Charaka-Samhita — trans. Kaviraj Avinash Chandra Kaviratna
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The translator’s English as printed (Avinash Chandra Kaviratna). The original-language text is not held; names are romanised as the translator printed them.
[If in diarrhoea born of the simultaneous excitement of all the three faults, the phlegm becomes attenuated through any cause con¬ nected or otherwise with treatment, the consequence of such attenua¬ tion is violent excitement of the wind, in its own place, that is, the stomach where digestion goes on. The effect of such viotent excite¬ ment of the wind is dissolution. Hence, the physician, in treating the disease, should first seek to subjugate the wind.]
CHARAKA-SAMHITA.
p. 1570
In diarrhoea born of the simultaneous excitement of the threefaults, the physician should, seek to subjugate the wind first. After subjugation of the wind, the bile should be subjugated ; and after the: bile, the phlegm should be subjugated.
Generally speaking, in the treatment of such diarrhoea that fault should be first subjugated which happens to be more excited than, the others., *51
( Here is a verse containing a summary ).
The premonitory indications, the causes, the symptoms, con¬ siderations of curability and otherwise, and successful treatment under differing circumstances, with respect to persons afflicted with, diarrhoea, have all been laid down in this Lesson.
Thus ends Lesson XIX, called Treatment of Diarrhoea, in thedivision named ‘Chikitsa,’ of the treatise of Agnivega as revised by Charaka,.
LESSON XX.
THE TREATMENT OF VOMITING.
We shall now expound the Lesson on the treatment of vomiting.
Thus said the illustrious scion of Atri’s race. *
Possessed of fame, blazing with ascetic puissance based on (know¬ ledge of the) Vedas, as also with great intelligence, of splendour resembling that of fire or the sun, and devoted to the good of alf creatures, Punarvasu, born in Atri’s race, was questioned (as follows) by his disciple, Agnivega. 2
O thou that art the foremost of all that are conversant withdisease and its treatment, do thou duly expound, for the benefit of human beings, the treatment, with the causes and the symptoms, of those five varieties of Vomiting of which mention was made by thee, in course of the enumeration of diseases.* 3
Hearing these words of Agnivega, (Punarvasu), that foremost of all persons conversant with disease and its treatment, being highlygratified, spoke thus :
Listen now to me as I expound in detail the five varieties of vomiting mentioned by me before. 4
Three of these varieties arise from the excitement of the three faults (singly). The fourth arises from the simultaneous excitement of the three faults. The fifth arises from connection (of the mind) with abominable: objects of sense.
The premonitory symptoms (of all those varieties) are nausea in the cardiac region, discharge of phlegmonous matter (from the mouth), and disgust for food. 5
Of one who has been exceedingly afflicted by (undue) physical' excercise, or medicines possessed of keen virtues, or grief, or disease,
* The five varieties of vomiting, viz., i. that born of disgust or abomination, 2. that born of the wind, 3. that born of the bile, 4. that born of the phlegm, and 5. that born of all the three faults, have been mentioned in Less°n XIX, called ‘Ashtodariya,’ in Sutrasthana,
CHARAKA-SAMHITA.
*572 or fear, or fasts, and other causes of a similar kind, the wind, be¬ coming aggravated (exceedingly provoked) in the great duct (viz., that which connects the throat and the stomach), afflicts the (two other) faults, and seeking to force them out and oppressing the vital districts (viz., the cardiac and other regions), originates vomiting which arises from an upward motion imparted to the stomach, and which is accompanied by pains in the chest and sides, dryness of the mouth, pains in the head and the navel, coughing, hoarseness of the voice, and pains (in other districts of the body) resembling those caused by pricking with needles. 6-7
[The following are the symptoms of wind-born vomiting.]
One afflicted by the (provoked) wind, vomits with such accom¬ paniments as loud-sounding eructations, froth (in the matter ejected), the urging frequently interrupted, darkness of hue in the ejected matter, watery character of the same, astringency of taste in the mouth, difficulty experienced in bringing out the matter, smallness of quantity (of the matter ejected at each urging) and violence of urging.
The person experiences great affliction in consequences of these. 8
[The ‘nidSna’ of vomiting due to excited phlegm is now explained.]
Through indulgence in things that are raw (or not boiled properly and therefore undigestible), things that are pungent, or that are sour, or that cause a burning sensation (in the stomach^, and that are hot, the bile is provoked in the ‘Amagaya’ (that part of the stomach where food goes after deglutition).
The provoked bile becomes scattered through those cJucts that bear the food-juice (i. e., the juice which arises from food before digestion).
It then afflicts the vital districts of the body, and coursing upwards, causes vomiting.* 9
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