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Astanga Hridaya Sutra Sthan chapter 1

Astanga Hridaya Sutra Sthan

Chapter 1: Ayushkameeya Adhyaya
“Desire for long life”

  1. Salutations

    Salutation to The Unique and Rare Physician, who has destroyed, without any residue all the
    diseases like Raga (lust, anger, greed, arrogance, jealousy, selfishness, ego), which are constantly
    associated with the body, which is spread all over the body, giving rise to disease, delusion and
    restlessness.
    This salutation is done to Lord Dhanwantari.
  2. Purpose of life: Essential quality to learn Ayurveda

    āyu: kāmāyamānena dharmārtha sukhasādhanam | āyurvedopadeśeṣu vidheya: paramādara: ||
    To achieve the purpose of life, that is
  3. Dharma – following the path of righteousness
  4. Artha – earning money in a legal way
  5. Kama – fulfilling our desire
  6. Moksha – achieving Salvation,
    To achieve this purpose of life, one should concentrate on having a long life. To learn the science
    of Ayurveda, which explains how to achieve this purpose, ‘obedience’ (Vidheya) is the most
    important quality.
  7. Origin of Ayurveda

    Lord Brahma, remembering Ayurveda, taught it to Prajapathi, he in turn taught it to Ashwini
    Kumaras (twins), they taught it to Sahasraksa (Lord Indra), he taught it to Atri’s son (Atreya
    Punarvasu) and other sages, they taught it to Agnivesa and others and they (Agnivesha and other
    disciples ) composed treatises, each one separately.
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    4 – 4.5. Funda of Ashtanga Hrudayam:

    From those Ayurvedic text books, which are too elaborate and hence very difficult to study, only
    the essence is collected and presented in Ashtanga Hridaya, which is neither too short nor too
    elaborate.
    4.5-5.5 – Branches of Ayurveda

    kāyabālagrahordhvāṅga śalyadaṃṣṭrā jarāvṛṣān || aṣṭāvaṅgāni tasyāhu: cikitsā yeṣu saṃśritā |
  8. Kaya Chikitsa – General medicine
  9. Bala Chikitsa – Paediatrics
  10. Graha Chikitsa – Psychiatry
  11. Urdhvanga Chikitsa – Diseases and treatment of Ear, Nose, Throat, Eyes and Head
    (neck and above region)
  12. Shalya Chikitsa – Surgery
  13. Damshrta Chikitsa – Toxicology
  14. Jara Chikitsa – Geriatrics
  15. Vrushya Chikitsa – Aphrodisiac therapy
    These are the eight branches of Ayurveda.
    5.5 – 6.5 Tridosha

    vāyu: pittaṃ kaphaśceti trayo doṣā: samāsata: || vikṛtā’vikṛtā dehaṃ ghnanti te varttayanti ca |
    Vayu – Vata, Pitta and kapha are the three Doshas of the body. Perfect balance of three Doshas
    leads to health, imbalance in Tridosha leads to diseases.
    6.5-7.5 How Thridosha are spread in body and in a day?

    te vyāpino’pi hṛnnābhyoradhomadhyordhva saṃśrayā: ||
    vayo’horātribhuktānāṃ te’ntamadhyādigā: kramāt |
    The Tridosha are present all over the body, but their presence is especially seen in particular
    parts. If you divide the body into three parts, the top part upto chest is dominated by Kapha
    Dosha, between chest and umbilicus is dominated by Pitta, below umbilicus part is dominated by
    Vata.
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    Similarly, in a person’s life, day and in night (separately), the first part is dominated by Kapha,
    second part is dominated by Pitta and third part is dominated by Vata. While eating and during
    digestion, the first, second and third part are dominated by Kapha, Pitta and Vata respectively.
    7.5 Types of digestive fires

