Sushruta Samhita Sharirasthana Chapter 10 Garbhiņi Vyākaraṇa Shariram (Regimen of the Pregnant Woman)

The 10th bankruptcy of Sharirasthana of Sushruta Samhita is called as Garbhiņi Vyäkaraņa Shariram Adhyaya. This bankruptcy offers with the Regimen of the Pregnant Woman.

अथातोगर्भिणीव्याकरणंशारीरंव्याख्यास्यामः॥१॥
यथोवाचभगवान्धन्वन्तरिः॥२॥

We will now expound the bankruptcy via title Garbhiņī Vyākaraṇaśārīra routine of the pregnant lady; as published via the venerable Dhañvañtari.

Garbhiņīcaryā- habits of the pregnant lady 

गर्भिणीप्रथमदिवसात्प्रभृतिनित्यंप्रहृष्टाशुच्यलङ्कृताशुक्लवसनाशान्तिमङ्गलदेवताब्राह्मणगुरुपराचभवेत्,मलिनविकृतहीनगात्राणिनस्पृशेत्,दुर्गन्धदुर्दर्शनानिपरिहरेत्‌उद्वेजनीयाश्चकथाः,शुष्कंपर्युषितंकुथितंक्लिन्नंचान्नंनोपभुञ्जीत,बहिर्निष्क्रमणंशून्यागारचैत्यश्मशानवृक्षाश्रयान्क्रोधमयशस्करांश्चभावानुच्चैर्भाष्यादिकंचपरिहरेद्यानिचगर्भंव्यापादयन्ति,नचाभीक्ष्णंतैलाभ्यङ्गोत्सादनादीनिसेवेत,नचायासयेच्छरीरं,पूर्वोक्तानिचपरिहरेत्,शयनासनंमृतास्तरणंनात्युच्चमपाश्रयोपेतमसंबाधंचविदध्यात्,हृद्यंद्रवमधुरप्रायंस्निग्धंदीपनीयसंस्कृतंचभोजनंभोजयेत्,सामान्यमेतदाप्रसवात्॥३॥ 

The pregnant lady must practice the under stated proper from the primary day of the being pregnant –

–        Be glad at all times

–        Maintain cleanliness

–        Get decorated with gem stones and jewels

–        Wear white garments

–        Perform propitiatory rites and auspicious actions,

–        Should stay devoted against Gods, Brahmanas and preceptors,

–        Should steer clear of grimy, bizarre and despised issues and must by no means contact them,

–        Keep clear of odours and seeing issues which can be unsightly

She must additionally prevent–

–        taking note of tales or information which might motive psychological disturbance

–        consuming dry, stale, putrefied and really wet meals

–        going out of the home

–        staying in vacant homes

–        visiting or staying close to bushes of worship

–        going to or staying in crematorium,

–        being indignant

–        all actions which might give sick popularity,

–        talking loudly

–        all actions which might motive demise of foetus

Below said are the opposite regimens the pregnant lady must practice –

–        no longer getting indulged an excessive amount of in taking oil baths or therapeutic massage and so forth.

–        take care that her frame does no longer go through an excessive amount of exertion,

–        use cushy and vast beds and seats which can be positioned neither too prime nor too low, neither dangerously positioned nor are difficult

–        meals that she consumes must be just right for center and thoughts, liquid in consistency, having predominantly candy style, is unctuous and ready with herbs which fortify starvation

All those regimens must be adopted till the time of transport.

Āhāravidhi- routine of meals 

विशेषतस्तुगर्भिणीप्रथमद्वितीयतृतीयमासेषुमधुरशीतद्रवप्रायमाहारमुपसेवेत;विशेषतस्तुतृतीयेषष्टिकौदनंपयसाभोजयेत्,चतुर्थेदना,पञ्चमेपयसा,षष्ठेसर्पिषेत्येके;चतुर्थेपयोनवनीतसंसृष्टमाहारयेज्जाङ्गलमांससहितंहृद्यमन्नंचभोजयेत्,पञ्चमेक्षीरसर्पिःसंसृष्टं,षष्ठेश्वदंष्ट्रासिद्धस्यसर्पिषोमात्रांपाययेद्यवागूवा,सप्तमेसर्पिःपृथक्पादिसिद्धम्,एवमाप्यायतेगर्भः;अष्टमेबदरोदकेनबलातिबलाशतपुष्पापललपयोदधिमस्तुतैललवणमदनफलमधुघृतमिश्रेणास्थापयेत्पुराणपुरीषशुद्ध्यर्थमनुलोमनार्थंचवायोः,ततःपयोमधुरकषायसिद्धेनतैलेनानुवासयेत्,अनुलोमेहिवायौसुखंप्रसूयतेनिरुपद्रवाचभवति,अत‌ऊर्ध्वंस्निग्धाभिर्यवागूभिर्जाङ्गलरसैश्चोपक्रमेदाप्रसवकालात्;एवमुपक्रान्तास्निग्धाबलवती सुखमनुपद्रवाप्रसूयते॥४॥ 

During the primary, 2nd and 3rd months of being pregnant, the pregnant lady must principally devour meals which can be –

–        predominantly candy in style,

–        chilly in efficiency and

–        extra of liquids (liquid in consistency)

According to the opinion of a few students, under said routine must be adopted from 3rd to 6th months of being pregnant in which boiled sastika rice must be fed on with various things –

Mainly right through the 3rd month of being pregnant, the pregnant lady must devour Sastika rice boiled and ready correctly, at the side of milk.

In the fourth month of being pregnant, she must devour correctly boiled sastika rice at the side of curd.

In the 5th month of being pregnant, she must devour boiled sastika rice with milk.

In the 6th month of being pregnant, she must devour boiled sastika rice with ghee.

According to the opinion of the treatise (Sushruta), the pregnant lady must practice the under said routine –

During fourth month she must devour –

–        meals added with milk and butter, at the side of

–        meat of animals dwelling in wilderness like areas and

–        boiled rice which supplies excitement to her thoughts,

During 6th month, she must drink some of the under said –

–        ghee ready with swadamstra or

–        yavagu – thick type of gruel

 During 7th month, she must drink –

–        ghee ready with prthakparnietc herbs via the intake of which the foetus turns into happy

During the 8th month, the doctor must administer Kashaya vasti i.e. decoction enemas with decoction of Badara – jujube fruit added with under said substances –

Paste of –

–        Bala – Sida cordifolia

–        Atibala

–        Satapushpa

–        Palala – meat

Below said substances must be added –

–        Milk

–        Dadhimastu – whey

–        Oil

–        Salt

–        Madanaphala – Randia dumetorum

–        Honey and

–        Ghee

Benefits –

The enema ready with the above-mentioned substances bestows the under said advantages –

–        Removes outdated faeces which is stagnant within the frame (colon)

–        Creates downward motion of Vata

Anuvasana Vasti –

After having administered Asthapana / Niruha Vasti, the pregnant lady must be administered with Anuvasana Vasti i.e. unctuous / lubricating enema. For this function, oil processed with milk and herbs of candy style must be used.

After administering each the above stated enemas, the lady will ship simply and that too with none headaches.

After this, she must be administered with the under said meals till transport –

–        Unctuous and thick gruels

–        Soup of meat of animals dwelling in arid areas

When sorted on this approach, the pregnant lady will stay glad, robust and ship the kid simply and fortunately. No headaches will ever happen right through all the procedure and in addition right through transport.

Sutikāgāra – maternity chamber 

नवमेमासिसूतिकागारमेनांप्रवेशयेत्प्रशस्तेतिथ्यादौ।तत्रारिष्टंब्राह्मणक्षत्रियवैश्यशूद्राणांश्वेतरक्तपीतकृष्णेषुभूमिप्रदेशेषुबिल्वन्यग्रोधतिन्दुकभल्लातकनिर्मित सर्वागारंयथासङ्ख्यंतन्मयपर्यतसमुपलिप्तभित्तिंसुविभक्तपरिच्छदंप्राग्द्वारंदक्षिणद्वारंवाऽष्टहस्तायतंचतुर्हस्तविस्तृतंरक्षामङ्गलसंपन्नंविधेयम्॥५॥ 

In the 9th month,

The pregnant lady must input Sutikagara i.e. maternity chamber. She must be made to go into the chamber on an auspicious day after making an allowance for the auspiciousness of naksatra, karana, yoga and so forth.

