Astanga Hrudaya

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परितो विक्षिपत्यङ्गं विषमं विनताङ्गुलिः । रूक्षश्यावारुणाक्षित्वङ्नखास्यः कृष्णमीक्षते ॥ ११ ॥

They thrash their limbs about irregularly in all directions, with the fingers bent tightly inward. The eyes, skin, nails, and face become dry, dark-bluish, or reddish-tinged, and the patient perceives all visual objects as black.

english translation

parito vikSipatyaGgaM viSamaM vinatAGguliH । rUkSazyAvAruNAkSitvaGnakhAsyaH kRSNamIkSate ॥ 11 ॥

hk transliteration by Sanscript

चपलं परुषं रूपं विरूपं विकृताननम् । अपस्मरति पित्तेन मुहुः सञ्ज्ञां च विन्दति ॥ १२ ॥

The shapes and forms seen by the patient appear unsteady, rough, distorted, and with highly deformed or monstrous faces. In the type of epilepsy caused by Pitta, the patient loses consciousness frequently and regains awareness after a short interval.

english translation

capalaM paruSaM rUpaM virUpaM vikRtAnanam । apasmarati pittena muhuH saJjJAM ca vindati ॥ 12 ॥

hk transliteration by Sanscript

पीतफेनाक्षिवक्त्रत्वगास्फालयति मेदिनीम् । भैरवादीप्तरुषितरूपदर्शी तृषान्वितः ॥ १३ ॥

The froth from the mouth, the eyes, the face, and the skin all turn yellowish. The patient strikes or thrashes against the ground, perceives terrifying, blazing, or blood-red angry forms, and suffers from intense thirst.

english translation

pItaphenAkSivaktratvagAsphAlayati medinIm । bhairavAdIptaruSitarUpadarzI tRSAnvitaH ॥ 13 ॥

hk transliteration by Sanscript

कफाच्चिरेण ग्रहणं चिरेणैव विबोधनम् । चेष्टाल्पा भूयसी लाला शुक्लनेत्रनखास्यता ॥ १४ ॥

In the type of epilepsy caused by Kapha, the onset of the seizure takes a long time to develop, and the awakening (regaining of consciousness) is similarly delayed. The convulsive movements are fewer and mild, there is an excessive flow of thick saliva, and the eyes, nails, skin, and face turn distinctly white.

english translation

kaphAccireNa grahaNaM cireNaiva vibodhanam । ceSTAlpA bhUyasI lAlA zuklanetranakhAsyatA ॥ 14 ॥

hk transliteration by Sanscript

शुक्लाभरूपदर्शित्वं सर्वलिङ्गं तु वर्जयेत् । अथावृतानां धीचित्तहृत्खानां प्राक्प्रबोधनम् ॥१५॥

The patient perceives all visual shapes and objects as white or shining bright. The type of epilepsy that presents with the combined symptoms of all three doshas (sannipataja) is incurable and should be rejected for treatment. In epilepsy the channels of intellect, memory and hrt (mind)

english translation

zuklAbharUpadarzitvaM sarvaliGgaM tu varjayet । athAvRtAnAM dhIcittahRtkhAnAM prAkprabodhanam ॥15॥

hk transliteration by Sanscript