃ nātyarthadvidhābhūtam| nātibhinnaṃ nātyarthavidīrṇam| ubhayoriti cchinnabhinnayorityarthaḥ| viṣamaṃ vraṇamiti vraṇasya vaiṣamyaṃ nimnonnatatvaṃ, na tu kṛcchrasādhyatvam||20||-

piccitalakṣaṇamāha- prahāretyādi| prahāro mudgarādyabhighātaḥ, pīḍanaṃ kapāṭādiyantreṇa| pṛthutāṃ vistīrṇatāṃ gatamiti| sāsthi asthiyuktam| majjaraktapariplutamiti majjaraktābhivyāptamityarthaḥ||21||-

ghṛṣṭalakṣaṇamāha- vigatatvagityādi| vigatatvak tvagrahitam| saṅgharṣād dravyāntareṇa saṅgharṣaṇāt| anyathā anyena prakāreṇetyarthaḥ| ‘anyathā'pi vā’ ityasya sthāne kecit ‘anyajādapi’ iti paṭhanti, tatrānyajāt saṅgharṣāt dravyāntarajāt saṅgharṣaṇādityarthaḥ| uṣā dāhaviśeṣaḥ||22||-

lakṣaṇaiḥ ṣaṅvidhaṃ sadyovraṇaṃ nirdiśyedānīṃ caturṣu chinnādiṣu cikitsāmāha- chinne ityādi| tatseko vihita iti koṣṇasnehaseka ityarthaḥ| veśavārairnirasthisvinnasnigdhapiṣṭamāṃsaiḥ| kṛśarā tilataṇḍumāṣakṛtā yavāgūḥ| upanāhanaṃ bandhanam| dhānyasvedānityādi dhānyasvedo māṣādikoṣṇadhānyasveda ityeke; anye tu dhānyaṃ dhānyāmlam, amlaśabdottarapadalopena| ālepanaśabdo lepane| snehapānamūrdhvanābhijeṣu vraṇeṣu, nābheradhogateṣu bastiriti||23-25||-

idānīṃ piccitaghṛṣṭayorasrutaśoṇitatvena samānadharmaṇorekameva cikitsitamāha- piccita ityādi| agacchati asravati sati| tasmin rudhire| bhṛśam atyartham| anye tu ‘śītamālepanaṃ kāryaṃ pariṣekaśca śītalaḥ’- ityasya sthāne ‘śītamālepanaṃ sekaḥ śuddhī raktavimokṣaṇam’ iti paṭhanti| śuddhirvamanādiḥ; tatrordhvanābhijeṣu vamanaṃ, dāhottare madhyakāyaje recanam, adhonābhijeṣu punarāsthāpanaṃ, styānarakteṣu raktamokṣaṇam||26-27||-

uktamevopasaṃharannāha- ṣaṭsveteṣvityādi| samarpitaṃ samyagarpitam| jñeyaṃ jñātavyam||28||-

atha mūrdhādyavayavāśrayaṃ cikitsāviśeṣamāha- ata ūrdhvamityādi| vivṛtā vyāttamukhāḥ| śiraḥpārśvāvalambino mastakapārśvāvalambanaśīlāḥ, anye tu śiro'valambinastathā pārśvāvalambinaścetyevaṃ vyākhyānayanti| vidhinoktena ṛjugranthisevanādinā sīvyedityarthaḥ||29-30||

karṇamityādi| sthānādapahṛtaṃ niḥśeṣataśchinnam| tailena vātaghnauṣadhasiddhena| kṛkāṭikānte grīvāyāḥ paścāt kṛkāṭikāparyante| gacchatyapi samīraṇe iti vāte nirvahatyapi sīvyedityarthaḥ, ‘asādhyā vāyunirvāhiṇa’ (sū. 23) ityasyāyamapavādaḥ| samyaṅniveśya yathāsthānaṃ sthāpayitvā| uttāno'nnaṃ samaśnīyāditi tathaiva kṛkāṭikāyāḥ susthitatvāt; annamityupalakṣaṇaṃ, tena śayanamūtrapurīṣotsargādi cottānasyaiveti| śayīta ca suyantrita iti yathā kṛkāṭikā sthirā bhavati||31-33||