Sutikagara must had been built at the land having the under said forms of soil –

–        White coloured soil for Brahmanas

–        Red coloured soil for Ksatriyas

–        Yellow coloured soil for Vaisyas

–        Black coloured soil for Sudras

The Sutikagara must be constructed with the woods of the under said bushes –

–        Bilva – Aegle marmelos

–        Nyagrodha –

–        Tinduka – or

–        Bhallataka – Semecarpus anacardium

It must even be provided with –

–        Cots – as many as required which can be ready from the wooden of Bilva and so forth bushes said above

–        Well plastered partitions

–        Well made walls

–        Doors going through east or south which is 8 palms in duration and 4 arm in breadth i.e. 12×6 ft

–        Things required for protecting and auspicious rites

Prajāyinī – girl in labour / parturient lady 

जातेहिशिथिलेकुक्षौमुक्तेहृदयबन्धने॥
सशूलेजघनेनारीज्ञेयासातुप्रजायिनी॥६॥
तत्रोपस्थितप्रसवायाःकटीपृष्ठंप्रतिसमन्ताद्वेदनाभवत्यभीक्ष्णंपुरीषप्रवृत्तिर्मूत्रंप्रसिच्यतेयोनिमुखाच्छ्लेष्माच॥७॥ 

Prajayini – The pregnant lady with the under said options will probably be regarded as as Prajayani i.e. one who’s going to ship the newborn soom –

–        Looseness of the stomach

–        Foetus launched from the area of the center

–        Pain within the waist area

UpasthitaPrasava – Below said are the indicators of arrival of transport time –

–        Severe ache within the waist and again area happening again and again,

–        Elimination of faeces,

–        Discharge of urine and in addition slesma (skinny slimy fluid) from the yoni – vaginal orifice

Prasavopacāra- habits of transport 

प्रजनयिष्यमाणांकृतमङ्गलस्वस्तिवाचनांकुमारपरिवृतांपुन्नामफलहस्तांस्वभ्यक्तामुष्णोदकपरिषिक्तामथैनांसम्भृतांयवागूमाकण्ठात्पाययेत्,ततःकृतोपधानेमृदुनिविस्तीर्णेशयनेस्थितामाभुग्नसक्थीमुत्तानामशङ्कनीयाश्चतस्रःस्त्रियःपरिणतवयसःप्रजननकुशलाःकर्तितनखाःपरिचरेयुरिति॥८॥
अथास्याविशिखान्तरमनुलोममनुसुखमभ्यज्यानुब्रूयाच्चैतामेका – सुभगेप्रवाहस्वेति,नचाप्राप्तावीप्रवाहस्व,ततोविमुक्तेगर्भनाडीप्रबन्धेसशूलेषुश्रोणिवङ्क्षणबस्तिशिरःसुचप्रवाहेथाःशनैःशनैः,ततोगर्भनिर्गमेप्रगाढं,ततोगर्भेयोनिमुखंप्रपन्नेगाढतरमाविशल्यभावात्;अकालप्रवाहणादधिरंमूकंकुब्जंव्यस्तहनुमूर्ध्वाभिघातिनंकासश्वासशोषोद्भुतंविकटंवाजनयति॥९॥ 

The pregnant lady who’s in labour must be recommended to accomplish the under said –

–        Auspicious rites

–        Hear hymns of benediction

–        Have a lot of youngsters round her,

–        Hold in her hand, the end result bearing male title,

–        Get her frame anointed with oil and take tub in heat water,

–        Drink Yavagu – thick gruel added with ghee till she is abdomen complete i.e. totally happy

Positioning the pregnant lady –

After this, the pregnant lady in labour must be –

–        Made to lie on a mattress which is cushy and huge and has pillows

–        She must stay her thighs folded on the knees and

–        Lie together with her face upward, against the roof

–        She must be held via 4 aged ladies who’re extraordinarily devoted, married, very a lot professional in engaging in transport and who’ve trimmed (pared) her nails. Such girls must nurse the girl in labour.

 Other measures

After this, the pubic hairs of the lady must be shaved. Her pelvis must be anointed with oil.

Massage of the pelvis must be finished gently in downward course making her really feel comfy.

Advice to pressure – One of the midwives who’s attending the lady must say those phrases of convenience and inspire the lady to pressure so that you could facilitate the exertions, as – ‘you, good lady, you have to strain a little bit now. But do not strain without getting the avi (labour pain), until the umbilical cord gets loosened of its attachment and you experience pain in your waist and upper part of your urinary bladder. Continue to strain repeatedly but slowly. Once the foetus starts coming out and you sense that, you need to strain greatly. The straining should be even greater once you sense that the foetus has reached the vaginal orifice so as to force the foetus out, together with placenta. You should also remember that you should not strain before the proper time. If done, the child may be delivered deaf, dumb, hunchback, with distorted lower jaw, with injuries of organs above the shoulders and will also be afflicted with cough, dyspnoea and emaciation. The baby may also be emaciated, deformed or monstrous in shape”.

Janana sahāya, manipulation for easy delivery 

तत्रप्रतिलोममनुलोमयेत्,प्राञ्जलमाकर्षेत्॥१०॥

If the foetus has been wrongly positioned, the following steps should be taken –

–        If it is placed with its head up i.e. upward, it should be brought downward

–        If it is bent downward, it shall be pulled out gently

गर्भसनेतु योनिंधूपयेत्कृष्णसर्पनिर्मोकेणपिण्डीतकेनवा,बध्नीयाद्धिरण्यपुष्पीमूलंहस्तपादयोः,धारयेत्सुवर्चलांविशल्यांवा॥११॥ 

In case of foetal obstruction, the below mentioned measures should be done –

–        The woman’s vagina must be fumigated with fumes of black cobra peel or pinditaka (madanaphala)

–        Hiranyapuspi / Kalihari root is tied round her palms and ft

–        She must be made to put on Suvarchala or Visalya as amulets on her frame

Prasavottara karma – post-delivery actions 

अथजातस्योल्बंमुखंचसैन्धवसर्पिषाविशोध्य,घृताक्तंमूर्ध्निपिचुंदद्यात्;ततोनाभिनाडीमष्टाङ्गुलमायम्यसूत्रेणबद्ध्वाछेदयेत्,तत्सूत्रैकदेशंचकुमारस्यग्रीवायांसम्यग्बध्नीयात्॥१२॥ 

Below said measures must be performed after the childbirth –

–        Saindhava lavana i.e. rock salt and ghee combined in combination must be used to transparent the ulba – vernix caseosa and mouth of the kid

–        Ghee smeared cotton swab must be stored at the best of the pinnacle of the kid

–        Now, the nabhinadi i.e. umbilical twine must be reduce. It must be pulled to a duration of 8 angula i.e. 16 cm. It must be tied with a thread and reduce at one finish. It must be tied across the kid’s neck loosely. This would save you ache, hindrance and exudation.

अथकुमारंशीताभिरद्भिराश्वस्यजातकर्मणिकृतेमधुसर्पिरनन्तचूर्णमङ्गुल्याऽनामिकयालेहयेत्।ततोबलातैलेनाभ्यज्य,क्षीरवृक्षकषायेणसर्वगन्धोदकेनवारूप्यहेमप्रतप्तेनवावारिणास्नापयेदेनंकपित्थपत्रकषायेणवाकोष्णनयथाकालंयथादोषंयथाविभवंच॥१३॥ 

Below said are the measures to be desirous about appreciate to the brand new born kid –

–        Cold water tub must be given to the kid and comforted in an effective way,

–        Honey, ghee and powder of Ananta must be combined right into a homogenous aggregate. The child is made to lick this mix carried out to the hoop finger.

–        Bala taila must be used to anoint the kid and a comfy tub. Bath must be given with heat Panchavalkala Kashaya – decoction ready with bark of bushes having milky sap. Alternatively, a tub must be given the usage of water boiled with Sarvagandha herbs i.e. aromatic herbs like Ela – cardamom and so forth. Decoction of Kapittha leaves too can be utilized for a similar function. Whichever herbs are to be had suitable to the season, dosha and energy (of the herbs) must be used skilfully.

