Astanga Hrudaya

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क्षोभादशुद्धकोष्ठत्वात्सौहित्यादतिकर्शनात् । मद्यपानाद्दिवास्वप्नाद्व्यवायाद्रात्रिजागरात् ॥ २१ ॥

due to physical strain/irritation (kṣobhāt), unpurified/impure alimentary tract (aśuddha-koṣṭhatvāt), overeating (sauhityāt), extreme emaciation/debility (ati-karśanāt), drinking alcohol (madyapānāt), sleeping during the day (divāsvapnāt), sexual intercourse (vyavāyāt), or staying awake at night (rātri-jāgarāt);

english translation

kSobhAdazuddhakoSThatvAtsauhityAdatikarzanAt । madyapAnAddivAsvapnAdvyavAyAdrAtrijAgarAt ॥ 21 ॥

hk transliteration by Sanscript

व्रणो मिथ्योपचाराच्च नैव साध्योऽपि सिध्यति । कपोतवर्णप्रतिमा यस्यान्तः क्लेदवर्जिताः ॥२२॥

and due to improper medical treatment (mithyā-upacārāc ca), even a curable ulcer (sādhyo 'pi vraṇaḥ) fails to heal (na eva sidhyati). An ulcer which has the color resembling a pigeon, its interior free of exudations,

english translation

vraNo mithyopacArAcca naiva sAdhyo'pi sidhyati । kapotavarNapratimA yasyAntaH kledavarjitAH ॥22॥

hk transliteration by Sanscript

स्थिराश्चिपिटिकावन्तो रोहतीति तमादिशेत् । अथात्र शोफावस्थायां यथासन्नं विशोधनम् ॥ २३ ॥

static (hard, immovable) containing skin flakes should be understood as “healing”. In the stage of swelling itself, prefatory therapy in the nearest route (either emesis or purgation) should be administered;

english translation

sthirAzcipiTikAvanto rohatIti tamAdizet । athAtra zophAvasthAyAM yathAsannaM vizodhanam ॥ 23 ॥

hk transliteration by Sanscript

योज्यं शोफो हि शुद्धानां व्रणश्चाशु प्रशाम्यति । कुर्याच्छीतोपचारं च शोफावस्थस्य सन्ततम् ॥२४॥

swelling or ulcer get cured quickly in the person who has been purified. During the stage of swelling, cold therapies should be resorted to continuously; the agni (fire)

english translation

yojyaM zopho hi zuddhAnAM vraNazcAzu prazAmyati । kuryAcchItopacAraM ca zophAvasthasya santatam ॥24॥

hk transliteration by Sanscript

दोषाग्निरग्निवत्तेन प्रयाति सहसा शमम् । शोफे व्रणे च कठिने विवर्णे वेदनान्विते ॥ २५ ॥

in the Doshas is similar to fire (external fire) and gets subsided by this method immediately. In swelling and ulcer which are hard, discolored, painful and

english translation

doSAgniragnivattena prayAti sahasA zamam । zophe vraNe ca kaThine vivarNe vedanAnvite ॥ 25 ॥

hk transliteration by Sanscript