śākhāsu patitānityādi| śākhāsu catasṛṣu| samyaṅniveśyetyādi āśu sandhyasthīni samyaṅniveśya yathāsthānaṃ sthāpayitvā sīvyet| anupūrvaśa iti anuśabdaḥ sadṛśārthaḥ; tena pūrvasadṛśena| vellitakeneti ‘bandhena’ iti śeṣaḥ||34-35||

pṛṣṭhe ityādi| uttānaṃ śāyayediti doṣasrutyartham, anyathā'nirgacchan antaravasthito doṣa utsaṅgaṃ kṛtvā vikaroti; anyatheti adhomukhamityarthaḥ| uktaṃ ca- “urovraṇī uttānaśayyāṃ pariharet, pṛṣṭhavraṇī tu stanoro'vaṣṭabhya, doṣastvanyathā na prasicyate, anirgacchan vikārānutpādayati”- iti jejjaṭaḥ| gayī tu “pṛṣṭhe vraṇo yasya bhavedanuttānaḥ śayīta saḥ| ato'nyathā corasije śayīta puruṣo vraṇe”- iti paṭhati, vyākhyānayati ca- anuttāno'vāṅmukho'dhomukhaḥ śayīta, urasijeṣu vraṇeṣvanyathā uttāna eva śayīteti||36||

śākhānāṃ niḥśeṣacchede vidhānāntaramāha- chinnāmityādi| kośabandhena sthagikābandhena| prāptaṃ yuktam| ropaṇamiti śodhanasyāgninaiva kṛtatvāt||37||

asya ropaṇārthaṃ tailamāha- candanamityādi| payo dugdhaṃ, syāt bhavet, taccaturguṇamānam| nanu saṅkhyeyanirdeśādeva saṅkhyāsiddhāvaṣṭamagrahaṇaṃ kimartham? ucyate- nātra pāko jaleneṣyate, payasaiva pākaṃ manyate; anye tvaṣṭamagrahaṇenāṣṭāṅgasañjñakamidaṃ tailamiti kathayanti ⁸||38||-

asya ropaṇārthaṃ dvitīyaṃ candanāditailamāha- candanamityādi| karkaṭākhyā karkaṭaśṛṅgī| sahe māṣaparṇī mudgaparṇī ca| amṛtā guḍūcī| hareṇavaḥ kalāyāḥ| mṛṇālam uśīram| utpalaṃ nīlotpalam| trivṛtamiti tribhirghṛtavasāmajjabhirvṛtaṃ tailaṃ trivṛtam| etat trayodaśāṅgaṃ tailam| payasā kṣīreṇa caturguṇena pakvam| vāśabdaḥ pūrvoktatailāpekṣayā| ‘māṃsyāhvayā’ ityasya sthāne ‘somāhvayā’ iti kecit paṭhanti; somāhvayā trisandhikā, ‘somalatā’ ityapare| gayī tu majjavarjaṃ trayaḥ snehāstrivṛtamityāha, tanmate trivṛtaṃ payasā vipakvaṃ vraṇaropaṇamiti vyākhyānam||39-40||-

ata ūrdhvamityādi| yadyapi āśayaviṣaye bhinnalakṣaṇaṃ prāguktaṃ, tathā'pi netramapyāśaya eva vyavahartavyamata āha- bhinnaṃ netramityādi| akarmaṇyam avalokanādisvakarmaṇo'sampādakam; anye tu, akarmaṇyamasādhyamāhuḥ| taccābhinnaṃ karmaṇyaṃ ca sādhyaṃ cikitsitavyam| niveśya sthāpayitvā| avyāviddhasiram anākulitasiram; anye tu ‘avyāviddhaśiraṃ’ iti paṭhitvā akuṭilamastakamiti vyākhyānayanti| pāṇinā hastena| padmapatrāṇāmantaratvamūṣmatvavyudāsārthaṃ mārdavārthaṃ ca| tato madhusarpirdānānantaraṃ tarpaṇaṃ pūraṇaṃ kāryam| anena vakṣyamāṇenetyarthaḥ| anye tu ‘anena’ ityasya sthāne ‘ājena’ iti paṭhanti||41-43||