Sisu āhara – feeding the baby 

 धमनीनांहृदिस्थानांविवृतत्वादनन्तरम्॥
चतूरात्रात्रिरात्राद्वास्त्रीणांस्तन्यंप्रवर्तते॥१४॥
तस्मात्प्रथमेऽह्निमधुसर्पिरनन्तमिश्रंमन्त्रपूतंत्रिकालंपाययेत्,द्वितीयेलक्ष्मणासिद्धंसर्पिः,तृतीयेच;ततःप्राङ्निवारितस्तन्यंमधुसर्पिःस्वपाणितलसंमितंद्विकालंपाययेत्॥१५॥ 

The dhamanis – arteries provide within the area of the center (chest, breasts) open up 3 or 4 days following the kid beginning. Then, the breast milk will get produced.

On the primary day – Therefore, a mix of honey, ghee and Ananta – fold which has been sanctified with sacred hymns, must be given for the kid to lick at the first day of its beginning. It will probably be administered 3 times.

On the second one and 3rd day – the kid must be given ghee boiled with Laksmana.

After this, the breastmilk which has been extracted previous will probably be given after having combined it with honey and ghee. It will probably be administered two times in an afternoon. The amount of this must be equivalent to that which is able to have compatibility into the palm of the kid – swapani tala pramana.

Sūtikopacāra- control of peurperum 

अथसूतिकांबलातैलाभ्यक्तांवातहरौषधनिष्क्वाथेनोपचरेत्।सशेषदोषांतुतदहःपिप्पलीपिप्पलीमूलहस्तिपिप्पलीचित्रकशृङ्गवेरचूर्णंगुडोदकेनोष्णेनपाययेत्,एवंद्विरात्रंत्रिरात्रंवा कुर्यादादुष्टशोणितात्।विशुद्धततोविदारिगन्धादिसिद्धांस्नेहयवागूक्षीरयवागूवापाययेत्रिरात्रम्।ततोयवकोलकुलत्थसिद्धेनजाङ्गलरसेनशाल्योदनंभोजयेद्वलपग्रिबलंचावेक्ष्य।अनेनविधिनाऽध्यर्धमासमुपसंस्कृताविमुक्ताहाराचाराविगतसूतिकाभिधानास्यात्, पुनरार्तवदर्शनादित्येके॥१६॥

Below said measures must be undertaken relating to the lady who has delivered the kid –

–        Body must be anointed with Bala Taila

–        Decoction ready with vata mitigating herbs must be given to drink

–        Powder of Pippali, pippalimula, hastipippali, chitraka and srngavera combined with answer of jaggery and made heat must be given to lick to expel the residue morbid doshas particularly vitiated blood, for 2 to a few days or till the doshas stay within (till it’s expelled).

–        Yavagu ready from the Vidarigandhadi Gana crew of herbs must be given to drink added with ghee or milk, after the morbid doshas are expelled. This must be given for 3 days.

–        Boiled rice must be given for intake after this. It must be given at the side of soup of Yava, kola and kulattha and soup ready with meat of animals and birds dwelling in desert-like areas. It must be given after having regarded as her energy and digestive energy.

–        In this manner, the lady adhering to the above-mentioned routine of meals and heading off the contraindicated actions will get the title of Sutika i.e. lady in puerperium, for a length of 1 and part months. She will undergo the similar title till her subsequent menstrual glide seems.

धन्वभूमिजातांतुसूतिकांघृततैलयोरन्यतरस्यमात्रांपाययेत्पिप्पल्यादिकषायानुपानां,स्नेहनित्याचस्यात्रिरात्रंपञ्चरात्रंवाबलवती;अबलांयवागूंपाययेत्रिरात्रंपञ्चरात्रंवा।अत‌ऊर्ध्वंस्निग्धेनान्नसंसर्गेणोपचरेत्॥१७॥ 

Sūtikābelonging to the dhanvanabhumi i.e. arid area must be given ghee or oil in appropriate dose for consuming.

After this, she must be given Pippalyadi Gana Kashaya as an after-drinks. This will probably be given for a length of 3 to 5 days if the lady is powerful sufficient. On the opposite hand, yavagu – thick gruel must be given for consuming for 3 or 5 days, if the lady is susceptible. Following this, the lady in puerperium must be given unctuous meals for her nourishment.

प्रायशश्चैनांप्रभूतेनोष्णोदकेनपरिषिञ्चेत्,क्रोधायासमैथुनादींश्चपरिहरेत्॥१८॥

Streams of heat water must be sprinkled on her repeatedly an afternoon. She must be recommended to steer clear of anger, over-exertion and copulation and so forth.

मिथ्याचारात्सूतिकायायोव्याधिरुपजायते॥सकृच्छ्रसाध्योऽसाध्योवाभवेदत्यपतर्पणात्॥१९॥तस्मात्तांदेशकालौचव्याधिसात्म्येनकर्मणा॥परीक्ष्योपचरेन्नित्यमेवंनात्ययमाप्नुयात्॥२०॥

The illnesses led to because of flawed control / remedy of sutika would both grow to be curable with issue or incurable and this occurs because of critical under-nourishment.

Therefore, Sutika must be handled with meals, medications and movements which can be congenial to her illness with out permitting any scope for headaches or hazards. Treatment must be finished after making an allowance for the desha – nature of the area and kala – season.

Aparāpātana – putting off the retained placenta 

अथापराऽपतन्त्यानाहाध्मानौकुरुते,तस्मात्कण्ठमस्याःकेशवेष्टितयाऽङ्गुल्याप्रमृजेत्,कटुकालाबुकृतवेधनसर्षपसर्पनिर्मोकैर्वाकटुतैलविमिर्योनिमुखंधूपयेत्,लाङ्गलीमूलकल्केनवाऽस्याःपाणिपादतलमालिम्पेत्,मूर्ध्निवाऽस्यामहावृक्षक्षीरमनुसेचयेत्,कुष्ठलाङ्गलीमूलकल्कंवामद्यमूत्रयोरन्यतरेणपाययेत्,शालमूलकल्कंवापिप्पल्यादिंवामद्येन,सिद्धार्थककुष्ठलाङ्गलीमहावृक्षक्षीरमिश्रेणसुरामण्डेनवाऽऽस्थापयेत्,एतैरेवसिद्धेनसिद्धार्थकतैलेनोत्तरबस्तिदद्यात्,स्निग्धेनवाकृत्तनखेनहस्तेनापहरेत्॥२१॥ 

The lady would revel in distension of stomach and flatulence if Aparā (placenta) does no longer pop out on the proper time after transport of the kid.

Hence the under said remedies will probably be finished –

–        her throat must be tickled with finger tied with hairs,

–        her vaginal orifice must be uncovered to the fumes of kațukālābu,krtavedhana,sarsapa or sarpanirmoka(snake peel) added with katutaila

–        her hands and soles must be smeared with the paste of the roots of lāñgalī,

–        her head must be smeared with the milky sap of mahāvíkşa; or

–        paste of root of kustha and lāñgali combined with wine, urine (of cow) or another must be given her to drink; or

–        paste of root of sāla or of substances of pippalyādigana combined with wine given to drink; or

–        decoction enema containing siddhārthaka,kustha,lāñgalī and sap of mahāvrkșa added with scum of the beer; or

–        uttarabasti(vaginal douche) ready with the similar medication and oil of siddhārthaka must be administered; or

–        it (placenta) must be pulled out via the hand being lubricated and nails reduce shut

Makkalla – puerperal ache / sepsis 

प्रजातायाश्चनार्यारूक्षशरीरायास्तीक्ष्णैरविशोधितंरक्तंवायुनातद्देशगतेनातिसंरुद्धंनाभेरधःपार्श्वयोर्बस्तौबस्तिशिरसिवाग्रन्थिंकरोति;ततश्चनाभिबस्त्युदरशूलानिभवन्ति,सूचीभिरिवनिस्तुद्यतेभिद्यतेदीर्यत‌इवचपक्वाशयः,समन्तादाध्मानमुदरेमूत्रसङ्गश्चभवतीतिमक्कल्ललक्षणम्।तत्रवीरतर्वादिसिद्धंजलमूषकादिप्रतीवापंपाययेत्,यवक्षारचूर्णंवासुखोदकेनपिप्पल्यादिक्वाथेनवा,पिप्पल्यादिचूर्णंवासुरामण्डेन,वरुणादिक्वाथंवापञ्चकोलैलाप्रतीवापं,पृथकपादिक्वाथंवाभद्रदारुमरिचसंसृष्टं,पुराणगुडंवात्रिकटुकचतुर्जातककुस्तुम्बुरुमिश्रंखादेत्,अच्छंवापिबेदरिष्टमिति॥२२॥

Causes – over the top dryness within the frame of the lady who has delivered the kid and inclomplete evacuation / clearance of blood.

