Astanga Hrudaya

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शस्त्राद्यैरभिघातेन क्षते वापथ्यकारिणः । क्षतोष्मा वायुविक्षिप्तः सरक्तं पित्तमीरयन् ॥ ११ ॥

Kshataja Vidradhi Rupa (Clinical features of abscess caused by trauma) : Vayu (Vata) getting aggravated by assault by weapons, etc. by unsuitable foods etc. and by displacing the heat at the site of trauma, leads to the aggravation of Pitta and Rakta (blood) and gives rise to an abscess,

english translation

zastrAdyairabhighAtena kSate vApathyakAriNaH । kSatoSmA vAyuvikSiptaH saraktaM pittamIrayan ॥ 11 ॥

hk transliteration by Sanscript

पित्तासृग्लक्षणं कुर्याद्विद्रधिं भूर्युपद्रवम् । तेषूपद्रवभेदश्च स्मृतोऽधिष्ठानभेदतः ॥ १२ ॥

presenting symptoms of Pitta and Rakta, producing severe complications, secondary diseases. signs of abscess as per its location: The differences in these complications depend upon the site or location (of the abscess).

english translation

pittAsRglakSaNaM kuryAdvidradhiM bhUryupadravam । teSUpadravabhedazca smRto'dhiSThAnabhedataH ॥ 12 ॥

hk transliteration by Sanscript

नाभ्यां हिध्मा भवेद्बस्तौ मूत्रं कृच्छ्रेण पूति च । श्वासो यकृति रोधस्तु प्लीह्न्युच्छ्वासस्य तृट् पुनः ॥ १३ ॥

These manifest as: hiccup (hidhma) if the abscess is near the umbilicus (nabhi); difficult and foul-smelling urine if the abscess is in the bladder (basti); dyspnea (shwasa) if it is in the liver (yakrit); obstruction to expiration/breathing out if it is in the spleen (pliha); and thirst (trit) if it is in the kloma.

english translation

nAbhyAM hidhmA bhavedbastau mUtraM kRcchreNa pUti ca । zvAso yakRti rodhastu plIhnyucchvAsasya tRT punaH ॥ 13 ॥

hk transliteration by Sanscript

गलग्रहश्च क्लोम्नि स्यात्सर्वाङ्गप्रग्रहो हृदि । प्रमोदस्तमकः कासो हृदये घट्टनं व्यथा ॥ १४ ॥

An obstruction of the throat (galagraha) occurs if the abscess is in the kloma; catching pain or rigidity all over the body (sarvanga-pragraha), profound delusion (pramoha), darkness/unconsciousness (tamaka), cough (kasa), and a feeling of friction and pain in the heart manifest if the abscess is in the heart (hridaya).

english translation

galagrahazca klomni syAtsarvAGgapragraho hRdi । pramodastamakaH kAso hRdaye ghaTTanaM vyathA ॥ 14 ॥

hk transliteration by Sanscript

कुक्षिपार्श्वान्तरांसार्तिः कुक्षावाटोपजन्म च । सक्थ्नोर्ग्रहो वङ्क्षणयोर्वृक्कयोः कटिपृष्ठयोः ॥ १५ ॥

Pain in the abdomen, flanks, and shoulders, along with a gurgling noise (aatopa) in the abdomen, appear if the abscess is in the upper abdomen (kukshi); stiffness of the thighs (sakthnoh-graho) occurs if it is in the groins (vankshana);

english translation

kukSipArzvAntarAMsArtiH kukSAvATopajanma ca । sakthnorgraho vaGkSaNayorvRkkayoH kaTipRSThayoH ॥ 15 ॥

hk transliteration by Sanscript