tadevājaṃ ghṛtamutpādayannāha- ājaṃ ghṛtamityādi| ajāghṛtaṃ madhukādibhiḥ samāṃśaṃ piṣṭvā sarpirgavyaṃ kṣīrapātraṃ kṣīrāḍhakaṃ dattvā vipācayet| nanu cājaghṛtasya kiṃ peṣaṇena? ucyate- yathāsambhavaṃ peṣaṇaṃ kāryam| dravyasamatvamatrābhidhīyate yathā'nyeṣu yogeṣvarkakṣīrādīnāṃ; tataśca pañcadravyāṇi yathā mātrayā'ṣṭau palāni bhavanti tathā mātrāṃ parikalpya ghṛtasya prasthaṃ kṣīrāḍhakamāvāpya vipacedityeṣa śāstravṛddhavyavahāraḥ| anye tu ājaṃ ghṛtaṃ gavyaṃ ca tulyaṃ kṛtvā madhukādikalkena pacet, śeṣaṃ pūrvavat; naivam, vṛddhā āḍhakaśabdena dravadravyasya dviguṇatayā paribhāṣitatvādaṣṭāviṃśatyadhikapalaśataṃ gṛhṇanti| piṣṭvā sarpirvipācayediti sarpiriti ca sarpiṣo dviruccāraṇaṃ niyamārthaṃ; tena, anenaiva ghṛtena tarpaṇaṃ nasyaṃ ca praśastaṃ na tvanyeneti| gayī tu, “ajāghṛtasya prasthaṃ, kṣīrasya punarāḍhakaṃ, madhukādīni catvāri dvipalikānyaṣṭapalatvena ghṛtasya pādikāni” ityāha||44||-

udarabhedacikitsitamāha- udarādityādi| kaṣāyabhasmamṛtkīrṇāṃ ‘tāṃ vartim’ iti śeṣaḥ; kaṣāyāḥ sarjakārjunādayaḥ, teṣāṃ bhasma kṣāraḥ ⁹, mṛt kṛṣṇamṛt, kīrṇāṃ guṇḍitām ¹⁰; anye tu ‘kaṣāyacūrṇamṛtkīrṇām’ iti paṭhanti| baddhveti mūlamiti ¹¹ śeṣaḥ| sūtravit śāstravit| agnitaptena śastreṇa chindyāt, anyathā ataptaśastracchedane pākabhayaṃ syāt| sā punaḥ kṣataṃ yadā praveśyamānā na praviśati praviṣṭā vā nāvatiṣṭhate tadā tasyāśchedaḥ| citrā eraṇḍaḥ, dantītyanye| kalpanā ceyaṃ- kṣīrasya yaṣṭimadhukvathitasya saśarkarairaṇḍatailaprakṣepasya pānamityeko yogaḥ, śvadaṃṣṭrākvathitaṃ kṣīraṃ salākṣācitrātilatailaprakṣepaṃ pīyata iti dvitīyo yogaḥ| vāśabdāt kecidekameva yogamāmananti, tathā ca vṛddhavāgbhaṭaḥ- “sakṣaudre ca vraṇe baddhe sujīrṇe'nne ghṛtaṃ pibet| kṣīraṃ vā śarkarācitrālākṣāgokṣurakaiḥ śṛtam|| rugdāhajit sayaṣṭyāhvaiḥ paraṃ pūrvodito vidhiḥ” (a. saṃ. u. 31) iti| kṣīrapākavidhirayaṃ- “dravyādaṣṭaguṇaṃ kṣīraṃ kṣīrāttoyaṃ caturguṇam| kṣīrāvaśeṣaḥ kartavyaḥ kṣīrapāke tvayaṃ vidhiḥ”- iti| pratidinaṃ kṣīracatuṣpalaṃ peyaṃ, śarkarairaṇḍatailaṃ tu pratyekaṃ kārṣikam; evaṃ dvitīyayoge'pi| rujādāhavināśanamiti payaḥ- pānamiti sambandhaḥ| medovarteracchede phalamāha- āṭopa ityādi| acchidyamānayā akṛttamānayā| medogranthau tu yattailamiti “dvikarañja” (ci. 18) ityādikam||45-49||

