Charak Samhita

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अर्शांसि खलु जायन्ते नासन्निपतितैस्त्रिभिः| दोषैर्दोषविशेषात्तु विशेषः कल्प्यतेऽर्शसाम्||२३||

sanskrit

[Involvement of three doshas] Hemorrhoids never manifest without the aggravation of all the three doshas. It is evident that the predominance of one or all the doshas determine the type of hemorrhoids. The nomenclature of doshaja arsha is given according to the predominance of dosha e.g. if vata dosha is predominat then that hemorrhoid is said to be vataja arsha.

english translation

arzAMsi khalu jAyante nAsannipatitaistribhiH| doSairdoSavizeSAttu vizeSaH kalpyate'rzasAm||23||

hk transliteration