1.
रसायन अध्याय:
Rasayana Adhyaya (Rejuvenation therapy)
2.
वाजीकरणाऽध्याय:
Vajikarana Adhyaya (Aphrodisiac therapy, virility and treatment of sexual dysfunctions)
3.
ज्वरचिकित्सितम्
Jwara Chikitsa (Management of Jwara (different types of fever))
4.
रक्तपित्तचिकित्सितम्
Raktapitta Chikitsa (Management of Raktapitta (Bleeding Disorders))
5.
गुल्मचिकित्सितम्
Gulma Chikitsa (Management of Gulma)
6.
प्रमेहचिकित्सितम्
Prameha Chikitsa (Management of Prameha (Urinary Diseases including diabetes))
7.
कुष्ठचिकित्सितम्
Kushtha Chikitsa (Management of Kushtha (Skin Diseases))
8.
राजयक्ष्मचिकित्सितम्
Rajayakshma Chikitsa (Management of Rajayakshma (Wasting Diseases))
9.
उन्मादचिकित्सितम्
Unmada Chikitsa (Management of Unmada (Psychosis Disorders))
10.
अपस्मारचिकित्सितम्
Apasmara Chikitsa (Management of Apasmara (Seizure disorders))
11.
क्षतक्षीणचिकित्सितम्
Kshatakshina Chikitsa (Management of Kshata-kshina (Emaciation due to Trauma))
12.
श्वयथुचिकित्सितम्
Shvayathu Chikitsa (Management of Shvayathu (Various types of Swellings))
13.
उदरचिकित्सितम्
Udara Chikitsa (Management of Udara (Generalized enlargement of Abdomen))
•
अर्शश्चिकित्सितम्
Arsha Chikitsa (Management of Arsha (Hemorrhoids))
15.
ग्रहणीदोषचिकित्सितम्
Grahani Dosha Chikitsa (Management of Grahani (Diseases of digestion and metabolism))
16.
पाण्डुरोगचिकित्सितम्
Pandu Chikitsa (Management of Pandu (Anemia and diseases due to blood deficiency))
17.
हिक्काश्वासचिकित्सितम्
Hikka Shwasa Chikitsa (Management of Hikka (Hiccups) and Shwasa (Dyspnea))
18.
कासचिकित्सितम्
Kasa Chikitsa (Management of Kasa (Cough of various origins))
19.
अतिसारचिकित्सितम्
Atisara Chikitsa (Management of Atisara (diarrhea and associated disorders))
20.
छर्दिचिकित्सितम्
Chhardi Chikitsa (Management of Chhardi (vomiting))
21.
विसर्पचिकित्सितम्
Visarpa Chikitsa (Management of Visarpa (acute spreading erysepalas))
22.
तृष्णाचिकित्सितम्
Trishna Chikitsa (Management of Trishna (Morbid thirst))
23.
विषचिकित्सितम्
Visha Chikitsa (Management of Visha (various types of poisoning))
24.
मदात्ययचिकित्सितम्
Madatyaya Chikitsa (Management of Madatyaya (Intoxication))
Progress:52.9%
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
तत्र सहजान्यर्शांसि कानिचिदणूनि, कानिचिन्महान्ति, कानिचिद्दीर्घाणि, कानिचिद्ध्रस्वानि, कानिचिद्वृत्तानि, कानिचिद्विषमविसृतानि, कानिचिदन्तःकुटिलानि, कानिचिद्बहिःकुटिलानि, कानिचिज्जटिलानि, कानिचिदन्तर्मुखानि, यथास्वं दोषानुबन्धवर्णानि||७||
sanskrit
[Forms of congenital hemorrhoids] Among the congenital hemorrhoids, some are small, some are large, some are long, some are short, some are round, some are irregularly spread, some are curved internally, some are curved externally, some are matted together, and some are introverted. Their characteristics or forms are as per the doshas involved in their formation.