medovartipratyāsattyā jaṭharagataśalyalakṣaṇamāha- tvaco'tītyetyādi| tvaco'tītya tvaco'tikramya, tvacaḥ sapta; sirādīni sirāmāṃsasnāyusandhyasthīni| sirācchedaliṅgaṃ tu “surendragopapratimaṃ” (sū. 25) ityādi pūrvamuktam| pratiṣṭhitam avasthitam| uktānupadravāniti praṇaṣṭaśalyavijñānīye “koṣṭhagate tvāṭopānāhavidradhyādīn” (sū. 26) iti||50||

koṣṭhagataśalyasyāsādhyasya lakṣaṇamāha- tatrāntarlohitamityādi| antarlohitaṃ koṣṭhamadhyapatitarudhiramityarthaḥ| pāṇḍuṃ śvetam| śītapādakarānanaṃ śītacaraṇahastamukham| ānaddhaṃ svamārgādapravartamānadoṣamalam| evaṃvidhaṃ śalyavantaṃ pumāṃsaṃ vivarjayet pariharedityarthaḥ||51||

sādhyasya cikitsitamāha- āmāśayasthe ityādi| pakvāśayasthe pittāśayasthe ityarthaḥ| vātāśayasthe punarāsthāpanameva; āsthāpanaṃ nirūhaḥ| uṣṇairviśodhanairgomūtrādibhirāsthāpanaṃ kāryamiti sambandhaḥ| viśuddhasya raktānulomanamannamāha- yavakoletyādi| aniḥsrutaraktasya ¹² cikitsāmabhidhāyātiniḥsrutaraktasya cikitsāṃ nirdiśannāha- atiniḥsrutetyādi| pibedasṛgiti jīvitānubandhanārtham||52-54||

bhinnakoṣṭhasya sādhyasya lakṣaṇamāha- svamārgetyādi| vyupadravaḥ vigatā upadravā yasya saḥ, upadravā jvarādhmānādayaḥ||55||

