Astanga Hrudaya

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तत्र हेतुः सहोत्थानां वलीबीजोपतप्तता । अर्शसां बीजतप्तिस्तु मातापित्रपचारतः ॥ ६ ॥

Sahaja Arshas (congenital piles) : The cause of Sahaja Arsas (congenital piles) is the abnormalities of Valibija (seed/genes which are responsible for the formation of the rectal folds), abnormalities of the seed are (due to) improper activities of the parents and Daiva (providence);

english translation

tatra hetuH sahotthAnAM valIbIjopataptatA । arzasAM bIjataptistu mAtApitrapacArataH ॥ 6 ॥

hk transliteration by Sanscript