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Chapter id: 3645
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athāto vamanavirecanavyāpaccikitsitaṃ vyākhyāsyāmaḥ // (1.1) Par.?
yathovāca bhagavān dhanvantariḥ // (2.1) Par.?
vaidyāturanimittaṃ vamanaṃ virecanaṃ ca pañcadaśadhā vyāpadyate / (3.1) Par.?
tatra vamanasyādho gatirūrdhvaṃ virecanasyeti pṛthak sāmānyamubhayoḥ sāvaśeṣauṣadhatvaṃ jīrṇauṣadhatvaṃ hīnadoṣāpahṛtatvaṃ vātaśūlam ayogo 'tiyogo jīvādānam ādhmānaṃ parikartikā parisrāvaḥ pravāhikā hṛdayopasaraṇaṃ vibandho 'ṅgapragraha iti // (3.2) Par.?
tatra bubhukṣāpīḍitasyātitīkṣṇāgner mṛdukoṣṭhasya cāvatiṣṭhamānaṃ durvamasya vā guṇasāmānyabhāvād vamanam adho gacchati tatrepsitānavāptirdoṣotkleśaśca tamāśu snehayitvā bhūyastīkṣṇatarair vāmayet // (4.1) Par.?
apariśuddhāmāśayasyotkliṣṭaśleṣmaṇaḥ saśeṣānnasya vāhṛdyam atiprabhūtaṃ vā virecanaṃ pītamūrdhvaṃ gacchati tatrepsitānavāptir doṣotkleśaśca tatrāśuddhāmāśayam ulbaṇaśleṣmāṇam āśu vāmayitvā bhūyastīkṣṇatarair virecayet āmānvaye tvāmavat saṃvidhānam ahṛdye 'tiprabhūte ca hṛdyaṃ pramāṇayuktaṃ ca ata ūrdhvamuttiṣṭhatyauṣadhe na tṛtīyaṃ pāyayet tatastvenaṃ madhughṛtaphāṇitayuktair lehair virecayet // (5.1) Par.?
doṣavigrathitam alpamauṣadham avasthitam ūrdhvabhāgikam adhobhāgikaṃ vā na sraṃsayati doṣān tatra tṛṣṇā pārśvaśūlaṃ chardir mūrcchā parvabhedo hṛllāso 'ratirudgārāviśuddhiśca bhavati tam uṣṇābhir adbhir āśu vāmayed ūrdhvabhāgike adhobhāgike 'pi ca sāvaśeṣauṣadham atipradhāvitadoṣam atibalam asamyagviriktalakṣaṇam apyevaṃ vāmayet // (6.1) Par.?
krūrakoṣṭhasyātitīkṣṇāgneralpamauṣadhamalpaguṇaṃ vā bhaktavat pākam upaiti tatra samudīrṇā doṣā yathākālam anirhrīyamāṇā vyādhivibhramaṃ balavibhraṃśaṃ cāpādayanti tam analpam amandam auṣadhaṃ ca pāyayet // (7.1) Par.?
asnigdhasvinnenālpaguṇaṃ vā bheṣajam upayuktamalpān doṣān hanti tatra vamane doṣaśeṣo gauravamutkleśaṃ hṛdayāviśuddhiṃ vyādhivṛddhiṃ ca karoti tatra taṃ yathāyogaṃ pāyayitvā vāmayeddṛḍhataraṃ virecane tu gudaparikartanamādhmānaṃ śirogauravam aniḥsaraṇaṃ vā vāyor vyādhivṛddhiṃ ca karoti tam upapādya bhūyaḥ snehasvedābhyāṃ virecayeddṛḍhataraṃ dṛḍhaṃ bahupracalitadoṣaṃ vā tṛtīye divase 'lpaguṇaṃ ceti // (8.1) Par.?
asnigdhasvinnena rūkṣauṣadham upayuktamabrahmacāriṇā vā vāyuṃ kopayati tatra vāyuḥ prakupitaḥ pārśvapṛṣṭhaśroṇimanyāmarmaśūlaṃ mūrcchāṃ bhramaṃ madaṃ saṃjñānāśaṃ ca karoti taṃ vātaśūlamityācakṣate tamabhyajya dhānyasvedena svedayitvā yaṣṭīmadhukavipakvena tailenānuvāsayet // (9.1) Par.?
snehasvedābhyām avibhāvitaśarīreṇālpam auṣadham alpaguṇaṃ vā pītamūrdhvamadho vā nābhyeti doṣāṃścotkleśya taiḥ saha balakṣayamāpādayati tatrādhmānaṃ hṛdayagrahastṛṣṇā mūrcchā dāhaśca bhavati tamayogamityācakṣate tamāśu vāmayenmadanaphalalavaṇāmbubhir virecayettīkṣṇataraiḥ kaṣāyaiśca / (10.1) Par.?
durvāntasya tu samutkliṣṭā doṣā vyāpya śarīraṃ kaṇḍūśvayathukuṣṭhapiḍakājvarāṅgamardanistodanāni kurvanti tatastān aśeṣān mahauṣadhenāpaharet / (10.2) Par.?
