Charak Samhita

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सर्वेषां चार्शसां क्षेत्रं- गुदस्यार्ध पञ्चमाङ्गुलावकाशे त्रिभागान्तरास्तिस्रो गुदवलयः क्षेत्रमिति; केचित्तु भूयांसमेव देशमुपदिशन्त्यर्शसां- शिश्नमपत्यपथं गल तालु मुख नासिका कर्णाक्षि वर्त्मानि त्वक् चेति| तदस्त्यधि मांस देशतया, गुदवलिजानां त्वर्शांसीति सञ्ज्ञा तन्त्रेऽस्मिन्| सर्वेषां चार्शसामधिष्ठानं- मेदो मांसं त्वक् च ||६||

sanskrit

[Locations of hemorrhoids] The hemorrhoids are located in the space of four and half angulas (or approximately 8-10 cm) in the lower part of rectum and anal canal. This area has three sphincters dividing the space into three parts (guda vali). There are other locations of arshas (hemorrhoids) in the body in which excessive and unnatural growth of the muscle tissue also takes place, such as, pudendum, female genital tract, throat, palate, mouth, nose, ears, eyelids and skins. However, in this chapter the arsha occurring in the anal region are only considered as arsha (hemorrhoids). The adhishthana (involved morbid tissue elements) of all the types of arsha are medas (fatty tissue), mamsa (muscular tissue) and tvaka (skin and mucous membrane).

english translation

sarveSAM cArzasAM kSetraM- gudasyArdha paJcamAGgulAvakAze tribhAgAntarAstisro gudavalayaH kSetramiti; kecittu bhUyAMsameva dezamupadizantyarzasAM- ziznamapatyapathaM gala tAlu mukha nAsikA karNAkSi vartmAni tvak ceti| tadastyadhi mAMsa dezatayA, gudavalijAnAM tvarzAMsIti saJjJA tantre'smin| sarveSAM cArzasAmadhiSThAnaM- medo mAMsaM tvak ca ||6||

hk transliteration