Charak Samhita

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द्वन्द्वजानि द्वितीयायां वलौ यान्याश्रितानि च। कृच्छ्रसाध्यानि तान्याहुः परिसंवत्सराणि च॥३०॥

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 by Sanscript