Hridroga chikitsa (Treatment of heart diseases) in Ashtanga Hridyam Samhiath by Vaghbhatt

 Hridroga chikitsa (Treatment of heart diseases)  in Ashtanga Hridyam Samhiath by Vaghbhatt


In heart disease caused by vata, medicated oil mixed with mastu (whey), sauvira (fermented liquor), takra (buttermilk) and bida and made comfortably warm should be drunk. It cures abdominal tumors, flatulence and colic. Oil (of sesame) boiled with salts, cow’s urine and sour gruel also has similar properties. 25-26.

Bilva, rasna, yava, kola, devadaru, punarnava, kulattha and drugs of pancamula should be boiled in water and decoction prepared. Medicated oil prepared by using this decoction should be used for nasal medication, drinking and enema. 27-28a. 

Medicated ghee prepared with the decoction of sunthi, vayastha, lavana, kayastha, hingu, pauskara and pathya, cures pain of the flanks and heart and tumours of the abdomen. 28b.

Medicated ghee prepared with two pala of sauvarcala, fifty (pala) of pathya and one prastha of ghee, cures heart diseases, dyspnoea and abdominal tumour. 29b-30a.

Powder of dadima, krsnalavana, sunthi, hingu, and amlavetasa is best to cure tetanus, heart disease and dyspnoea. 30b-31a 

Paste of puskarahva, sathi, sunthi, root of bijapura and abhaya mixed with ksara (yavaksara), ghee, sours and salt cures vikartika sula (sawing like pain in the heart). Similar is the action of decoction of yavani, lavana, ksara, vaca, ajaji, ausadha, putidaru, bijahva, palasa, sathi and pauskara consumed warm. 31b-33.

Powder of yavaksara and yavani mixed with warm water should be drunk. By this, pain in the abdomen, and abdominal tumour persisting for long time get cured within seven days just as the clouds get split by the wind. Powder of panchakola, Sathi, pathya, guda, bijahva, and pauskara made into a paste with varuni (a kind of (liquor) fried in yamaka (mixture of two fats, oil and ghee) and added with salt should be consumed in case of pain in the heart, flanks and vagina, abdominal tumour and elargement of the abdomen. 34-35a. 

In this (heart disease of vata origin) lubricating sudation and ghee processed with drugs (which mitigate vata) are beneficial. 35b.

When there is thirst, water boiled with drugs of laghu pancamula or sunthi, or varuni, thin liquid of dadhi (curds) or fermented water boiled with corns may be drunk. 36. 

These are the treatments when there is pain in the heart such as expanding, stopping the movement and continuous kinds caused by increased maruta (vata). 37a.

When there is increased heart rate, expanding type of pain and loss of consciousness, soup of meat of tittiri (partridge), kraunca (heron), sikhi (peacock), vartaka (bird button quail) and daksa (cock) added with more of fats (ghee or oil) are beneficial. 37b-38a.

The patient of heart diseases should drink Bala taila (vide chapter 2 of Sarirasthana) or Sukumara (chapter 13 of Chikitsasthana) or Satapaka yasti taila (chapter 22-Chikitsasthana) or Mahasneha (vide chapter 21 of Chikitsasthana) which are best suited. 38b-39a.

Mahasneha (mixture of all the four fats, ghee, oil, muscle fat and marrow) should be prepared with the decoction and paste of rasna, jivaka, jivanti, bala, vyaghri, punarnava, bharngi, sthira, vaca, and vyosa, one fourth part of dadhi (curds) and sour liquids as many as available. This recipe acts as tarpana (restorative), brimhana (nutritive) balya (stregthening) and cures heart disease arising from vata. 39b-41a.

In heart disease caused by vata, if there is increased heart rate and expanding type of pain and if the patient has strong digestive power, then consuming milk, curds, jaggery (molasses), ghee and meat of animals living in water and marshy regions is suitable. These are to be avoided in the remaining four kinds of heart diseases, and even in vataja kind, if there is rigidity and inactivity (in the body) and association of ama. If there is kapha as the secondary dosa in it (vataja heart disease) therapies which bring about dryness and heat should be adopted. 41b-43. 

Pittaja hridroga chikitsa

In hridroga arising from pitta, vireka (purgation) is ideal, with the juice of draksa, iksu, sita, ksaudra and parusaka (as adjuvants to the purgative drug); after such a purifaction, all treatments which mitigate pitta should be done, such as the external and internal treatment enumerated in ksata (uraksata-injury to lungs) and pittajvara (fever caused by pitta). Paste of katvi and madhuka should be consumed along with sugar water. 44-45. 

Medicated ghee prepared with (decoction and paste of) sreyasi, sarkara, draksa, jivaka, rsabhaka, utpala, bala, kharjura, kakoli and meda yugma, with milk and ghee obtained from buffalo milk cures pittaja hridroga. 46-47a.

Medicated ghee prepared with (decoction and paste of) prapaundarika, madhuka, bisagranthi, kaseruka, sunthi; and salivala, milk and ghee, is desirable to be consumed with honey. Ghee prepared with drugs of sweet taste is also suitable. Enema should be administered with oil processed with madhuka and mixed with honey. 47b-49a.

Kaphaja hridroga chikitsa

In that caused by kapha, after making the patient perspire (by sudation therapy), vamana (emesis) should be administered with decoction of piccumanda and vaca (as adjuvants to the emetic drugs). He should consume food prepared from yava along with soup of kulattha and meat of animals of desert-like regions and drink strong wines. Powder of vaca, hingu, the two lavana, nagara, ela, yavanaka (yavani), kana and yavaksara should be consumed with warm water, or with fruit juice, fermented gruel, soup of kulattha, cow’s urine or asava (fermented infusion). Decoction of puskarahva, abhaya, sunthi, sathi, rasna, vaca and kana or of abhaya, sunthi, madri, pitadru and katphala (should be consumed). 49b-52.

Into the decoction of rohitaka, asvattha, khadira, udumbara, arjuna, palasa and vata, powder of vyosa, and trivrt is put in and confection prepared. Consumed with warm water it cures disease (of heart) arising from kapha. 53-54a.

Medicated ghee and different ksaras (alkalies) described in kapha gulma (vide chapter 14 of Chikitsasthana) should be drunk. Either Silahva (silajatu) rasayana (vide. chapter 39 of Uttarsthana) or Brahma rasayana or Amalaka rasayana (all these are mentioned in chapter 39 of Uttarasthana) should be administered. 54b-55. 

If the pain is more soon after meals, mild during digestion and subsides after complete digestion, such a patient should consume the powder of kustha, krimijit, lavana dvaya, tilvaka, devadaru, and ativisa, along with warm water. 56-57a.

He who has severe pain after digestion, should be given a purgative consisting of fats; when pain is severe during digestion a purgative consisting of fruits; when pain is severe at all times, a purgative consisting of roots. 57b-58a.

Generally anila (vata) getting obstructed in its movements, gets increased in the amasaya (stomach), hence it should be made to move in the downward direction with purificatory therapies (purgation and enama), fasting and digestive drugs. 58b-59a. 

In disease of the heart caused by worms (intestinal parasites) all treatments which eradicate the worms should be adopted. 59b. 

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