Astanga Hrudaya

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दीर्घमूर्ध्वं श्वसित्यूर्ध्वान्न च प्रत्याहरत्यधः। श्लेष्मावृतमुखस्रोताः क्रुद्धगन्धवहार्दितः॥१६॥

From Urdhva Svasa, the person has prolonged upward breathings (expirations) but inability of bringing it downwards (inspirations), the mouth of the channels are covered with shleshma (Kapha); Gandhvaha (Vata) being aggravated

english translation

dIrghamUrdhvaM zvasityUrdhvAnna ca pratyAharatyadhaH। zleSmAvRtamukhasrotAH kruddhagandhavahArditaH॥16॥

hk transliteration by Sanscript

ऊर्ध्वदृग्वीक्षते भ्रान्तमक्षिणीपरितः क्षिपन्। मर्मसु च्छिद्यमानेषु परिदेवी निरुद्धवाक्॥१७॥

the patient has an upward gaze, rolling eye balls and a terrified look, has severe pain as though his vital organs are being cut, the person is in grief (cries) and his speech choked

english translation

UrdhvadRgvIkSate bhrAntamakSiNIparitaH kSipan। marmasu cchidyamAneSu paridevI niruddhavAk॥17॥

hk transliteration by Sanscript

एते सिध्येयुरव्यक्ताव्यक्ताः प्राणहरा ध्रुवम्। श्वासैकहेतुप्राग्रूप सङ्ख्या प्रकृतिसंश्रयाः॥१८॥

Sadhyasadhyata (prognosis) Success may result (by effective treatment) when these (Mahan, Urdhva and Chinna kinds) are not well manifest (appear with few mild symptoms) but when well manifest appear with all symptoms profoundly) are sure to take away the life. Hidhma (Hikka) Nidana (diagnosis of hiccup) : Causes, premonitory symptoms, number (kinds), pathogenesis and place of Hidhma (hiccup) are the same as those of Svasa (dyspnoea).

english translation

ete sidhyeyuravyaktAvyaktAH prANaharA dhruvam। zvAsaikahetuprAgrUpa saGkhyA prakRtisaMzrayAH॥18॥

hk transliteration by Sanscript

हिध्माभक्तोद्भवा क्षुद्रा यमला महतीति च। गम्भीरा च मरुत्तत्रत्वरयायुक्तिसेवितैः॥१९॥

Hidhma (hiccup) is of five kinds; viz, that produced by food (Annaja), Ksudra, Yamala, Mahatiand Gambhira Rupa (clinical features)- Annaja Hikka: Marut (Vata) getting aggravated by consuming foods rapidly and improperly,

english translation

hidhmAbhaktodbhavA kSudrA yamalA mahatIti ca। gambhIrA ca maruttatratvarayAyuktisevitaiH॥19॥

hk transliteration by Sanscript

रूक्षतीक्ष्णखरासात्म्यैरन्नपानैः प्रपीडितः। करोति हिध्मामरुजां मन्दशब्दां क्षवानुगाम्॥२०॥

by partaking foods and drinks which are dry, penetrating, rough (coarse) and unaccustomed, produces hiccup which is painless, of mild sound, followed with sneezing,

english translation

rUkSatIkSNakharAsAtmyairannapAnaiH prapIDitaH। karoti hidhmAmarujAM mandazabdAM kSavAnugAm॥20॥

hk transliteration by Sanscript