Astanga Hrudaya
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रोगाः सर्वेऽपि मन्देऽग्नौ सुतरामुदराणि तु । अजीर्णान् मलिनैश्चान्नैर्जायन्ते मलसञ्चयात् ॥ १ ॥
Udara Nidana: Causes of enlargement of abdomen : Generally all diseases are produced by mandagni (weak digestion strength) especially so the udara – enlargement of the abdomen;Udara disease can also be caused due to indigestion, due to contaminated foods, or due to accumulation of malas – aggravated doshas and waste products.
english translation
rogAH sarve'pi mande'gnau sutarAmudarANi tu । ajIrNAn malinaizcAnnairjAyante malasaJcayAt ॥ 1 ॥
hk transliteration by Sanscriptऊर्ध्वाधो धातवो रुद्ध्वा वाहिनीरम्बुवाहिनीः । प्राणाग्न्यपानान् सन्दूष्य कुर्युस्त्वङ्मांससन्धिगाः ॥ २ ॥
Samprapti (Pathogenesis): Dhatus – doshas-vata, pitta and kapha getting aggravated, obstruct the channel of ambu (water related body channels) both at the top and bottom,bring about abnormalities in the prana (division of vata), agni (digestive activity) and apana (division of vata),causes accumulation of water in between the layers of skin,
english translation
UrdhvAdho dhAtavo ruddhvA vAhinIrambuvAhinIH । prANAgnyapAnAn sandUSya kuryustvaGmAMsasandhigAH ॥ 2 ॥
hk transliteration by Sanscriptआध्माप्य कुक्षिमुदरम् अष्टधा तच्च भिद्यते । पृथग्दोषैः समस्तैश्च प्लीहबद्धक्षतोदकैः ॥ ३ ॥
and musclesand produce udara, by enlarging the abdomen. It is of eight kinds;from each dosha separately, by all of them together,by pliha (enlargement of the spleen), baddha (obstruction of the intestine), ksata- perforation of the intestines and udaka accumulation of fluid.
english translation
AdhmApya kukSimudaram aSTadhA tacca bhidyate । pRthagdoSaiH samastaizca plIhabaddhakSatodakaiH ॥ 3 ॥
hk transliteration by Sanscriptतेनार्ताः शुष्कताल्वोष्ठाः शूनपादकरोदराः । नष्टचेष्टाबलाहाराः कृशाः प्रध्मातकुक्षयः ॥ ४ ॥
Affected by this disease, the persons have dryness of the palate and lips,swelling of the feet, hands and abdomen;loss of activeness, strength and desire for food;emaciation, severe flatulenceand appear like a cadaver.
english translation
tenArtAH zuSkatAlvoSThAH zUnapAdakarodarAH । naSTaceSTAbalAhArAH kRzAH pradhmAtakukSayaH ॥ 4 ॥
hk transliteration by Sanscriptस्युः प्रेतरूपाः पुरुषा भाविनस्तस्य लक्षणम् । क्षुन्नाशोऽन्नं चिरात्सर्वं सविदाहं च पच्यते ॥ ५ ॥
The premonitory symptoms (of enlargement of abdomen are) loss of hunger, food takes a very long time undergo digestion, digestion is accompanied with burning sensation,
english translation
syuH pretarUpAH puruSA bhAvinastasya lakSaNam । kSunnAzo'nnaM cirAtsarvaM savidAhaM ca pacyate ॥ 5 ॥
hk transliteration by Sanscript