english translation
tatra sahajAnyarzAMsi kAnicidaNUni, kAnicinmahAnti, kAniciddIrghANi, kAniciddhrasvAni, kAnicidvRttAni, kAnicidviSamavisRtAni, kAnicidantaHkuTilAni, kAnicidbahiHkuTilAni, kAnicijjaTilAni, kAnicidantarmukhAni, yathAsvaM doSAnubandhavarNAni||7||
hk transliteration
तैरुपहतो जन्म प्रभृति भवत्यतिकृशो विवर्णः क्षामो दीनः प्रचुर विबद्ध वात मूत्र पुरीषः शर्कराश्मरीमान्, तथाऽनियतविबद्धमुक्तपक्वामशुष्कभिन्नवर्चा अन्तराऽन्तरा श्वेत पाण्डु हरित पीत रक्तारुण तनु सान्द्र पिच्छिल कुणपगन्ध्याम पुरीषोपवेशी, नाभि बस्ति वङ्क्षणोद्देशे प्रचुर परिकर्तिकान्वितः, सगुदशूल प्रवाहिका परिहर्ष प्रमेह प्रसक्त विष्टम्भान्त्रकूजोदावर्त हृदयेन्द्रियोपलेपः प्रचुर विबद्ध तिक्ताम्लोद्गारः, सुदुर्बलः, सुदुर्बलाग्निः, अल्पशुक्रः, क्रोधनो, दुःखोपचारशीलः, कास श्वास तमक तृष्णा हृल्लास च्छर्द्यरोचका विपाक पीनस क्षवथु परीतः, तैमिरिकः, शिरःशूली, क्षामभिन्नसन्नसक्तजर्जरस्वरः, कर्णरोगी, शून पाणिपाद वदनाक्षिकूटः, सज्वरः, साङ्गमर्दः, सर्व पर्वास्थि शूली च, अन्तराऽन्तरा पार्श्व कुक्षि बस्ति हृदय पृष्ठ त्रिकग्रहोपतप्तः, प्रध्यानपरः, परमालसश्चेति; जन्म प्रभृत्यस्य गुदजैरावृतो मार्गोपरोधाद्वायुरपानः प्रत्यारोहन् समानव्यानप्राणोदानान् पित्तश्लेष्माणौ च प्रकोपयति, एते सर्व एव प्रकुपिताः पञ्च वायवः पित्तश्लेष्माणौ चार्शसमभिद्रवन्त एतान् विकारानुपजनयन्ति; इत्युक्तानि सहजान्यर्शांसि ||८||
sanskrit
[Signs and symptoms of congenital hemorrhoids] The person suffering with congenital hemorrhoids has the following signs and symptoms: 1. Right from the birth he is lean and thin, pale, emaciated, weak, excessive or obstructed flatus, urine and stool. He has gravels and stone in the urinary system. 2. Irregular bowel habit- sometimes constipation and sometimes normal; sometimes stool is pakva (free from ama) and sometimes it is associated with ama (mucus or products of improper digestion); sometimes stool is dry and sometimes it is liquid. 3. The stool color differs, having white, pale yellow, green, yellow, red, thin, dense, slimy, having bad odor like dead tissue and associated with ama. 4. The patient suffers from severe colicky pain in umbilicus, region of urinary bladder, pelvic region and anus. 5. Patient suffers from dysentery, horripilation, prameha (obstinate urinary disorders including diabetes), constipation, gurgling sound in the intestine, abdominal distension and a feeling of covering on the heart and the sense organs. 6. Patient gets excessive eructation associated with bitter and sour taste, extreme weakness, weak digestive power; he has very little semen; he is irritable and is difficult to treat. 7. He has frequent cough, dyspnea, bronchial asthma, morbid thirst, nausea, vomiting, anorexia, indigestion, chronic rhinitis and sneezing. 8. He gets fits of fainting and headache; his voice is weak, broken, of low pitch, impeded and has hoarseness. 9. He may suffer from ear diseases, gets swelling around the eyes, suffers from fever, malaise and pain in all the joints and bones. 10. Patient gets stiffness in chest, abdomen, region of urinary bladder, cardiac region, back and lumber region. 11. He has persistent giddiness and is extremely lazy. 12. Right from the birth, his apana vayu gets obstructed by the hemorrhoid-mass and moves upwards leading to aggravation of samana vayu, vyana vayu, prana vayu, udana vayu, pitta and kapha. When all these five types of vata, pitta and kapha get aggravated the individual suffers from above mentioned morbidities of congenital hemorrhoids.