idānīṃ koṣṭhagatāntrabhedamāha- abhinnetyādi| nānyatheti yathaiva sthitāni tathaiva praveśyāni tenaiva prakāreṇetyarthaḥ| apare tvanyathā vyākhyānayanti, yathā- abhinnādanyathā aparaprakāraṃ bhinnamantraṃ praveśyaṃ na bhavet; tathāca vṛddhavāgbhaṭaḥ- “abhinnamantraṃ niṣkrāntaṃ praveśyaṃ nahyato'nyathā” (a. saṃ. u. 32)- iti| bhinnamapi matāntareṇa praveśyamiti nirdiśannāha- pipīlikāśirograstamityādi| tadapi bhinnamapi, antraṃ praveśyamiti sambandhaḥ| pipīlikāśirograstamityanena pipīlikāvadanasandaṃśasaṃhite antre tāsāṃ kabandhacchedaḥ kārya iti vyākhyānayanti ¹⁵| gayī tu ‘alāṅgulaśirograstam’ iti paṭhati; tatra alāṅgulaḥ sthūlapipīlikaḥ| prakṣālyetyādi| payasā kṣīreṇa, digdhaṃ guṇḍitaṃ, āvṛtamityarthaḥ ¹⁶| pāṃśuḥ dhūliḥ| kṛttanakhaḥ chinnanakhaḥ| praviṣṭe'ntre svasthānanayanārthamantrasyopāyatrayamāha- aṅgulyetyādi| abhimṛśet spṛśet| udvejayet trāsayet| samutthāpya ¹⁷ ūrdhvaṃ nītvā antrabhedavantaṃ puruṣaṃ mahābalāḥ puruṣāstathā nirdhunuyuryathā'ntrasyāntaḥpraveśo bhavatīti sambandhaḥ; nirdhunuyuḥ āloḍayeyurityarthaḥ ¹⁸| ebhiḥ prayogaiḥ kiṃ bhavatītyāha- tathā'ntrāṇītyādi| (antrāṇi yathā'ntaḥ viśanti tathā) svāṃ kalāṃ pīḍayanti svakīyā kalā pañcamī maladharā tāṃ pīḍayanti svasthānaṃ nirviśantītyarthaḥ| duḥpraveśasya cikitsāmāha- vraṇālpatvādityādi| vraṇālpatvāt vraṇasūkṣmatvāt, bahutvād vraṇasya bahulatvāt, tatra vipulatve sati sa vraṇaḥ sīvyaḥ| kecidbahutvādityantraviśeṣaṇamaṅgīkṛtya vraṇasūkṣmatve antrabahutve cobhayatrāpi pāṭanapūrvaṃ praveśaṃ manyante; tacca pāṭanaṃ yāvatā'ntraṃ praviśati tāvat kāryam| atandritaḥ analasaḥ| svasthāne'niviṣṭaṃ vyākulitaṃ cāntraṃ kiṃ karotītyāha- sthānādapetamityādi| apetam apagatam| prāṇānādatte gṛhṇāti mārayatītyarthaḥ| gupitaṃ vyākulitaṃ parasparamatikrāntamityarthaḥ| ataḥ paraṃ kriyāvidhiḥ- veṣṭayitvetyādi| madhughṛtābhyaktaṃ paṭṭaveṣṭitaṃ ghṛtena koṣṇena siñcet| citrātailasamanvitamiti citrātailam eraṇḍatailaṃ, tatphalaṃ purīṣamārdavaṃ vātānulomanaṃ ca| idaṃ vakṣyamāṇam| tvaco'śvakarṇetyādi| aśvakarṇaḥ pūrvadeśaprasiddho'śvatthasadṛśaḥ; mocakī śālmalī, meṣaśṛṅgaṃ karkaṭaśṛṅgaṃ, putrañjīvakabheda ityanye, kṣīriṇyo nyagrodhodumbarāśvatthaplakṣagardabhāṇḍāḥ, eṣāṃ tvagbhirbalāmūlaiśca tailapādena kalkīkṛtairjalaṃ dattvā caturguṇaṃ tailaprasthaṃ pācayediti jejjaṭaḥ; gayī tu “eṣāṃ dravyāṇāmāḍhakaṃ salilāḍhakaiścaturbhiḥ kvathitamāḍhakaśeṣaṃ, tena kaṣāyeṇāśvakarṇāditvakpādakalkaṃ tailaprasthaṃ pācayet” ityāha| varṣamātraṃ yateteti maithunavyāyāmādi pariharan yatnaṃ kurvītetyarthaḥ||56-65||

muṣkabhedacikitsitamāha- pādau nirastamuṣkasyetyādi| pādāvakṣiṇī ca jalena prokṣya siktvetyarthaḥ; ‘muṣkaphale’ ityadhyāhāraḥ| muṣkau aṇḍakoṣau, tunnasevanyā sevanīviśeṣeṇa, sīvyet| gophaṇikā kaupīnaṃ kacchoṭaka ityarthaḥ| kaṭyāmāveśya yantrakamityādi| paṭṭayantramāveśya, calanabhayādityarthaḥ| kālānusāryetyādi| kālānusāryā tagaraṃ, śilā manaḥśilā||66-68||-

