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Astanga Hrudaya

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यद्वर्त्मोत्क्लिष्टमुत्क्लिष्टमकस्मान्म्लानतामियात् । रक्तदोषत्रयोत्क्लेशाद्भवत्युत्क्लिष्टवर्त्म तत् ॥ १६ ॥

The lid which is coated the coated lid becomes dry without any apparent reason caused by the drying of Blood and the tridoshas is dosaotklistavartma.

english translation

श्याववर्त्म मलैः सास्रैः श्यावं रुक्क्लेदशोफवत् । श्लिष्टाख्यं वर्त्मनी श्लिष्टे कण्डूश्वयथुरागिणी ॥ १७ ॥

Syava Vartma is caused by the Malas (Doshas) along with Asra (blood), the lid is blue black, Painful, moist and swollen. Slista Vartma is that in which the lids adhere together associated with itching, swelling and redness.

english translation

वर्त्मनोऽन्तः खरा रूक्षाः पिटिकाः सिकतोपमाः । सिकतावर्त्म कृष्णं तु कर्दमं कर्दमोपमम् ॥ १८ ॥

Pitaka (eruptions) which are hard / rough, dry, resembling sand appearing inside the lids, is Sikatavartma. The lid is black inside and has the features of slush, known as Kardamavartma.

english translation

बहलं बहलैर्मांसैः सवर्णैश्चीयते समैः । कुकूणकः शिशोरेव दन्तोत्पत्तिनिमित्तजः ॥ १९ ॥

The lid develops thick muscle tissue of the same colour spread evenly as Bahalavartma. Kukunaka occurs only in children, due to eruption of teeth,

english translation

स्यात्तेन शिशुरुच्छूनताम्राक्षो वीक्षणाक्षमः । सवर्त्मशूलपैच्छिल्यः कर्णनासाक्षिमर्दनः ॥ २० ॥

the child has pain, swelling, coppery red colour of eyes, inability to see, lids having pain and sliminess, the child rubbing its ears, nose and eye (often).

english translation