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Vira Simhavaloka · Chapter 66
श्लीपद — कर्मविपाकः
This Shlipada karmavipaka chapter is short. The text links the trouble to going to a forbidden woman in a past life.
Classical view, not medical advice.
It names a moon-phase fast, a milk fast and feeding priests as amends.
The English below is our translation from the Sanskrit.
Shlipada (elephantiasis) - past deeds
अथ श्लीपदरोगस्य कर्मविपाकहेतुमाह तत्प्रतीकारं च ।
Next, the text gives the cause of elephantiasis from past deeds, and its remedy.
Shlipada (elephantiasis) - past deeds
स्वगोत्रह्याभिगामी स्याद्योऽन्यां वा श्लीपदी भवेत्
One who goes to a woman of his own gotra (clan line) may get elephantiasis. So may one who goes to any other [forbidden woman].
Shlipada (elephantiasis) - past deeds
अस्य प्रायश्चित्तम् । असौ चांद्रायणमेकं पयोव्रतं च कुर्यात् । तदनुकल्पेन सुवर्णं दद्यात् । पंचाशद्ब्राह्मण भोजनं कारयेत् । इति वचनात् ।
Its amends: he should do one chandrayana (moon-phase fast) and a milk-only fast. Or, in its place, he should give gold. He should have fifty priests fed. So the saying goes.
Unit 66.3 names one moon-phase fast and a milk-only fast, or gold instead, and feeding fifty priests.