Wine should not be taken by a person under the influence of anger, grief, fright, thirst or hunger. The use of wine is prohibited immediately after a fatiguing journey, physical exercise or an act of load-carrying, or after the repressing of any physical urging", or after the use of excessively acid food, (U. R. excessive water and food) to the full, or before the proper digestion of food or by a weak person, or by one suffering from the effects of heat. In the above cases, wine undoubtedly proves a source of a host of bodily derangements such as Panatyaya, Paramada, Panajirna and the violent Pana-vibhrama the characterstic symptoms of which I shall presently describe. 10.
The Va'taja type of Panatyaya is marked by such symptoms as numbness and aching pain in the limbs, palpitation, a catching and pricking pain in the region of the heart and headache. Perspiration, delirium, dryness of the mouth, burning sensation and fainting fits (loss of consciousness) land yellowness of the face and eyes are the features which distinguish the Pittaja type (of Panatyaya). Vomiting, shivering and water-brash are the indications which mark the Kaphaja type. The symptoms of all the three preceeding types being exhibited in the one due to the concerted action of the three deranged bodily Doshas - Tri-Doshaja type of Panatyaya, 11.
Heat and a sense of heaviness in the body, bad taste in the mouth, excessive accumulation of Sleshma in the body, an aversion to food, supression of stool and urine, thirst, headache and a crushing pair, in the joints are the symptoms which the learned physicion sets down to Para-mada (reactionary effects of the abuse of wine). 12.
Distension of the abdomen (tympanites), acid or sour taste (in the mouth), vomiting, deficient gastric digestion are the symptoms which are exhibited in a Patna-jirna type (alcoholic indigestion). Aggravation of the deranged Pitta should be regarded by a physicion as the exciting factor of the disease. The malady which exhibits such symptoms as piercing pain in the heart and limbs, vomiting, fever, a sensation of the rising of fumes into the throat, salivation, epileptic fits, headache, a burning sensation in the throat and an aversion to all sorts of food and wine (in connection with an abuse of wine) is called Pa'na-Vibhrama. 13-14.
Prognosis: - A patient suffering from the effects of excessive drinking and exhibiting such symptoms as protuded upper lip, excessive shivering or burning sensation and clamminess of the face, black or blue colour of the tongue, lips or teeth and yellowness or blood-colour of the eyes should be givin up as incurable. Hiccough, fever, vomiting, shivering, tremor, cramp of the sides, cough and vertigo are the supervening symptoms ( Upadrava ) which arc found in all forms of Panatyaya (alcoholism). 15.
Now hear me describe the medicinal remedies for all the above said maladies. Wine saturated with the mixture of pulverised Chukra, Maricha, Adraka, Dipya (Yamani), Kushtha and Souvarchala should be given for the relief of the Vataja type of Panatyaya, or one mixed with Prithvika, Dipyaka, Mahoushadhi and Hingu, or with Souvarchala should be taken for comfort. Shadavas or cordials made of Amrataka, Amra-fruits, Dadima and Matulunga should be given for relief. In the alternative, the cooked flesh of an animal of Anupa group i.i. tortoise, etc. should be seasoned with the expressed juice of above fruits and be taken. 16.
In the Pittaja-type of Panatyaya, wine mixed with the decoction of the drugs of the Madhura group and saturated and flavoured with the admixture of sugar and scented drugs should be taken, or wine profusely mixed with the expressed juice of sugar-cane should be taken and fully vomited out, a short while thereafter. Meat-juice (Rasa) of Lava, Ena and Tittira unmixed with an) acid, or Mudga soup should be taken with sugar and clarified butter. 17.