Astanga Hridaya Sutrasthan

Written by Vagbhata around the 7th century CE, the Astanga Hridaya is a synthesis of Ayurvedic knowledge from earlier texts. The Sutrasthan (first section) contains 164 chapters covering the fundamental principles of Ayurvedic medicine.

Ch. 1

Ayushkameeya Adhyaya

आयु कामीयं

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 associa

Ch. 1

Haritakyadi Varga

हरीतक्यादिवर्गः

The first and largest chapter of Bhavaprakash Nighantu, covering medicinal herbs and drugs beginning with Haritaki (Terminalia chebula). Includes detailed descriptions of spices, roots, barks, resins, and plant-based medicines with their names, properties (Rasa, Guna, Virya, Vipaka), therapeutic actions, and botanical identifications.

Ch. 1.1

Four Important Components of Therapeutics (Mahachatushpada Adhyaya / महाचतुष्पाद अध्याय)

Expands on therapeutic principles by addressing disease prognosis classification into four types (easily curable, difficult to cure, palliable, absolutely incurable), emphasizing prognostic assessment before treatment initiation.

Ch. 1.11

Three Desires of Life & Important Triads (Tistraishaniya Adhyaya / तिस्रैषणीय अध्याय)

Explores the three fundamental desires of life (life, wealth, afterlife), four methods of knowledge validation, three pillars of health, three disease causes, three disease types, three physician types, and three treatment modalities.

Ch. 1.12

Merits & Demerits of Vata Dosha (Vatakalakaliya Adhyaya / वातकलाकलीय अध्याय)

Detailed exposition on Vata dosha's properties, functions, aggravating and pacifying factors, and its supremacy among doshas, with brief coverage of Pitta and Kapha functions.

Ch. 1.13

Oleation Therapies (Snehadhyaya / स्नेहाध्याय)

Comprehensive guide to oleation therapy as essential pre-purification treatment, covering lipid sources (vegetable and animal), the four major therapeutic fats, seasonal protocols, dosing, contraindications, and signs of proper oleation.

Ch. 1.14

Sudation Therapies (Swedadhyaya / स्वेदाध्याय)

Comprehensive exposition on sudation (sweating) therapy as post-oleation treatment, detailing 13 fire-based and 10 non-fire methods, indications, contraindications, sensitive area protocols, and stopping indicators.

Ch. 1.15

Hospital Management & Purification Guidelines (Upakalpaniya Adhyaya / उपकल्पनीय अध्याय)

Establishes protocols for Panchakarma administration including hospital infrastructure, staffing, equipment, pre-treatment preparation, emesis procedure, post-procedure dietary rehabilitation (Samsarjana Karma), and accessibility principles.

Ch. 1.16

Assessment & Care in Panchakarma (Chikitsaprabhritiya Adhyaya / चिकित्साप्राभृतीय अध्याय)

Covers assessment of proper, inadequate, and excessive purification therapy, signs of dosha accumulation requiring purification, benefits of correct treatment, management of complications, and the Svabhavoparamavada theory of natural disease resolution.

Ch. 1.17

Diseases of Vital Organs Including Head (Kiyanta Shiraseeya Adhyaya / कियन्तःशिरसीय अध्याय)

Systematizes pathology of three vital organs (head, heart, urinary bladder), classifies dosha permutations producing 62 disease combinations, describes tissue depletion syndromes, ojas, pustule types, and dosha movement patterns.

Ch. 1.18

Three Types of Swellings & Inflammation (Trishothiya Adhyaya / त्रिशोथीय अध्याय)

Categorizes swellings (shotha) by dosha dominance and etiology (endogenous vs exogenous), describes normal dosha functions as diagnostic markers, site-specific manifestations, and principles for identifying unnamed diseases.

Ch. 1.19

Numerical Classification of Diseases (Ashtodariya Adhyaya / अष्टोदरीय अध्याय)

Systematic numerical enumeration of diseases by type count, establishing that no endogenous disease manifests without dosha vitiation, with correlations to modern disease categories.

Ch. 1.2

Dosha-Specific Disease Classification (Maharoga Adhyaya / महारोगाध्याय)

Classifies 140 single-dosha endogenous diseases (80 vata, 40 pitta, 20 kapha), establishes diagnostic imperatives before treatment, and provides dosha-specific management frameworks.

Ch. 1.21

Eight Undesirable Physical Constitutions (Ashtauninditiya Adhyaya / अष्टौनिन्दितीय अध्याय)

Identifies eight undesirable physical types with focus on obesity and leanness as most problematic, covering pathophysiology, management protocols, ideal body constitution, and sleep physiology.

Ch. 1.22

Reduction & Nourishing Therapies (Langhanabrimhaniya Adhyaya / लङ्घनबृंहणीय अध्याय)

Establishes the six fundamental therapeutic approaches (Shadupakrama): lightening, nourishing, drying, oleation, sudation, and astringent therapies, with indications, signs of proper application, and complications of excess.

Ch. 1.23

Over-nutrition & Under-nutrition Disorders (Santarpaniya Adhyaya / सन्तर्पणीय अध्याय)

Comprehensive chapter on diseases from overnutrition (santarpana) and undernutrition (apatarpana), covering causative foods, disease lists, specific herbal formulations, obesity management, and nourishing preparations for the emaciated.

Ch. 1.24

Blood Characteristics & Consciousness Disorders (Vidhishonitiya Adhyaya / विधिशोणितीय अध्याय)

Covers blood tissue formation and vitiation, characteristics of pure blood, causes and consequences of blood disorders, and three progressive consciousness disorders (intoxication, syncope, coma) with dosha-specific presentations.

Ch. 1.25

Origin of Human Beings & Best Remedies (Yajjah Purushiya Adhyaya / यज्जः पुरुषीय अध्याय)

Philosophical debate among ten sages on human origin, Atreya's synthesis that identical factors sustain or destroy health based on application, the concept of pathya (wholesome), Agrya Samgraha (156 best-in-class remedies), and 84 fermented preparations.

Ch. 1.26

Pharmacological Principles of Diet (Atreyabhadrakapyiya Adhyaya / आत्रेयभद्रकाप्यीय अध्याय)

Foundational pharmacology chapter establishing the six tastes (rasa), their elemental composition, potency (veerya), post-digestive effect (vipaka), specific potency (prabhava), and the doctrine of incompatible food combinations (viruddha ahara).

Ch. 1.27

Classification of Food & Beverages (Annapanavidhi Adhyaya / अन्नपानविधि अध्याय)

The largest dietetics chapter classifying foods into twelve categories (cereals, pulses, meats, vegetables, fruits, greens, wines, water, milk products, sugarcane derivatives, cooked foods, adjuvants) with properties and therapeutic indications for each.

Ch. 1.28

Sequential Effects of Food & Beverages (Vividhashitapitiya Adhyaya / विविधाशितपीतीय अध्याय)

Explains food-to-tissue transformation through digestion, tissue-specific diseases from dosha-dushya interaction, dosha movement between gut and periphery, and the philosophical framework of food as both origin of life and disease.

Ch. 1.29

Ten Seats of Life Forces (Dashapranayataneeya Adhyaya / दशप्राणायतनीय अध्याय)

Identifies ten anatomical seats essential for life forces, contrasts genuine life-protecting physicians (pranabhisara) with disease-promoting quacks (rogabhisara), and establishes medical ethics framework.