Pathogenesis –

The blood which has no longer pop out totally will get very much vitiated via vata found in that area and

↓

Forms a tumor

↓

Either under the navel area or on its each side, within the urinary bladder (area) or on the higher portion (head) of the urinary bladder

↓

This reasons ache within the umbilical area and in addition within the bladder and stomach. The ache is like that produced via pricking of needles

↓

The individual seems like his colon has been reduce into two portions. The situation is related to flatulence and obstruction of urine.

↓

This situation is named Makkalla.

Treatment for Makkalla –

–        water ready with Vidarigandha Gana crew of herbs for consuming, added with powder of herbs of Usakadi Gana crew of herbs or

–        powder of Yavaksara with lukewarm water or decoction of Pippalyadi Gana crew of herbs or

–        powder of Pippalyadi Gana crew of herbs with Suramanda – scum of beer or

–        decoction of Varunadi Gana crew of herbs with PanchakolaChurna or

–        decoction of Prthakparnietc herbs added with powder of Bhadradaru and Marica or

–        outdated jaggery combined with TrikatuCurna, Caturjata and Kustumbara or

–        arista – for consuming

Bālopacāra, care of the baby toddler 

अथबालंक्षौमपरिवृतंक्षौमवस्त्रास्तृतायांशय्यायांशाययेत्,पीलुबदरीनिम्बपरूषकशाखाभिश्चैनंपरिवीजयेत्,मूनिचास्याहरहस्तैलपिचुमवचारयेत्,धूपयेच्चैनंरक्षोनधूपैः,रक्षोनानिचास्यपाणिपादशिरोग्रीवास्ववसृजेत्,तिलातसीसर्षपकणांश्चात्रप्रकिरेत्,अधिष्ठानेचाग्निंप्रज्वालयेत्,व्रणितोपासनीयंचावेक्षेत॥२३॥ 

The new child kid must be sorted within the under said means –

–        kid must be wrapped in a cushy linen

–        the wrapped kid must be positioned at the mattress coated with cushy linen sheets

–        twigs of pilu, badari, nimba or parusaka must be used as enthusiasts

–        oil-soaked cotton pad will probably be stored at the head / crown of the pinnacle of the kid ceaselessly

–        disclose the kid to fumes of Raksoghna herbs

–        Raksoghna herbs must be tied to the palms, ft, head and neck

–        sprinkle the powder of tila, Atasi and sarsapa all over the kid

–        stay the fireplace lit within the chamber the place the kid is positioned

–        undertake all different procedures described within the context of Vranitopasana bankruptcy (Sutra Sthana Chapter 19)

Nāmakarana- naming rite 

ततोदशमेऽहनिमातापितरौकृतमङ्गलकौतुकौस्वस्तिवाचनंकृत्वानामकुर्यातयदभिप्रेतंनक्षत्रनामवा॥२४॥ 

Next,the fogeys of the kid must carry out auspicious rites, recite sacred hymns and title their kid at the 10th day after the beginning of the kid. The title must be as desired and decided on via them or via the title of the big name constellation through which the kid used to be born.

Dhātri yojana- attractive a wet-nurse 

ततोयथावर्णधात्रीमुपेयान्मध्यमप्रमाणांमध्यमवयस्कामरोगांशीलवतीमचपला.मलोलुपशमकशामस्थूलाप्रसन्नक्षीरामलम्बौष्ठीमलम्बोर्ध्वस्तनीमव्यङ्गामव्यसनिनीजीवद्वत्सांदोग्धीवत्सलामक्षुद्रकर्मिणीकुलेजातामतोभूयिष्लैश्चगुणैरन्वितांश्मामामारोग्यबलवद्धयेबालस्यतत्रो + स्तनीकरालंकुर्यात्,लम्बस्तनीनासिकामुखंछादयित्वामरणमापादयेत्। 

Next,choice of Dhatri i.e. wet-nurse who would feed the kid will probably be described. Dhatri must possess the under said options to believe her for feeding and nursing the kid –

–        she must belong to the similar caste of the kid

–        she must be of average constructed and of center age

–        she must be loose from any illness

–        her persona must be virtuous

–        she must have a gradual thoughts and no longer grasping

–        she must neither be emaciated nor overweight

–        she must be generating natural milk and her lips must no longer be drooping,

–        her breasts must neither be sagging nor everted

–        she must no longer have deformities,

–        she must no longer be in a length of grief or at all times grieving

–        she must have a dwelling kid whom she is feeding,

–        she must be affectionate and no longer indulged in imply actions,

–        she must had been born in a revered circle of relatives

–        she must be endowed with extra benevolent qualities

–        she must be of brown color

The lady / wetnurse bearing the above stated qualities on my own must be appointed for making sure well being and build up of energy of the kid.

If the moist nurse has increased breasts, she would make the kid glance unsightly. On the opposite hand, if she has sagging breasts, it’s going to motive demise of the kid for the reason that sagging breasts would impede the orifices of the nostril and mouth of the kid whilst feeding.

Stanyapāna- suckling the kid 

ततःप्रशस्तायांतिथौशिरःस्नातमहतवाससमुदङ्मुखंशिशुमुपवेश्यधात्रींप्राङ्मुखींचोपवेश्यदक्षिणंस्तनंधौतमीषत्परिनुतमभिमन्त्र्यमन्त्रेणानेनपाययेत्॥२५॥
‘चत्वारःसागरास्तुभ्यंस्तनयोःक्षीरवाहिनः॥
भवन्तुसुभगेनित्यंबालस्यबलवृद्धये॥२६॥
पयोऽमृतरसंपीत्वाकुमारस्तेशुभानने॥
दीर्घमायुरवाप्नोतुदेवाःप्राश्यामृतंयथा॥२७॥

After this, the child is given a head bath on an auspicious day. Later the child should be put on new clothes.

Now, the wet nursesitting facing east should place the child on her lap, with the child facing north.

The right breast of the wet nurse is then washed and slightly pressed so as to express a little quantity of milk out of the breast. She should be asked to feed the child after having sanctified the milk with the below mentioned hymn – ‘May all the four oceans make theh milk flow through the channels of milk into your breast. This milk may increase the strength of your baby. May this child of you, oh woman with a benevolent face, attain long life after drinking your ‘nectar like milk’ similar to the Gods reach lengthy lifestyles after consuming nectar’.

अतोऽन्यथानानास्तन्योपयोगस्यासाम्यव्याधिजन्मभवति॥२८॥
अपरिखतेऽप्यतिस्तब्धस्तन्यपूर्णस्तनपानादुत्सुहितस्त्रोतसःशिशोःकासश्वासबमी प्रादुर्भावः।तस्मादेवंविधानांस्तन्यंनपाययेत्॥२९॥ 

If the above-mentioned procedures don’t seem to be adopted correctly, many illnesses will happen within the kid, by way of many varieties of breast milk. These illnesses will get up because of unaccustomed feeding.

Below said are the results of no longer expressing out the milk at first,

–        hardness of the breast

–        breasts grow to be complete with milk

–        channels of milk are driven up and offers upward push to illnesses / signs like cough, dyspnoea and vomiting within the kid whilst suckling,

Therefore, the milk must no longer be given to the kid on this (incorrect) means.

Stanya nāśakāraṇa, reasons for lack of breastmilk 

क्रोधशोकावात्सल्यादिभिश्चस्त्रिया : स्तन्यनाशोभवति।अथास्याःक्षीरजननार्थसौमनस्यमुत्पाद्ययवगोधूमशालिषष्टिकमांसरससुरासौवीरकपिण्याकलशुनमत्स्यकशेरुकशृङ्गाटकबिसविदारिकन्दमधुकशतावरीनालिकालाबूकालशाकप्रभृतीनिविदध्यात्॥३०॥ 

Causes of lack of or non-production of breast milk in ladies –

–        anger

–        grief

–        loss of love and affection and so forth.

Therefore, to lend a hand manufacturing of breast milk, the under said must be finished –

She must be recommended to be calm and feature pleasantness of thoughts and expand love and affection against the newborn.

