Charak Samhita

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अथातोऽर्शश्चिकित्सितं व्याख्यास्यामः||१||

sanskrit

Now we shall expound the chapter "Arsha chikitsa" (Management of hemorrhoids).

english translation

athAto'rzazcikitsitaM vyAkhyAsyAmaH||1||

hk transliteration

इतिहस्माहभगवानात्रेयः ||२||

sanskrit

Thus said Lord Atreya.

english translation

itihasmAhabhagavAnAtreyaH ||2||

hk transliteration

आसीनं मुनिमव्यग्रं कृतजाप्यं कृतक्षणम्| पृष्टवानर्शसां युक्तमग्निवेशः पुनर्वसुम् ||३||

sanskrit

To Punarvasu (Lord Atreya), who was in calm pose after having completed his religious rituals, Agnivesha inquired about the etiology,

english translation

AsInaM munimavyagraM kRtajApyaM kRtakSaNam| pRSTavAnarzasAM yuktamagnivezaH punarvasum ||3||

hk transliteration

प्रकोप हेतुं संस्थानं स्थानं लिङ्गं चिकित्सितम्| साध्यासाध्य विभागं च तस्मै तन्मुनिरब्रवीत् ||४||

sanskrit

aggravating factors, shape, size, location, clinical features, treatment and prognosis of arsha (hemorrhoids). Then Lord Atreya responded.

english translation

prakopa hetuM saMsthAnaM sthAnaM liGgaM cikitsitam| sAdhyAsAdhya vibhAgaM ca tasmai tanmunirabravIt ||4||

hk transliteration

इह खल्वग्निवेश! द्विविधान्यर्शांसि- कानिचित् सहजानि, कानिचिज्जातस्योत्तरकालजानि| तत्र बीजं गुदवलि बीजोप तप्तमायतनमर्शसां सहजानाम्| तत्र द्विविधो बीजोपतप्तौ हेतुः- मातापित्रोरपचारः, पूर्वकृतं च कर्म; तथाऽन्येषामपि सहजानां विकाराणाम्| तत्र सहजानि सह जातानि शरीरेण, अर्शांसीत्यधिमांसविकाराः ||५||

sanskrit

[Types of hemorrhoids] O Agnivesha!, The arsha is of two types: Congenital Acquired (manifested after the birth). Congenital hemorrhoids are caused by the vitiation of the beeja dosha (deformity in sperm and ovum), specially the part of the anal canal or anal sphincters. This vitiation of the beeja dosha is caused by two groups of factors: The wrong diet and regimen of parents (father/mother) The sinful acts of the past life of individuals. These two categories of causative factors are also responsible for all the other congenital disorders in the human body. Sahaja means the disorder which is manifested along with the appearance of the body parts since birth. Arsha (hemorrhoids) is characterized by morbid growth in the muscle tissue.

english translation

iha khalvagniveza! dvividhAnyarzAMsi- kAnicit sahajAni, kAnicijjAtasyottarakAlajAni| tatra bIjaM gudavali bIjopa taptamAyatanamarzasAM sahajAnAm| tatra dvividho bIjopataptau hetuH- mAtApitrorapacAraH, pUrvakRtaM ca karma; tathA'nyeSAmapi sahajAnAM vikArANAm| tatra sahajAni saha jAtAni zarIreNa, arzAMsItyadhimAMsavikArAH ||5||

hk transliteration