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वेपथुर्वेष्टनं मोहः श्वासरोधोऽल्पनिद्रता । पित्तात्तृष्णा भ्रमो मूर्छा दाहः स्वेदोऽम्लकः क्लमः ॥ ४१ ॥
tremors and contractions of the body; delusion (coma), obstructed breathing and very little sleep. In that due to Pitta, there is heat, thirst, dizziness, fainting, burning sensation,
english translation
छर्दनं चाम्लपित्तस्य धूमकः पीतता ज्वरः । श्लेष्मणा हृदयं स्तब्धं भारिकं साश्मगर्भवत् ॥ ४२ ॥
severe sweating, sourness (acidity), exhaustion, vomiting of sour Pitta (bile) or feeling of hot fumes coming up, yellowish appearance of the skin and fever. In that due to Shleshma (Kapha) the heart is static, heavy as though having a stone inside,
english translation
कासाग्निसादनिष्ठीवनिद्रालस्यारुचिज्वराः । सर्वलिङ्गस्त्रिभिर्दोषैः कृमिभिः श्यावनेत्रता ॥ ४३ ॥
is accompanied with cough, poor digestion, expectoration of sputum, more of sleep, lassitude, loss of taste and appetite and fever. That due to all the three Doshas, will have all the symptoms. Krimija: That due to worms (intestinal parasites), will have black discoloration of the eyes,
english translation
तमःप्रवेशो हृल्लासः शोषः कण्डूः कफस्रुतिः । हृदयं प्रततं चात्र क्रकचेनेव दार्यते ॥ ४४ ॥
entering into darkness (fainting), oppression in the (region of the heart, dryness and irritation (of the skin), elimination of the sputum, patient feels that his heart is being continuously torn apart by a saw;
english translation
चिकित्सेदामयं घोरं तं शीघ्रं शीघ्रकारिणम् । वातात्पित्तात्कफात्तृष्णा सन्निपाताद्रसक्षयात् ॥ ४५ ॥
continuously torn apart by a saw; treatment of this grave disease which is going to increase quickly should be commenced soon. Thus ends the diagnosis of Hrdroga (heart disease). henceforth will be expounded the diagnosis of thirst Trishna Nidana (diagnosis of thirst) Trishna (thirst) arises from (aggravation of) Vata, Pitta, Kapha, Sannipata (combination of all the Doshas), Rasa Kshaya (depletion or loss of Rasa Dhatu (plasma)
english translation