She must be given with meals ready from the under said substances –

–        Yava – barley

–        Godhuma – wheat

–        Sali – rice

–        Sastika – paddy grown in sixty days

–        Meat soup

–        Sura – beer

–        Sauviraka – beer

–        Pinyaka – paste of sesame, added with jaggery

–        Lasuna – garlic

–        Matsya – fish

–        Kaseruka

–        Srngataka –

–        Bisa

–        Vidarikanda

–        Madhuka

–        Satavari

–        Nalika

–        Alabu

–        Kalasaka and so forth.

Stañyaparīkņā- exam of breast milk 

अथास्याःस्तन्यमप्सुपरीक्षेत;तच्चेच्छीतलममलंतनुशङ्खावभासमप्सुन्यस्तमेकीभावंगच्छत्यफेनिलमतन्तुमन्नोत्प्लवतेऽवसीदतिवातच्छुद्धमितिविद्यात्,तेनकुमारस्यारोग्यंशरीरोपचयोबलवृद्धिश्चभवति।नचक्षुधितशोकार्तश्रान्तप्रदुष्टधातुगर्भिणीज्वरितातिक्षीणातिस्थूलविदग्धभक्तविरुद्धाहारतर्पितायाःस्तन्यंपाययेत्;नाजीर्णौषधंचबालं,दोषौषधमलानांतीव्रवेगोत्पत्तिभयात्॥३१॥ 

Next,the exam of breast milk of the mum must be finished in water.

Below said are the options of natural or un-vitiated milk –

–        Cold

–        Clear

–        Thin

–        Conch shell like color

–        When installed water, it will get combined flippantly with it and turns into one with water

–        Devoid of threads or froth

–        Does no longer flow on water

–        Does no longer sink in water

Benefits – Below said advantages will also be observed within the kid consuming such milk –

–        Health

–        Proper enlargement of the frame

–        Increase in energy

The kid must no longer be fed with the under said varieties of milk –

–        Milk of f hungry, grief troubled, drained lady

–        Milk of lady whose tissues are seriously vitiated

–        Milk of pregnant lady

–        Milk of lady affected by fever

–        Milk of excessively skinny or excessively overweight lady

–        Milk of lady who has taken charred or over-cooked meals,

–        Milk of lady who’s nourished with incompatible meals

No medication must be given to the newborn for indigestion. If given, there may be at all times a terror of critical and untowards bouts and results of the doshas, aushadha – medicinens and malas – wastes.

भवन्तिचात्र 

Some verses right here 

धात्र्यास्तुगुरुभिर्भोज्यैर्विषमैर्दोषलैस्तथा॥
दोषादेहेप्रकुप्यन्तिततःस्तन्यंप्रदुष्यति॥३२॥
मिथ्याहारविहारिण्यादुष्टावातादयःस्त्रियाः॥
दूषयन्तिपयस्तेनशारीराव्याधय : शिशोः॥
भवन्तिकुशलस्तांश्चभिषक्सम्यग्विभावयेत्॥३३॥

Doshas within the frame of the moist nurse would grow to be irritated resulting in vitiation of breast milk when –

–        She continuously consumes heavy meals which don’t seem to be simply digested in her frame

–        She consumes mix of wholesome and bad meals and elements which might motive aggravation of doshas

The clever doctor must at all times be vigilant as a result of the under said causes –

Indulgence in flawed meals and actions would motive aggravation of vata and different doshas within the lady’s / moist nurse’s frame

↓

These irritated doshas would vitiate her breast milk

↓

The vitiated breast milk will produce many illnesses within the child

 

Identification (analysis) of various pains and illnesses in youngsters

अङ्गप्रत्यङ्गदेशेतुरुजायत्रास्यजायते॥
मुहुर्मुहुःस्पृशतितंस्पृश्यमानेचरोदिति ॥३४॥
निमीलिताक्षोमूर्धस्थेशिरोरोगेनधारयेत्॥
बस्तिस्थेमूत्रसङ्गार्तोरुजातृष्यतिमूर्च्छति॥३५॥
विण्मूत्रसङ्गवैवर्ण्यच्छाध्मानान्त्रकूजनैः॥ कोष्ठेदोषान्विजानीयात्सर्वत्रस्थांश्चरोदनैः॥३६॥

Below said must be understood because the web site of illnesses within the youngsters –

–        Big or small a part of the frame, whichever the kid ceaselessly touches or

–        Cries when the ones frame portions are touched via somebody

Seat of the illness	Symptoms
Diseases of the pinnacle	Child closes eyelids Child reveals it tough to raise the pinnacle and stay it erect
Diseases of urinary bladder	Obstruction of urine, Pain Thirst Fainting
Aggravation of doshas within the stomach (gastrointestinal tract)	Obstruction of faeces and urine Change of frame colour Vomiting Flatulence Gurgling noise within the gut
Diseases of the entire frame	Child cries an excessive amount of

 

Sisu cikitsā – remedy of youngsters तेषुयथाभिहितंमृद्वच्छेदनीयमौषधंमात्रयाक्षीरपस्यक्षीरसर्पिषासंयुक्तंविदध्यात्,व्याञ्चकेवलंक्षीरान्नादस्यात्मनिधात्र्याश्चपूर्ववत्,अन्नादस्यकषायादीनात्मन्येवन धात्र्याः ॥३७॥

For Ksirapai.e. kid who beverages most effective milk –

–        Mild appearing medications must be administered.

–        Those medications must be so delicate that theywould no longer push the doshas out of the frame with nice power.

–        The medications will probably be administered in suitable doses.

–        The medications must be administered combined with ghee or milk.

–        Separate medications must be administered for moist nurse.

For kşīrānnāda i.e. kid who consumes each milk and forged meals –

Separate medications must be given to each, the kid and moist nurse as described above.

For an annādai.e. kid who consumes most effective forged meals – medications must most effective be administered to the kid within the type of decoction of herbs and so forth. Medicines must no longer be given to the moist nurse.

Auşadhamātra – dose of medications

तत्र मासादूर्ध्वंक्षीरपायाङ्गलिपर्वद्वयग्रहणसंमितामौषधमात्रांविदध्यात्,कोलास्थिसंमितांकल्कमात्रांक्षीरान्नादाय,कोलसंमितामन्नादायेति॥३८॥ 

For Kshirapa– two phalanges of the finger must be dipped into the liquid containing medications, honey or ghee after which taken out. The amount of drugs that clings to the 2 phalanges of the finger must be regarded as as the right amount of drugs to be administered after one month of the beginning of the kid i.e. this amount is appropriate for the kid who’s one month outdated, who beverages most effective milk.

For kṣīrānāda- the dose of the medication must be equivalent to the dimensions of the seed of kola – jujube fruit and must be within the type of paste.

For annāda–the dose of the medication must be equivalent to the dimensions of the kola fruit itself – entire jujube fruit.

Method of management of medicinal pastes as medication

येषांगदानांयेयोगा : प्रवक्ष्यन्तेऽगदङ्कराः॥
तेषुतत्कल्कसंलिप्तौपाययेतशिशुंस्तनौ॥३९॥

The paste of the medications advocated via the physicians to be given to youngsters for particular illnesses will probably be carried out at the mom or moist nurse’s breasts and the kid is made to suckle from the breast.

Use of Ghee

एकंद्वेत्रीणिचाहानिवातपित्तकफज्वरे॥
स्तन्यपायाहितंसर्पिरितराभ्यांयथार्थतः॥४॥
नचतृष्णाभयादत्रपाययेतशिशुंस्तनौ॥
विरेकबस्तिवमनान्यृतेकुर्याच्चनात्ययात्॥४१॥

Ksheerapa – Ghee is very really useful particularly as a automobile for the advocated medication for a ksheerapa kid struggling fever or different illnesses produced via vata, pitta and kapha. Ghee must be used for someday in illnesses led to via vata, for 2 days in pitta illnesses and for 3 days in case of kapha illnesses.

For Ksheerannada and Annada youngsters – ghee will probably be used as discovered appropriate. Severe thirst won’t expand because of this within the kid. Ghee could also be used excluding for virechana, vasti and vamana (herbs). These medications will probably be carried out at the breasts of mom or moist nurse and the kid made to feed on the ones breasts. When finished on this means, it’s going to no longer give upward push to any emergency situation.

Mastuluñga kşaya – depletion of mind topic

मस्तुलुङ्गक्षयाद्यस्यवायुस्ताल्वस्थिनामयेत्॥
तस्यतृड्दैन्ययुक्तस्यसर्पिर्मधुरकैःशृतम्॥४॥
पानाभ्यञ्जनयोर्योज्यंशीताम्बूद्वेजनंतथा॥

Vata will get irritated because of the lack of mastulunga (mind topic). The irritated vayu reasons bending of the bone of the palate. The kid develops thirst and peevishness.

