Astanga Hrudaya
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पार्श्वयोश्च व्यथा पायौ पवनस्य निरोधनम् । आमपक्वविदग्धत्वं तेषां शोफवदादिशेत् ॥ १६ ॥
catching pain in the waist and back, along with pain in the flanks, occurs if it is in the kidneys (vrikka); and the obstruction of flatus/gas occurs if it is in the rectum (payu). Expulsion of abscess contents in relation to their location with respect to umbilicus: The unripe, Ripening and Ripened Stages are similar to those of sopha (inflammatory edema).
english translation
pArzvayozca vyathA pAyau pavanasya nirodhanam । AmapakvavidagdhatvaM teSAM zophavadAdizet ॥ 16 ॥
hk transliteration by Sanscriptनाभेरूर्ध्वं मुखात्पक्वाः प्रस्रवन्त्यधरे गुदात् । गुदास्यान्नाभिजो विद्याद्दोषं क्लेदाच्च विद्रधौ ॥ १७ ॥
After ripening, the abscesses localized above the umbilicus expel their contents (pus, blood etc) through the mouth, those localized below the umbilicus, though the rectum.Those localized in the umbilicus expel their contents through both rectum and mouth.
english translation
nAbherUrdhvaM mukhAtpakvAH prasravantyadhare gudAt । gudAsyAnnAbhijo vidyAddoSaM kledAcca vidradhau ॥ 17 ॥
hk transliteration by Sanscriptयथास्वं व्रणवत् तत्र विवर्ज्यः सन्निपातजः । पक्वो हृन्नाभिबस्तिस्थो भिन्नोऽन्तर्बहिरेव वा ॥ १८ ॥
The features of the doshas and of the exudates in abscesses should be understood as similar to those of an ulcer (organic ulcer and not traumatic wound). Sadhyasadhyata (prognosis): Those produced by all the doshas together; those located in the heart, umbilicus and urinary bladder, which have burst after ripening either inside or outside;
english translation
yathAsvaM vraNavat tatra vivarjyaH sannipAtajaH । pakvo hRnnAbhibastistho bhinno'ntarbahireva vA ॥ 18 ॥
hk transliteration by Sanscriptपक्वश्चान्तः स्रवन् वक्त्रात् क्षीणस्योपद्रवाऽन्वितः । एवमेव स्तनसिरा विवृताः प्राप्य योषिताम् ॥ १९ ॥
those which have ripened / burst inside and have expelled their contents through their opening; those arising in debilitated persons, those having complications/ secondary diseases should be rejected. Sthana Vidradhi (Breast Abscess): In the same way (the doshas) invading the open channels of the breasts in women,
english translation
pakvazcAntaH sravan vaktrAt kSINasyopadravA'nvitaH । evameva stanasirA vivRtAH prApya yoSitAm ॥ 19 ॥
hk transliteration by Sanscriptसूतानां गर्भिणीनां वा सम्भवेच्छ्वयथुर्घनः । स्तने सदुग्धेऽदुग्धे वा बाह्यविद्रधिलक्षणः ॥ २० ॥
in women in post partum period or or pregnant produce a hard swelling in the breasts. Having the features of an external abscess; when the breasts are either having milk or not; this is Stana Vidradhi (breast abscess),
english translation
sUtAnAM garbhiNInAM vA sambhavecchvayathurghanaH । stane sadugdhe'dugdhe vA bAhyavidradhilakSaNaH ॥ 20 ॥
hk transliteration by Sanscript