Ch. 1.3

Ten Great Vessels & Aspects of Healthy Life (Arthedashmahamooliya Adhyaya / अर्थेदशमहामूलीय अध्याय)

The concluding chapter of Sutra Sthana covering heart anatomy and ten great vessels, ojas significance, life span classification, quality of life types, definition and scope of Ayurveda, eight branches of medicine, and physician qualifications.

Ch. 1.4

Six Hundred Evacuatives & Drug Classification (Shadvirechanashatashritiya Adhyaya / शद्विरेचनशताश्रितीय अध्याय)

Comprehensive pharmaceutical chapter organizing 600 evacuative formulations, 500 medicinal herbs into 50 therapeutic classes (Mahakashaya), covering plant sources, preparation methods, and potency levels.

Ch. 1.5

Proper Food Quantity & Daily Regimen (Matrashiteeya Adhyaya / मात्राशितीय अध्याय)

Establishes dietary quantity based on individual digestive capacity and describes eight daily health practices including collyrium, therapeutic smoke, nasal oil, oral hygiene, massage, and bathing.

Ch. 1.6

Seasonal Regimen of Diet & Lifestyle (Tasyashiteeya Adhyaya / तस्याशितीय अध्याय)

Prescribes specific dietary and lifestyle regimens for each of the six seasons to maintain health by countering seasonal dosha fluctuations, including rules for seasonal transitions.

Ch. 1.7

Non-suppressible & Suppressible Natural Urges (Naveganadharaniya Adhyaya / नवेगान्धारणीय अध्याय)

Comprehensive chapter on thirteen natural urges that must not be suppressed, psychological urges that should be restrained, physical exercise guidelines, gradual habit modification, body constitution, and seasonal purification.

Ch. 1.8

Sense Organ Discipline & Ethical Conduct (Indriyopakramaniya Adhyaya / इन्द्रियोपक्रमणीय अध्याय)

Establishes the Pancha-Panchaka (five pentads) framework for understanding sensory perception, the nature of mind, and prescribes comprehensive ethical conduct codes (Sadvritta) for health and longevity.

Ch. 1.9

Four Fundamental Components of Healthcare (Khuddakachatushpada Adhyaya / खुड्डाकचतुष्पाद अध्याय)

Defines the four pillars of healthcare - physician, medicine, nursing staff, and patient - with four essential qualities each, establishing physician primacy and warning against quack practitioners.

Ch. 2

Dinacharya Daily Routine

दनचया

Healthy person should get up from bed at Brahmi Muhurtha. That is, before dawn, or around 45 minutes before Sun rise, around 5 – 6 am. Last three hours of the night – from 3 am to 6 am – is known as b

Ch. 2

Karpuradi Varga

कर्पूरादिवर्गः

Chapter on aromatic substances beginning with Karpura (Camphor). Covers fragrant drugs, aromatic resins, and perfumery materials used in Ayurvedic medicine.

Ch. 2.1

Fever Diagnosis (Jwara Nidana / ज्वर निदान)

Nidana Sthana deals with the etiology, symptomatology, and means of diagnosis of diseases. It begins with a generalized set of fundamental principles of diagnosis and then proceeds to specialized studies of diseases. The first part of this chapter deals with the necessary tools for acquiring a comprehensive knowledge of any disease. A set of five important tools/components - etiology, premonitory signs, clinical features, pacifying factors and pathogenesis termed as ‘Nidana Panchaka’ helps in un

Ch. 2.2

Hemorrhagic Disorders Diagnosis (Raktapitta Nidana / रक्तपित्त निदान)

This chapter deals with diagnosis of bleeding disorders (raktapitta) caused by an excess of pitta dosha vitiating blood tissue (rakta dhatu) in the body. This leads to capillary break-down causing hemorrhage from external openings like mouth, per rectum, nose, eyes, ears, urethra. Contributing factors that increase the probability of raktapitta include consumption of incompatible food substances, consuming certain meats with alcohol, butter milk with meat of animals etc. The regular exposure to

Ch. 2.3

Abdominal Lump Diagnosis (Gulma Nidana / गुल्म निदान)

The third chapter describes the etiology, pathogenesis, clinical features and therapeutics of lumps in abdomen. Gulma, a (stable or transitory) growth that could occur anywhere in the body is primarily caused by a vitiated vata. The description given in the text cannot be correlated with any single entity of conventional medicine, but denotes localized intra-abdominal swellings of multiple origin in terms of their cause, site, features etc. In patients weakened by or recuperating from diseases o

Ch. 2.4

Urinary Disorders Diagnosis (Prameha Nidana / प्रमेह निदान)

Keywords: Factors affecting disease pathology, Prameha, diabetes, genetic susceptibility, prabhuta mutrata, polyuria, avila mutrata, turbid urine, vikarabhighata, urinary disorders.

Ch. 2.5

Skin Diseases Diagnosis (Kushtha Nidana / कुष्ठ निदान)

This chapter deals with diagnosis of skin disease termed as Kushtha. The disease has variable manifestations on skin depending upon degree of involvement of three vitiated dosha and their effect on four vitiated factors i.e. rasa, rakta, mamsa and lasika (lymphatic system). On the basis of clinical manifestations and severity, kushtha is classified into seven major types, eleven minor types or innumerable types due to the permutation and combination of dosha predominance and involvement of parti

Ch. 2.6

Consumption Diagnosis (Shosha Nidana / शोष निदान)

This chapter describes the basics of etiopathogenesis of progressive wasting disease termed as shosha roga and its culmination in rajayakshma vis-à-vis pulmonary tuberculosis. Shosha is characterized by severe depletion of tissues (also called phthisis) which could be a precursor of tuberculosis as known today which occurs due to tubercular infection, phthisis and immune-compromised state. Over exertion (sahasa), suppression of natural urges (vegavidharana), pre-existing emaciation (kshaya), and

Ch. 2.7

Insanity Diagnosis (Unmada Nidana / उन्माद निदान)

This chapter describes the detailed etiopathogenesis and types of a large class of major mental disorders or psychoses named as Unmada. The word Unmada, literally means frenzy, madness or mental derangement. Unmada is characterized by a disordered mental state in the faculties of mind and intellect. This leads to perverted presentation of thought processes, decision making, intellectual functioning, orientation and responsiveness, memory, desires, habits, character, psychomotor activity, conduct

Ch. 2.8

Epilepsy Diagnosis (Apasmara Nidana / अपस्मार निदान)

This chapter deals with another psychiatric disorder leading to transient loss of consciousness termed as Apasmara. It describes causative factors, predisposing conditions, pathogenesis, signs, types, and prognosis of apasmara. The clinical presentation of this disease simulates the seizure disorders described in conventional medical literature. Apasmara is a common neuropsychiatric disorder characterized by intermittent loss of consciousness, memory, abnormal movements and blackouts. This chapt

Ch. 3

Ritucharya adhyaya Seasonal

ऋतुचया

During Hemantha, the people are strong, digestive fire becomes powerful, because it gets obstructed from flowing outward due to external winter. Like fuel consumes the things that it comes into contac

Ch. 3

Guduchyadi Varga

गुडूच्यादिवर्गः

Chapter beginning with Guduchi (Tinospora cordifolia). Covers a large group of medicinal plants including climbers, creepers, and herbaceous plants.

