Astanga Hrudaya

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पाकाद्द्रवा द्रवीकुर्युः सन्धिस्रोतोमुखान्यपि । स्वेदश्च बाह्यस्रोतःसु विहतस्तिर्यगास्थितः ॥ ४१ ॥

due to digestion the doshas get liquefied and make more fluid to accumulate in the channels of the joints and tissues; the sweat obstructed in its outer opening, begins to move in all directions (oblique, sideward direction),

english translation

pAkAddravA dravIkuryuH sandhisrotomukhAnyapi । svedazca bAhyasrotaHsu vihatastiryagAsthitaH ॥ 41 ॥

hk transliteration by Sanscript

तदेवोदकमाप्याय्य पिच्छां कुर्यात्तदा भवेत् । गुरूदरं स्थिरं वृत्तमाहतं च न शब्दवत् ॥ ४२ ॥

gets mixed with the body-water causes stickiness, sliminess, it collects in the abdomen, which becomes heavy, static, round, not producing sound when tapped,

english translation

tadevodakamApyAyya picchAM kuryAttadA bhavet । gurUdaraM sthiraM vRttamAhataM ca na zabdavat ॥ 42 ॥

hk transliteration by Sanscript

मृदु व्यपेतराजीकं नाभ्यां स्पृष्टं च सर्पति । तदनूदकजन्मास्मिन्कुक्षिवृद्धिस्ततोऽधिकम् ॥ ४३ ॥

soft, and absence of veins; the fluid spreads to other parts when the umbilicus is pressed; gradually accumulation of fluid in the abdomen occurs, leading to great increase in the size of the abdomen,

english translation

mRdu vyapetarAjIkaM nAbhyAM spRSTaM ca sarpati । tadanUdakajanmAsminkukSivRddhistato'dhikam ॥ 43 ॥

hk transliteration by Sanscript

सिरान्तर्धानमुदकजठरोक्तं च लक्षणम् । वातपित्तकफप्लीहसन्निपातोदकोदरम् ॥ ४४ ॥

causes disappearance of veins and other symptoms of udakodara. Udara- abdominal enlargement caused by vata, pitta, kapha, plihahodara –splenomegaly, sannipata – all the three doshas together and udakodara – ascites

english translation

sirAntardhAnamudakajaTharoktaM ca lakSaNam । vAtapittakaphaplIhasannipAtodakodaram ॥ 44 ॥

hk transliteration by Sanscript

कृच्छ्रं यथोत्तरं पक्षात्परं प्रायोऽपरे हतः । सर्वं च जातसलिलं रिष्टोक्तोपद्रवान्वितम् । ॥ ४५ ॥

are difficult to cure in their successive order; other kinds usually kill the patient by a fortnight, udara all types after the formation of fluid and accompanied with complications or secondary diseases bad omens and fatal signs enumerated in the chapter on arista – chapter 5 of sharira sthana.

english translation

kRcchraM yathottaraM pakSAtparaM prAyo'pare hataH । sarvaM ca jAtasalilaM riSToktopadravAnvitam । ॥ 45 ॥

hk transliteration by Sanscript