ataḥ paraṃ viddhacikitsārambhaḥ, tatra prāgevottamāṅge viddhacikitsitamāha- śirasa ityādi| apahṛte karṣite| bālavartimiti keśaracitavartiṃ vraṇamukhapidhānārthaṃ niveśayet niravaśeṣeṇa praveśayet| bālavartyadāne doṣamāha- bālavartyāmityādi| mastuluṅgamiti śiraso balādhānaṃ styānaghṛtākāraṃ mastuluṅgamucyate| enam āturam| tato mastuluṅgasravaṇāt| evamiti pūrvoktaprakāreṇa| upācaret cikitsāṃ kuryāt| apakṣipet karṣet||69-70||-

sāmānyaśarīrāvayavasya cikitsāmāha- gātrādapahṛte ityādi| gātrāditi sphuṭam| anyasmād gātrādavayavāt, apahṛte ‘śalye’ iti śeṣaḥ| snehāktā paṭṭavartiḥ snehavartiḥ; sneho'tra tailam, upariṣṭāccakratailopadeśāt| praveśayediti apahṛtaśalye gātra iti vibhaktivipariṇāmena sambandhaḥ| tasminnapi gātre pākabhayānniḥśoṇite kṛte, vidhiḥ sadyaḥkṣate hita iti sadyaḥkṣataviṣaye yo vidhiḥ so'trāpi hito madhughṛtādiḥ sandhānārtham||71||-

viṣayaviśeṣeṇa viddhacikitsitamāha- dūrāvagāḍhā ityādi| dūrāvagāḍhā dūrānupraviṣṭā ityarthaḥ| sūkṣmeṇa netreṇeti| netreṇa vraṇaprakṣālanayantreṇa, taccāṣṭāṅgulaṃ mudgatulyasrotaḥ| cakrataileneti tilatailapīḍanopakaraṇakāṣṭhebhyo'ṇutailanyāyena gṛhītaṃ tailaṃ cakratailaṃ, sadyaḥpīḍanoddhṛtamātraṃ vā| tarpayet pūrayet||72||-

samaṅgāmityādi| samaṅgā ²⁰ mañjiṣṭhā, rajanī haridrā, padmā bhārgī, trivargaḥ triphalā, pathyā harītakī, trivargagrahaṇenaiva pathyāyāṃ labdhāyāṃ punaḥ pathyāgrahaṇaṃ bhāgadvayaprakṣepārthaṃ; (yathā ²¹ puṣyānuge madhukasya dviḥ pāṭhaḥ) yaduktaṃ- “ghṛte taile ca yoge ca yaddravyaṃ punarucyate| tajjñātavyamihācāryairbhāgato dviguṇaṃ bhavet”- iti| karañjikā naktamālaphalamityarthaḥ| kāle iti adoṣopaplavakāle vraṇasaṃrohaṇakāle ityarthaḥ||73-74||

aparamapi ropaṇatailamāha- tālīśamityādi| hareṇu reṇukānāma gandhadravyam||75||-

kṣatapiccitayościkitsitamāha- kṣate kṣatavidhirityādi| kṣate iti “nāticchinnaṃ nātibhinnaṃ” ityādinā paribhāṣite, kṣatavidhiḥ sāmānyakṣatavidhiḥ kṣaudraghṛtatailābhyaṅgādirityarthaḥ| piccite bhagnavadvidhiḥ bhagnābhihito bandhasekarūkṣabhojanādiḥ (atra ²² pāṭhāttu bandhādicikitsitasamāveśaḥ)||76||

ghṛṣṭacikitsitamāha- ghṛṣṭe ityādi| rujo nigṛhya madhukaśītādibhirnigṛhya ²³ nirvāpya, gayī tu madhughṛtasekādinā ²⁴ nirvāpyeti vyākhyāti| cūrṇaiḥ śālasarjārjunādīnām||77|-