Ch. 3.1

Taste Assessment (Rasa Vimana / रस विमान)

The word ‘Rasa’ literally means taste sensation, essence, fluid, mercury, flavours. This chapter is related with the tastes of food substance and its importance in diet related to health. Dosha and rasa are the prominent factors for the assessment of diseases and drugs respectively. There are six rasas - madhura (sweet), amla (sour), lavana (saline), katu (pungent), tikta (bitter), and kashaya (astringent). These have pacifying and provoking effect on physiological status of dosha in body. This

Ch. 3.2

Three Types of Gastric Capacity (Trividhakukshiya Vimana / त्रिविधकुक्षीय विमान)

This chapter describes the principles of food and dietary intake for healthy living with special emphasis on the quantum of food ingested. It is advised that one must eat in accordance with the capacity of one’s stomach and the quantity of food is determined by the strength of one’s digestion capacity (agni). Ayurveda regards ama, or undigested food, as the cause of vitiation of dosha and consequently various disorders. Proper quantity of food is digested in time without disturbing one’s health.

Ch. 3.3

Epidemics & Community Health (Janapadodhvansaniya Vimana / जनपदोध्वंसनीय विमान)

This chapter describes causes of environmental calamities leading to annihilation of communities (not limited to epidemics), along with their remedial measures. The queries and solutions about effects of afflictions caused due to such calamities on individuals whose constitution, immunity, lifestyle adaptations are “different”. Any contamination of four factors - vayu (air), jala (water), desha (land), and kala (season) - results in outbreak of epidemics. To manage these outbreaks, one has to ge

Ch. 3.4

Three Types of Disease Differentiation (Trividha Roga Vishesha Vijnaniya / त्रिविध रोग विशेष विज्ञानीय विमान)

This chapter deals with three methods of clinical examinations useful for understanding specific characteristics of diseases. These three methods are aptopadesha (authoritative instructions), pratyaksha (direct observation) and anumana (inference). These methods play a pivotal role not only in the diagnosis of a disease, but also in understanding whatever is knowable. In the beginning, one should faithfully go through the available authoritative literature available in that field of study. As pe

Ch. 3.5

Body Channels Assessment (Sroto Vimana / स्रोतो विमान)

Ayurveda describes a systemic biological transport system comprising of gross and minute as well as very subtle channels transporting not only fluids, nutrients and waste products but also energies and impulses in different biological settings. These channels are called as srotas. The srotas are innumerable, but 13 gross channels are clinically approachable and are affected in different disease states with specific manifestations. These 13 gross channels comprise of three channels which transfer

Ch. 3.6

Classification of Diseases (Roganika Vimana / रोगानिक विमान)

This chapter describes criteria for classification and enumeration of diseases, agni (digestion capacity) and patients. Because of variable symptoms and pathogenesis, the diseases are innumerable and they are categorized in groups. The purpose of grouping is to find common modalities for treatment and diagnosis and it is essential to know the disease pathology at micro level. The source components of all the physical and mental disorders are tridosha (three morbid factors). There are three basic

Ch. 3.7

Signs of Morbidity (Vyadhita Rupiya Vimana / व्याधित रूपीय विमान)

In this chapter, two subjects are described viz. 1. Two types of patients, based on the psychological types and physical strength are seen; 2. Knowledge of micro and macro organisms that affect human body is given. These two topics seem different, however are connected in view of varied response of humans to exogenous causative factors of disease. The first type of responding individual exaggerates their symptoms (guruvyadhita) and other type understate their symptoms (laghuvyadhita). It is impo

Ch. 3.8

Physician's Approach to Disease (Rogabhishagjitiya Vimana / रोगभिषग्जितीय विमान)

This comprehensive and detailed chapter deals with assessment criteria of standard quality treatise, the teacher and the disciple, the means for receiving the knowledge from the treatise, method of discussion and its types- friendly or hostile, result of discussion, worth considering or worth discarding. It describes examination of ten entities to understand the state of health of the patient before starting the treatment. For providing treatment, physician should consider the strength of patien

Ch. 4

Roganutpadaniya

रोगानु पादनीय

Chapter 4 of Astanga Hridaya Sutrasthan - Roganutpadaniya

Ch. 4

Pushpa Varga

पुष्पवर्गः

Chapter on flowers used in Ayurvedic medicine, including their medicinal properties and therapeutic applications.

Ch. 4.1

Enumeration of the Person (Katidhapurusha Sharira / कतिधापुरुष शरीर)

A healthcare provider cannot treat an individual without comprehensive knowledge of his constitution. A study of human being can be initiated only after understanding concept of purusha, that means holistic human being, the self (Aatma), consciousness, the cosmic man, etc., depending upon the context. This first chapter describes purusha in the context of samyoga purusha that means a logical body of six constituents (shad-dhatuja), of twenty-four constituents (chaturvimshati- tattvatmak), or tha

Ch. 4.2

Non-identical Lineage (Atulyagotriya Sharira / अतुल्यगोत्रीय शरीर)

Gotra, literally means cowshed. However, in common parlance, it denotes the progeny (or a clan) of a common male ancestor (usually, a rishi, or a sage). Atulya Gotra, or diversity in clans, is what the sages of antiquity professed, thus laying the foundation of genetics in Ayurveda. In this chapter, thirty six specific questions on a wide range of topics such as the contributing factors for embryogenesis, labor, sex determination of the embryo, congenital anomalies, transmigration of the aatma,

Ch. 4.3

Minor Embryology (Khuddika Garbhavakranti Sharira / खुड्डिक गर्भावक्रान्ति शरीर)

The present chapter deals with six important factors responsible for embryogenesis: maternal, paternal, atma (soul), satmya(suitability), rasa (nutrient fluid), and sattva (mental strength). The chapter emphasizes upon the fact that none of these factors has the ability to produce an embryo independently, but a methodical combination of all the six is essential for this process. The chapter highlights the importance of acclimatization to surroundings and environmental conditions, positive mental

Ch. 4.4

Major Embryology (Mahatigarbhavakranti Sharira / महतीगर्भावक्रान्ति शरीर)

In Charak Samhita, this chapter focuses on garbha (embryo and/or fetus) in regards to the origin, definition of its composition, consecutive development in the womb, factors for growth, destruction and hindering of the birth. Six factors responsible for the formation of embryo and sources of respective organs have been described in detail. Sequential growth and development of fetus has been explained systematically in the womb from first month to tenth month of gestation. Detailed description of

Ch. 4.5

Analysis of the Person (Purusha Vichaya Sharira / पुरुष विचय शरीर)

Purusha Vichaya literally means detailed (or comprehensive) search or analysis of the person (or purusha). The preceding two chapters explained the developmental phase of an embryo to foetus and the birth of the child. This chapter deals with factors that help transform the child into a fully grown purusha. An important message from this chapter is the view that the purusha is a microcosm mirroring the universe, or the macrocosm. This is briefly indicated in the preceding chapter [Cha.Sa.Sharira

Ch. 4.6

Analysis of the Body (Sharira Vichaya Sharira / शरीर विचय शरीर)

The present chapter deals with various important aspects of physical body from diagnostic and therapeutic view. Starting with definition of the body, questions regarding causes of diseases or destruction of the body, increase or decrease of dhatus (body elements) and their treatment are well answered. Further, factors responsible for the growth of the body, promotion of strength, digestion and metabolism of ingested food (along with action of individual factor) are discussed. In the same context

Ch. 4.7

Numerical Body Components (Sharira Sankhya Sharira / शरीर संख्या शरीर)

This chapter is dedicated to numerological account and quantification of human anatomical and physiological constituents. It provides comprehensive knowledge about the organization of the body, its gross and subtle structures. The basic panchabhautika composition of human body is revealed which is helpful in understanding disease pathogenesis and prognosis. In brief, the chapter gives a general picture of how a body is organized by its functional organs, and emphasizes upon the importance of the

Ch. 4.8

Guidelines for Lineage (Jatisutriya Sharira / जातिसूत्रीय शरीर)

The word Jati literally means birth. Hence this chapter describes aspects related to pre-conception, conception, methods of procreation and post-pregnancy. It deals with obstetrics and midwifery care, measures for good parental health and effective neonatal care. It also describes pioneering concepts such as architecture of a maternity home, attending wet nurses (and the concept of a milk bank), and well-furnished nurseries. It also prescribes measures for good upbringing of children. Keywords:

Ch. 5

Drava Vigyaniya Drinkables

व व ानीय

Chapter 5 of Astanga Hridaya Sutrasthan - Drava Vigyaniya Drinkables

Ch. 5

Vatadi Varga

वटादिवर्गः

Chapter on trees beginning with Vata (Banyan tree). Covers large trees and their medicinal parts — bark, leaves, fruits, latex.

