Astanga Hrudaya

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सहजानि त्रिदोषाणि यानि चाभ्यन्तरे वलौ । स्थितानि तान्यसाध्यानि याप्यन्तेऽग्निबलादिभिः ॥ ५३ ॥

Sadhyasadhyata (prognosis): Piles which are congenital, born from all the three Doshas, which are situated in the inner-most fold (of the rectum) are incurable; or persist for a long time depending on the strength of the digestive fire etc.

english translation

sahajAni tridoSANi yAni cAbhyantare valau । sthitAni tAnyasAdhyAni yApyante'gnibalAdibhiH ॥ 53 ॥

hk transliteration by Sanscript