english translation
tairupahato janma prabhRti bhavatyatikRzo vivarNaH kSAmo dInaH pracura vibaddha vAta mUtra purISaH zarkarAzmarImAn, tathA'niyatavibaddhamuktapakvAmazuSkabhinnavarcA antarA'ntarA zveta pANDu harita pIta raktAruNa tanu sAndra picchila kuNapagandhyAma purISopavezI, nAbhi basti vaGkSaNoddeze pracura parikartikAnvitaH, sagudazUla pravAhikA pariharSa prameha prasakta viSTambhAntrakUjodAvarta hRdayendriyopalepaH pracura vibaddha tiktAmlodgAraH, sudurbalaH, sudurbalAgniH, alpazukraH, krodhano, duHkhopacArazIlaH, kAsa zvAsa tamaka tRSNA hRllAsa cchardyarocakA vipAka pInasa kSavathu parItaH, taimirikaH, ziraHzUlI, kSAmabhinnasannasaktajarjarasvaraH, karNarogI, zUna pANipAda vadanAkSikUTaH, sajvaraH, sAGgamardaH, sarva parvAsthi zUlI ca, antarA'ntarA pArzva kukSi basti hRdaya pRSTha trikagrahopataptaH, pradhyAnaparaH, paramAlasazceti; janma prabhRtyasya gudajairAvRto mArgoparodhAdvAyurapAnaH pratyArohan samAnavyAnaprANodAnAn pittazleSmANau ca prakopayati, ete sarva eva prakupitAH paJca vAyavaH pittazleSmANau cArzasamabhidravanta etAn vikArAnupajanayanti; ityuktAni sahajAnyarzAMsi ||8||
hk transliteration
अत ऊर्ध्वं जातस्योत्तरकालजानि व्याख्यास्यामः- गुरु मधुर शीताभिष्यन्दि विदाहि विरुद्धाजीर्ण प्रमिताशना सात्म्य भोजनाद्गव्य मात्स्य वाराह माहिषा जाविक पिशित भक्षणात् कृश शुष्क पूतिमांस पैष्टिक परमान्न क्षीर दधि मण्ड तिलगुड विकृति सेवनान्माषयूषेक्षुरस पिण्याक पिण्डालुक शुष्क शाक- शुक्तल शुन किलाट तक्र पिण्डक बिस मृणाल शालूक क्रौञ्चादन कशेरुक शृङ्गाटकतरूट विरूढ नव शूक शमी- धान्याममूलकोपयोगाद्गुरु फल शाक राग हरितक मर्दक वसा शिरस्पद पर्युषित पूति शीत सङ्कीर्णान्नाभ्यवहारान्मन्द- कातिक्रान्त मद्यपानाद्व्यापन्न गुरु सलिलपानादति स्नेहपानादसंशोधनाद्बस्तिकर्म विभ्रमाद व्यायामाद व्यवायाद्दिवास्वप्नात् सुख शयनासन स्थान सेवनाच्चोपहताग्नेर्मलोपचयो भवत्यतिमात्रं, तथोत्कटक विषम कठिनासनसेवनादुद्भ्रान्तयानोष्ट्रयानादति व्यवायाद्बस्तिनेत्रा सम्यक्प्रणिधानाद्गुदक्षणनाद भीक्ष्णं शीताम्बु संस्पर्शाच्चेललोष्ट तृणादि घर्षणात् प्रतताति निर्वाहणाद्वातमूत्रपुरीषवेगोदीरणात् समुदीर्ण वेग विनिग्रहात् स्त्रीणां चामगर्भभ्रंशाद्गर्भोत्पीडनाद्विषमप्रसूतिभिश्च प्रकुपितो वायुरपानस्तं मलमुपचितमधोगमासाद्य गुदवलिष्वाधत्ते, ततस्तास्वर्शांसि प्रादुर्भवन्ति||९||
sanskrit
[Etiology and pathogenesis of acquired arsha (hemorrhoids)] The causes of acquired hemorrhoids : In a person whose power of digestion is afflicted, mala (waste products) gets accumulated in excess due to the following reasons: 1. Intake of heavy, sweet, cold, abhishyandi (food that causes obstruction in the channels of circulation), vidahi (that causes burning sensation) and viruddha ( mutually contra¬dictory ) food; intake of food before the previous meal is digested; intake of a small quantity of food; and intake of unwholesome food; 2. Excessive intake of the meats of cattle, fish, pig, buffalo, goat and sheep; 3. Meat of emaciated animals, dried meat and putrefied meat. 4. Excessive intake of pastries, paramanna (preparation of milk, rice and sugar), milk, dadhimanda (whey), preparations of sesame seed and jaggery-products; 5. Excessive intake of masha, sugarcane juice, oil cake, pindaluka, dry vegetables, vinegar, garlic, kilat (cream of milk) takra-pindaka (cream of curd), bisa (thick lotus stalk ), naktamala (thin lotus stalk) shaluka, kraunchodana, kasheruka, shringataka, tarut, germinated corns and pulses, freshly harvested corns and cereals and tender radish; 6. Intake of heavy fruits, vegetables, pickles, hantaka (uncooked vegetables), mardaka, vasa (muscle fat), meat of head and legs of animals, stale, putrid and sankeerna anna (food prepared by the mixture of different items, like rice and meat). 