asnigdhasvinnasya durviriktasyādhonābheḥ stabdhapūrṇodaratā śūlaṃ vātapurīṣasaṅgaḥ kaṇḍūmaṇḍalaprādurbhāvo vā bhavati tamāsthāpya punaḥ saṃsnehya virecayettīkṣṇena / (10.3) Par.?
nātipravartamāne tiṣṭhati vā duṣṭasaṃśodhane tatsaṃtejanārtham uṣṇodakaṃ pāyayet pāṇitāpaiśca pārśvodaram upasvedayet tataḥ pravartante doṣāḥ / (10.4) Par.?
anupravṛtte cālpadoṣe jīrṇauṣadhaṃ bahudoṣam ahaḥśeṣaṃ daśarātrādūrdhvam upasaṃskṛtadehaṃ snehasvedābhyāṃ bhūyaḥ śodhayet / (10.5) Par.?
durvirecyamāsthāpya punaḥ saṃsnehya virecayet / (10.6) Par.?
hrībhayalobhair vegāghātaśīlāḥ prāyaśaḥ striyo rājasamīpasthā vaṇijaḥ śrotriyāśca bhavanti tasmād ete durvirecyāḥ bahuvātatvāt ata eva tān atisnigdhān svedopapannāñ śodhayet // (10.7) Par.?
snigdhasvinnasyātimātram atimṛdukoṣṭhasya vātitīkṣṇam adhikaṃ vā dattamauṣadhamatiyogaṃ kuryāt / (11.1) Par.?
tatra vamanātiyoge pittātipravṛttir balavisraṃso vātakopaśca balavān bhavati taṃ ghṛtenābhyajyāvagāhya śītāsv apsu śarkarāmadhumiśrair lehair upacaredyathāsvaṃ virecanātiyoge kaphasyātipravṛttir uttarakālaṃ ca saraktasya tatrāpi balavisraṃso vātakopaśca balavān bhavati tam atiśītāmbubhiḥ pariṣicyāvagāhya vā śītaistaṇḍulāmbubhir madhumiśraiśchardayet picchābastiṃ cāsmai dadyāt kṣīrasarpiṣā cainamanuvāsayet priyaṅgvādiṃ cāsmai taṇḍulāmbunā pātuṃ prayacchet kṣīrarasayoścānyatareṇa bhojayet // (11.2) Par.?
tasminneva vamanātiyoge pravṛddhe śoṇitaṃ ṣṭhīvati chardayati vā tatra jihvāniḥsaraṇam apasaraṇam akṣṇor vyāvṛttir hanusaṃhananaṃ tṛṣṇā hikkā jvaro vaisaṃjñyam ityupadravā bhavanti tam ajāsṛkcandanośīrāñjanalājacūrṇaiḥ saśarkarodakair manthaṃ pāyayet phalarasair vā saghṛtakṣaudraśarkaraiḥ śuṅgābhir vā vaṭādīnāṃ peyāṃ siddhāṃ sakṣaudrāṃ varcogrāhibhir vā payasā jāṅgalarasena vā bhojayet atisrutaśoṇitavidhānenopacaret jihvām atisarpitāṃ kaṭukalavaṇacūrṇapraghṛṣṭāṃ tiladrākṣāpraliptāṃ vāntaḥ pīḍayet antaḥ praviṣṭāyām amlamanye tasya purastāt khādayeyuḥ vyāvṛtte cākṣiṇī ghṛtābhyakte pīḍayet tṛṣṇādiṣu ca yathāsvaṃ pratikurvīta visaṃjñe veṇuvīṇāgītasvanaṃ śrāvayet // (12.1) Par.?
virecanātiyoge ca sacandrakaṃ salilamadhaḥ sravati tato māṃsadhāvanaprakāśam uttarakālaṃ jīvaśoṇitaṃ ca tato gudaniḥsaraṇaṃ vepathurvamanātiyogopadravāścāsya bhavanti tam api niḥsrutaśoṇitavidhānenopacaret niḥsarpitagudasya gudamabhyajya parisvedyāntaḥ pīḍayet kṣudrarogacikitsitaṃ vā vīkṣeta vepathau vātavyādhividhānaṃ kurvīta jihvāniḥsaraṇādiṣūktaḥ pratīkāro 'tipravṛtte vā jīvaśoṇite kāśmarīphalabadarīdūrvośīraiḥ śṛtena payasā ghṛtamaṇḍāñjanayuktena suśītenāsthāpayet nyagrodhādikaṣāyekṣurasaghṛtaśoṇitasaṃsṛṣṭaiścainaṃ bastibhir upācaret śoṇitaṣṭhīvane raktapittaraktātīsārakriyāścāsya vidadhyāt nyagrodhādiṃ cāsya vidadhyāt pānabhojaneṣu // (13.1) Par.?
