Charak Samhita

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विदाहि तीक्ष्णमुष्णं च सर्वं पानान्नभेषजम्| पित्तोल्बणानां विज्ञेयः प्रकोपे हेतुरर्शसाम्||१६||

sanskrit

3. Living in a place and season which are not cold, intake of alcohol and envy; 4. Intake of drinks, food and drugs having vidahi (causing burning sensation), sharp and hot properties.

english translation

vidAhi tIkSNamuSNaM ca sarvaM pAnAnnabheSajam| pittolbaNAnAM vijJeyaH prakope heturarzasAm||16||

hk transliteration

तत्र यानि प्रमाणवन्ति, उपचितानि, श्लक्ष्णानि, स्पर्शसहानि, स्निग्ध श्वेत पाण्डु पिच्छिलानि, स्तब्धानि, गुरूणि, स्तिमितानि, सुप्त सुप्तानि, स्थिर श्वयथूनि, कण्डू बहुलानि, बहुप्रतत पिञ्जर श्वेतरक्त पिच्छा स्रावीणि, गुरु पिच्छिल श्वेत मूत्र पुरीषाणि, रूक्षोष्णोपशयानि, प्रवाहिकातिमात्रोत्थानवङ्क्षणानाहवन्ति, परिकर्तिका हृल्लास निष्ठीविका कासारोचक प्रतिश्याय गौरव च्छर्दि मूत्रकृच्छ्र शोष शोथ- पाण्डु रोग शीतज्वराश्मरी शर्करा हृदयेन्द्रियोपलेपास्य माधुर्य प्रमेहकराणि, दीर्घकालानुबन्धीनि, अतिमात्रमग्निमार्दव क्लैब्यकराणि, आम विकार प्रबलानि, शुक्ल नख नयन वदन त्वङ्मूत्रपुरीषस्य श्लेष्मोल्बणान्यर्शांसीति विद्यात्||१७||

sanskrit

[Signs and symptoms of kaphaja arsha] The following are the signs and symptoms of kaphaja arshas 1. The hemorrhoids are large in size, swollen, smooth, painless to touch, 2. The hemorrhoids are unctuous, white, pale white, slimy, having stiffness, heavy, rigid, benumbed, having consistent oedema and excessive of itching. 3. The discharge from the hemorrhoids is excess and continuous having white or red in colour with slimyness. 4. Urine and stool of the patient are heavy, slimy and white 5. Ruksha (un-unctuous) and hot therapies gives relief from symptoms 6. The patient has an excessive desire to pass stool with tenesmus and distension in the lower pelvic region 7. The patient suffers from burning pain in anus, nausea, excessive spitting, cough, anorexia, cold, heaviness, vomiting, dysuria; lethargy, edema, anemia. 8. Patient suffer from fever associated with cold, stone and gravels in genito¬urinary tract, a feeling as if the heart and sense organs are covered with sticky material, sweet taste in the mouth and prameha (obstinate urinary disorders including diabetes), 9. The disease becomes chronic condition. So, digestive power gets suppressed and causes impotency 10. They are associated with acute diseases caused by ama (product of improper digestion and metabolism). 11. The nails, eyes, face, skin, urine and stool are become white in color.

english translation

tatra yAni pramANavanti, upacitAni, zlakSNAni, sparzasahAni, snigdha zveta pANDu picchilAni, stabdhAni, gurUNi, stimitAni, supta suptAni, sthira zvayathUni, kaNDU bahulAni, bahupratata piJjara zvetarakta picchA srAvINi, guru picchila zveta mUtra purISANi, rUkSoSNopazayAni, pravAhikAtimAtrotthAnavaGkSaNAnAhavanti, parikartikA hRllAsa niSThIvikA kAsArocaka pratizyAya gaurava cchardi mUtrakRcchra zoSa zotha- pANDu roga zItajvarAzmarI zarkarA hRdayendriyopalepAsya mAdhurya pramehakarANi, dIrghakAlAnubandhIni, atimAtramagnimArdava klaibyakarANi, Ama vikAra prabalAni, zukla nakha nayana vadana tvaGmUtrapurISasya zleSmolbaNAnyarzAMsIti vidyAt||17||

hk transliteration

भवतश्चात्र- मधुर स्निग्ध शीतानि लवणाम्ल गुरूणि च| अव्यायामो दिवास्वप्नः शय्यासनसुखे रतिः||१८||

sanskrit

[Etiology of kaphaja arsha] The causes of kaphaja arsha (hemorrhoids) are as follow 1. Sweet, unctuous, cold, salty, sour and heavy food 2. Lack of exercise, sleeping during day time and indulgence in the pleasure of beds and seats (excess sleeping and sitting)

english translation

bhavatazcAtra- madhura snigdha zItAni lavaNAmla gurUNi ca| avyAyAmo divAsvapnaH zayyAsanasukhe ratiH||18||

hk transliteration

प्राग्वातसेवा शीतौ च देशकालावचिन्तनम्| श्लैष्मिकाणां समुद्दिष्टमेतत् कारणमर्शसाम्||१९||

sanskrit

3. Direct exposure to wind 4. Living in cold place and exposure to cold season and mental inactivity.

english translation

prAgvAtasevA zItau ca dezakAlAvacintanam| zlaiSmikANAM samuddiSTametat kAraNamarzasAm||19||

hk transliteration

हेतु लक्षण संसर्गाद्विद्याद्द्वन्द्वोल्बणानि च| सर्वो हेतुस्त्रिदोषाणां सहजैर्लक्षणैः समम्||२०||

sanskrit

[Etiology and symptoms of dwandaja and sannipataja type of arsha hemorrhoids] The dwandaja arsha (in which two doshas are predo¬minantly aggravated) is caused by the combination of two types of etiological factors and clinical features of two doshas. If the causative factors of all the doshas are combined together, then tridosaja type of hemorrhoids (in which all the three doshas are simultaneously aggravated) is manifested. The signs and symptoms of hemorrhoids are similar to those described for hereditary type of hemorrhoids- (vide verses 7 and 8 above).

english translation

hetu lakSaNa saMsargAdvidyAddvandvolbaNAni ca| sarvo hetustridoSANAM sahajairlakSaNaiH samam||20||

hk transliteration