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Astanga Hrudaya

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siva.sh/astanga-hrudaya/uttara-sthana/33/11

तेऽर्शांस्युपेक्षया घ्नन्ति मेढ्रपुंस्त्वं भगार्तवं । गुह्यस्य बहिरन्तर्वा पिटिकाः कफरक्तजाः ॥ ११ ॥

These are called Arshas, when neglected (Medhrarshas) causes loss of penis and masculine potency; (and yonyarasas) causes loss of female genitals and menstruation. Eruptions developing either inside or outside the genitals (penis and vagina), caused by Kapha and rakta (blood)

english translation

siva.sh/astanga-hrudaya/uttara-sthana/33/12

सर्षपामानसंस्थाना घनाः सर्षपिकाः स्मृताः । पिटिका बहवो दीर्घा दीर्यन्ते मध्यतश्च याः ॥ १२ ॥

resembling Brassica juncea in size and shape and hard are known as Sarshapika. Pitikas caused by Kapha and blood, more than one in number, elongated, tearing in the middle,

english translation

siva.sh/astanga-hrudaya/uttara-sthana/33/13

सोऽवमन्थः कफासृग्भ्यां वेदनारोमहर्षवान् । कुम्भीका रक्तपित्तोत्था जाम्बवास्थिनिभाशुजा ॥१३॥

accompanied with pain and horripilation is Avamantha. Kumbhika is born from Rakta and Pitta, resembles the Kernel of Syzygium cumini fruit and develops rapidly.

english translation

siva.sh/astanga-hrudaya/uttara-sthana/33/14

अलजीं मेहवद्विद्याद् उत्तमां पित्तरक्तजाम्। पिटिकां माषमुद्गाभां पिटिका पिटिकाचिता॥१४॥

Alaji is similar to Alaji belonging to Prameha. Uttama is Pitika born from Pitta and rakta resembling Vigna mungo or Vigna radiata. Pitika surrounded by small eruptions

english translation

siva.sh/astanga-hrudaya/uttara-sthana/33/15

कर्णिका पुष्करस्येव ज्ञेया पुष्करिकेति सा पाणिभ्यां भृशसंव्यूढे संव्यूढपिटिका भवेत् ॥ १५ ॥

like the pushkara karnikka is known as Pushkarika. Pitika caused by hard rubbing of the penis by the hands is Samvyudha Pitika.

english translation

Chapter 33

Verses 16-20