idānīṃ sadyovraṇaprasaṅgena viśliṣṭādidehasya sadyaḥkṣatavraṇasāmānyena cikitsāṃ nirdiśannāha- viśliṣṭadehamityādi| viśliṣṭadehamiti namanākarṣaṇārohaṇapatanavadhasāhasādibhiḥ ²⁵ svasthānacyutāvayavadehaṃ, patitaṃ vṛkṣādibhyaḥ, mathitaṃ balīyasā viloḍitaṃ, hataṃ vegavatā dravyeṇa daṇḍamuṣṭyādibhirvā| vāsayet sthāpayet| droṇī dāruracitā nausadṛśī| ayamevetyādi| kṣīṇe adhvādikṣīṇe| marmahata iti| marmāṇi hṛdayādīni||77-78||

idānīṃ viṣayaviśeṣoktasyāpi ²⁶ tailasya sadyovraṇeṣu niṣedhamanuktasyāpi ghṛtasya vidhiṃ darśayannāha- ropaṇe ityādi| vātakaphaprakṛtikaṃ śarīraṃ kālaṃ śiśirādikamapekṣya tailaṃ prayojyaṃ, raktapittaprakṛtikaṃ śarīraṃ kālaṃ śaradādikaṃ punaravekṣya ghṛtaṃ prayojyamiti||79||

atha saṅkṣepārthaṃ ghṛtānyanyātideśena nirdiśannāha- ghṛtānītyādi| tānīti “prapauṇḍarīkamañjiṣṭhāmadhukośīrapadmakaiḥ” (ci. 16) ityādīni||80||

atha yasyāmavasthāyāṃ ghṛtatailapariṣekāḥ kāryāstāṃ nirdiśannāha- sadya ityādi| sarpiṣā nātiśīteneti pittaraktaprakṛtike śarīre kāle ca śaradādike pariṣekaḥ; balātailena vātakaphaprakṛtau dehe kāle ca śīte iti||81||

sāmānyena sarvavraṇānāmaduṣṭānāṃ ropaṇārthaṃ tailamāha- samaṅgāmityādi| samaṅgā mañjiṣṭhā ²⁷| padmā bhārgī| suvarcalā sūryabhaktā| hareṇukā reṇukā| taruṇāni āmāni||82-84||

atha kiyantaṃ kālaṃ sadyovraṇakriyetyāha- kaṣāyetyādi| pūrvoktaṃ dvivraṇīyoktam| amuṃ ślokaṃ jejjaṭācāryo'nārṣamāha; gayī tvārṣam, ityasmābhirapyaṅgīkṛtaḥ||85||-

sarveṣāmaduṣṭānāṃ ropaṇamuktaṃ, duṣṭānāṃ kiṃ vidhānamiti tadāha- duṣṭavraṇeṣvityādi| ūrdhvaṃ śodhanaṃ vamanaśirovirecane, adhaḥśodhanaṃ virecanāsthāpanaṃ, viśoṣaṇaṃ laṅghanam| āhāro'pi viśoṣaṇa eva tiktakaṭukaṣāyādiḥ| tatrordhvanābhijeṣu kaphajeṣu vamanaṃ, pittajeṣu pittāśayajeṣu ca virecanaṃ, vātāśayādhaḥkāyajeṣu malena mārgāvaraṇaduṣṭasamīraṇadūṣiteṣu punarāsthāpanaṃ, śirasijeṣu tu kaphajeṣu śirovirecanam| rājavṛkṣādāviti āragvadhādāvityarthaḥ| tayoreva gaṇayoḥ kaṣāyeṇa pādakalkaṃ tailaṃ śodhanaṃ sādhyate| kṣārakalpena veti kṣāraprasthamudakaprasthaiḥ ṣaḍbhirekaviṃśativārān srāvitaṃ tasmiṃstailaprasthāccaturguṇe kṣārodake tailaṃ pācayet; atra tu ‘kṣāradravyāṇyeva kalkāni’ ityeke, ‘akalkamevaitattailam’ ityanye| kṣāradravyeṣu muṣkakapalāśādiṣu||86-88||

