Astanga Hrudaya

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शीघ्रं च प्रतिबुध्येत हृत्पीडा वेपथुर्भ्रमः । कार्श्यं श्यावारुणा छाया मूर्छाये मारुतात्मके ॥ ३१ ॥

enters into darkness (becomes unconscious), and wakes up (regains consciousness) soon. Pain in the region of the heart, tremors, dizziness, emaciation, and a blackish-red complexion are the symptoms of Murchha caused by Vata.

english translation

zIghraM ca pratibudhyeta hRtpIDA vepathurbhramaH । kArzyaM zyAvAruNA chAyA mUrchAye mArutAtmake ॥ 31 ॥

hk transliteration by Sanscript

पित्तेन रक्तं पीतं वा नभः पश्यन् विशेत्तमः । विबुध्येत च सस्वेदो दाहतृट्तापपीडितः ॥ ३२ ॥

In that caused by Pitta, the person sees the sky to be red or yellow, becomes unconscious, and wakes up quickly; it is accompanied by sweating, a burning sensation, severe thirst, increased body heat,

english translation

pittena raktaM pItaM vA nabhaH pazyan vizettamaH । vibudhyeta ca sasvedo dAhatRTtApapIDitaH ॥ 32 ॥

hk transliteration by Sanscript

भिन्नविण्नीलपीताभो रक्तपीताकुलेक्षणः । कफेन मेघसङ्काशं पश्यन्नाकाशमाविशेत् ॥ ३३ ॥

diarrhea (loose stools that appear blue or yellow), and eyes that are red, yellow, and unsteady in gaze. In that due to Kapha, the person sees the sky as full of heavy clouds (megha-sankasham) and becomes unconscious, waking up only after a long time.

english translation

bhinnaviNnIlapItAbho raktapItAkulekSaNaH । kaphena meghasaGkAzaM pazyannAkAzamAvizet ॥ 33 ॥

hk transliteration by Sanscript

तमश्चिराच्च बुध्येत सहृल्लासः प्रसेकवान् । गुरुभिः स्तिमितैरङ्गैरार्द्रचर्मावनद्धवत् ॥ ३४ ॥

This is associated with nausea/oppression in the heart (hrillasha), excessive salivation (praseka), a feeling of heaviness, and rigid or restricted movements of the limbs as though the body were wrapped tightly in a moist hide (ardra-charma-avanaddhavat).

english translation

tamazcirAcca budhyeta sahRllAsaH prasekavAn । gurubhiH stimitairaGgairArdracarmAvanaddhavat ॥ 34 ॥

hk transliteration by Sanscript

सर्वाकृतिस्त्रिभिर्दोषैरपस्मार इवापरः । पातयत्याशु निश्चेष्टं विना बीभत्सचेष्टितैः ॥ ३५ ॥

In that caused by all the three Doshas (Sannipata), all the symptoms are present simultaneously. The person appears just like a patient suffering from Apasmara (epilepsy), falling to the ground rapidly with complete loss of consciousness, but without Bhibhatsa-chesta—the horrifying movements typical of epilepsy (such as the appearance of froth at the corners of the mouth, unusual sounds from the throat, or jerky movements of the arms and legs). Thus ends the diagnosis of Murccha (fainting).

english translation

sarvAkRtistribhirdoSairapasmAra ivAparaH । pAtayatyAzu nizceSTaM vinA bIbhatsaceSTitaiH ॥ 35 ॥

hk transliteration by Sanscript