Ch. 5.1

Imminent Death Prognosis (Sadyomaraneeyam Indriyam / सद्योमरणीयम् इन्द्रियम्)

This chapter deals with incurable complications of several diseases which can lead to a patient to an instantaneous death. It enlists some emergency conditions for intensive care. However the many signs and symptoms listed in this chapter are manageable now by advanced medical and surgical techniques. In ancient period of Charaka Samhita, the conditions were not treatable and fatal.

Ch. 5.11

Light-based Prognosis (Anujyotiyam Indriyam / अनुज्योतीयम् इन्द्रियम्)

This chapter explicates the signs and symptoms of imminent death due to diminution of Agni (factor responsible for digestion and metabolism). The components of life like lifespan, strength, complexion, enthusiasm, health, growth, luster, and immunity are dependent upon the status of agni. Diminution of its power causes generalized symptoms indicative of imminent death. Declaration of the estimated time for death might be based on experience of many experts of that time, which can now be reestabl

Ch. 5.12

Cow Dung Powder Prognosis (Gomayachurniyam Indriyam / गोमयचूर्णीयम् इन्द्रियम्)

The concluding chapter is about auspicious and inauspicious features of the informer, or the person who wants to take the physician to the house of the patient. There is a description of his physical appearance, mental status, behavior, time of calling, the circumstances while on the to the patient’s house, condition of patient’s house, surroundings, family members, availability of requirements for a treatment. Along with medical ethics about informing patient, circumstances which indicate good

Ch. 5.2

Flowery Signs Prognosis (Pushpitakam Indriyam / पुष्पितकम् इन्द्रियम्)

This chapter sums up the variations in the sense of taste of the body and smell of the individual which indicate imminent death of the person (Arishta Lakshana). Variations in the smell of body and the altered taste sense of a person may reveal the disease processes in that patient.

Ch. 5.3

Palpation Prognosis (Parimarshaneeyam Indriyam / परिमर्शनीयम् इन्द्रियम्)

Palpation and percussion enables a physician to make important observations that helps in understanding the disease. Parimarshaneeyam Indriyam Adhyaya deals with signs and symptoms of imminent death; especially the ones which can be elicited by touch or palpation. The chapter talks about various changes that occur in different parts of the body along with various signs elicited by palpation like hardening, softening, bowing, displacement of body structures, changes in breathing patterns, extreme

Ch. 5.4

Sensory Faculty Prognosis (Indriyaneekam Indriyam / इन्द्रियानीकम् इन्द्रियम्)

This chapter explicates about the alterations in the perception of the five sense organs which reveal impending death of an individual. The previous three chapters described arishta lakshana as perceived by senses vision, sound, taste and touch. This chapter describes arishta lakshana as perceived by all five Indriya or senses. Indriya and aneekam indicate the group of all five sense organs. There is a good synchronization between all sense organs for conversion of information into the knowledge

Ch. 5.5

Premonitory Signs Prognosis (Purvarupeeyam Indriyam / पूर्वरूपीयम् इन्द्रियम्)

Purvarupeeyam Indriyam Adhyaya has been devoted to predict prognosis of diseases by prodromal symptoms. This chapter suggests that knowledge and examination of prodromal symptoms was important in ancient times and emphasis was given that physician should carefully recognize disease in early stage and predict course of disease. With the help of eight diseases of Nidana Sthana important principles related to prognosis have been laid down which are also applicable to all other diseases and are vali

Ch. 5.6

Body Sense Prognosis (Katamanisharireeyam Indriyam / कतमानिशारीरीयम् इन्द्रियम्)

This chapter, Katamanisharireeyam Indriyam Adhyaya, explains some specific clinical features that are different than sensory perceptions and prodromal symptoms. Most of the time they indicate serious complications and are indicative of imminent death.

Ch. 5.7

Altered Form Prognosis (Pannarupiyam Indriyam / पन्नरूपीयम् इन्द्रियम्)

The seventh chapter Pannarupiyam Indriyam Adhyaya deals with the loss of shadow image in eyes, changes in complexion and luster indicative of imminent death. Difference between shadow and luster is also explained in this chapter with characteristic features of shadows pertaining to each of pancha mahabhuta. The chapter focuses on fatal prognostic features related to complexion and luster.

Ch. 5.8

Inverted Head Prognosis (Avakshiraseeyam Indriyam / अवक्शिरसीयम् इन्द्रियम्)

In this chapter, thirty six moribund signs starting with avakshira, i.e. inverted shadow of the dying person are described. These moribund signs mentioned in this chapter can be classified into:

Ch. 5.9

Dark Complexion Prognosis (Yasyashyavanimittiyam Indriyam / यस्यश्यावनिमित्तीयम् इन्द्रियम्)

This chapter includes various signs and symptoms related to imminent death that start with changes in color of eyes and identified in a patient as well as in healthy individuals. It has been emphasized that physician should have knowledge of all Arishta Lakshana (near death signs) described in this chapter. Clinically only few of them manifest at a stage in an individual and hence the person must be examined properly. Certain features related with imminent death are described which when associat

Ch. 6

Annaswaroopa Food

अ न वो प व ानीय

Chapter 6 of Astanga Hridaya Sutrasthan - Annaswaroopa Food

Ch. 6

Amradi Phala Varga

आम्रादिफलवर्गः

Chapter on fruits beginning with Amra (Mango). Covers edible and medicinal fruits with their nutritional and therapeutic properties.

Ch. 6.1

Epilepsy Treatment (Apasmara Chikitsa / अपस्मारचिकित्सा)

Management of epilepsy and seizure disorders through purification therapies, medicated ghees, nasal administration, collyrium, and fumigation. Also covers atattvabhinivesha (perverted intellect disorder) as a related condition.