    tairbhavedviṣama: tīkṣṇo mandaścāgni: samai: sama: ||
    There are four types of Digestive fires (Agni)
  16. Vishama Agni – Influenced by Vata. A person with Vishama Agni will sometimes
    have high appetite, and sometimes, low appetite.
  17. Teekshna Agni – Influenced by Pitta. A person with Teeksna Agni will have high
    digestion power and appetite.
  18. Manda Agni – Influenced by Kapha. A person with Manda Agni will have low
    digestion power and appetite.
  19. Sama Agni – Influenced by perfect balance of Tridosha – Where person will have
    proper appetite and digestion power. Digestion occurs at appropriate time.
    8.5 Types of digestive tracts / nature of bowels

    koṣṭha: krūro mṛdurmadhyo madhya: syāttai: samairapi |
    There are three types of digestive tracts (Koshta):
  20. Kroora Koshta – wherein the person will take long time for digestion. The bowel
    evacuation will be irregular. It is influenced by Vata.
  21. Mrudu Koshta – Sensitive stomach, has a very short digestion period. Even
    administration of milk will cause bowel evacuation.
  22. Madhya Koshta – Proper digestive tract, bowel evacuation at appropriate times. It is
    influenced by Tridosha balance.
    9-10 Types of Prakruti – Body Types

    śukrārtavasthai: janmādau viṣeṇaiva viṣakṛme: || taiśca tisra: prakṛtayo hīnamadhyottamā: pṛthak |
    samadhātu: samastāsu śreṣṭhā nindyā dvidoṣajā ||
    Like the poison is natural and inherent to poisonous insects, similarly, the Prakruti (body type) is
    inherent to humans. The body type is decided during conception, based on qualities of sperm and
    ovum.
    Vata prakruti – Vata body type is considered as low quality
    Pitta Prakruti – Pitta body type is considered as moderate quality
    Kapha Prakruti – Kapha body type is considered good quality.
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    Tridosha body type – influenced equally by Vata, Pitta and Kapha is considered the
    best quality.
    Dual body types, Like Vata-Pitta, Pitta-Kapha, Vata-Kapha body types are
    considered as not good.
    10.5 Qualities of Vata

    tatra rūkṣo laghu: śīta: khara: sūkṣmaścalo’nila: ||
    Rooksha – dryness, Laghu – Lightness, Sheeta – coldness, Khara – roughness, Sookshma –
    minuteness, Chala – movement These are the qualities of Vata.
  23. Qualities of Pitta

    pittaṃ sasneha tīkṣṇoṣṇaṃ laghu visraṃ saraṃ dravam |
    Sasneha – slightly oily, unctuous, Teekshna – piercing, entering into deep tissues, Ushna –
    hotness, Laghu – lightness, Visram – bad smell, sara – having fluidity, movement, drava –
    liquidity are the qualities of Pitta.
  24. Qualities of Kapha

    snigdha: śīto gururmanda: ślakṣṇo mṛtsna: sthira: kapha: ||
    Snigdhna – oily, unctuous, Sheeta – cold, Guru – heavy, Manda – mild, viscous, shlakshna –
    smooth, clear, Mrutsna – slimy, jely, sthira – stability, immobility are the qualities of Kapha.

    The increase, decrease of individual Doshas, or imbalance of couple of these Doshas is called as
    Samsarga. And imbalance of all the three Doshas together is called as Sannipata.
  25. Body tissues and waste products

    rasa asṛk māṃsa medo asthi majja śukrāṇi dhātava: |
    sapta dūṣyā: malā: mūtra śakṛt svedādayo’pi ca ||
    Body tissues and waste products are called as Dushyas. Means, there are influenced, and affected
    by Doshas. Body tissues are –
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  26. Rasa – the first product of digestion, Soon after digestion of food, the digested food
    turns into Rasa. It is grossly compared to lymph or plasma. But it is not a complete
    comparison.
  27. Rakta – Also called as Asruk. – Blood
  28. Mamsa – Muscle
  29. Meda – Fat tissue
  30. Asthi – Bones and cartilages
  31. Majja – Bone marrow
  32. Shukra – Semen / Ovum or entire male and female genital tract and its secretions are
    grossly covered under this heading.
    Mala – waste products
    Shakrut / Pureesha – (faeces), Sweda (sweat) and Mootra (urine) are the three waste products of
    the body.
    13.5 Nature of increase and decrease

    vṛddhi: samānai: sarveṣāṃ viparītai: viparyaya: |
    Equal qualities lead to increase, and opposing qualities lead to decrease. For example, dryness is
    the quality of Vata. If a Vata body type person exposes himself to dry cold weather, his dryness
    and in turn Vata will increase, leading to dry skin. In the same way, oiliness is opposite quality of
    dryness. If he applies oil to the skin, then the dryness and related Vata is decreased.
    13.5 Six tastes

