Astanga Hrudaya

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पुरीषे वायुरन्त्राणि सशब्दो वेष्टयन्निव। कुक्षौ भ्रमति यात्यूर्ध्वं हृत्पार्श्वे पीडयन् भृशम्॥२१॥

Symptoms of decreased waste products – Decrease of faeces gives rise to gurgling noise in the intestines and bloating, vata moves in upward direction in the intestine causing discomfort and pain in the region of the heart and flanks.

english translation

मूत्रेऽल्पं मूत्रयेत्कृच्छ्राद्विवर्णं सास्रमेव वा। स्वेदे रोमच्युतिः स्तब्धरोमता स्फुटनं त्वचः॥२२॥

Decrease of urine causes scanty urination, dysuria, urine discoloration or hematuria. Decrease of sweat leads to falling of hair, stiffness of hair and cracking of the skin.

english translation

मलानामतिसूक्ष्माणां दुर्लक्ष्यं लक्षयेत् क्षयम्। स्वमलायनसंशोषतोदशून्यत्वलाघवैः॥२३॥

Decrease of Malas which are of little quantity is difficult to perceive, it should be inferred from the dryness, pricking pain, emptiness and tightness of their sites of production and elimination.

english translation

दोषादीनां यथास्वं च विद्याद्दृद्धिक्षयौ भिषक्। क्षयेण विपरीतानां गुणानां वर्धनेन च॥२४॥

The decrease of Dosha Dhatu etc can be observed by the increase of opposite qualities. The increase of Dosha Dhatu etc can be observed by the increase of similar qualities.

english translation

वृद्धिं मलानां सङ्गाच्च क्षयं चाति विसर्गतः। मलोचितत्वाद्देहस्य क्षयो वृद्धेस्तु पीडनः॥२५॥

The increase of Malas is observed by their non-elimination (too much of waste product accumulation leading to obstruction) and their decrease by too much of elimination in little quantities. Body being accustomed to accumulation of waste products (in intestines and bladder) , the decrease of waste product formation is more troublesome than their increase.

english translation