Ghee boiled with candy tasting herbs just like the Kakolyadi Gana crew of herbs and so forth defined within the 43rd bankruptcy of Sutra Sthana must be given for licking, consuming and anointing / massaging after stimulating the frame of the kid via splashes of chilly water.

Tundi – eversion of the umbilicus 

वातेनाध्यापितांनाभिंसरुजांतुण्डिसंज्ञिताम्॥४३॥
मारुतघ्नःप्रशमयेत्स्नेहस्वेदोपनाहनैः॥

Tundi is a painful situation in which the umbilicus of the kid is bulged up via the irritated vata. The remedy for Tundi must be within the type of oleation, sudation and medicinal poultices ready with vata mitigating herbs.

Gudapāka – ulceration of the rectum 

गुदपाकेतुबालानांपित्तघ्नींकारयेत्क्रियाम्॥
रसाञ्जनंविशेषेणपानालेपनयोर्हितम्॥४४॥

Treatments for mitigating pitta must be administered to the kid affected by ulcers growing within the rectum / anus. Rasanjana is principally really useful for consumption (licking) and in addition for exterior software.

Śišuposaņa – nourishing the kid 

क्षीराहारायसर्पिःपाययेत्सिद्धार्थकवचामांसीपयस्यापामार्गशतावरीसारिवाब्राह्मीपिप्पलीहरिद्राकुष्ठसैन्धवसिद्धं,क्षीरान्नादायमधुकवचापिप्पलीचित्रकत्रिफलासिद्धम्,अन्नादाय द्विपञ्चमूलीक्षीरतगरभद्रदारुमरिचमधुकविडङ्गद्राक्षर्धिब्राह्मीसिद्धं;तेनारोग्यबलमेधायूंषिशिशोभवन्ति॥४५॥ 

For Ksheerapa – Ghee ready with the under said herbs must be administered day-to-day –

–        Siddhartaka

–        Vacha

–        Mamsi

–        Payasya

–        Apamarga

–        Satavari

–        Sariva

–        Brahmi

–        Pippali

–        Haridra

–        Kustha

–        Saindhava

For Ksheerannada –

Ghee ready with the under said herbs must be administered day-to-day –

–        Madhuka

–        Vacha

–        Pippali

–        Chitraka

–        Triphala

For Annada –

Ghee ready with the under said herbs must be administered day-to-day –

–        Brhat Pancamula

–        Laghu Pancamula

–        Kshira

–        Tagara

–        Bhadradaru

–        Marica

–        Madhuka

–        Vidanga

–        Draksa

–        Rddhi

–        Brahmi

This would lend a hand in bettering the well being, energy, intelligence and lifestyles span of the kid.

Sisu raksana – care of the kid 

बालंपुनर्गात्रसुखंगृह्णीयात्,नचैनंतर्जयेत्,सहसानप्रतिबोधयेद्वित्रासभयात्,सहसानापहरेदुत्क्षिपेद्वावातादिविघातभयात्,नोपवेशयेत्कौज्यभयात्,नित्यंचैनमनुवर्तेतप्रियशतैरजिघांसुः;एवमविहतमनाह्यभिवर्धतेनित्यमुदग्रसत्त्वसंपन्नोनीरोगःसुप्रसन्नमनाश्चभवति।वातातपविद्युत्प्रभापादपलताशून्यागारनिम्नस्थानग्रहच्छायादिभ्योदुर्ग्रहोपसर्गतश्चबालंरक्षेत्॥४६॥ 

Below said are the suitable tactics of dealing with and taking care of the kid –

–        Child must be held and lifted via palms in this kind of means that it’s comforting to the kid’s frame

–        Should no longer be anxious

–        Should no longer be all of sudden awoke from the sleep

–        Should no longer be all of sudden lifted up

–        Should no longer be let down / dropped all of sudden – doing this would possibly motive aggravation of doshas

–        Should no longer be made to take a seat for very long time, doing so would possibly motive hunchback

–        Should be stored glad at all times – via giving delightful and risk free toys

If the kid is sorted on this means, the under said advantages will also be observed –

–        The kid grows correctly into its additional levels

–        Will have excellence of thoughts

–        Will be loose from illnesses

–        Will have glad and transparent thoughts

The kid must be secure from –

–        Breeze

–        Sunlight

–        Lightning

–        Bright lighting fixtures

–        Trampling via foot

–        Kicking

–        Going into vacant and lonely homes

–        Deep pits

–        Shadows of planets

–        Contact with malevolent planets and so forth.

नाशुचौविसृजेदालंनाकाशेविषमेनच॥
नोष्ममारुतवर्षेषुरजोधूमोदकेषुच ॥४७॥

The kid must no longer be left in –

–        Unclean puts

–        Open areas

–        Uneven puts

–        More warmth

–        More breeze

–        More rain

–        More mud

–        More smoke

क्षीरसात्म्यतयाक्षीरमाजंगव्यमथापिवा॥
दद्यादास्तन्यपर्याप्तेर्बालानांवीक्ष्यमात्रया॥४८॥

When enough breast milk isn’t to be had for the kid to drink, it can be substituted with milk of goat or cow for the reason that kid is conversant in milk. But those milks must be given most effective after making an allowance for the situation of the kid and after deciding what proportion of milk the kid wishes. This association will probably be made till the breast milk turns into to be had.

Anna prāśana – giving forged meals 

षण्मासंचैनमन्नंप्राशयेल्लघुहितंच॥४९॥

In the 6th month the kid will probably be given boiled rice which is mild in nature i.e. simply digestible and is appropriate to the kid.

Raksā karma – protecting rites 

नित्यमवरोधरतश्चस्यात्कृतरक्षउपसर्गभयात्;प्रयत्नश्चग्रहोपसर्गेभ्योरक्ष्याबालाभवन्ति।।५0।।

The kid must no longer most effective be at all times hid but additionally secure by way of protecting rites as a result of there’ll at all times be a terror of ownership of the kid via evil spirits. The kid must at all times be secure with all conceivable efforts from the ownership via evil spirits like demons and so forth.

Grahajușța lakṣaṇa – indicators of ownership via evil spirits 

अथकुमारःउद्विजतेत्रस्यतिरोदितिनष्टसंज्ञोभवतिनखदशनैर्धात्रीमात्मानंचपरिणुदतिदन्तान्खादतिकूजतिजृम्भतेध्रुवौविक्षिपत्यूचंनिरीक्षतेफेनमुद्वमतिसन्दष्टौष्ठःक्रूरोभिन्नामवर्चादीनार्तस्वरोनिशिजागर्तिदुर्बलोम्लानाङ्गोमत्स्यच्छुच्छन्दरिमत्कुणगन्धोयथापुराधात्र्याःस्तन्यमभिलषतितथानाभिलषतीतिसामान्येनग्रहोपसृष्टलक्षणमुक्तं,विस्तरेणोत्तरेवक्ष्यामः।।५१।।

Below said are the generalized indicators of a kid possessed with evil spirits. The kid

–        is agitated very much

–        frightened

–        assists in keeping crying at all times

–        ceaselessly turns into subconscious

–        scratches and bites his personal frame and in addition the frame of moist nurse together with his nails and tooth

–        grinds his tooth

–        produces cooing sounds from his throat

–        may have extra yawning

–        strikes his eyebrows

–        gazes upwards

–        vomits froth like subject matter

–        bites his lips

–        turns into violent and harsh

–        has liquid and foul smelling, sticky and unripe stools

–        makes voices akin to the ones of helpless individuals and those that are in ache and agony,

–        at all times assists in keeping woke up right through the nights,

–        may have susceptible and debilitated frame portions,

–        emits odor very similar to that of fish, mouse or mattress malicious program

–        does no longer experience consuming breast milk of moist nurse as he used to be doingn in the past

These prerequisites might be detailed within the Uttara Tantra segment of this treatise.

Vidyārjana – initiation for learn about 

शक्तिमन्तंचैनंज्ञात्वायथावणविद्यांग्राहयेत्॥५२॥

The kid must be initiated to the learn about, after realizing that the kid has attained energy to go through training (studentship). The initiation must be suitable to his caste.