Ch. 6.11

Chest Injury and Emaciation Treatment (Kshatakshina Chikitsa / क्षतक्षीणचिकित्सा)

In Ayurveda, rather than disease, mainly the syndromes are described and kshatakshina is also a syndrome. Kshata means injury and kshina means depletion of tissue. The term literally means depletion of tissues due to injury. It includes various pathologies leading to depletion of tissues in the body as a result of external and internal injuries. It shows close resemblance with tuberculosis, however the cardinal cause in kshatakshina is injury. Hemoptysis (symptom of pulmonary tuberculosis), hema

Ch. 6.12

Edema Treatment (Shvayathu Chikitsa / श्वयथुचिकित्सा)

This chapter on Shvayathu Chikitsa (treatment of swelling) follows the chapter on kshata-kshina because in both the diseases vital organs are involved. Charaka defines shvayathu as bulging (utsedha) from the skin and this chapter mainly deals with the management of various types of general swellings and local swellings such as pidika (papules and pustules), nodules (including gandhamala), large swellings like galaganda (goiter), tumor etc are also described. Chapter 18th of Sutra Sthana deals w

Ch. 6.13

Abdominal Diseases Treatment (Udara Chikitsa / उदरचिकित्सा)

Generalized enlargement of the abdomen is udara roga and due to similarity of this symptom i.e. bulging (utsedha), this chapter follows the chapter on shvayathu (edema). Out of eight types of udara roga viz. vataja, pittaja, kaphaja and sannipataja are regarded as dosha dominant udara roga. In contrast to this plihodara (splenomegaly), baddhodara (enlargement of abdomen due to gastrointestinal obstruction), kshatodara (abdominal enlargement due to intestinal perforation) and jalodara (enlargemen

Ch. 6.14

Hemorrhoids Treatment (Arsha Chikitsa / अर्शचिकित्सा)

This chapter is followed by udara roga because the causative factors for both the diseases are similar like vitiation of tridosha. Both the diseases are related to the same system i.e. gastrointestinal tract. Further, arsha is one of the causative factors of udara roga (Boddhagudedara- intestinal obstruction) Therefore the chapter dealing with arshas (hemorrhoids) follows the chapter on the treatment of udara (obstinate abdominal disorders). The chapter describes types of arsha (such as congenit

Ch. 6.15

Digestive Disorders Treatment (Grahani Chikitsa / ग्रहणीचिकित्सा)

Grahani Chikitsa is one of the most important chapters of this compendium because most of the diseases originate from disorders of digestion. This chapter is described after arsha roga (hemorrhoids) because pathophysiology of arsha influences agni and before Panduroga Chikitsa because grahani roga influences pandu roga. The initial portion of this chapter discusses the details of the physiological process of digestion and metabolism in human body. Agni, being the fundamental factor in maintainin

Ch. 6.16

Anemia Treatment (Pandu Chikitsa / पाण्डुचिकित्सा)

After the description of grahani dosha, the chapter on pandu roga is given, as the causative factors of pandu roga are quite similar to that of grahani dosha. Probably it is because that the various gastrointestinal problems can also lead to development of pandu roga. The chapter deals with general discoloration of the body such as pallor, yellowish, greenish and whitish discoloration which is seen in skin, eyes, lips, face, nails, urine feces etc. Kamala (jaundice) and haleemaka (severe obstruc

Ch. 6.17

Hiccup and Dyspnea Treatment (Hikka Shvasa Chikitsa / हिक्काश्वासचिकित्सा)

Hikka (hiccups) and shwasa (dyspnea/shortness of breath) may be caused due to pandu roga with pathological signs of anemia (alpa rakta), abnormal fat metabolism(alpa medaska) and depletion of body constituents (dhatu-kshaya). [Chakrapani Cha.Sa. Chikitsa Sthana 17/1]. That is why this chapter follows the chapter on Pandu Chikitsa. The term 'Shwasa' denotes physiological process of respiration and pathological sign too. In physiological process, breathing without any distress is seen; however pa

Ch. 6.18

Cough Treatment (Kasa Chikitsa / कासचिकित्सा)

Pranavaha srotas is a vital system of the body and although this srotas is more susceptible to abuse from little amount of smoke, allergens, adulterants, petrochemicals and many pollutants in atmosphere, there are a variety of disorders and diseases that are temporary and harmless, while others can be life threatening. In literature, pranavaha srotas disorders are elaborated under the heading of shwasa, kasa, hikka, rajayakshma and urakshata (kshata-kshina). Cough, expectoration, breathlessness

Ch. 6.19

Diarrhea Treatment (Atisara Chikitsa / अतिसारचिकित्सा)

Grahani and atisara - both manifest due to the vitiation of agni and share common features of impairment of digestion resulting in indigestion and loose motions. Therefore, this chapter should logically precede or succeed the chapter on grahani. But it is described three chapters after that on grahani. The reason for this unusual sequencing of these topics is that since pandu is a common symptom and sequelae of the malabsorption syndrome (grahani), the chapter on pandu follows grahani. Now, dysp

Ch. 6.2

Vomiting Treatment (Chhardi Chikitsa / छर्दिचिकित्सा)

After explaining the Atisara Chikitsa (treatment of diarrhea), there is a description of Chhardi Chikitsa. The word chhardi is derived from the root chhard vamane. The word chhad means gripping (avritta or achhadana) and ard means pain (peedha)[1]. The other words like chhardah, chhardana, chhardi, chhardika, etc. are considered as the synonyms of chhardi.[2] The words chhardi and vamana, both are used in the sense of vomiting but have basic differences. Chhardi is a pathologic

Ch. 6.21

Erysipelas Treatment (Visarpa Chikitsa / विसर्पचिकित्सा)

This chapter deals with detailed description of etiopathogenesis, classification and management principles of visarpa. This is acute disease with a quick spread involving mainly skin, blood, lymph and muscle tissue due to vitiation of all three dosha. Disease is clinically presented in three pathways viz. external, internal and both. Based on the involvement of dominant dosha, it is classified into seven types. Prognosis and treatment duration of disease is proportionate to degree of involvement of dosha and affected internal organs. As the basic nature of disease is rakta and pitta dominant, management is focused on body purification treatments especially therapeutic purgation, blood letting, fasting therapy, medicated ghee, use of bitter drugs and various external applications having soothing and cooling effect. Guidelines for external application in the form of pralepa, pradeha and alepa are enlisted in the chapter. Blood letting is emphasized as most important treatment in visarpa.

Ch. 6.22

Thirst Disorders Treatment (Trishna Chikitsa / तृष्णाचिकित्सा)

Trishna and pipasa are two commonly used words denoting desire for water, the difference between the two is, trishna is pathological and pipasa is physiological. Generally, desire for water is physiological process to maintain fluid balance but if dosha are vitiated then they can lead to excessive thirst and can produce trishna, a disease in which person constantly craves for the water. Beside independent disease, trishna or thirst is also seen as prodromal symptom, clinical feature, complication, poor prognostic sign etc. in various clinical conditions. In this chapter, etiological factors, premonitory symptoms, pathogenesis, clinical features and complications of trishna as a disease are discussed.

