The abdominal (Koshthaja) Vayu deranged and aggravated by such factors as eating dry, astringent, pungent or bitter articles of fare (in inordinate quantities) causes an immediate attack of Udavarta in which the Vayu (follows an upward course and)obstructs its own channels as well as those of feces, urine, Kapha, fat and blood. It dries up the fecal matter (in the body) causing pain in the heart and bladder, a sense of heaviness in the limbs (D. R - nausea), aversion to food (1). R. unwillingness to do anything) and difficult and scanty emission of stool, urine and flatus. Laboured breathing, cough, catarrh, burning sensation in the body, fits of unconsciousness, vomiting, fever, thirst, hiccough troubles in the head, defective functional activity of the Manas (mind) and of the ear and such like symptoms, in consequence, pre-eminently mark the deranged action of the bodily Vayu. 30.
The patient's body should be made emulsive (Snigdha) by the application of unguents composed of salt and oil. Fomentation should then be applied under the circumstances, and intestinal injections should be applied after the manner of a Nirudha Vasti. Intestinal enemas (Vasti) of the Anuvasana kind should also be applied after meal, if the case be attended with loose motions in virtue of the specific nature of the deranged bodily Doshas involved therein. Fatty purgtives should be exhibited after having fully fomented the body of the patient, when the foregoing remedies would fail to give any relief from attacks of Udavarta and he should be made to drink a potion of any acid cordial together with the compound of Pilu, Trivrit and Yavani or with the compound consisting of Hingu, Kushtha, Vacha, Svarjika-kshara and Vidanga* each succeeding drug weighing double the one immediately preceding it in the order of enumeration. These two medicinal compounds may be employed with advantage in relieving attacks of Sula aud Udavarta. 31 - 32.
The drugs known as Deva-ddrn, Chitraka, Kushtha, Vacha (D. R - Sunthi), Haritaki, Palamkasha (Guggulu) and Pushkara-roots should be duly boiled with half an Adhaka measure (thirty-two Palas) of water and taken down from the oven with a quarter part of the original
* Chakradatta reads (and Vit salt) in place of solution remaining. Draughts of the this decoction would relieve an attack of Udavarta. 33.
A potion of clarified butter duly cooked with the decoction of dried* Mulaka, Ardraka, Varshabhu, Pancha-mula † and Arevata (Aragvadha) fruits would cure any form of Udavarta whatsoever. 34.
A compound consisting of Vacha, Ativisha, Kushtha, Yava-Kshara,Haritaki, Pippali and Chitraka should also be taken with tepid water, or a compound consisting of Ikshaku-roots, Madam, Visalya, Ativisha, Vacha, Kush-tha, Kinva (sediment of wine) and Agnika taken in equal parts should also be taken in the aforesaid manner. A compound of Deva-daru, Agni, Tri-phala and Vrihati, should be taken with the urine of a cow. The decoction of Kantakari-fruits and barley weighing a Prastha cooked in an Adhaka measure of water and boiled down to half a Prastha only, should be taken in combination with Hingu. 35 - 38.
A compound consisting of the pulverised seeds of Madana and of Alavu, Pippali and Nidigdhika should be blown into the rectum with a pipe. A Varti made of Nikumblia (Danti), Kampilla, S'yama (Trivrit), Ikshaku, Agnika, (Ajamoda), Krita-Vedhana (Kosataki), Magadhi and salt pounded together, made into a paste with the addition of cow's urine, dried and cut into a proportionate size, should be inserted into the rectum. The last two ambrosial remedies give instantaneous relief in a case of Udavarta. 39.
Thus ends the fifty-fifth chapter of the Uttara-Tantra in the Sus'ruta Samhita which deals with the (symptoms and) treatment of Udavarta.
* Dallana takes dried (S'ushka) with both 'Mulaka and Ardraka. † Dallana recommends the major Pancha-mula ; but according to Chakrapani's commentary, "Bhanumati," it .should be the minor Pancha-mula.