    Svadu – Madhura – sweet, Amla – Sour, Lavana – Salt, Tikta – Bitter, Ushna – Katu – Pungent,
    Kashaya – Astringent are the six types of Rasa.
    They are successively lower in energy. That means, Sweet taste imparts maximum energy to
    body and the astringent, the least.
  33. Effect of tastes on Tridosha
    त􀀸ा􀁕या मा􀁛त ं 􀁒नि􀀹त 􀀸य: 􀀙त􀀎तादय: कफम ् ।
    कषाय 􀀙त􀀎त मधुरा: 􀀬प􀀖तम􀀹ये तु कुव􀀡ते ॥
    tatrādyā mārutaṃ ghnanti traya: tiktādaya: kapham |
    kaṣāya tikta madhurā: pittamanye tu kurvate ||
    In the list of tastes, the first three, i.e. Sweet, sour and salt mitigates Vata and increases Kapha.
    The last three, i.e. bitter, pungent and astringent tastes mitigates Kapha and increases Vata
    Astringent, bitter and sweet taste mitigates Pitta. Sour, salt and pungent tastes increase Pitta.
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    Types of food substances:
    Shamana – Food that brings down the increased Dosha to normalcy
    Kopana – Food that increases the lowered Dosha to normalcy
    Swasthahita – Food that maintains the normalcy of Tridosha and health.
    Types of Potency (Veerya)
    Ushna veerya (Hot potency) -Some food items are hot in nature. For example pepper
    Sheeta veerya (cold potency) – Some food items are cold in nature. For example milk.
    These are the two types of potencies. Generally, substances that have Astringent, bitter and sweet
    tastes are coolant in nature and Sour, salt and pungent tastes are hot in nature.
    Three types of Vipaka
    Vipaka refers to conversion of taste after initial phase of digestion.
     Madhura Vipaka (sweet) – Generally, Sweet, and salt tastes undergo this Vipaka.
     Amla Vipaka (Sour) – Sour taste undergoes this Vipaka
     Katu Vipaka – rest of the tastes – Bitter, astringent and pungent tastes undergo this
    Vipaka.
  34. – Twenty types of qualities

    guru manda hima snigdha ślakṣṇa sāndra mṛdu sthirā: | guṇā: sasūkṣma viśadā: viṃśati: sa
    viparyayā: ||
    Guru(heavy) X laghu (light in weight)
    Manda(slow) X tiksna(quick,fast)
    Hima (cold) X ushna (hot)
    Snighda (unctuous) X ruksa (dry)
    Slaksna (smooth) X khara (rough)
    Sandra (solid) X drava (liquid)
    Mrdu (soft) X kathina (hard)
    Sthira (stable) X cala (moving, unstable)
    Suksma (stable, small) X sthula (big,gross)
    Vishada (non slimy) X picchila (slimy)
  35. Cause for health and disease:

    kālārthakarmaṇāṃ yogo hīnamithyātimātraka: | samyagyogaśca vijñeyo rogārogyaika kāraṇam ||
    Less, more or wrong unison of time, senses and functions is the reason for disease and the right
    unison of these three factors is the reason for health. (Explained detail in further chapters).
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  36. Definition of health and disease
    rogastu doṣavaiṣamyaṃ doṣa sāmyaṃ arogatā |
    Imbalance in Tridosha is disease. Perfect balance is health.
  37. Types of disease:

    Nija roga – Disease caused due to imbalance in internal factors. For example, eating
    excessive hot substances, leading to gastritis.
    Agantu Roga – Disease caused due to external factors. Such as injuries. Both these
    types of disease can occur to body and mind.
  38. Types of mental Doshas –

    Rajas – quality of mind, that drives us to take actions,
    Tamas – that leads to inaction and lethargy
  39. How to test patient?