Ch. 6.23

Poison Treatment (Visha Chikitsa / विषचिकित्सा)

Among the Ashtangas, agada tantra (toxicology) stands separate in its concept, clinical approach, management and result. This is the only chapter which guides us in the management of poison and the conditions of poisoning. As we all know visha and visha chikitsa requires a special mention in any medical system. It is rightly justified by the following facts: Treatment of poisoning is an emergency and should be managed as a house on fire, earlier its extinguished, lesser the damage, and the result for the effort of vaidya is immediate when compared to the other disorders. This chapter deals with study of the poison, its origin and criterion of classification. The group of sthavara (poisons of plant origin, minerals and metal, poison of immobile origin or vegetable poison) and jangama (poisons of animal origin) are described. A special category called kritrima visha (artificial poison) with a significant role for a good physician in treating severe cases. Dushivisha (slow poisons) is exp

Ch. 6.24

Alcoholism Treatment (Madatyaya Chikitsa / मदात्ययचिकित्सा)

This chapter describes in sequence, the origin of madya (liquor) practice, the preferred formulation of the liquor, correct methods of consumption, and advantages of its consumption. Then, another aspect of the liquor consumption is described, starting from different stages of intoxication, disadvantages of liquor consumption, and various other forms of intoxication which should be understood by the treating physician. The chapter also highlights the preferred quality of liquor with preferred composition which shall be multi-ingredient based rather than the single ingredient. Comparison of the liquor with visha, the poison has also been described. Ojas and its significance has been elaborated here with respect to the liquor effects on the human body; The ojas is the constant energy source of the body which may get affected by the liquor intoxication leading to perplexity which is commonly observed due to liquor and poison. The treatments prescribed in this chapter for intoxication are

Ch. 6.25

Wound Management (Dwivraniya Chikitsa / द्विव्रणीयचिकित्सा)

Vrana (ulcers) are of two types, nija vrana (endogenous ulcers) and agantuka vrana (exogenous ulcers). This classification is based on etiology and mode of treatments. Endogenous ulcers are caused by vitiation of vata etc. dosha from initial stage while exogenous ulcers are caused initially by various types of trauma and later dosha vitiation occurs. Complications of ulcers like visarpa (erysipelas), sirastambha (constricted vessels), jwara (fever) etc. have been described. Importance of bloodletting is described during the stage of vrana shopha (i.e.inflammatory phase), alleviation of impure blood from body reduces toxic chemicals and pacifies dosha. Description of fracture, its complications and management is elaborated. Dahakarma (cauterization) causes constriction of blood vessels to prevent bleeding from ulcer. Application of alkaline substances (kshara) on ulcer can be done along with surgical intervention and cauterization. Prognosis of ulcer can be described on the basis of typ

Ch. 6.26

Three Vital Organs Treatment (Trimarmiya Chikitsa / त्रिमर्मीयचिकित्सा)

This chapter highlights the importance of trimarma (three vital organs, viz, cardiovascular system, cerebrovascular system and renal system) and treatment of their diseases. There are one hundred seven vital points (marma) on the body which when injured cause disease, disability or death. Three of these marma are located in hridaya (heart), shira (head) and basti (urinary bladder). Impairment of these three marma can cause life threatening conditions in cardio-vascular system, cerebrovascular system and urinary system respectively. An internal relationship exists between these marma and respective body systems. Disease of one system affects the functioning of the other. The disease conditions caused by impairment of these three marma account for higher mortality and morbidity in society. The present chapter deals with etiology, signs and symptoms, classification, principles of treatment for the diseases pertaining to these three marma. The chapter also includes description of various c

Ch. 6.27

Thigh Stiffness Treatment (Urustambha Chikitsa / ऊरुस्तम्भचिकित्सा)

The chapter deals with the management of urustambha which literally means stiffness of thighs. Patients present with pain and inability to move pelvis and lower extremities. This is the only disease in which Panchakarma are contraindicated. It can be misdiagnosed as vata dominant disorder due to its clinical presentation, however, kapha and meda dhatu are main culprits in the pathogenesis. Etiological factors, pathogenesis, clinical presentation, prognosis and treatment of urustambha are described in this chapter.

Ch. 6.28

Vata Disorders Treatment (Vatavyadhi Chikitsa / वातव्याधिचिकित्सा)

Vatavyadhi Chikitsa deals with diseases particularly caused by vata dosha. It is an important chapter as it encompasses a large spectrum of disorders especially concerned with neurological system, musculoskeletal system, reticulo-endothelial system and further pervades to all other systems in the body. The chapter highlights the five sub classifications of vata, their habitat and functions. The etiological factors of vatavyadhi are enlisted and two major pathology viz, dhatukshaya and avarana are detailed. In dhatukshaya, vitiated vata assumes the status of gatavata (increased movement of vata) and occupies various sites leading to dhatugata (affecting tissues) vata, ashayagata (affecting various sites) vata and avayava (organs) gatavata. Avarana (obstruction by covering) is a distinct pathology of vata in which the free mobility of vata is hampered. Accordingly, avarana may happen either due to two other dosha, dhatu (rakta, etc.) or mala (waste). Avarana may also happen in between tw

Ch. 6.29

Gout Treatment (Vatarakta Chikitsa / वातरक्तचिकित्सा)

The chapter refers to vatashonita (or vatarakta), a condition caused by vitiated vata dosha and rakta dhatu. As the disease is caused by predominantly vitiated vata and rakta, it follows Vatavyadhi Chikitsa (vatika disorder). The manifestations of vatashonita resemble various metabolic and connective tissue diseases like gout, inflammatory polyarthritis and vasculitis. This variation in manifestation depends upon degree of vitiation of dosha and dhatu in each individual of unique Prakriti. This reflects each patient’s unique disease requiring specific personalized treatment which is unique to Ayurvedic system of management. The chapter has description of etiological factors along with types of vatashonita, purvarupa (prodromal symptoms), rupa (clinical features) of different types, rupa of dosha predominance, upadrava (complication) ,sadhya-asadhyatva (prognosis), treatment of different types of vatashonita, precautions during treatment as well as symptomatic treatment for relief in no

Ch. 6.3

Gynecological Disorders Treatment (Yonivyapat Chikitsa / योनिव्यापत्चिकित्सा)

Yonivyapat Chikitsa mainly deals with the management of disorders of male and female genital tract and reproductive system. It also includes the abnormalities of breast milk and its impact on baby and some guidelines for the management of diseases in children. The last part comprises of some important general principles in clinical management of diseases like factors influencing disease process, time of administration of medicine and route of administration. The disorders of the female genital tract are described under twenty yonivyapat (yoni(vagina),vyapat(disorders)) based upon the vitiation of dosha and dushyas. Rakta yoni (per vaginal bleeding) and pradara (menorrhagia) are described separately considering its importance in gynecology practice. The local and generalized management of these disorders with Panchakarma, basti and uttara basti procedures, vaginal douches are enlisted. Various disorders of the male genital tract, causes of impotency, defects of semen and their managemen

Ch. 6.4

Bleeding Disorders Treatment (Raktapitta Chikitsa / रक्तपित्त चिकित्सा)

Management of hemorrhagic conditions classified by dosha involvement, direction of bleeding, and severity. Covers styptic therapies, purification, dietary management, and external cooling treatments.

Ch. 6.5

Abdominal Lump Treatment (Gulma Chikitsa / गुल्मचिकित्सा)

Management of five types of intra-abdominal swellings occurring between the cardiac and bladder regions, with detailed treatment protocols for each dosha type including medicated ghees, powders, surgical intervention, and dietary management.

Ch. 6.6

Urinary Disorders and Diabetes Treatment (Prameha Chikitsa / प्रमेह चिकित्सा)

Management of twenty types of prameha (urinary disorders including diabetes mellitus) classified by dosha involvement, with emphasis on barley-based dietary therapy, body-type-specific treatment, and fermented preparations.

Ch. 6.7

Skin Disease Treatment (Kushtha Chikitsa / कुष्ठचिकित्सितं)

Comprehensive management of eighteen types of skin diseases classified into seven major (mahakushtha) and eleven minor (kshudrakushtha) categories, with detailed treatment protocols including panchakarma, medicated oils, pastes, and dietary management.

Ch. 6.8

Consumption and Wasting Disease Treatment (Rajayakshma Chikitsa / राजयक्ष्मचिकित्सितं)

Management of wasting diseases (primarily tuberculosis) addressing four causative factors, eleven cardinal symptoms, specific meat therapies, medicated ghees, wine prescriptions, and prognosis based on symptom count and tissue depletion.