Vivāha – marriage 

अथास्मैपञ्चविंशतिवर्षायषोडशदशवर्षांपत्नीमावहेत्पित्र्यधर्मार्थकामप्रजाः प्राप्स्यतीति॥५३॥ 

After the individual has attained twenty-five years of age, he must be married to a girl of 16 years of age. She must be his spouse for –

–        acting the tasks of householder,

–        for pursuing righteousness,

–        for pursuing wealth,

–        for hobby (enjoyable sexual want) and

–        for begetting youngsters

ऊनषोडशवर्षायामप्रातःपञ्चविंशतिम्॥
यद्याधत्तेपुमान्गर्भकुक्षिस्थःसविपद्यते॥५४॥
जातोवानचिरंजीवेज्जीवेद्वादुर्बलेन्द्रियः॥
तस्मादत्यन्तबालायांगर्भाधानंनकारयेत्॥५५॥
अतिवृद्धायांदीर्घरोगिण्यामन्येनवाविकारेणोपसृष्टायांगर्भाधानंनैवकुर्वीत।
पुरुषस्याप्येवंविधस्यत‌एवदोषाःसंभवन्ति॥५६॥ 

Below said are the results of a person who has no longer attainend twenty-five years of age copulates with the lady who’s lower than 16 years of age –

–        the fetus will die within the womb itself (if the lady conceives)

–        the kid won’t are living lengthy (if the kid is born)

–        the kid may have susceptible frame and sense organs (if the kid survives)

Therefore, one must no longer delight in copulation with an excessively younger girl for the aim of begetting a kid.

Similarly, one must no longer have copulation with a girl who’s over elderly than him, with the aim of begetting a kid. He must additionally steer clear of copulation with a girl who’s affected by persistent illnesses or different varieties of abnormalities. The identical rule is acceptable for even a person who’s lower than twenty-five years of age and the similar problems befall i.e. foetal demise, quick lifespan and being born with a susceptible frame.

Garbha srāva–pāta- Abortion, miscarriage and so forth.

Prathama srāva – threatend abortion 

तत्रपूर्वोक्तैःकारणैःपतिष्यतिगर्भेगर्भाशयकटीवङ्गणबस्तिशूलानिरक्तदर्शनंच।तत्रशीतैःपरिषेकावगाहप्रदेहादिभिरुपचरेज्जीवनीयशृतक्षीरपानैश्च।गर्भस्फुरणेमुहुर्मुहुस्तत्सन्धारणार्थंक्षीरमुत्पलादिसिद्धंपाययेत्।प्रत्रंसमानेसदाहपार्श्वपृष्ठशूलासग्द्,स्थानात्स्थानंचप्रक्रामतिगर्नेकोष्ठेसंरम्भः,तत्रस्निग्धशीताःक्रियाः।वेदनायां महासहाक्षुद्रसहामधुकश्वदंष्ट्राकण्टकारिकासिद्धंपयःशर्कराक्षौद्रमिश्रंपाययेत;पूत्रसझेदर्भादिसिद्धमःआनाहेहिङ्गसौवर्चललशुनवचासिद्धम्।
अत्यर्थस्त्रवतिरक्तेकोष्ठागारिकागारमृत्पिण्डसमङ्गाधातकीकुसुमनवमालिकागैरिकसर्जरसरसामनचूर्णंमधुनाऽवलिह्यात्,यथालाभंन्यग्रोधादित्वक्प्रवालकल्कंवापयसापाययेत्,उत्पलादिकल्कंवाकशेरुशृङ्गाटकशालूककल्कंवाशृतेनपयसा,उदुम्बरफलौदककन्दक्वाथेनवाशर्करामथुमधुरेणशालिपिष्टं;न्यग्रोधादिस्वरसपरिपीतंवावस्त्रावयवंयोन्यांधारयेत्।
अथादृष्टशोणितवेदनायांमधुकदेवदारुमञ्जिष्ठापयस्यासिद्धंपयःपाययेत्,तदेवाश्मन्तकशतावरीपयस्यासिद्धविदारिगन्धादिसिद्धंवा,बृहतीद्वयोत्पलशतावरीसारिवापयस्मामधुकसिद्धंवा;एवमुपक्रान्ताया‌उपावर्तन्तेरुजोगर्भश्चाप्यायते।व्यवस्थितेचगर्भेगव्येनोदुम्बरशंलाटुसिद्धेनपयसाभोजयेत्।

अतीतेलवणस्नेहवाभिर्यवागूभिरुद्दालकादीनांपाचनीयोपसंस्कृताभिरुपक्रमेतयावन्तोमासागर्भस्यतावन्त्यहानि।बस्त्युदरशूलेषुपुराणगुडंदीपनीयसंयुक्तंपाययेदरिष्टंवा।वातोपद्रवगृहीतत्वात्स्रोतसांलीयतेगर्भः,सोऽतिकालमवतिष्ठमानोव्यापद्यते, तांमृदुनास्नेहादिक्रमेणोपचरेत्,उत्क्रोशरससंसिद्धामनल्पस्नेहांयवागूपाययेत्,माषतिलबिल्वशलाटुसिद्धान्वाकुल्पाषान्भक्षयेन्मधुमाध्वीकंचानुपिबेत्सप्तरात्रम्।कालातीतस्थायिनिगर्भेविशेषतःसधान्यमुदूखलंमुसलेनाभिहन्याद्विषमेवायानासनेसेवेत।वाताभिपन्न‌एवशुष्यतिगर्भः,समातुःकुक्षिंनपूरयतिमन्दंस्पन्दतेच,तंबृंहणीयैःपयोभिर्मासरसैश्चोपचरेत्।शुक्रशोणितंवायुनाऽभिप्रपन्नमवक्रान्तजीवमाध्यापयत्युदरं,तंकदाचिद्यदृच्छयोपशान्तंनैगमेषापहृतमितिभाषन्ते,कदाचित्प्रलीयमानंनागोदरमित्याहुः;तत्रापिलीनवत्प्रतीकारः॥५७॥ 

When the foetus starts to fall off because of the reasons said in Nidana Sthana bankruptcy 9, the lady would revel in ache within the uterus, waist, groin and urinary bladder. Bleeding too would happen.

When this occurs, the lady must be handled via the under said measures –

–        showering chilly natural decoctions over her stomach,

–        giving immersion to her in chilly water

–        making use of chilly medicinal pastes on her stomach and so forth.

–        she must be given milk boiled with Jivaniya Gana crew of herbs for consuming

She must be given milk boiled and ready with Utpaladi Gana teams of herbs for consuming when she has common throbbing in her womb as led to via the foetus. This milk would keep an eye on the throbbing.

Prasramsamana Garbha

Symptoms –When abortion commences and the foetus begins flowing out, the lady would revel in the under said signs –

–        ache in flanks and again at the side of burning sensation,

–        vaginal bleeding

–        flatulence

–        urinary obstruction

–        motion of foetus from position to position within the womb growing noises within the stomach

Treatment –

–        oleation and chilly comforts

–        milk boiled with mahāsahā,kşudrasahā,madhuka,śvadamstrā and kantakārika added with sugar and honey for ache aid

–        milk boiled with darbhaetc(trnapañcamūla)– for urinary obstruction

–        milk boiled with hiñgu,sauvarcala,laśuna and vacā – for flatulence

‘Atyartha Sravita Rakta’ remedy

If there may be over the top bleeding, the under said varieties of remedy must be finished –

Powder of the under said substances must be jumbled together honey and given for licking –

–        wasp-nest dust

–        samanga

–        dhataki vegetation

–        contemporary vegetation of mallika – jasmine

–        gairika

–        sarjarasa

–        rasanjana

Bark and buds of Nyagrodhadi Gana crew of herbs, as many to be had, are taken and their paste is made. This paste is blended with milk.

 

Below said must be boiled and ready in milk and must be given for consuming –

–        paste of Utpaladi Gana crew of herbs

–        paste of kaseru, srngataka and saluka

Decoction of the under said must be given to drink –

–        udumbara end result

–        tubers of aquatic vegetation, added with

–        sugar, honey and different candy elements and

–        paste of Sali

Cloth items soaked in contemporary juice of Nyagrodhadi Gana crew of herbs will probably be inserted within the vagina.

