Charaka-Samhita — trans. Kaviraj Avinash Chandra Kaviratna

[Th is is only a repitition of what has been said before. When the faults are evacuated of themselves, constipatives should not be given, only when the stools come out in small measure, the mildest of purgatives, viz., chebulic myrobalans, should be given.]

Unto those whose faults have been excited in a middling degree; such ‘Dipanas’ and ‘Pachanas’ as are called ‘Pramathya’ should be administered, . *

For those persons afflicted with diarrhoea whose faults have been excited slightly, ‘Langhana’ is beneficial. 44

[‘Dipanas’ are medicines which enkindle the digestive fire ; ‘Pfichanas’ are those which digest the faults. Some ‘Dipanas’ and ‘PSchanas’ are called ‘Pramathya.’ These are mentioned below.]

Pippali (fruits of Piper longum ), Nagara (dry ginger), DhSnya (coriander seeds), Bhutika (otherwise called Yamani, i. e., the seeds of Ptychotis Ajowari), AbhayS (chebulic myrobalans), and Vacha ( Acorus Calamus ).

Hrivera (otherwise called Bala, i. e., Pavonia odorata ), Bhadramusta (the tubers of Cypenis rotundas of the large variety), Vilwa (raw fruits, dried, of AEgle marmelos ), Nagara (dry ginger), and Dhanyaka (coriander seeds) ;

Prijniparni ( Doodia lagopodioides ), £wadangshtra ( Tribulus lanuginosus ), SamangS (otherwise called Manjishtha, i. e., Rubia cordifolia), and Kantakarika ( Solanum X anthocarpuni) ;

The three groups of drugs mentioned in the foregoing three half couplets, are the three ‘Pramathyas’ prescribable in the varieties of Diarrhoea mentioned. 45-46

[The commentators notice that the name ‘Pramathya’ is first mentioned in verse 44. It is explained in verses 45 and 46.]

Unto one afflicted with diarrhoea, if he be thirsty, water boiled with Vacha ( Acorus Calamus ) and Ativisha ( Aconitum heterophyllum ), 2or with Musta (the tubers of Cyperus rotundas ) and Parpataka (Oldenlandia biflora ), or with Hrivera ( Pavonia odorata) and £ringavera (dry ginger), should be given. 47

If one afflicted with diarrhoea becomes weak through hunger, light food should be given to him to eat at the proper time for eating.

By this he soon regains relish for food, as also strength of the digestive fire.* 48

• ‘Yukte annakSle’ means ‘at the proper time for eating.’ — T.

*54£

He! should also be treated with whey, or ‘Avantisoma’ (kSnji), or gruel of barley (and other grains) or ‘Tarpana’ (cooling draughts made with .the flour of fried barley), or wines, or honey, the selection as also the measure depending upon the patient's power of assimilation. 49

[By ‘Tarpana’ is meant various preparations, that are cooling, of the flour of fried barley.]

The treatment, after this, should be by administering gruel of barley, ‘Vilepi’ (gruel of rice), ‘Khada-yusha’ (butter-milk boiled with vegetables and spices), and boiled rice mixed with meat-juice, in due order (z. e„ one after another).

These, however, should be mixed with such medicines as enkindle the digestive fire and as are constipitatives. 5°

[Gangadhara points out that the ‘Khaclayusha’ here spoken of should not contain any acid element. The difference between ‘Yavagu’ and ’Vilepi’ is that the former is thinner than the latter.]