Ch. 6.9

Insanity and Psychosis Treatment (Unmada Chikitsa / उन्मादचिकित्सा)

Management of psychotic disorders through an integrated four-fold approach combining rational pharmacology, spiritual therapy, psychotherapy, and supportive care. Covers endogenous (dosha-based) and exogenous (supernatural) unmada types.

Ch. 7

Anna Raksha Vidhi

अ नर

Chapter 7 of Astanga Hridaya Sutrasthan - Anna Raksha Vidhi

Ch. 7

Dhatu-Upadhatu-Rasa-Ratna-Visha Varga

धातूपधातुरसोपरसरत्नोपविषोपविषविवर्गः

Chapter on metals, sub-metals, minerals, gems, poisons and sub-poisons used in Ayurvedic Rasa Shastra (metallic medicine).

Ch. 7.1

Pharmaceutical Preparations of Sudha (Sudha Kalpa Adhyaya / सुधाकल्प अध्याय)

Twenty pharmaceutical preparations of Sudha (Euphorbia neriifolia, Indian Spurge Tree), the most drastic purgative. Includes innovative delivery via medicated garlands for sensitive patients.

Ch. 7.11

Pharmaceutical Preparations of Saptala and Shankhini (Saptalashankhini Kalpa Adhyaya / सप्तलाशङ्खिनीकल्प अध्याय)

Thirty-nine purgative preparations using the paired drugs Saptala (Euphorbia pilosa) and Shankhini (Euphorbia dracunculoides), primarily for diseases with abnormal fluid accumulation.

Ch. 7.12

Pharmaceutical Preparations of Danti and Dravanti (Dantidravanti Kalpa Adhyaya / दन्तीद्रवन्तीकल्प अध्याय)

Forty-eight purgative preparations of Danti (Baliospermum montanum) and Dravanti (Croton tiglium). Final chapter of Kalpa Sthana, including complete measurement system, sneha paka guidelines, and grand total of 600 formulations across all chapters.

Ch. 7.2

Pharmaceutical Preparations of Jimutaka (Jimutaka Kalpa Adhyaya / जीमूतककल्प अध्याय)

Emetic drug preparations using Jimutaka (Luffa echinata), one of six principal emetic drugs. Details 39 distinct formulations using various preparation media.

Ch. 7.3

Pharmaceutical Preparations of Ikshvaku (Ikshvaku Kalpa Adhyaya / इक्ष्वाकुकल्प अध्याय)

Forty-five recipes of Ikshvaku (Lagenaria siceraria, bottle gourd) processed in various media including milk, alcohol, whey, and buttermilk for emetic therapy.

Ch. 7.4

Pharmaceutical Preparations of Dhamargava (Dhamargava Kalpa Adhyaya / धामार्गवकल्प अध्याय)

Sixty pharmaceutical preparations of Dhamargava (Luffa cylindrica, sponge gourd) for inducing therapeutic emesis, with focus on poisoning, abdominal masses, and kapha disorders.

Ch. 7.5

Pharmaceutical Preparations of Vatsaka (Vatsaka Kalpa Adhyaya / वत्सककल्प अध्याय)

Eighteen pharmaceutical preparations of Vatsaka (Holarrhena antidysenterica, Kutaja/Kurchi) for emetic therapy, notable for safety in delicate patients.

Ch. 7.6

Pharmaceutical Preparations of Kritavedhana (Kritavedhana Kalpa Adhyaya / कृतवेधनकल्प अध्याय)

Sixty pharmaceutical preparations of Kritavedhana (Luffa acutangula, ridged gourd) for emetic therapy in deep-seated diseases like dermatosis, anemia, abdominal masses, and slow poisoning.

Ch. 7.7

Pharmaceutical Preparations of Shyama and Trivrita (Shyamatrivrita Kalpa Adhyaya / श्यामात्रिवृत कल्प अध्याय)

One hundred and ten purgative (virechana) preparations using Trivrita (Operculina turpethum) and Shyama, the premier purgative drugs. First chapter of the virechana section of Kalpa Sthana.

Ch. 7.8

Pharmaceutical Preparations of Chaturangula (Chaturangula Kalpa Adhyaya / चतुरङ्गुलकल्प अध्याय)

Twelve mild purgative preparations of Chaturangula (Cassia fistula, Aragvadha/Golden Shower tree), especially suitable for children, elderly, and delicate patients.

Ch. 7.9

Pharmaceutical Preparations of Tilvaka (Tilvaka Kalpa Adhyaya / तिल्वककल्प अध्याय)

Sixteen mild purgative preparations of Tilvaka (identified as Symplocos racemosa / Viburnum nervosum) involving powder, fermented beverages, linctus, and medicated ghee formulations.

Ch. 8

Food habits &

मा ा शतीय अ याय

Chapter 8 of Astanga Hridaya Sutrasthan - Food habits &

Ch. 8

Dhanya Varga

धान्यवर्गः

Chapter on grains and cereals — rice, wheat, barley, millets, and pulses with their nutritional and medicinal properties.

Ch. 8.1

Successful Administration of Therapeutic Enema (Basti Siddhi / बस्तिसिद्धि)

Thirty-seven disease-specific enema formulations organized by dosha, therapeutic action, and clinical indication—including dosha-specific, colon-cleansing, aphrodisiac, astringent, and emergency formulations.

Ch. 8.11

Utility of Medicinal Fruits and Other Factors in Therapeutic Enema (Phalamatra Siddhi / फलमात्रासिद्धि)

Comparative efficacy of six emetic fruits in medicated enemas, veterinary enema applications for elephants, horses, cattle, and other animals, and management of chronically ill persons.

Ch. 8.12

Standard Administration of Uttara Basti and Post-Purification Care (Uttar Basti Siddhi / उत्तरबस्तिसिद्धि)

Final chapter of Siddhi Sthana and the entire Charaka Samhita. Covers post-purification dietary regimen (Samsarjana Krama), eight impediments after purification, twenty-nine Yapana Basti formulations for rejuvenation, and thirty-six Tantrayukti (canons of exposition).

Ch. 8.2

Successful Administration of Panchakarma (Panchakarmiya Siddhi / पञ्चकर्मीयसिद्धि)

Comprehensive indications and contraindications for all five Panchakarma procedures: Vamana (emesis), Virechana (purgation), Asthapana Basti (decoction enema), Anuvasana Basti (oil enema), and Shirovirechana (errhine therapy).

Ch. 8.3

Standard Practices of Therapeutic Enema (Bastisutriyam Siddhi / बस्तिसूत्रीयसिद्धि)

Detailed basti (therapeutic enema) procedures including nozzle specifications, formulation preparation sequences, administration technique, dosing by age, and dosha-specific compositions.

Ch. 8.4

Complications of Unctuous Enema and Management (Snehavyapat Siddhi / स्नेहव्यापत्सिद्धि)

Sneha basti (oil/fat-based enema) formulations for vata, pitta, and kapha; six complications from improper administration with management strategies; matra basti principles.

Ch. 8.5

Management of Enema Nozzle Complications (Netrabastivyapat Siddhi / नेत्रबस्तिव्यापत्सिद्धि)

Eight defects of enema nozzle, eight defects of enema bladder/bag, ten administrator errors, with specific management strategies for each complication.