Adrushta Shonita Chikitsa

She must be given with the under said milk recipes when she does no longer have bleeding however has ache. Milk boiled with the under said must be given –

1. madhuka, devadaru, manjistha and payasya
2. asmantaka, satavari and payasya
3. vidarigandhadigana
4. brihati, kantakari, Utpala, satavari, sariva, payasya and madhuka

Pain will subside and the foetus can be happy and remains with none more or less troubles, when handled via those.

Vyavasthita Garbha Chikitsa

The lady must take meals with cow’s milk boiled and ready with unripe end result of udumbara when the foetus turns into solid.

Garbha pāta, miscarriage 

When the abortion has been finished i.e. the foetus has totally fallen off, yavagu ready from Uddalaka and so forth processed and ready with digestive medication must be given to the lady, with out including salt and fat. It must be given for that choice of days which corresponds to the choice of being pregnant months.

Old jaggery added with dipaniya herbs or arista (fermented drink) must be given to the lady for intake when she has ache within the area of the urinary bladder and stomach.

Līna garbha, retained foetus 

The foetus adheres indide the uterus and remains there for a protracted time period, when the srotas (passages of transport, vaginal canal, uterine passages) turns into affected and obstructed via headaches of vata, the foetus would die. This situation is named Lina Garbha.

Treatment –

–        oleation and different treatments administered in delicate shape,

–        yavāgu(thick gruel) ready with soup of meat of utkrośa(one of those chicken / fishing eagle)must be administered added with ok quantity of ghee or oil,

–        yavāgu ready with māșa,tila and younger end result of bilva or

–        kulmāsa(cooked pulses)must be given for intake and later madhu – wine and madhvika – wine ready from dates must be given for consuming for a length of 7 days

Kalatita Garbha

When the lady isn’t in a position to ship the kid even after the standard time of transport i.e. 9 months for the reason that foetus has stayed within the uterus for a very long time, the lady must be allowed to pound corn crammed within the mortar, with the assistance of a pestle. Alternatively, she must be taken for a trip on an animal or made to take a seat on abnormal or asymmetric seats.

Garbha soșa – emaciated foetus 

The foetus would grow to be dried when it’s suffering from irritated vata. This foetus does no longer fill the stomach of the mum solely. It additionally throbs mildly. In this situation, milk ready with herbs which motive stoutening and soups of meat must be administered as a part of remedy.

Naigameshahrta, Nagodara – spurious being pregnant / pseudocyesis 

Some folks say that the foetus has been snatched away via one of those demon known as Naigamesa when expansion of stomach happens in lady when the sukra – semen and sonita – ovum vitiated via vata and no longer blended with jiva i.e. soul, which subsides occasionally by itself.

The identical situation is named as Nagodara when it dissolves occasionally by itself accord. The remedy is very similar to that of Lina Garbha defined previous for those prerequisites additionally.

Masānumāsika Yoga 

अत‌ऊर्ध्वंमासानुमासिकंवक्ष्यामः॥५८॥
मधुकंशाकबीजंचपयस्यासुरदारुच॥
अश्मन्तकस्तिला : कृष्णास्ताम्रवल्लीशतावरी॥५९॥
वृक्षादनीपयस्याचलतासोत्पलसारिवा॥
अनन्तासारिवारास्तापद्मामधुकमेवच॥६०॥
बृहत्यौकाश्मरीचापिक्षीरिशुङ्गास्त्वचोघृतम्॥
पृश्रिपर्णीबलाशिग्रुःश्वदंष्ट्रामधुपर्णिका॥६१॥20gm
शृङ्गाटकंबिसंद्राक्षाकशेरुमधुकंसिता॥
वत्सैतेसप्तयोगाःस्युरर्धश्लोकसमापनाः॥
यथासंख्यंप्रयोक्तव्यागर्भस्रावेपयोयुताः॥६२॥

After this, month sensible recipes will probably be described for pregnant ladies as follows. These must be administered to the pregnant lady at the side of milk, in case of abortion (threatened)

Pregnancy month	Recipe
1st month	Madhuka, Saka Bija, Payasya, Suradaru
2nd month	Asmantaka, Krsnatila, Tamravalli, Satavari
3rd month	Vrksadani, Payasya, Lata (Priyangu), Utpala and Sariva
4th month	Ananta, Sariva, Rasna, Padma and Madhuka
5th month	Brihati, Kantakari, Kasmari, Buds and barks of Panchavalkala and Ghee
6th month	Prsniparni, Bala, Sigru, Svadamstra and Madhuparnika
7th month	Srngataka, Bisa, Draksa, Kaseru, Madhuka and Sita (Sarkara)

कपित्थबृहतीबिल्वपटोलेक्षुनिदिग्धिका॥
मूलानिक्षीरसिद्धानिपाययेद्भिषगष्टमे॥६३॥
नवमेमधुकानन्तापयस्यासारिवाःपिबेत्॥
क्षीरंशुण्ठीपयस्याभ्यांसिद्धंस्याद्दशमेहितम्॥६४॥
सक्षीरावाहिताशुण्ठीमधुकंसुरदारुच॥
एवमाप्यायतेगर्भस्तीव्रारुक्चोपशाम्यति॥६५॥

Pregnancy month	Recipe
8th month	Milk boiled with roots of Kapittha, Brihati, Bilva, Patola, Iksu and Nidigdhika
9th month	Milk boiled with Madhuka, Ananta, Payasya and Sariva
10thmonth	Milk boiled with Sunthi and Payasya or with Sunthi, Madhuka and Suradaru

With those recipes, the foetus turns into smartly nourished and critical ache additionally subsides.

Punargarbha grahaņa – next being pregnant 

निवृत्तप्रसवायास्तुपुनःषड्भ्योवर्षेभ्य‌ऊर्ध्वंप्रसवमानायानार्याःकुमारोऽल्पायुर्भवित॥६६॥ 

The kid may have a brief lifestyles span if the lady who has been relieved of being pregnant simply now and as soon as once more conceives and delivers a kid after six years.

Garbini raksana – care of the pregnant lady 

अथगर्भिणीव्याध्युत्पत्तावत्ययेछर्दयेन्मधुराग्लेनानोपहितेनानुलोमयेच्च

संशमनीयंचमृदुविदध्यादन्नपानयोः,अश्रीयाच्चपदवीर्यंपधुरप्रार्यगर्भाविरुद्धंच.गांविरुद्धाचक्रियायथायोगंविदधीतमृदुप्रायाः॥६७॥ 

Vamana and Anulomana – Emesis remedy the usage of herbs of candy and bitter tastes added with meals and in addition purgation remedy must be administered if the pregnant lady develops any illness or any emergencies.

Samshamana – Herbs which can be Samsamaniya i.e. which mitigate the doshas must be administered in delicate paperwork combined with food and drinks.

Ahara –the lady must take meals of delicate efficiency which can be predominantly candy in style and no longer destructive to the foetus.

Aviruddha Kriya – Milder kinds of remedies and actions, as appropriate and no longer opposite to the smartly being of the foetus must be followed.

Sisuprāsa – tonic recipes for youngsters 

सौवर्णंसुकृतंचूर्णंकुष्ठंमधुघृतंवचा॥
मत्स्याक्षकःशङ्खपुष्पीमधुसर्पिःसकाञ्चनम्॥६८॥
अर्कपुष्पीमधुघृतंचूर्णितंकनकंवचा॥
हेमचूर्णानिकैडर्यःश्वेतादूर्वाघृतंमधु॥६९॥
चत्वारोऽभिहिताःप्राशा : श्लोकार्थेषुचतुर्ध्वपि॥
कुमाराणांवपुर्मेधाबलबुद्धिविवर्धनाः॥७॥

1.Powder or ash of Suvarna – gold, Kushta – Saussurealappa, honey, ghee and powder of Vacha – Acorus calamus

2.Powder of Matsyāksaka and Sankhapuspi,combined with honey, ghee and ash of gold

3.Arkapuspi,honey, ghee and powder / ash of gold

4. Ash of gold, Kaidarya, Sveta Durva, ghee and honey

Children must be made to lick the above 4 recipes said in part verses. These recipes would fortify the improvement of frame, intelligence, energy and knowledge.

इतिश्रीसुश्रुतसंहितायांशारीरस्थानेगर्भिणीव्याकरणंशारीरंनामदशमो ऽध्यायः॥१॥ 

Thus ends the Tenth bankruptcy via title Garbhiņi Vyākarana, in Śārīra Sthāna of Suśruta Saṁhita.