Astanga Hrudaya
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निवर्तमानोऽपानो हि तैरधोमार्गरोधतः । क्षोभयन्ननिलानन्यान् सर्वेन्द्रियशरीरगान् ॥ २१ ॥
Samprapti (pathogenesis): Apana Vayu, moving in the upward direction, due to obstruction of the lower passage (rectum), aggravates all the other divisions of Vata, present in the entire body,
english translation
nivartamAno'pAno hi tairadhomArgarodhataH । kSobhayannanilAnanyAn sarvendriyazarIragAn ॥ 21 ॥
hk transliteration by Sanscriptतथा मूत्रशकृत्पित्तकफान् धातूंश्च साशयान् । मृद्नात्यग्निं ततः सर्वो भवति प्रायशोऽर्शसः ॥ २२ ॥
and also the urine, faeces, Pitta, Kapha and the Dhatus (tissues) along with their places of dwelling, causes weakness of the fire (digestive activity). Then all these together lead to production of piles.
english translation
tathA mUtrazakRtpittakaphAn dhAtUMzca sAzayAn । mRdnAtyagniM tataH sarvo bhavati prAyazo'rzasaH ॥ 22 ॥
hk transliteration by Sanscriptकृशो भृशं हतोत्साहो दीनः क्षामोऽतिनिष्प्रभः । असारो विगतच्छायो जन्तुजुष्ट इव द्रुमः ॥ २३ ॥
Rupa (clinical features): Profound emaciation, loss of enthusiasm, feeling of helplessness, feeble voice, profound loss of complexion, absence of excellence (health) of the tissue, loss of ability of giving shelter like a worm-eaten tree (unable to help or support others),
english translation
kRzo bhRzaM hatotsAho dInaH kSAmo'tiniSprabhaH । asAro vigatacchAyo jantujuSTa iva drumaH ॥ 23 ॥
hk transliteration by Sanscriptकृत्स्नैरुपद्रवैर्ग्रस्तो यथोक्तैर्मर्मपीडनैः । तथा कासपिपासास्यवैरस्यश्वासपीनसैः ॥ २४ ॥
seized with many complications as enumerated earlier, pain in the vital points (or organs) and also with cough, thirst, bad taste in the mouth, dyspnoea, nasal catarrh,
english translation
kRtsnairupadravairgrasto yathoktairmarmapIDanaiH । tathA kAsapipAsAsyavairasyazvAsapInasaiH ॥ 24 ॥
hk transliteration by Sanscriptक्लमाङ्गभङ्गवमथुक्षवथुश्वयथुज्वरैः । क्लैब्यबाधिर्यतैमिर्यशर्कराश्मरिपीडितः ॥ २५ ॥
exhaustion, vague pains in the body, vomiting, more of sneezes, oedema, fever, impotence, deafness, blindness, urinary gravel and calculi;
english translation
klamAGgabhaGgavamathukSavathuzvayathujvaraiH । klaibyabAdhiryataimiryazarkarAzmaripIDitaH ॥ 25 ॥
hk transliteration by Sanscript