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Astanga Hrudaya

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पक्वानि सन्निपातेन तान् विद्यात्तिलकालकान् । मांसोत्थमर्बुदं पाकं विद्रधिं तिलकालकान् ॥ २६ ॥

undergoes suppuration / ulceration soon caused by all the doshas together is known as Tilakalaka. Mamsarbuda, Mamsapaka, Vidradhi and Tilakalaka

english translation

चतुरो वर्जयेदेषां शेषाञ्छीघ्रमुपाचरेत् । विंशतिर्व्यापदो योनेर्जायन्ते दुष्टभोजनात् ॥ २७ ॥

these four diseases should be rejected, the remaining should be treated quickly. Twenty diseases of the vagina arise because of consuming bad food.

english translation

विषमस्थाङ्गशयनभृशमैथुनसेवनैः । दुष्टार्तवादपद्रवैर्बीजदोषेण दैवतः ॥ २८ ॥

Improper postures during living, sleeping, excess of sexual intercourse, vitiation of the menstrual flow, use of bad materials (as substitutes for the phallus), disorders of the seed (ovum) and effects of actions of previous lives,

english translation

योनौ क्रुद्धोऽनिलः कुर्याद्रुक्तोदायामसुप्तताः । पिपीलिकासृप्तिमिव स्तम्भं कर्कशतां स्वनम् ॥ २९ ॥

by these causes Vata gets aggravated in the vagina and produces pain, pricking and dilating types of pain, loss of sensation, feeling of ants crawling, loss of movement, roughness and noise (gas coming out with noise)

english translation

फेनिलारुणकृष्णाल्पतनुरूक्षार्तवस्रुतिम् । स्रंसं वङ्क्षणपार्श्वादौ व्यथां गुल्मं क्रमेण च ॥ ३० ॥

and discharge of menstrual blood which is frothy, slight reddish black, thin and dry (non- unctuous), drooping of groins and flanks, discomfort and gradual development of abdominal tumor.

english translation