Ch. 8.6

Management of Emesis and Purgation Complications (Vamana Virechana Vyapat Siddhi / वमनविरेचनव्यापत्सिद्धि)

Ten cardinal complications of improper therapeutic emesis and purgation, their causes, symptoms, and management. Includes signs of proper elimination and the Samsarjana Krama post-procedure diet.

Ch. 8.7

Management of Therapeutic Enema Complications (Bastivyapat Siddhi / बस्तिव्यापत्सिद्धि)

Twelve complications of therapeutic enema arising from insufficient dose (ayoga), excessive dose (atiyoga), and faulty application (mithyayoga), with detailed management protocols.

Ch. 8.8

Standardized Enema Formulations in Prasrita Units (Prasrita Yogiyam Siddhi / प्रासृतयोगीयसिद्धि)

Nine standardized mild niruha basti formulations measured in prasrita units (approximately 100 ml each), designed for tender patients and post-complication management. Includes comprehensive atisara (diarrhea) treatment protocols.

Ch. 8.9

Management of Diseases of Three Vital Organs (Trimarmiya Siddhi / त्रिमर्मीयसिद्धि)

Diseases of the three supreme vital organs—Hridaya (heart), Shiras (head), and Basti (bladder)—with Uttara Basti, Nasya therapy procedures, and management of opisthotonus, drowsiness, urinary disorders, and headaches.

Ch. 9

Dravyadi Vigyaniya

Chapter 9 of Astanga Hridaya Sutrasthan - Dravyadi Vigyaniya

Ch. 9

Shaka Varga

शाकवर्गः

Chapter on vegetables and leafy greens used as food and medicine in Ayurveda.

Ch. 10

Rasabhediyam Tastes, Their

रसभेद यं

total 20 In the combination of 4 rasas it will be 10 with svadu, 4 with amla, 1 with lavana total 15 In the combination of 5 rasas it will be 1 with amla, 5 with svadu total 6 In the combination of al

Ch. 10

Mamsa Varga

मांसवर्गः

Chapter on meat and animal products — properties of different animal meats and their therapeutic indications.

Ch. 11

Tridosha - Knowledge

दोषा द व ानीयं

Chapter 11 of Astanga Hridaya Sutrasthan - Tridosha - Knowledge

Ch. 11

Kritanna Varga

कृताञ्जवर्गः

Chapter on prepared foods — cooked preparations, gruels, and processed food items with their properties.

Ch. 12

Doshabhediya Dosha Types,

दोषभेद यं

Vata is of 5 types. Prana Vata, Udana Vata, Vyana Vata, Samana Vata and Apana Vata,

Ch. 12

Vari Varga

वारिवर्गः

Chapter on water — types of water, their properties, purification methods, and therapeutic uses.

Ch. 13

Doshopakramaniyam

दोषोप मणीयं

Chapter 13 of Astanga Hridaya Sutrasthan - Doshopakramaniyam

Ch. 13

Dugdha Varga

दुग्धवर्गः

Chapter on milk — properties of milk from different animals (cow, buffalo, goat, etc.) and therapeutic uses.

Ch. 14

Dvividha Upakramaneeya

Chapter 14 of Astanga Hridaya Sutrasthan - Dvividha Upakramaneeya

Ch. 14

Dadhi Varga

दधिवर्गः

Chapter on curd/yogurt — types, properties, and therapeutic indications of fermented dairy products.

Ch. 15

should be taken as a drink

Chapter 15 of Astanga Hridaya Sutrasthan - should be taken as a drink

Ch. 15

Takra Varga

तक्रवर्गः

Chapter on buttermilk — types, preparation methods, and extensive therapeutic uses of Takra.

Ch. 16

Snehavidhi oleation therapy

नेह व ध

Chapter 16 of Astanga Hridaya Sutrasthan - Snehavidhi oleation therapy

Ch. 16

Navanita Varga

नवनीतवर्गः

Chapter on butter — fresh butter, its properties and medicinal applications.

Ch. 17

Swedana Vidhi Sudatuin Therapy /

Chapter 17 of Astanga Hridaya Sutrasthan - Swedana Vidhi Sudatuin Therapy /

Ch. 17

Ghrita Varga

घृतवर्गः

Chapter on ghee (clarified butter) — types, properties, and extensive medicinal uses of different ghee preparations.

Ch. 18

Vamana Virechana Vidhi

वमन वरे चन व ध

Chapter 18 of Astanga Hridaya Sutrasthan - Vamana Virechana Vidhi

Ch. 18

Mutra Varga

मूत्रवर्गः

Chapter on urine therapy — properties of urine from different animals used therapeutically.

Ch. 19

Vasti Vidhi Enema

व ती वि त व ध

Chapter 19 of Astanga Hridaya Sutrasthan - Vasti Vidhi Enema

Ch. 19

Taila Varga

तैलवर्गः

Chapter on oils — sesame, mustard, coconut, and other medicinal oils with their properties.

Ch. 20

Nasya Vidhi Nasal

न य व ध

Chapter 20 of Astanga Hridaya Sutrasthan - Nasya Vidhi Nasal

Ch. 20

Sandhana Varga

सन्धानवर्गः

Chapter on fermented preparations — Asava, Arishta, wines, and fermented medicinal beverages.

Ch. 21

Dhumpana Medicated Smoking

धुमपान

Chapter 21 of Astanga Hridaya Sutrasthan - Dhumpana Medicated Smoking

Ch. 21

Madhu Varga

मधुवर्गः

Chapter on honey — types, properties, and therapeutic uses of different varieties of honey.

Ch. 22

Gandushadi Vidhi Gargles

ग डूषा द व ध

मु त नेह य परमं स ताहं त य सेवनम ् After this period, the shoulders etc. should be massaged, after removing the oil over the head. Seven days shall be the maximum period for this therapy. 27-31.

Ch. 22

Ikshu Varga

इक्षुवर्गः

Chapter on sugarcane — sugarcane juice, jaggery, sugar, and their medicinal properties.

Ch. 23

Aschotana Anjana Vidhi

अ चोतन अ जन

Afterwards the eyes should be cleaned with soft cloth. Mild fomentation is given with a piece of cloth rinsed in warm water in disorders of Kapha and Vata. In disorders due to blood and Pitta vitiatio

Ch. 23

Anekarthanama Varga

अनेकार्थनामवर्गः

Chapter on synonyms and multiple meanings of drug names — a glossary section for disambiguation.

Ch. 24

Tarpana Putpaka Vidhi

तपण पुटपाक व ध

Chapter 24 of Astanga Hridaya Sutrasthan - Tarpana Putpaka Vidhi

Ch. 25

Yantra Vidhi

Chapter 25 of Astanga Hridaya Sutrasthan - Yantra Vidhi

Ch. 26

Shastra Vidhi

Chapter 26 of Astanga Hridaya Sutrasthan - Shastra Vidhi

Ch. 27

Siravyadha Vidhi

सरा यध व ध

Chapter 27 of Astanga Hridaya Sutrasthan - Siravyadha Vidhi

Ch. 28

Shalya Aaharan Vidhi

श यआहरण व ध

Chapter 28 of Astanga Hridaya Sutrasthan - Shalya Aaharan Vidhi

Ch. 29

Shastrakarma Vidhi

शा

Chapter 29 of Astanga Hridaya Sutrasthan - Shastrakarma Vidhi

Ch. 30

Kshar-AgniKarma Vidhi

ारि नकम व ध

Chapter 30 of Astanga Hridaya Sutrasthan - Kshar-AgniKarma Vidhi