idānīṃ sarvaduṣṭavraṇānāṃ tailaghṛtayogitayā vraṇakalkadravyayogidravyaṃ nirdiśannāha- dravantītyādi| dravantī cīritapatrā| dantī cirabilvo vṛkṣakarañjakaḥ| dantī udumbaraparṇī| pṛthvīkā sthūlajīrakaḥ, eletyanye, hiṅgupatriketyapare| tejovatī kākamardanikā, nīli nilāñjanikā śāradā| bhūmikadambo muṇḍitikā| suvahā godhāpadī| śukākhyā carmakāravaṭaḥ| lāṅgalāhvayā kalihārikā| naipālī manaḥśilā| jālinī kośātakī| madayantī mendikā nakharañjanī| mṛgādanī indravāruṇī| sudhā sehuṇḍaḥ| mūrvā corasnāyuḥ| kīṭāriḥ viḍaṅgaḥ, kīṭamāriṇītyanye; karañjikā naktamālaphalam| yathopapatti yathālābham| prāptamiti yuktaṃ pūrvoktaśarīrakālādyapekṣayā| kalkā iti ‘prāptā’ iti śeṣaḥ| tailaṃ prāptameṣu “utsannamāṃsānasnigdhānalpasrāvān vraṇāṃstathā” (ci. 1) ityādiṣu, ghṛtaṃ punareṣu prāptaṃ “pittapraduṣṭān gambhīrān dāhapākaprapīḍitān” (ci. 1) ityādiṣu, kalkāḥ punareṣu yuktāḥ “pūtimāṃsapraticchannān mahādoṣāṃśca” (ci. 1) ityādiṣu||89-92||

atha vātādibhedena kalkānāha- saindhavamityādi||93-94||

idānīṃ chinnādiṣaṭke kasyacidvipratipattiṃ nirākurvannāha- ṣaḍvidha ityādi| ataḥ ṣaḍvidhatvāt paraṃ saptavidhatvādi; niyamena vaktuṃ śīlairapi vaktuṃ na śakyamityarthaḥ||95||

upasargairityādi- upasargāḥ praparādayaḥ, nipātāścādayaḥ, taiḥ saṃyojya bhāṣante; yathā- samyak chinnaṃ sañchinnaṃ, paritaḥ chinnaṃ paricchinnam, alpaṃ hi chinnamācchinnamiti; nipātairyathā- atikramya cchinnamaticchinnaṃ, pūjitaṃ chinnaṃ succhinnam, alpaṃ chinnamīṣacchinnamiti| taditi chinnādiṣaṭkam| tathā'pi ṣaṭkameveti dṛṣṭāntena darśayannāha- bahu tadbhāṣitamityādi| teṣāṃ vādinām| tat pūrvoktaṃ bahubhāṣitam, eṣu ṣaṭsu cchinnādiṣu, avatiṣṭhate antarbhavatītyarthaḥ| viśeṣā iva sāmānye iti yathaiva hi karmasāmānye namanonnamanaprasāraṇākuñcanādīnāṃ karmaviśeṣāṇāmavarodhaḥ, tathā chedasāmānye sarveṣāmeva sañcchinnaparicchinnāticchinnādīnāṃ chedaviśeṣāṇāmavarodhaḥ, evaṃ śeṣeṣvapi pañcasu| ṣaṭkaṃ tu iti tuśabdo'vadhāraṇe, tena ṣaṭkamevetyarthaḥ||96-97||

iti śrīḍalha(hla)ṇaviracitāyāṃ nibandhasaṅgrahākhyāyāṃ suśrutavyākhyāyāṃ cikitsitasthāne dvitīyo'dhyāyaḥ||2||