    Darshana – by means of inspection, observation.
    Sparshana – by means of touching
    Prashna – by means of asking
  40. Examination of disease:

    Disease should be examined by its
    Nidana -causes, aetiology,
    Pragrupa – Purvarupa – prodromal symptoms, premonitory symptoms
    Lakshana – Specific signs and symptoms, clinical features
    Upashayaa – diagnostic tests
    Apti – Samprapti – Pathogenesis.
    Types of Habitat (Desha)

    In this science, is said to be of two kinds – Bhumi desha – region of land and Dehadesha –
    the body. Bhumi desa – land region is of three kinds of viz,
    Jangala -which is predominant of vata – arid or desert-like land with no mountains or hills,
    has less vegetation, poor water resourses and is more breezy.
    Anupa – which is predominant of kapha – marshy land with more of water, more vegetation ,
    very less of sunlight and heat.
    Sadharana which has all Tridosha in balance – moderate type with few mountains , hills,
    moderate water, vegetation and sunlight.
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    Kinds of time:

    Two kinds are considered- one is normal time, another – stages of diseases.
    25-26 Types of medicines:

    śodhanaṃ śamanaṃ ceti samāsāt auṣadhaṃ dvidhā || śarīrajānāṃ doṣāṇāṃ krameṇa
    paramauṣadham | basti: vireko vamanaṃ tathā taila ghṛtaṃ madhu: ||
    There are two types of medicines.
  41. Shamana – Palliative treatment – which brings the Dosha to normalcy, useful in initial stages
    of diseases
  42. Shodhana – Purification treatment – which expels imbalanced Dosha out of body. – Useful in
    aggravated stages of diseases.
    Examples:
    For Vata – Basti (suppositories) is the Shodhana treatment, and oil is Shamana treatment.
    For pitta – Virechana (Purgation) is Shodhana and Ghee is Shamana.
    For Kapha – Vamana (emesis) is Shodhana and Honey is Shamana.
  43. Treatment for mental imbalance:

    Dhee – improving intelligence
    Dhairya – improving courage
    Atmavijnana – Self realization are the means to treat mental imbalance.
    27-29. 16 factors of treatment. –
    Chikitsa Chatushpada
  • Bhishag (Doctor), Dravya (medicine), Upastha (Nurse) and Rogi (patient) are the four
    factors in treatment. Each of these four have further four qualities.
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    Qualities of doctor:

    Daksha – Alert, disciplined
    Shastra – Having detailed knowledge about diseases and treatment.
    Drushtakarma – Having practical experience
    Shuchi – Cleanliness
    Qualities of medicine:

    Bahukalpa – Ability to formulate in different dosage forms, like decoction, powder,
    herbal oil etc
    Bahuguna – Having enormous qualities
    Sampanna – Endowed with virtues
    Yogya – suitable and appropriate for specific diseases.
    Qualities of nurse:

    Anurakta – Compassion towards patients
    Shuchi – Cleanliness
    Daksha – Alert, active
    Buddhiman – Intelligence
    Qualities of patient

    Adya – Rich
    Bhishagvashya – 100 % obedience towards doctor
    Jnapaka – Good memory
    Satvavaan – Having good strength to tolerate disease and treatment.
    Types of diseases:

    Two main types, which are further divided into two types.
    Sadhya – Which can be cured. It is of two types – Easy to cure (Sukha Sadhya), Difficult to cure
    (Krichra Sadhya)
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    Asadhya – Which can not be cured. It is of two types – Yapya (medicine is required for as long
    as patient is alive), Anupakrama (nothing can be done. )
    Qualities of diseases which can be cured easily:

