Charak Samhita

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द्वन्द्वजानि द्वितीयायां वलौ यान्याश्रितानि च| कृच्छ्रसाध्यानि तान्याहुः परिसंवत्सराणि च||३०||

sanskrit

If the hemorrhoids are caused by vitiation of two doshas, and are located in the second anal- sphincter and if these are more than one year old, then these are difficult of cure.

english translation

dvandvajAni dvitIyAyAM valau yAnyAzritAni ca| kRcchrasAdhyAni tAnyAhuH parisaMvatsarANi ca||30||

hk transliteration