Astanga Hrudaya
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कोष्ठशाखाश्रयां पित्तं दग्ध्वासृङ्मांसमावहेत् । हारिद्रनेत्रमूत्रत्वङ्नखवक्त्रशकृत्तया ॥ १६ ॥
burns up the blood and muscles, and produces Kamala roga (jaundice), localized in the koshta (alimentary tract) and the shakha (tissues). This produces a deep yellow (turmeric-like) coloration of the eyes, urine, skin, nails, mouth, and feces.
english translation
koSThazAkhAzrayAM pittaM dagdhvAsRGmAMsamAvahet । hAridranetramUtratvaGnakhavaktrazakRttayA ॥ 16 ॥
hk transliteration by Sanscriptदाहाविपाकतृष्णावान् भेकाभो दुर्बलेन्द्रियः । भवेत्पित्तोल्बणस्यासौ पाण्डुरोगादृतेऽपि च ॥ १७ ॥
The patient experiences a burning sensation, indigestion, excessive thirst, a skin color resembling a frog (greenish-brown), and weakness of the sense organs. Kamala can also happen even without panduroga (anemia) in persons who have a severe, primary aggravation of pitta.
english translation
dAhAvipAkatRSNAvAn bhekAbho durbalendriyaH । bhavetpittolbaNasyAsau pANDurogAdRte'pi ca ॥ 17 ॥
hk transliteration by Sanscriptउपेक्षया च शोफाढ्या सा कृच्छ्रा कुम्भकामला । हरितश्यावपीतत्वं पाण्डुरोगे यदा भवेत् ॥ १८ ॥
Neglecting Kamala leads to Kumbha Kamala, which features profound swelling (shotha) and is difficult to cure. When green, blackish-bronze, and yellowish discolorations appear in a patient of panduroga .
english translation
upekSayA ca zophADhyA sA kRcchrA kumbhakAmalA । haritazyAvapItatvaM pANDuroge yadA bhavet ॥ 18 ॥
hk transliteration by Sanscriptवातपित्ताद्भ्रमस्तृष्णा स्त्रीष्वहर्षो मृदुर्ज्वरः । तन्द्रा बलानलभ्रंशो लोढरं तं हलीमकम् ॥ १९ ॥
.due to the severe increase of Vata and Pitta, and is accompanied by dizziness, excessive thirst, a lack of sexual desire, mild fever, stupor, and a loss of bodily strength and digestive fire (agni), then sages name this advanced condition Lodhara, Halimaka, or
english translation
vAtapittAdbhramastRSNA strISvaharSo mRdurjvaraH । tandrA balAnalabhraMzo loDharaM taM halImakam ॥ 19 ॥
hk transliteration by Sanscriptअलसं चेति शंसन्ति तेषां पूर्वमुपद्रवाः । शोफप्रधानाः कथिताः स एवातो निगद्यते ॥ २० ॥
Alasa (advanced liver disorders/chlorosis). Of all the complications of Pandu diseae, Shopha – inflammation is the chief complication. Hence, Shopha is explained in further verses. Thus ends the diagnosis of Pandu – Anemia, initial stages of liver diseases.
english translation
alasaM ceti zaMsanti teSAM pUrvamupadravAH । zophapradhAnAH kathitAH sa evAto nigadyate ॥ 20 ॥
hk transliteration by Sanscript