    Sarvaushadha kshame dehe – The body of patient is able to tolerate all types of medicines
    Yunaha – Young patient
    Jitatmanaha – Patient having good control over sense organs, who follows abstinence
    Amarmaga – If the disease is not affected sensitive areas like brain, heart, kidney
    Alpahetu – If the cause for disease is mild
    Alparoopa – Mild symptoms
    Anupadrava – no complications
    Atulya dushya desha rutu prakruti – If the Dosha involved, Dhatu (body tissue) involved,
    Desha (place), Rutu (season) and Prakruti (body type) are not influenced by one particular Dosha,
    Pada sampadi – If all the sixteen qualities of Doctor, patient etc explained above are present,
    Graha anuguna – If astrology is in favour of the patient
    Eka Doshaja – Disease due to only one Dosha
    Eka Marga – If only one body channel is affected
    Nava – Disease of recent origin / onset.
  1. qualities of difficult-to-treat diseases

    Disease which require the use of sharp instruments etc. in treatment . and also those which have
    mixture of factors enumerated in previous verses are krcchra sadhya (curable with difficulty ).
    Diseases which have features entirely opposite of curable diseases, which have stayed for long
    period of time, involving all the important tissues and vital organs, which have produced anxiety
    (fear of death), delusion and restlessness; which are presenting fatal signs and which causes loss
    of sense organs are impossible to cure. (Anupakrama ), which require no therapy, fit to be
    rejected, sure to cause death.
  2. Patient worth rejection:
    􀀖येजेदात􀁢 􀁣भष􀀻भूपै􀁕􀀡􀀬व􀁇टं तेषां 􀁕􀀬वषं 􀁕􀀬वष􀁠ह􀁘नोपकरणं 􀁓य􀀲म􀀬वधेयं गतायुष􀁠च􀁁डं शोकातुरं भी􀁛ं
    कृत􀁒नं वै􀁕यमा􀀙ननम ्
    The physician should reject the patient, who is hated by physician and the king and who hates
    them; who hates himself (dejected in life), who is not having the equipments and other facilities
    required for treatment, who is busy with other activities, not having the required attention, leisure
    etc. towards the treatment, who is disobedient (to the physician), whose life is coming to an end,
    who is of evil mind (violent, destructive), who is afflicted with great grief, who is full of fear,
    who is ungrateful and who thinks himself to be a physician (in respect of deciding drug,
    therapies, food, activities etc) .
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    List of other chapters.

