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घनोऽष्ठीलोपमो ग्रन्थिरष्ठीलोर्ध्वं समुन्नतः । आनाहलिङ्गस्तिर्यक् तु प्रत्यष्ठीला तदाकृतिः ॥ ६१ ॥
A hard tumor resembling a cobblers stone, elevated upwards, presenting symptoms of anaha is known as Asthila;if elevated sideward in same shape it is pratyasthila.
english translation
पक्वाशयाद्गुदोपस्थं वायुस्तीव्ररुजः प्रयान् । तूणी प्रतूणी तु भवेत्स एवातो विपर्यये ॥ ६२ ॥
Vata produces severe pain, travelling from pakvasaya (large instance) to the Guda (rectum) and upastha (penis ) is known as Tuni; travelling in the revere direction (from rectum and penis) pain travelling to the large intestine is known as pratituni.
english translation
उद्गारबाहुल्यपुरीषबन्धतृप्त्यक्षमत्वान्त्रविकूजनानि । आटोपमाध्मानमपक्तिशक्तिमासन्नगुल्मस्य वदन्ति चिह्नम् ॥ ६३ ॥
Excessive belching, obstructions to elimination of feces, constipation, pathological feeling of contentment, intolerance, intestinal gurgling, movement of gas inside the intestines, flatulence, and poor digestion capacity are the premonitory symptoms of gulma (abdominal tumor).
english translation