Charak Samhita

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इह खल्वग्निवेश! द्विविधान्यर्शांसि- कानिचित् सहजानि, कानिचिज्जातस्योत्तरकालजानि| तत्र बीजं गुदवलि बीजोप तप्तमायतनमर्शसां सहजानाम्| तत्र द्विविधो बीजोपतप्तौ हेतुः- मातापित्रोरपचारः, पूर्वकृतं च कर्म; तथाऽन्येषामपि सहजानां विकाराणाम्| तत्र सहजानि सह जातानि शरीरेण, अर्शांसीत्यधिमांसविकाराः ||५||

sanskrit

[Types of hemorrhoids] O Agnivesha!, The arsha is of two types: Congenital Acquired (manifested after the birth). Congenital hemorrhoids are caused by the vitiation of the beeja dosha (deformity in sperm and ovum), specially the part of the anal canal or anal sphincters. This vitiation of the beeja dosha is caused by two groups of factors: The wrong diet and regimen of parents (father/mother) The sinful acts of the past life of individuals. These two categories of causative factors are also responsible for all the other congenital disorders in the human body. Sahaja means the disorder which is manifested along with the appearance of the body parts since birth. Arsha (hemorrhoids) is characterized by morbid growth in the muscle tissue.

english translation

iha khalvagniveza! dvividhAnyarzAMsi- kAnicit sahajAni, kAnicijjAtasyottarakAlajAni| tatra bIjaM gudavali bIjopa taptamAyatanamarzasAM sahajAnAm| tatra dvividho bIjopataptau hetuH- mAtApitrorapacAraH, pUrvakRtaM ca karma; tathA'nyeSAmapi sahajAnAM vikArANAm| tatra sahajAni saha jAtAni zarIreNa, arzAMsItyadhimAMsavikArAH ||5||

hk transliteration