    I. SUTRASTHANA
  3. Ayuskamiya adhyaya (desire for long life).
  4. Dinacarya adhyaya (daily regimen).
  5. Rtucarya adhyaya (seasonal regimen).
  6. Roganutpadaniya adhyaya (prevention of diseases).
  7. Dravadravya vijnaniya adhyaya (knowledge of liquid materials).
  8. Annasvarupa vijnaniya adhyaya (nature of food materials).
  9. Annaraksadhyaya (Protection of foods).
  10. Matrasitiyadhyaya (Proper quantity of food).
  11. Dravyadi vijnaniya adhyaya (Knowledge of substances etc.).
  12. Rasabhediya adhyaya (classification of tastes).
  13. Dosadi vijnaniya adhyaya (Knowledge of dosas etc.).
  14. Dosabhediya adhyaya (classification of dosas).
  15. Dosopakramaniya adhyaya (treatment of the dosas).
  16. Dvividhopakramaniya adhyaya (two kinds of treatments).
  17. Sodhanadigana sangraha adhyaya (groups of drugs for purificatory therapies etc.).
  18. Sneha vidhi adhyaya (oleation therapy).
  19. Svedavidhi adhyaya (sudation therapy).
  20. Vamana virecana vidhi adhyaya (emesis and purgation therapies).
  21. Basti vidhi adhyaya (enema therapy).
  22. Nasya vidhi adhyaya (nasal medication).
  23. Dhumapana vidhi adhyaya (inhalation of smoke therapy).
  24. Gandusadi vidhi adhyaya (mouth gargles and other therapies).
  25. Ascyotana-anjana vidhi adhyaya (eye drops, collyrium therapies).
  26. Tarpana-putapaka vidhi adhyaya (satiating the eye and other therapies).
  27. Yantra vidhi adhyaya (use of blunt instruments).
  28. Sastra vidhi adhyaya (use of sharp instruments).
  29. Siravyadha vidhi adhyaya (venesection).
  30. Salyaharana vidhi adhyaya (removal of foreign bodies).
  31. Sastrakarma vidhi adhyaya (surgical operation).
  32. Ksaragnikarma vidhi adhyaya (alkaline and thermal cautery).
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    II. SARIRA STHANA (SECTION ON ANATOMY, PHYSIOLOGY ETC).
    शार􀁘रमु􀁃यतेगभा􀀡व􀁆ाि􀀹तत􀁕􀁓यापद􀁈गममा􀀡􀀬वभा􀁎गकि􀁠वकृ􀀙तद􀀡तू ज ं ष􀁇ठम ्
  33. Garbhavakranti sarira (embryology).
  34. Garbhavyapad sarira (disorders of pregnancy).
  35. Anga vibhaga sarira (different parts of the body).
  36. Marma vibhaga sarira (classification of vital spots).
  37. Vikrti vijnaniya sarira (knowledge of bad prognosis).
  38. Dutadi vijnaniya sarira (knowledge of messenger etc.).
    III. NIDANA STHANA (DIAGNOSIS OF DISEASES):
  39. Sarvroga nidanam (diagnosis of diseases in general).
  40. Jvara nidanam (diagnosis of fever).
  41. Raktapitta, Kasa nidanam (disease and cough).
  42. Svasa-Hidhma nidanam (diagnosis of bleeding disease and cough).
  43. Rajayaksmadi nidanam (diagnosis of pulmonary tuberculosis etc.).
  44. Madatyaya nidanam (diagnosis of alcoholic intoxication).
  45. Arsas nidanam (diagnosis of haemorrhoids).
  46. Atisara-Grahani nidanam (diagnosis of diarrhoea and duodenal disorders).
  47. Mutraghata nidanam (diagnosis of retention of urine).
  48. Prameha nidanam (diagnosis of diabetes).
  49. Vidradhi-Vrddhi-Gulma nidanam (diagnosis of abscess, enlargement of the scrotum and
    abdominal tumour).
  50. Udara nidanam (diagnosis of enlargement of the abdomen).
  51. Panduroga-sopha-visarpa nidanam (diagnosis of anaemia, dropsy and herpes).
  52. Kustha-svitra-krimi nidanam (diagnosis of leprosy, leucoderma and parasites).
  53. Vata vyadhi nidanam (diagnosis of diseases of the nervous system).
  54. Vatasonita nidanam (diagnosis of gout).
    IV. CIKITSITA STHANA (THERAPEUTICS):
  55. Jvara cikitsita (treatment of fevers).
  56. Raktapitta cikitsita (treatment of bleeding disease).3. Kasa cikitsita (treatment of cough).
  57. Svasa-Hidhma cikitsita (treatment of dyspnoea and hiccup).
  58. Rajayaksmadi cikitsita (treatment of pul. tuberculosis, etc.).
  59. Chardi-Hrdroga-Trsna cikitsita (treatment of vomiting, heart disease and thirst).
  60. Madatyaya cikitsita (treatment of alcoholic intoxication).
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  61. Arsas cikitsita (treatment of haemorrhoids).
  62. Atisara cikitsita (treatment of diarrhoea).
