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Astanga Hrudaya

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तत्रदोषानुगमनं सिरास्रैवलक्षयेत् । उपद्रवांश्च विकृतिज्ञानतस्तेषु चाधिकम् ॥ १६ ॥

Sadhyasadhyata (Prognosis): It this disease, (Raktapitta) recognition of the (vitiating) Dosha is similar to that described in venesection (chapter 27 of Sutrasthana). Its Upadrava (secondary diseases, complications) are those enumerated in) Vikriti Vijnaniya (chapter 5 of Sarira Sthana).

english translation

आशुकारीयतः कासस्तमेवातः प्रवक्ष्यति । पञ्चकासाः स्मृता वातपित्तश्लेष्मक्षतक्षयैः॥१७॥

Among them Kasa (cough) is going to kill the person soon, hence its description further on. Kasa (cough) is said to be of five kinds (one each) from Vata, Pitta, Shleshman (Kapha); from Kshata (injury to the chest (lungs) and Kshaya (consumption).

english translation

क्षयायोपेक्षिताः सर्वे बलिनश्चोत्तरोत्तरम्। तेषां भविष्यतां रूपं कण्ठे कण्डूररोचकः॥१८॥

All of them lead on to Kshaya if neglected and are strong in the succeeding order (succeeding kind stronger than its preceding kind). Purvarupa (premonitory symptoms): Their premonitory features are – irritation in the throat, loss of taste/appetite,

english translation

शूकपूर्णाभकण्ठत्वं तत्राधोविहतोऽनिलः। ऊर्ध्वं प्रवृत्तः प्राप्योरस्तस्मिन्कण्ठे च संसजन्॥१९॥

feeling as though the throat is full of thorns. Samprapti (pathogenesis) ; Anila (Vata) obstructed in its downward movement, begins to move upwards, reaching the chest, invades the throat and then filling

english translation

शिरः स्रोतांसि सम्पूर्य ततोऽङ्गान्युत्क्षिपन्निव। क्षिपन्निवाक्षिणीपृष्ठमुरः पार्श्वे च पीडयन्॥२०॥

the channels of the head, makes for violent upward movement of the body. The eyes, back and chest; pain in the flanks, and comes out of the mouth

english translation