Astanga Hrudaya
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कुरुते विवृतां स्रस्तां वातिकीमिव दुःखिताम् । उत्सन्नमांसां तामाहुर्महायोनिं महारुजाम् ॥४१॥
the mouth and cavity of the uterus, causes them to dilate, droop down and pain like that of Vatiki (described earlier) muscles protrude out and cause severe pain. This is known as Mahayoni.
english translation
kurute vivRtAM srastAM vAtikImiva duHkhitAm । utsannamAMsAM tAmAhurmahAyoniM mahArujAm ॥41॥
hk transliteration by Sanscriptयथास्वैर्दूषणैर्दुष्टं पित्तं योनिमुपाश्रितम् । करोति दाहपाकोषापूतिगन्धिज्वरान्विताम् ॥ ४२ ॥
Pitta getting aggravated by its own causes getting localized in vagina produces burning sensation, suppuration/ ulceration, warmth, foul smell, fever,
english translation
yathAsvairdUSaNairduSTaM pittaM yonimupAzritam । karoti dAhapAkoSApUtigandhijvarAnvitAm ॥ 42 ॥
hk transliteration by Sanscriptभृशोष्णभूरिकुणपनीलपीतासितार्तवाम् । सा व्यापत्पैत्तिकी रक्तयोन्याख्याऽसृगतिस्रुतेः ॥ ४३ ॥
discharge of menstrual blood which is very hot, large in quantity, of cadaveric smell, blue, yellow or black in color. These are features of Paittika (yoni vyapat). When there is copious discharge of blood it is known as Raktayoni.
english translation
bhRzoSNabhUrikuNapanIlapItAsitArtavAm । sA vyApatpaittikI raktayonyAkhyA'sRgatisruteH ॥ 43 ॥
hk transliteration by Sanscriptकफोऽभिष्यन्दिभिः क्रुद्धः कुर्याद्योनिमवेदनाम् । शीतलां कण्डुलां पाण्डुपिच्छिलां तद्विधस्रुतिम् ॥४४॥
Kapha getting aggravated by use of foods which increase moisture leads to Shlaihsmiki (Kaphajayoni Vyapat), characterized by absence of pain, feeling of cold, itching and discharge of pale, slimy blood of that kind.
english translation
kapho'bhiSyandibhiH kruddhaH kuryAdyonimavedanAm । zItalAM kaNDulAM pANDupicchilAM tadvidhasrutim ॥44॥
hk transliteration by Sanscriptसा व्यापच्छ्लैष्मिकी वातपित्ताभ्यां क्षीयते रजः । सदाहकार्श्यवैवर्ण्यं यस्याः सा लोहितक्षया ॥ ४५ ॥
This is called Shliahsmiki yoni vyapat. Loss or decrease of menstrual blood is caused by aggravation of Vata and Pitta together and is accompanied with burning sensation, emaciation, and discoloration. This is called Lohitakshaya.
english translation
sA vyApacchlaiSmikI vAtapittAbhyAM kSIyate rajaH । sadAhakArzyavaivarNyaM yasyAH sA lohitakSayA ॥ 45 ॥
hk transliteration by Sanscript