7. Intake of mandaka (immature curds) and wrongly (excess) fermented wines. 8. Drinking of polluted and heavy water, excess intake of sneha (oleation therapy), non-use of panchakarma (elimination therapies), improper basti karma (enema therapy) 9. Lack of exercise, avayaya (lack of sexual activity) or adhivayaya (excess sexual activity), sleep during day time; and habits to pleasant beds, seats and location. Similarly, the following factors are responsible for the aggravation of apana vayu. 1. Use of rough, irregular and hard seats 2. Use of vehicles carried by improperly trained animals or vehicles carried by camels 3. Excessive indulgence in sexual act; 4. Improper insertion of enema nozzle and frequent injury in the anal region. 5. Frequent application of cold water. 6. Use of rags, clods of grass, etc. for rubbing the anus 7. Continued and excessive strain 8. Forcible attempts for passing flatus, urine and stool 9. Suppression of natural urges 10. Miscarriage, pressure of the pregnant uterus and abnormal delivery in the case of women. The apana vayu aggravated by the above mentioned factors, brings down the accumulated waste products and so afflicts the anal sphincters and leads to acquired type of hemorrhoids.
english translation
ata UrdhvaM jAtasyottarakAlajAni vyAkhyAsyAmaH- guru madhura zItAbhiSyandi vidAhi viruddhAjIrNa pramitAzanA sAtmya bhojanAdgavya mAtsya vArAha mAhiSA jAvika pizita bhakSaNAt kRza zuSka pUtimAMsa paiSTika paramAnna kSIra dadhi maNDa tilaguDa vikRti sevanAnmASayUSekSurasa piNyAka piNDAluka zuSka zAka- zuktala zuna kilATa takra piNDaka bisa mRNAla zAlUka krauJcAdana kazeruka zRGgATakatarUTa virUDha nava zUka zamI- dhAnyAmamUlakopayogAdguru phala zAka rAga haritaka mardaka vasA ziraspada paryuSita pUti zIta saGkIrNAnnAbhyavahArAnmanda- kAtikrAnta madyapAnAdvyApanna guru salilapAnAdati snehapAnAdasaMzodhanAdbastikarma vibhramAda vyAyAmAda vyavAyAddivAsvapnAt sukha zayanAsana sthAna sevanAccopahatAgnermalopacayo bhavatyatimAtraM, tathotkaTaka viSama kaThinAsanasevanAdudbhrAntayAnoSTrayAnAdati vyavAyAdbastinetrA samyakpraNidhAnAdgudakSaNanAda bhIkSNaM zItAmbu saMsparzAccelaloSTa tRNAdi gharSaNAt pratatAti nirvAhaNAdvAtamUtrapurISavegodIraNAt samudIrNa vega vinigrahAt strINAM cAmagarbhabhraMzAdgarbhotpIDanAdviSamaprasUtibhizca prakupito vAyurapAnastaM malamupacitamadhogamAsAdya gudavaliSvAdhatte, tatastAsvarzAMsi prAdurbhavanti||9||
hk transliteration
सर्षप मसूर माष मुद्गमकुष्ठ कयव कलाय पिण्डिटिण्टिकेर केबुक तिन्दुक कर्कन्धु काकणन्तिका बिम्बी बदर करीरोदुम्बर- खर्जूर जाम्बव गोस्तनाङ्गुष्ठ कशेरु शृङ्गाटक शृङ्गीदक्ष शिखि शुकतुण्ड जिह्वा पद्ममुकुलकर्णिका संस्थानानि सामान्याद्वात पित्त कफ प्रबलानि||१०||
sanskrit
[Shapes of the arsha (hemorrhoids)] Hemorrhoids have different shapes and resemble mustard, masura, masha, mudga, kushtaka (Saussurea lappa CB. Clarke), yava (barley), kalaya (green pea), pindi, tundikeri (fruit of karira), kebuka, tinduka, karkandhu, kakanantika, bimbi badara, karira, udumbara (Ficus racemosa Linn), kharjura (Phoenix dactylifera) jambu (Syzygium cuminii (Linn.)), gostana (cow's breast), thumb, kasheruka, shringataka, shringi, beaks or tongues of a fowl, a peacock or a parrot, and buds of lotus or karyika. All above mentioned shapes are in general the characteristic shapes of hemorrhoids caused by excessive aggravation of vata, pitta and kapha.
