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हृद्रोगो विद्रधिः प्लीहा गुल्मोऽतीसार एव च||२३६||

भवन्त्युपद्रवास्तेषामावृतानामुपेक्षणात्| तस्मादावरणं वैद्यः पवनस्योपलक्षयेत्||२३७||
 

पञ्चात्मकस्य वातेन पित्तेन श्लेष्मणाऽपि वा| भिषग्जितमतः सम्यगुपलक्ष्य समाचरेत्||२३८||
 

अनभिष्यन्दिभिः स्निग्धैः स्रोतसां शुद्धिकारकैः| कफपित्ताविरुद्धं यद्यच्च वातानुलोमनम्||२३९||
 

सर्वस्थानावृतेऽप्याशु तत् कार्यं मारुते हितम्| यापना बस्तयः प्रायो मधुराः सानुवासनाः||२४०||
 

प्रसमीक्ष्य बलाधिक्यं मृदु वा स्रंसनं हितम् | रसायनानां सर्वेषामुपयोगः प्रशस्यते||२४१||
 

शैलस्य जतुनोऽत्यर्थं पयसा गुग्गुलोस्तथा| लेहं वा भार्गवप्रोक्तमभ्यसेत् क्षीरभुङ्नरः||२४२||
 

अभयामलकीयोक्तमेकादशसिताशतम्  | अपानेनावृते सर्वं दीपनं ग्राहि भेषजम्||२४३||
 

वातानुलोमनं यच्च पक्वाशयविशोधनम्| इति सङ्क्षेपतः प्रोक्तमावृतानां चिकित्सितम्||२४४||

हृद्रोगेत्यादिना उपद्रवानाह| पञ्चात्मकस्येति प्राणादिभेदेन पञ्चस्वरूपस्य| प्रसमीक्ष्येत्यादौ बलाधिक्ये सति स्रंसनं मृदु कर्तव्यमित्यभिप्रायः| अत्यर्थं प्रशस्यत इति सम्बन्धः| लेहं वा भार्गवप्रोक्तमिति च्यवनप्राशं, च्यवनो हि भार्गव उच्यते| उक्तं हि आयुर्वेदसमुत्थाने “भार्गवश्च्यवनः कामी वृद्धः सन् विकृतिं गतः” (चि.अ.१पा.४) इति| वातस्यानुलोमनं चिकित्सितं कुर्यादिति नियोजनीयम्||२३६-२४५||

Due to neglect of covered vatas, cardiac disorder, abscess, spleen enlargement,
gulma and diarrhoea appears as compalications. Hence the physician should identify the
covering of the five types of vata by vata, pitta or kapha and then prescribe the
proper remedy for the same.
In case of vata covered in all places one should administer immediately the
carminative medicines for vata with unctuous substances which do not block the channels but
are cleanser of them and are not antagonistic to kapha and pitta.
Sustaining enemas mostly sweet ones along with unctuous enema should be
applied but if pronounced strength is observed mild purgative should be given.
In these cases, the use of all rasayana formulations is commended such as
the regular use of Silajatu or guggulu with milk.
Or the patient should use regularly the formulation delivered by Bhargava
( cyavanaprasa ) keeping on milk diet or the eleven formulations mentioned in the
chapter on haritaki, àmalaki etc. should be used with wholesome diet
If there is covering by apana, the entire remedy consists of appetising, astringent,
carminative for wind and cleansing of bowels
Thus the treatment of covered vatas prana etc. is said in brief physician should apply them after thinking himself.
In covering by pitta one should apply remedies alleviating pitta which are
not antagnostic to vata. In that by kapha kapha-alleviating and wind-carminative
remedies should be administered.