Astanga Hrudaya
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रक्तपित्तकफष्ठीवो लोलनं शिरसोऽतिरुक् । कोठानां श्यावरक्तानां मण्डलानां च दर्शनम् ॥ ३१ ॥
Expectoration of blood, pitta and kapha, movement of the head to the sides (on the pillow), severe headache, and the appearance of eruptions and patches of blackish red color on the skin.
english translation
raktapittakaphaSThIvo lolanaM ziraso'tiruk । koThAnAM zyAvaraktAnAM maNDalAnAM ca darzanam ॥ 31 ॥
hk transliteration by Sanscriptहृद्व्यथा मलसंसङ्गः प्रवृत्तिर्वाल्पशोऽति वा । स्निग्धास्यता बलभ्रंशः स्वरसादः प्रलापिता ॥ ३२ ॥
Pain in the (region of) the heart, non-elimination of wastes, or elimination in very little quantities or in excess, unctuousness (oiliness) of the face, loss of strength, loss of voice (pitch of speech), irrelevant talking (delirium), dosha paka (doshas undergoing ripening) after a long time;
english translation
hRdvyathA malasaMsaGgaH pravRttirvAlpazo'ti vA । snigdhAsyatA balabhraMzaH svarasAdaH pralApitA ॥ 32 ॥
hk transliteration by Sanscriptदोषपाकश्चिरात्तन्द्रा प्रततं कण्ठकूजनम् । सन्निपातमभिन्यासं तं ब्रूयाच्च हृतौजसम् ॥ ३३ ॥
stupor and cooing sound in the throat constantly, are the features of Sannipata Jvara (fever caused by simultaneous increase of all the three doshas) also known as Abhinyasa Jvara and Hrito (hritojasa) Jvara.
english translation
doSapAkazcirAttandrA pratataM kaNThakUjanam । sannipAtamabhinyAsaM taM brUyAcca hRtaujasam ॥ 33 ॥
hk transliteration by Sanscriptदोषे विबद्धे नष्टेऽग्नौ सर्वसम्पूर्णलक्षणः । असाध्यः सोऽन्यथा कृच्छ्रो भवेद्वैकल्यदोऽपि वा ॥ ३४ ॥
Sannipata Jvara in which the doshas are obstructed (prevented from ripening / undergoing processing by heat), the fire (digestive agency in the gastro-intestinal tract) is lost completely and in which all the signs and symptoms are manifest, is incurable,or if otherwise (the symptoms being less and mild, ripening of the doshas taking place and digestive activity going on, though poorly), it is difficult to cure or it gives rise to deformities.
english translation
doSe vibaddhe naSTe'gnau sarvasampUrNalakSaNaH । asAdhyaH so'nyathA kRcchro bhavedvaikalyado'pi vA ॥ 34 ॥
hk transliteration by Sanscriptअन्यच्च सन्निपातोत्थो यत्र पित्तं पृथक् स्थितम् । त्वचि कोष्ठेऽथवा दाहं विदधाति पुरोऽनु वा ॥ ३५ ॥
In another type of sannipata jvara (fever caused by all the doshas increased simultaneously), wherein pitta residing independently in the skin or alimentary tract, produces burning sensation either earlier or later (to fever), similarly vata and kapha produce cold (shivering), (is also difficult to cure).
english translation
anyacca sannipAtottho yatra pittaM pRthak sthitam । tvaci koSThe'thavA dAhaM vidadhAti puro'nu vA ॥ 35 ॥
hk transliteration by Sanscript