  63. Grahani dosa cikitsita (treatment of duodenal disorder).
  64. Mutraghata cikitsita (treatment of retention of urine).
  65. Prameha cikitsita (treatment of diabetes).
  66. Vidradhi-vrddhi cikitsita (treatment of abscess, enlargement of the scrotum).
  67. Gulma cikitsita (treatment of abdominal tumour).
  68. Udara cikitsita (treatment of enlargement of the abdomen).
  69. Pandu roga cikitsita (treatment of anaemia).
  70. Svayathu (sopha) cikitsita (treatment of dropsy).
  71. Visarpa cikitsita (treatment of herpes).
  72. Kustha cikitsita (treatment of leprosy).
  73. Svitra-krimi cikitsita (treatment of leucoderma and parasites).
  74. Vata vyadhi cikitsita (treatment of diseases of the nervous system).
  75. Vatasonita cikitsita (treatment of gout).
    V. KALPASIDDHI STHANA (PURIFICATORY RECIPES, PHARMACEUTICS):
  76. Vamana kalpa (emetic recipes).
  77. Virecana kalpa (purgative recipes).
  78. Vamana virecana vyapat siddhi (management of complications of emesis and purgation
    therapies).
  79. Basti kalpa (enema recipes).
  80. Basti vyapat siddhi (management of complications of enema therapy).
  81. Dravya-kalpa (pharmaceutics).
    VI. UTTARASTHANA:
  82. Balopacaraniya adhyaya (care of the new born baby).
  83. Balamaya pratisedha (treatment of diseases of children).
  84. Balagraha pratisedha (treatment of evil spirits).
  85. Bhuta vijnaniya (knowledge of demons).
  86. Bhuta pratisedha (treatment of demons).
  87. Unmada pratisedha (treatment of insanity).
  88. Apasmara pratisedha (treatment of epilepsy).
  89. Vartma roga vijnaniya (knowledge of diseases of eyelids).
  90. Vartma roga pratsedha (treatment of diseases of eyelids).
  91. Sandhisitasita roga vijnaniya (knowledge of diseases of fornices, sclera and cornea).
  92. Sandhisitasita roga pratisedha (treatment of diseases of fornices, sclera and cornea).
    Astanga Hridaya Sutrasthan
    Page No. 15 Astanga Hridaya Sutrasthan
  93. Drsti roga vijnaniya (knowledge of diseases of vision).
  94. Timira pratisedha (treatment of blindness).
  95. Linganasa pratisedha (treatment of blindness).
  96. Sarvaksi roga vijnaniya (knowledge of diseases of the whole eye).
  97. Sarvaksi roga pratisedha (treatment of diseases of the whole eye).
  98. Karna roga vijnaniya (knowledge of diseases of the ear).
  99. Karna roga pratisedha (treatment of diseases of the ear).
  100. Nasa roga vijnaniya (knowledge of the diseases of the nose).
  101. Nasa roga pratisedha (treatment of diseases of the nose).
  102. Mukha roga vijnaniya (knowledge of the diseases of the mouth).
  103. Mukha roga pratisedha (treatment of diseases of the mouth).
  104. Siro roga vijnaniya (knowledge of the diseases of head).
  105. Siro roga pratisedha (treatment of diseases of the head).
  106. Vrana pratisedha (treatment of ulcers).
  107. Sadyo vrana pratisedha (treatment of traumatic wounds).
  108. Bhanga pratisedha (treatment of fractures).
  109. Bhagandara pratisedha (treatment of rectal fistula)
  110. Granthi-arbuda-slipada-apaci-nadi vijnaniya (knowledge of tumours, cancers, filariasis,
    scrofula and sinus ulcer).
  111. Granthyadi pratisedha (treatment of tumours etc.).
  112. Ksudra roga vijnaniya (knowledge of minor diseases).
  113. Ksudra roga pratisedha (treatment of minor diseases).
  114. Guhya roga vijnaniya (knowledge of diseases of genital organs).
  115. Guhya roga pratisedha (treatment of diseases of genital organs).
  116. Visa pratisedha (treatment of poisoning).
  117. Sarpa visa pratisedha (treatment of snake bite poison).
  118. Kitalutadi visa pratisedha (treatment of poison of insects, spiders etc.).
  119. Musika-alarka visa pratisedha (treatment of poison of mouse, rabid, dog etc.).
  120. Rasayana vidhi (rejuvination therapy).
  121. Vajikarana vidhi (virilification therapy).

    End of first chapter of Sutrasthana of Ashtanga Hridayam.

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