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 Sanscriptदैवाच्च ताभ्यां कोपो हि सन्निपातस्य तान्यतः । असाध्यान्येवमाख्याताः सर्वे रोगाः कुलोद्भवाः ॥ ७ ॥
their (of these two) aggravation is the cause for Sannipata (increase of all the Doshas together). Hence this kind (of Arsas) is described as incurable; similarly, are all the diseases which are Kulodbhava (familial/hereditary).
english translation
daivAcca tAbhyAM kopo hi sannipAtasya tAnyataH । asAdhyAnyevamAkhyAtAH sarve rogAH kulodbhavAH ॥ 7 ॥
hk transliteration by Sanscriptसहजानि विशेषेण रूक्षदुर्दर्शनानि च । अन्तर्मुखानि पाण्डूनि दारुणोपद्रवाणि च ॥ ८ ॥
Sahaja Arshas (congenital piles): Sahaja Arsas (congenital piles) are especially dry, ugly to look at, facing inward, yellowish-white and accompanied with grave complications (secondary diseases).
english translation
sahajAni vizeSeNa rUkSadurdarzanAni ca । antarmukhAni pANDUni dAruNopadravANi ca ॥ 8 ॥
hk transliteration by Sanscriptषोढान्यानि पृथग्दोषसंसर्गनिचयास्रतः । शुष्काणि वातश्लेष्मभ्यामार्द्राणि त्वस्रपित्ततः ॥ ९ ॥
Janmottaraja Arshas (piles occurring after birth): The other kind is of six varieties; one from each Dosha separately, one from the combination of all and one from Asra (blood). Janmottaraja Arshas (piles occurring after birth): Shushka (dry, non-exudative) are caused by Vata and Slesma (Kapha) and the Ardra (moist, exudative) by Asra (blood) and Pitta.
english translation
SoDhAnyAni pRthagdoSasaMsarganicayAsrataH । zuSkANi vAtazleSmabhyAmArdrANi tvasrapittataH ॥ 9 ॥
hk transliteration by Sanscriptदोषप्रकोपहेतुस्तु प्रागुक्तस्तेन सादिते । अग्नौ मलेऽतिनिचिते पुनश्चातिव्यवायतः ॥ १० ॥
Nidana (causes): The causes of aggravation of the Doshas have been enumerated previously (chapter 1 of this section); they cause weakness of the fire (digestive activity) and accumulation of wastes, the feces (which lead to the production of piles). Further, indulging too much in copulation,
english translation
doSaprakopahetustu prAguktastena sAdite । agnau male'tinicite punazcAtivyavAyataH ॥ 10 ॥
hk transliteration by Sanscript