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कट्वम्ललवणात्युष्णतीक्ष्णाग्न्यातपसेवनैः| विदाह्यध्यशनाजीर्णैश्चाशु पित्तं समाचितम् ||२६||

[Etiology of pittodara] Etiological factors of pittodara are excessive consumption of foods having pungent taste ans sour taste, salty foods, foods having ushna (hot) and tikshna (sharply acting) properties, exposure the heat of fire place, exposure to sunshine, consumption of foods that cause burning sensation whilst getting digested, pre-digestion meals and indigestion.

english translation

kaTvamlalavaNAtyuSNatIkSNAgnyAtapasevanaiH| vidAhyadhyazanAjIrNaizcAzu pittaM samAcitam ||26||

hk transliteration by Sanscript

प्राप्यानिलकफौ रुद्ध्वा मार्गमुन्मार्गमास्थितम्| निहन्त्यामाशये वह्निं जनयत्युदरं ततः ||२७||

[Pathogenssis of pittodara] Due to the etiological factors pitta gets aggravated, which assumes abnormal upward course and obstructs the vata and kapha. Further the morbid pitta by suppressing the agni situated in stomach causes pittodara.

english translation

prApyAnilakaphau ruddhvA mArgamunmArgamAsthitam| nihantyAmAzaye vahniM janayatyudaraM tataH ||27||

hk transliteration by Sanscript

तस्य रूपाणि- दाहज्वरतृष्णामूर्च्छातीसारभ्रमाः, कटुकास्यत्वं, हरितहारिद्रत्वं [१] च नखनयनवदनत्वङ्मूत्रवर्चसाम्, अपि चोदरंनीलपीतहारिद्रहरितताम्रराजीसिरावनद्धं, दह्यते, दूयते, धूप्यते, ऊष्मायते, स्विद्यते, क्लिद्य, मृदुस्पर्शं क्षिप्रपाकं चभवति; एतत् पित्तोदरमिति विद्यात् ||२८||

[Symptoms of pittodara] The symptoms of pittodara are burning sensation, fever, excessive thirst, transient loss of consciousness, diarrhea, giddiness, abnormal pungent taste in mouth, abnormal green or yellowish discoloration of nails, conjunctiva, mouth, dermis, urine and feces, abdominal wall covered with bluish, yellowish, greenish or coppery stretch marks and distended veins, burning sensation of the abdominal wall, abdomen becoming warm, subjective symptoms of smoke emitting from the abdomen, subjective feeling of abdominal warmth as if fire in near place, abdominal sweating, moistening of the abdomen, abdomen appears soft on palpation and the illness rapidly progressing to ascites.

english translation

tasya rUpANi- dAhajvaratRSNAmUrcchAtIsArabhramAH, kaTukAsyatvaM, haritahAridratvaM [1] ca nakhanayanavadanatvaGmUtravarcasAm, api codaraMnIlapItahAridraharitatAmrarAjIsirAvanaddhaM, dahyate, dUyate, dhUpyate, USmAyate, svidyate, klidya, mRdusparzaM kSiprapAkaM cabhavati; etat pittodaramiti vidyAt ||28||

hk transliteration by Sanscript

अव्यायामदिवास्वप्नस्वाद्वतिस्निग्धपिच्छिलैः| दधिदुग्धौदकानूपमांसैश्चाप्यतिसेवितैः ||२९||

[Etiology of kaphodara] Indulgence in the factors such as lack of physical exercise, day sleep, excessive consumption of sweet, greasy and slimy foods, curds, milk, liquids and meat of wet land animals causes kaphodara.

english translation

avyAyAmadivAsvapnasvAdvatisnigdhapicchilaiH| dadhidugdhaudakAnUpamAMsaizcApyatisevitaiH ||29||

hk transliteration by Sanscript

क्रुद्धेन श्लेष्मणा स्रोतःस्वावृतेष्वावृतोऽनिलः| तमेव पीडयन् कुर्यादुदरं बहिरन्त्रगः [१] ||३०||

[Pathogenesis of kaphodara] The etiological factors lead to the morbidity of kapha which obstructs the body channels that include obliteration of the passage of vata. Thus obstructed vata expels the morbid kapha out of the intestines causing distension of the abdomen.

english translation

kruddhena zleSmaNA srotaHsvAvRteSvAvRto'nilaH| tameva pIDayan kuryAdudaraM bahirantragaH [1] ||30||

hk transliteration by Sanscript