jīvaśoṇitaraktapittayośca jijñāsārthaṃ tasmin picuṃ plotaṃ vā kṣipet yadyuṣṇodakaprakṣālitam api vastraṃ rañjayati tajjīvaśoṇitam avagantavyaṃ sabhaktaṃ ca śune dadyācchaktusaṃmiśraṃ vā sa yadyupabhuñjīta tajjīvaśoṇitamavagantavyam anyathā raktapittam iti // (14.1) Par.?
saśeṣānnena bahudoṣeṇa rūkṣeṇānilaprāyakoṣṭhenānuṣṇamasnigdhaṃ vā pītamauṣadham ādhmāpayati tatrānilamūtrapurīṣasaṅgaḥ samunnaddhodaratā pārśvabhaṅgo gudabastinistodanaṃ bhaktāruciśca bhavati taṃ cādhmānamityācakṣate tam upasvedyānāhavartidīpanabastikriyābhir upacaret // (15.1) Par.?
kṣāmeṇātimṛdukoṣṭhena mandāgninā rūkṣeṇa vātitīkṣṇoṣṇātilavaṇam atirūkṣaṃ vā pītamauṣadhaṃ pittānilau pradūṣya parikartikāmāpādayati tatra gudanābhimeḍhrabastiśiraḥsu sadāhaṃ parikartanam anilasaṅgo vāyuviṣṭambho bhaktāruciśca bhavati tatra picchābastir yaṣṭīmadhukakṛṣṇatilakalkamadhughṛtayuktaḥ śītāmbupariṣiktaṃ cainaṃ payasā bhuktavantaṃ ghṛtamaṇḍena yaṣṭīmadhukasiddhena tailena vānuvāsayet // (16.1) Par.?
krūrakoṣṭhasyātiprabhūtadoṣasya mṛdvauṣadhamavacāritaṃ samutkliśya doṣānna niḥśeṣān apaharati tataste doṣāḥ parisrāvamāpādayanti tatra daurbalyodaraviṣṭambhārucigātrasadanāni bhavanti savedanau cāsya pittaśleṣmāṇau parisravatas taṃ parisrāvamityācakṣate tamajakarṇadhavatiniśapalāśabalākaṣāyair madhusaṃyuktair āsthāpayet upaśāntadoṣaṃ snigdhaṃ ca bhūyaḥ saṃśodhayet // (17.1) Par.?
atirūkṣe 'tisnigdhe vā bheṣajamavacāritamaprāptaṃ vātavarca udīrayati vegāghātena vā tadā pravāhikā bhavati tatra savātaṃ sadāhaṃ saśūlaṃ guru picchilaṃ śvetaṃ kṛṣṇaṃ saraktaṃ vā bhṛśaṃ pravāhamāṇaḥ kapham upaviśati tāṃ parisrāvavidhānenopacaret // (18.1) Par.?
yastūrdhvamadho vā bheṣajavegaṃ pravṛttamajñatvādvinihanti tasyopasaraṇaṃ hṛdi kurvanti doṣāḥ tatra pradhānamarmasantāpādvedanābhir atyarthaṃ pīḍyamāno dantān kiṭakiṭāyate udgatākṣo jihvāṃ khādati pratāmyatyacetāśca bhavati taṃ parivarjayanti mūrkhāḥ tamabhyajya dhānyasvedena svedayet yaṣṭimadhukasiddhena ca tailenānuvāsayet śirovirecanaṃ cāsmai tīkṣṇaṃ vidadhyāt tato yaṣṭimadhukamiśreṇa taṇḍulāmbunā chardayet yathādoṣocchrāyeṇa cainaṃ bastibhir upācaret // (19.1) Par.?
yastūrdhvamadho vā pravṛttadoṣaḥ śītāgāramudakamanilamanyadvā seveta tasya doṣāḥ srotaḥsvavalīyamānā ghānībhāvam āpannā vātamūtraśakṛdgrahamāpādya vibadhyante tasyāṭopo dāho jvaro vedanāśca tīvrā bhavanti tamāśu vāmayitvā prāptakālāṃ kriyāṃ kurvīta adhobhāge tvadhobhāgadoṣaharadravyaṃ saindhavāmlamūtrasaṃsṛṣṭaṃ virecanāya pāyayet āsthāpanamanuvāsanaṃ ca yathādoṣaṃ vidadhyāt yathādoṣamāhārakramaṃ ca ubhayatobhāge tūpadravaviśeṣān yathāsvaṃ pratikurvīta // (20.1) Par.?
yā tu virecane gudaparikartikā tadvamane kaṇṭhakṣaṇanaṃ yadadhaḥ parisravaṇaṃ sa ūrdhvabhāge śleṣmapraseko yā tvadhaḥ pravāhikā sā tūrdhvaṃ śuṣkodgārā iti // (21.1) Par.?
bhavati cātra / (22.1) Par.?
yāstvetā vyāpadaḥ proktā daśa pañca ca tattvataḥ / (22.2) Par.?
etā virekātiyogaduryogāyogajāḥ smṛtāḥ // (22.3) Par.?
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