षट्षष्टितमोऽध्यायः अथातो दोषभेदविकल्पनामाध्यायं व्याख्यास्यामः, यथोवाच भगवान् धन्वन्तरिः ॥ १ ॥
Now we shall discourse on the chapter which deals with and is called the different modificaitons (combinations) of the different Dosas — Dosa-Bhedavikalpa-namadhyaya.1
अष्टाङ्गवेदविद्वांसं दिवोदासं महौजसम् । छिन्नशास्त्रार्थसन्देहं सूक्ष्मागाधागमोदधिम् ॥ २ ॥ विश्वामित्रसुतः श्रीमान् सुश्रुतः परिपृच्छति ॥ ३ ॥ द्विषष्टिर्दोषभेदा ये पुरस्तात् परिकीर्तिताः । कति तत्रैकशो ज्ञेया द्विशो वाऽप्यथवा त्रिशः ॥ ४ ॥
Revered Susruta, the son of Visvamitra, asks (the following to) the high-minded Divodasa, well-versed in all the eighth divisions of Ayurveda, with intellect sharp and as deep as an ocean, and with all the doubts cut down in the meanings of the Sastras fully solved. The question is-It has been already said that there are sixty two¹ varieties of the Dosas, but how are they divided when taken one, two or all the three at a time. 2-4.
तस्य तद्वचनं श्रुत्वा संशयच्छिन्महातपाः । प्रीतात्मा नृपशार्दूलैः सुश्रुतायाह तत्त्वतः ॥५॥
1. The reference is to chapter LXIII, but there the number is sixty-three and not sixty-two. The three Dhatus Vayu, Pitta and Kapha, in their normal state, cannot properly be called Dosas. The state in which all the three Dhatus are in their normal state, is said to be the 63rd. combination (see also, para. 8 below).
On hearing his word the great sage and king (Divodasa) with all his doubts cut down and solved was greatly pleased and thus narrated the true conditions to Susruta. 5.
त्रयो दोषा धातवश्च पुरीषं मूत्रमेव च ।
देहं सन्धारयन्त्येते ह्यव्यापन्ना रसैर्हितैः ॥ ६ ॥
The three Dosas the (seven) Dhatus, feces and urine — these, in their normal state, hold together the corporeal frame in conjunction with the six Rasas advantageous for the constitution. 6.
पुरुषः षोडशकलः प्राणाश्चैकादशैव ये ॥ ७ ॥ रोगाणान्तु सहस्त्रं यच्छतं विंशतिरेव च ॥ ८ ॥ शतञ्च पञ्च द्रव्याणां त्रिसप्तत्यधिकोत्तरम् । व्यासतः कीर्तितं तद्धि भिन्ना दोषास्त्रयो गुणा: । द्विषष्टिधा भवन्त्येते भूयिष्ठमिति निश्चयः ॥ ९ ॥
Purusa or human body has sixteen sub-strata’. The Pranas (viz.the organs of sense) are eleven in number while the number of disease is one thousand one hundred and twenty and that of elementary substances (Dravya) is five hundred and seventy-three-these have already been explained in detail. The three qualities (viz. Sattva, Rajas and Tamas) have also been explained in connection with the (three) different Dosas ( viz., Vayu, Pitta and Kapha) which are generally said to have sixty-two combinations. 7-9.
त्रय एव पृथग् दोषा द्विशो नव समाधिकैः । त्रयोदशाधिकैक द्विसममध्योल्वणैस्त्रिशः । पञ्चाशदेवन्तु सह भवन्ति क्षयमागतैः ॥ १० ॥ क्षीणमध्याधिकक्षीण-क्षीणवृद्धैस्तथाऽपरैः । द्वादशैवं समाख्यातास्त्रयो दोषा द्विषष्टिधा ॥ ११ ॥
Different combinations of Dosas – The three Dosas separately have three combinations, viz., where one of the Dosas is aggravated and the other two are in the their normal state. Taken two at a time, both of them aggravated, whether equally or unequally (with the third in its normal state), the number of combinations would be nine; while the number of combinations would be thirteen if they are taken three at a time– all of them aggravated, both equally and unequally (thus making twenty-five in all with the aggravated Dosas). With an equal number of combinations in cases of the diminution of the Dosas (taken one, two or three at a time) we have fifty combinations. The number of combinations (taken one, two and three at a time) with the aggravated and diminished Dossas mixed together would be twelve only-Thus making sixty-two in all. 10-11.
1. The sixteen sub-strata are the five elementary principles, (viz.-Earth, Water, Fire, Air and Ether) and the eleven sense-organs.
मिश्रा धातुमलैर्दोषा यान्त्यसंख्येयतां पुनः । तस्मात् प्रसङ्गं संयम्य दोषभेदविकल्पनैः । रोगं विदित्वोपचरेद् रसभेदैर्यथेरितैः ॥ १२ ॥ भिषक् कर्ताऽथ करणं रसा दोषास्तु कारणम् । कार्यमारोग्यमेवैकमनारोग्यमतोऽन्यथा ॥१३॥
The number of Dosic combinations, when mixed together with Dhatus, Malas, would be innumerable. It, therefore, behoves a physician to treat a patient with the different combinations of the (six different) Rasas after properly diagnosing the disease with a due regard to the aggravation of the different Dosas and without going into any further details. In ameliorating diseases, the physician is the doer of that action the effect is health and the instruments with which the action is performed are the Rasas while the Dosas are the causes. Contrary to this is want of health. 12-13.
अध्यायानान्तु षट्षष्ट्या ग्रथितार्थपदक्रमम् । एवमेतदशेषेण तत्रमुत्तरमृद्धिमत् ॥ १४ ॥ । स्पष्टगूढार्थविज्ञानमगाढमन्दचेतसाम् यथाविधि यथाप्रश्नं भवतां परिकीर्तितम् ॥ १५ ॥
The Uttara-Tantra, enriched with the sixty-six chapters where the order of the words and their meanings have been described, and explained very clearly the hidden meanings of the terms for making them clear to persons of weak intellect. Thus the related subjects have been duly explained to you in accordance with your questions. 14-15.
सहोत्तरन्त्वेतदधीत्य सर्वं ब्राह्मं विधानेन यथोदितेन । न हीयतेऽर्थान्मनसोऽभ्युपेतादेतद्वचो ब्राह्ममतीव सत्यम् ॥ १६ ॥
Persons reading, according to the rules laid down, this treatise together with the Uttara-Tantra coming from (the mouth of) Brahma himself, are not deprived with their desired wishes for objects, that is to say, they are sure to obtain them. This word of Brahma is perfectly true. 16.
इति सुश्रुत संहितायामुत्तरतन्त्रे दोषभेदविकल्पोनाम षट्षष्टितमोऽध्यायः ॥ ६६॥
Thus ends the sixty-sixth chapter of the Uttara-Tantra in the Susruta-Samhita which deals with and is called the different combinations of the different Dosas.
Here ends the Uttara-Tantra.