Astanga Hrudaya

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प्रच्याव्य बस्तिमुद्वृत्तं गर्भाभं स्थूलविप्लुतम् । करोति तत्र रुग्दाहस्पन्दनोद्वेष्टनानि च ॥ २१ ॥

Sometimes, displaced upward from its normal place, the bladder gets too much distended, resembling a gravid uterus, and becomes hard and full of fluid. This is accompanied by pain, a burning sensation, throbbing, and a twisting type of pain.

english translation

pracyAvya bastimudvRttaM garbhAbhaM sthUlaviplutam । karoti tatra rugdAhaspandanodveSTanAni ca ॥ 21 ॥

hk transliteration by Sanscript

बिन्दुशश्च प्रवर्तेत मूत्रं बस्तौ तु पीडिते । धारया द्विविधोऽप्येष वातबस्तिरिति स्मृतः ॥ २२ ॥

Urine comes out only in drops or in a stream upon squeezing the bladder. This condition is known as Vatabasti. It is of two types, the first being

english translation

binduzazca pravarteta mUtraM bastau tu pIDite । dhArayA dvividho'pyeSa vAtabastiriti smRtaH ॥ 22 ॥

hk transliteration by Sanscript

दुस्तरो दुस्तरतरो द्वितीयः प्रबलानिलः । शकृन्मार्गस्य बस्तेश्च वायुरन्तरमाश्रितः ॥ २३ ॥

the first being Dustara (difficult to bear and treat), and the second one being even more grave (dustarataro), caused by a highly powerful Vata. Vata (aggravated) getting localized in between the rectum and the urinary bladder,

english translation

dustaro dustarataro dvitIyaH prabalAnilaH । zakRnmArgasya bastezca vAyurantaramAzritaH ॥ 23 ॥

hk transliteration by Sanscript

अष्ठीलाभं घनं ग्रन्थिं करोत्यचलमुन्नतम् । वाताष्ठीलेति साध्मानविण्मूत्रानिलसङ्गकृत् ॥ २४ ॥

gives rise to a hard, elevated, immovable tumor resembling the cobblers stone, this is known as Vatasthila, and causes distention of the abdomen and hindrance to urine, feces, and flatus.

english translation

aSThIlAbhaM ghanaM granthiM karotyacalamunnatam । vAtASThIleti sAdhmAnaviNmUtrAnilasaGgakRt ॥ 24 ॥

hk transliteration by Sanscript

विगुणः कुण्डलीभूतो बस्तौ तीव्रव्यथोऽनिलः । आविध्य मूत्रं भ्रमति सस्तम्भोद्वेष्टगौरवः ॥ २५ ॥

Bastikundalika: Vata aggravated moving in a circular way in the bladder causes severe pain, circular movement of urine inside the bladder itself, causing obstruction to its flow, local Vata vitiation and heaviness of the bladder;

english translation

viguNaH kuNDalIbhUto bastau tIvravyatho'nilaH । Avidhya mUtraM bhramati sastambhodveSTagauravaH ॥ 25 ॥

hk transliteration by Sanscript