Astanga Hrudaya
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आगन्तुं शमयेद्दोषं स्थानिनं प्रतिकृत्य वा। प्रायस्तिर्यग्गता दोषाः क्लेशयन्त्यातुरांश्चिरम्॥२१॥
Agantu Dosha – Foreign Dosha, should be treated either after treating the Sthanika (native Dosha) or even otherwise. The choice of Dosha, to be treated first depends on the level of aggravation and strength of Doshas.
english translation
AgantuM zamayeddoSaM sthAninaM pratikRtya vA। prAyastiryaggatA doSAH klezayantyAturAMzciram॥21॥
hk transliteration by Sanscriptकुर्यान्न तेषु त्वरया देहाग्निबलवित् क्रियाम्। शमयेत्तान् प्रयोगेण सुखं वा कोष्ठमानयेत्॥२२॥
Triyak gata Dosha -Usually, the Triyaggata Doshas – which are not localized in the gastrointestinal tract but localized in the tissues, cause troubles to the patient for a long time; they should not be treated in haste. They should be carefully treated only afterdetermining the strength of the body and digestive activity.
english translation
kuryAnna teSu tvarayA dehAgnibalavit kriyAm। zamayettAn prayogeNa sukhaM vA koSThamAnayet॥22॥
hk transliteration by Sanscriptज्ञात्वा कोष्ठप्रपन्नांश्च यथासन्नं विनिर्हरेत्। स्रोतोरोधबलभ्रंशगौरवानिलमूढताः॥२३॥
They should be mitigated with stipulated palliative treatment or they should be brought into the alimentary tract and then they should be expelled out by the nearby route (either by mouth – by emeisis – Vamana or by anal route, by purgation – Virechana).
english translation
jJAtvA koSThaprapannAMzca yathAsannaM vinirharet। srotorodhabalabhraMzagauravAnilamUDhatAH॥23॥
hk transliteration by Sanscriptआलस्यापक्तिनिष्ठीवमलसङ्गारुचिक्लमाः। लिङ्गं मलानां सामानां, निरामाणां विपर्ययः॥२४॥
Effects of Doshas associated with Ama - SamaDosha Lakshana -When imbalanced Doshas get associated with Ama (a factor of indigestion / false metabolism), it is called as Saama Dosha. (Sa aama Dosha, Sa means ‘with’). The features that are seen due to Sama Dosha are - Srotorodha - Obstruction of the channels, pores Balabhramsha – loss of strength, Gaurava – feeling of heaviness of the body,
english translation
AlasyApaktiniSThIvamalasaGgAruciklamAH। liGgaM malAnAM sAmAnAM, nirAmANAM viparyayaH॥24॥
hk transliteration by Sanscriptऊष्मणोऽल्पबलत्वेन धातुमाद्यमपाचितम्। दुष्टमामाशयगतं रसमामं प्रचक्षते॥२५॥
Anila Moodata – inactivity of Anila-vata, Alasya – laziness, lassitude, Apakti – loss of digestive power, Nishteeva – Person spits saliva frequently, more of expectoration, Malasanga – constipation or low frequency of urination leading to accumulation of wastes Aruchi – anorexia, Klama – exhaustion The opposites of the above symptoms are of the Nirama Doshas –Doshas not mixed up with the Ama. (undigested materials) Soon after digestion process, the useful part gets separated from the waste. The useful, nutrition rich part is called as Rasa dhatu. Due to lack of digestion strength, The Rasa Dhatu does not form well, it remains in raw, weak form. It gets vitiated, it stays in the Amashaya (stomach and intestines) itself, and becomes ‘Ama’.
english translation
USmaNo'lpabalatvena dhAtumAdyamapAcitam। duSTamAmAzayagataM rasamAmaM pracakSate॥25॥
hk transliteration by Sanscript