Charaka-Samhita — trans. Kaviraj Avinash Chandra Kaviratna

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page 136

The translator’s English as printed (Avinash Chandra Kaviratna). The original-language text is not held; names are romanised as the translator printed them.

4o. Harita-haridra-rmitra-netra-varchchastwam. These are the forty diseases due to disorders of the Bile.

The diseases due to disorders of the Bile are innumerable. Of them, only those are mentioned that are generally met with,25

Verily, in all these diseases due to disorders of the Bile that have been mentioned and in those also that have not been men¬ tioned, skilful physicians, ascertaining what the unmodified nature is of the Bile by itself, and what the indications are of its abnormal functions, or what the parts of the body are where it has its seat, should, freed from doubts, conclude particular diseases to be due to (disorders of) the Bile.28

The ascertainment is to be made as follows.

The attributes of the Bile by itself are heat, keenness, lightness, and slight oiliness ; in color, it is not white ; its scent is like that of raw meat ; its taste is twofold, viz., bitter and sour.27

In consequence of the true or unmodified nature of Bile by itself being so, the indications of its functions when it is in a modified or excited condition are these : —

Penetrating into those parts of the body that constitute its seats, the effects it produces are burning, warmth, suppuration, sweat, im¬ purities, gangrenous ulcerations, secretions, and redness. Corres¬ ponding to its scent and complexion and taste (as displayed by it in its unmodified state), become its scent and complexion and taste when it undergoes modification by aggravation or excitement.

These are the functions of the Bile when excited or aggravated.

When endued with these indications, the skilful physician should diagnose the disease as due to disorders of the Bile.2**

40. Harita-haridra-mutra-netra-varchchastwam implies that disease in which the urine, the eyes and the ordure becomes greenish-yellow or green and yellow.

* The Commentators explain that as the color of the Bile in its noripal state is not -white, when excited, it produces all sorts of color in the body that are not white. The scent of Bile, again, being that of raw meat, when excited, Bile makes the body smell like raw meat. Its taste also being bitter and sour, when excited, it produces in the mouth taste that is bitter and sour. — T.

C//A RA t< A-S AM 11 it A.

Diseases caused by disorders of the Bile should be treated by administration of such agents as are sweet or bitter or astringent to the taste, or as are cooling.

In treating of them the aid should be takeft of Oils, of purga-* fives, of unguents, of fomentation, of medicinal oils for rubbing, of baths, and such other* operations and processes as are destructive of Bile. Physicians, however, regard purgatives as the foremost of all agents in the treatment of diseases of the Bile.29

Purgatives, entering at first that part of the stomach which holds the undigested food, destroy the root of that Bile which causes the disorders. The Bile being subjugated there, the diseases brought about by the excited Bile in diverse parts of the body become allayed. As when the fire within a chamber is put out, the fire-chamber itself becomes cool, even so the excited Bile is allayed when its cause is removed.30

We shall next expound the twenty varieties of diseases caused by excitement of the Phlegm.

These are as follows : — i.T ripti, 2 . T andra, 3 . Nidradhiky a, 4. Staimitya, 5, Gurugatrata, 6. Alasya, 7. Mukhamadhuryya, 8. Mukhagrava, 9. Cleshmodgirana, 10. Valanaga, n. Apakti, 12. Hridayoplepa, 13. Kanthopalepa, 14. Dhamanipratichaya, 15. Galaganda,

1. Tripti is a sense of fulness in the stomach without having eaten anything.

2. Tandra is drowsiness.

3. Nidradhikya is excessive sleep.

4. Staimitya is rigidity.

5. Gurugatrata implies a sense of heaviness in all the limbs.

6. Alasya is distaste for all kinds of exertion.

7. Mukhamadhuryya is the presence of a sweet taste in the mouth.

8. Mukhacrava is a constant discharge of saliva and other matter from the mouth.

9. Cleshmodgirana is the constant throwing up of phlegmatic impurities.

10. Valanaca is the entire loss of strength.

n. Apakti is inability to digest the food taken.

12. Hridayopalepa implies a sensation of the heart or the entire cardiac region ■ being covered over with a coating of phlegm,

13. Kanthopalepa implies a sensation of the throat being covered over with a coating of phlegm.

14. Dhamanipratichaya is a heaviness of the veins and nerves.

15. Galaganda is enlargement of the glands of the neck or Bronchocele,

2§0

CH A RA KA - SA MH I TA.

16. Atisthaulyam, 17. Citagnlta, 18. Udardda, ig. Cwetavabhasata, and 20. Cweta-mutra-netra-varchchastwam.

The diseases due to excitement of the Phlegm are innumer* able. Only those that commonly appear have been mentioned.31

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