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Astanga Hrudaya

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पूत्यम्लोद्गारहृत्कण्ठदाहारुचितृडर्दितः । श्लेष्मणा पच्यते दुःखमन्नं छर्दिररोचकः ॥ २६ ॥

the person has bad smelling, sour belching, burning sensation in the region of the heart and throat, loss of taste/appetite and thirst. Kaphaja Grahani: In that caused by Slesma (Kapha), the food is digested with difficulty, there is vomiting,

english translation

आस्योपदेहनिष्ठीवकासहृल्लासपीनसाः । हृदयं मन्यते स्त्यानमुदरं स्तिमितं गुरु ॥ २७ ॥

Loss of taste/appetite, coating of the mouth, expectoration, cough, nausea, nasal catarrh, the person feels his throat / heart as solid (heavy) and abdomen as static (movement less), damp and heavy;

english translation

उद्गारो दुष्टमधुरः सदनं स्त्रीष्वहर्षणम् । भिन्नामश्लेष्मसंसृष्टगुरुवर्चःप्रवर्तनम् ॥ २८ ॥

impure belching (with bad smell) and sweet; debility, lack of desire for women (sex), elimination of faeces which is broken, uncooked, mixed with mucus, and heavy or large in quantity,

english translation

अकृशस्यापि दौर्बल्यं सर्वजे सर्वसङ्करः । विभागेऽङ्गस्य ये चोक्ता विषमाद्यास्त्रयोऽग्नयः ॥ २९ ॥

and feeling of weakness even though not emaciated. Tridoshaja Grahani : In that due to all the Doshas, all the symptoms are present. Even Visamagni and other kinds of Agnis (kinds of digestive activities) described in Angavibhava

english translation

स्युर्ग्रहणीदोषाः समस्तु स्वास्थ्यकारणम्। वातव्याध्यश्मरीकुष्ठमेहोदरभगन्दराः। अर्शांसि ग्रहणीत्यष्टौ महारोगाः सुदुस्तराः॥३०॥

(chapter 3 of Sarirasthana) are also Grahani Dosha (disorders of the duodenum); the Samagni (normal digestive agency) only is the cause for health. Ashta Maharogas: Eight great diseases : Vatavyadhi (nervous disease), Ashmari (urinary calculus), Kustha (leprosy), Meha (diabetes) udara (enlargement of the abdomen), Bhagandara (fistula-in-ano), Arshas (piles, haemorrhoids) and Grahani (duodenal disease) these eight Maharogas (great diseases) are difficult to treat.

english translation