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क्षुन्नाशः स्वाद्वतिस्निग्धगुर्वन्नं पच्यते चिरात्। भुक्तं विदह्यते सर्वं जीर्णाजीर्णं न वेत्ति च ॥१६॥
[Premonitary symptoms] Loss of appetite, delayed digestion of foods that are sweet, greasy and heavy for digestion, food consumed causing burning sensation, inability to appreciate the digestion and indigestion of the food,
english translation
सहते नातिसौहित्यमीषच्छोफश्च पादयोः। शश्वद्बलक्षयोऽल्पेऽपि व्यायामे श्वासमृच्छति ॥१७॥
intolerance to over eating, slight edema in the feet, constant reduction in the physical strength, breathlessness even on slight exertion,
english translation
वृद्धिः पुरीषनिचयो रूक्षोदावर्तहेतुका। बस्तिसन्धौ रुगाध्मानं वर्धते पाट्यतेऽपि च ॥१८॥
abdominal distension due to accumulation of fecal matter resulting due to dryness or udavarta (abnormal upward course of vata), abdominal pain,
english translation
आतन्यते च जठरमपि लघ्वल्पभोजनात्। राजीजन्म वलीनाश इति लिङ्गं भविष्यताम् ॥१९॥
fullness of the abdomen, distension of the abdomen or bursting type of abdominal pain at the site where bladder meets the surrounding, distension of the stomach even after small meals, appearance of distended veins and loss of normal skin folds are the premonitory symptoms of udara roga.
english translation
रुद्ध्वा स्वेदाम्बुवाहीनि दोषाः स्रोतांसि सञ्चिताः। प्राणाग्न्यपानान् सन्दूष्य जनयन्त्युदरं नृणाम् ॥२०॥
[General pathogenesis of udara roga] Morbid dosha by obstructing the channels of sweda (sweat) and udaka (body fluid) and afflicting the prana vata, agni and apana vata causes udara roga.
english translation