Alasaka occurs especially in those who are poor in strength and digestive capacity, who suppress the urges of the body (habitually) in them, vãta getting increased (aggravated) associates with (kapha) obstructs the movement of undigested food inside, causes it to stay like a foreign body, producing severe pain in the abdomen etc. but without vomiting arid diarrhoea, this is Alasaka.
Dos which are greatly increased getting into the vitiated and obstructed channels (by accumulation of undigested food), being unable to move inside them begin to move in other channels (unnatural) occupy the whole body making it stiff like a log of wood. This disease is called Da4akalasaka, which should be rejected .a it is quick in effect (causes death).
Persons who indulge in partakir1g incompatible foods, overeating and eating of uncooked food develop the dreaded Amadosa which is similar to poison and SO known as amavisa (food poison) which also should be refused treatment because of its similarity with poison, quickness of action (causing death) and requiring treatments of opposite nature (to one another).
Alasaka cikitsa-(treatment of alasaka)
Ama (undigested food) stagnating inside should be removed quickly after deciding the conditions of easy management, by making the person drink warm water mixed with (powder of) ugra (vácã), pandu (saindhava) and phala (madanaphala); this will produce vomiting; next sudatiori therapy, rectal suppositories prepared froi fruits which help downward movement of faces and flatus should be administered, the parts of the body which are rigid should be well fomented and then wrapped (with cloth).
Visuchika chikitsa-(treatment of chikitsa) :-
In advanced stage of chikitsa, branding by fire over the heel1 is highly beneficial, the patient should be made to fast on that day and taken care of as the One who has undergone purgation therapy.
Ama dosa chikitsa -(management of amadosa )
The patient of indigestion though having severe abdominal pain should not take pain-killing drugs; the agni (digestive fire) which is associated with ama (undigested food, improperly processed metabolites) will not be able to digest the dosas, drugs and food; the severe troubles arising from these (three) will soon kill the patient.
After the food is found digested, if stiffness and heaviness of the abdomen persisting, then the medicines should be administered to cook the residue of the dosas and to stimulate the agni (digestive activity).
Diseases produced by ama (undigested food) become relieved by apatarpana (non-nourishment); three khids of it (non-nourishment) appropriate to the three dosas should be adopted after careful consideratioii (of all aspects).
If it (ama) is little, only langhana (fasting) will be suitable, if it is moderate lagbana (fasting) and pcana (digestive drugs) are needed; if it is great (more), then odhana ( purificatory therapies) is necessary; for these will expel out the malAs (doas, ama etc.) from their very roots.
Even the other diseases should be treated by adopting treatments which are opposite of their causative factors (hetu viparyaya). If, however, the diseases reoccur (or persist for long time) then the hetu viparaya (therapies which are opposite cause) should be given up and vyadhi viparyaya cikitsä (elements which are opposite of the specific disease should be adopted suitably.
Or Tadarthakãri cikitsä (therapies which, though not actually opposite of either the cause or the diseases still produce the desired result) should be adopted; when the dosãs have become ripe (return to normal and devoid of ama) and the digestive activity augmented, then oil-bath, drinking of oil (oleation therapies) and enema therapy, etc. should be administered appropriately.