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पित्तश्लेष्माधिकं मत्वा शोधनेनोपपादयेत्। स्रवणं चाप्युपेक्षेत लङ्घनैर्वा समाचरेत् ॥१७६॥
If there is predominance of pitta and kapha dosha, the patient should be administered shodhana (elimination) therapies. However, bleeding should not be stopped immediately anyone should wait for appropriate time. The patient can be given fasting therapy.
english translation
प्रवृत्तमादावर्शोभ्यो यो निगृह्णात्यबुद्धिमान्। शोणितं दोषमनिलं तद्रोगाञ्जनयेद्बहून् ॥१७७॥
[Complications of immediate hemostasis therapy] If the blood vitiated by doshas, which comes out from the hemorrhoids is arrested in the beginning then it may lead to several complications like raktapitta (a disease characterized by bleeding from various parts of the body ),
english translation
रक्तपित्तं ज्वरं तृष्णामग्निसादमरोचकम्। कामलां श्वयथुं शूलं गुद वङ्क्षण संश्रयम् ॥१७८॥
fever, morbid thirst, suppression of digestive power, anorexia, jaundice, edema, pain in the anus and pelvic region, urticaria and pimples in the lumber region and thighs,
english translation
कण्ड्वरुःकोठपिडकाः कुष्ठं पाण्ड्वाह्वयं गदम्। वात मूत्र पुरीषाणां विबन्धं शिरसो रुजम् ॥१७९॥
kushtha, pandu (anemia), obstruction in flatus, urine and stool, headache, staimitya (a feeling as if the body is covered with a wet cloth ), heaviness of the body and other diseases caused by vitiated blood.
english translation
स्तैमित्यं गुरुगात्रत्वं तथाऽन्यान् रक्तजान् गदान्। तस्मात् स्रुते दुष्टरक्ते रक्तसङ्ग्रहणं हितम् ॥१८०॥
Therefore, only after elimination of vitiated blood hemostatic measures are useful. The physician should be well known with the etiology, signs and symptoms,
english translation