Astanga Hrudaya

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अपक्वं पिटिकां आहुः पाकप्राप्तं भगन्दरम् । गूढमूलां ससंरम्भां रुगाढ्यां रूढकोपिनीम् ॥ ६ ॥

The unripe stage is called as Pitika (Bhagandara Pitika) and the ripe stage as Bhagandara; the Pitika (eruptions) which is deep seated, having great swelling, severe pain and increased (recurring) even after healing,

english translation

apakvaM piTikAM AhuH pAkaprAptaM bhagandaram । gUDhamUlAM sasaMrambhAM rugADhyAM rUDhakopinIm ॥ 6 ॥

hk transliteration by Sanscript

भगन्दरकरीं विद्यात्पिटिकां न त्वतोऽन्यथा । तत्र श्यावारुणा तोदभेदस्फुरणरुक्करी ॥ ७ ॥

should be recognised as causing Bhagandara (rectal fistula) whereas without this feature as a difficult disease. The Pitika (Bhagandra Pitika) caused by Vata, is blackish red, with pricking, puncturing and throbbing kinds of pain;

english translation

bhagandarakarIM vidyAtpiTikAM na tvato'nyathA । tatra zyAvAruNA todabhedasphuraNarukkarI ॥ 7 ॥

hk transliteration by Sanscript

पिटिका मारुतात्पित्तादुष्ट्रग्रीवावदुच्छ्रिता । रागिणी तनुरूष्माढ्या ज्वरधूमायनान्विता ॥ ८ ॥

that caused by Pitta is raised up like the neck of the camel, red, thin (small) with great warmth accompanied with fever and feeling of hot fumes coming out;

english translation

piTikA mArutAtpittAduSTragrIvAvaducchritA । rAgiNI tanurUSmADhyA jvaradhUmAyanAnvitA ॥ 8 ॥

hk transliteration by Sanscript

स्थिरा स्निग्धा महामूला पाण्डुः कण्डूमती कफात् । श्यावा ताम्रा सदाहोषा घोररुग्वातपित्तजा ॥ ९ ॥

that caused by Kapha is static, unctuous, deep rooted, pale yellow and has itching; that caused by Vata and Pitta is black, coppery with burning sensation, has great warmth and severe pain;

english translation

sthirA snigdhA mahAmUlA pANDuH kaNDUmatI kaphAt । zyAvA tAmrA sadAhoSA ghorarugvAtapittajA ॥ 9 ॥

hk transliteration by Sanscript

पाण्डुरा किञ्चिदाश्यावा कृच्छ्रपाका कफानिलात् । पादाङ्गुष्ठसमा सर्वैर्दोषैर्नानाविधव्यथा ॥ १० ॥

those caused by Kapha and Vata is pale, slightly bluish and ripens with difficulty; that caused by all the doshas together resembles the big toe, has different kinds of pain,

english translation

pANDurA kiJcidAzyAvA kRcchrapAkA kaphAnilAt । pAdAGguSThasamA sarvairdoSairnAnAvidhavyathA ॥ 10 ॥

hk transliteration by Sanscript