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तेषामयं विशेषः- शुष्कम्लान कठिन परुष रूक्ष श्यावानि, तीक्ष्णाग्राणि, वक्राणि, स्फुटित मुखानि, विषम विसृतानि, शूलाक्षेपतोदस्फुरण चिमिचिमासंहर्ष परीतानि, स्निग्धोष्णोपशयानि, प्रवाहिका ध्मान शिश्न वृषण बस्ति वङ्क्षण हृद्ग्रहाङ्गमर्द हृदय द्रव प्रबलानि, प्रतत विबद्ध वात मूत्र वर्चांसि, ऊरु कटी पृष्ठ त्रिक पार्श्व कुक्षि बस्ति शूल शिरोऽभिताप क्षवथूद्गार प्रतिश्याय कासोदावर्तायाम शोष शोथ- मूर्च्छारोचक मुखवैरस्य तैमिर्य कण्डू नासा कर्ण शङ्ख शूल स्वरोपघातकराणि, श्यावारुण परुष नख नयन वदन त्वङ्मूत्र पुरीषस्य वातोल्बणान्यर्शांसीति विद्यात्॥११॥
[Signs and symptoms of vataja arsha] Hemorrhoids caused by the predominance of aggravated vata: 1. The mass of hemorrhoids is dry, wrinkled, hard, rough, ununctuous and greyish in color; these masses have sharp tips; these are curved and with cracks on the surface; and these are spread irregularly. 2. The mass of hemorrhoids is associated with pain, cramps toda (piercing pain), itching, numbness and tingling sensation in excess. 3. Unctuous and hot things give relief in this condition. 4. The patient suffers from dysentery, abdominal distension and stiffness of genitals, testicles, urinary bladder, pelvis and cardiac region; he also suffers from malaise and palpitation in excess. 5. His flatus, urine and stool are constantly obstructed. 6. He suffers from pain in thighs, lumber region, back, trika (sacral region), parshva (sides of the chest), kukshi (sides of the abdomen ) and in basti (urinary bladder) 7. He gets heat sensation in the head and suffers from, sneezing, eructation, coryza, cough, udavarta (mis-peristalsis), lethargy, edema, fainting, anorexia, distaste in mouth, timira (impairment of vision) itching, pain in the nose, ears and temporal region, and impairment of the voice. 8. Greyish, reddishness and roughness of nails, eyes, face, skin, urine and stool.
english translation
भवतश्चात्र- कषाय कटु तिक्तानि रूक्ष शीत लघूनि च। प्रमिताल्पाशनं तीक्ष्ण मद्य मैथुन सेवनम्॥१२॥
[Etiology of vataja arsha hemorrhoids] The causes of vataja arsha are as follow. 1. Habitual intake of astringent, pungent, bitter, ununctuous, cold and light food; 2. Habitual intake of pramitashana ( food measured in extremely small quantities), intake of less quantity of food, intake of excess alcoholic drinks and indulgence in sexual acts.
english translation
लङ्घनं देशकालौ च शीतौ व्यायामकर्म च। शोको वातातपस्पर्शो हेतुर्वातार्शसां मतः॥१३॥
3. Fasting, living in cold country and cold season, physical exercise, grief and exposure to sun and wind.
english translation
मृदु शिथिल सुकुमाराण्य स्पर्शसहानि, रक्त पीत नील कृष्णानि, स्वेदोपक्लेद बहुलानि, विस्र गन्धि तनु पीत रक्त स्रावीणि, रुधिरवहानि, दाह कण्डू शूल निस्तोद पाकवन्ति, शीतोपशयानि, सम्भिन्नपीत हरित वर्चांसि, पीत विस्रगन्धि प्रचुर विण्मूत्राणि, पिपासा ज्वर तमक सम्मोह भोजन द्वेषकराणि पीत नख नयन त्वङ्मूत्र पुरीषस्य पित्तोल्बणान्यर्शांसीति विद्यात्॥१४॥
[Signs and symptoms of pittaja arsha] The following are the signs and symptoms of Pittaja Arshas: 1. The pile mass is soft, flabby, delicate and tender to touch 2. The color of hemorrhoids is red, yellow, blue or black 3. The hemorrhoids is associated with excessive sweating and sticky discharge 4. The discharge from the hemorrhoids mass is visra (smelling like raw-meat), thin, yellow or red 5. There is bleeding from the hemorrhoids 6. The hemorrhoids are associated with burning sensation, itching, pain, pricking pain and suppuration. 7. Cold things relief the symptoms 8. The stool of the patient is loose, yellow or green 9. The urine and stool are voided in large quantities, yellow in colour and the smell is like raw meat. 10. The patient suffers from morbid thirst, fever, asthma, fainting and disliking for foods 11. The nails, eyes, skin, urine and stool become yellow in color.
english translation
भवतश्चात्र- कटूष्ण लवण क्षार व्यायामाग्न्यातप प्रभाः । देश कालावशिशिरौ क्रोधो मद्यमसूयनम्॥१५॥
[Etiology of pittaja arsha] The causes of pittaja arsha are as follow: 1. Intake of pungent, hot, salty and alkaline food, 2. excess exercise and exposure to the heat of fire and Sun
english translation