english translation
sarSapa masUra mASa mudgamakuSTha kayava kalAya piNDiTiNTikera kebuka tinduka karkandhu kAkaNantikA bimbI badara karIrodumbara- kharjUra jAmbava gostanAGguSTha kazeru zRGgATaka zRGgIdakSa zikhi zukatuNDa jihvA padmamukulakarNikA saMsthAnAni sAmAnyAdvAta pitta kapha prabalAni||10||
hk transliteration
Charak Samhita
Progress:52.9%
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
तत्र सहजान्यर्शांसि कानिचिदणूनि, कानिचिन्महान्ति, कानिचिद्दीर्घाणि, कानिचिद्ध्रस्वानि, कानिचिद्वृत्तानि, कानिचिद्विषमविसृतानि, कानिचिदन्तःकुटिलानि, कानिचिद्बहिःकुटिलानि, कानिचिज्जटिलानि, कानिचिदन्तर्मुखानि, यथास्वं दोषानुबन्धवर्णानि||७||
sanskrit
[Forms of congenital hemorrhoids] Among the congenital hemorrhoids, some are small, some are large, some are long, some are short, some are round, some are irregularly spread, some are curved internally, some are curved externally, some are matted together, and some are introverted. Their characteristics or forms are as per the doshas involved in their formation.
english translation
tatra sahajAnyarzAMsi kAnicidaNUni, kAnicinmahAnti, kAniciddIrghANi, kAniciddhrasvAni, kAnicidvRttAni, kAnicidviSamavisRtAni, kAnicidantaHkuTilAni, kAnicidbahiHkuTilAni, kAnicijjaTilAni, kAnicidantarmukhAni, yathAsvaM doSAnubandhavarNAni||7||
hk transliteration
तैरुपहतो जन्म प्रभृति भवत्यतिकृशो विवर्णः क्षामो दीनः प्रचुर विबद्ध वात मूत्र पुरीषः शर्कराश्मरीमान्, तथाऽनियतविबद्धमुक्तपक्वामशुष्कभिन्नवर्चा अन्तराऽन्तरा श्वेत पाण्डु हरित पीत रक्तारुण तनु सान्द्र पिच्छिल कुणपगन्ध्याम पुरीषोपवेशी, नाभि बस्ति वङ्क्षणोद्देशे प्रचुर परिकर्तिकान्वितः, सगुदशूल प्रवाहिका परिहर्ष प्रमेह प्रसक्त विष्टम्भान्त्रकूजोदावर्त हृदयेन्द्रियोपलेपः प्रचुर विबद्ध तिक्ताम्लोद्गारः, सुदुर्बलः, सुदुर्बलाग्निः, अल्पशुक्रः, क्रोधनो, दुःखोपचारशीलः, कास श्वास तमक तृष्णा हृल्लास च्छर्द्यरोचका विपाक पीनस क्षवथु परीतः, तैमिरिकः, शिरःशूली, क्षामभिन्नसन्नसक्तजर्जरस्वरः, कर्णरोगी, शून पाणिपाद वदनाक्षिकूटः, सज्वरः, साङ्गमर्दः, सर्व पर्वास्थि शूली च, अन्तराऽन्तरा पार्श्व कुक्षि बस्ति हृदय पृष्ठ त्रिकग्रहोपतप्तः, प्रध्यानपरः, परमालसश्चेति; जन्म प्रभृत्यस्य गुदजैरावृतो मार्गोपरोधाद्वायुरपानः प्रत्यारोहन् समानव्यानप्राणोदानान् पित्तश्लेष्माणौ च प्रकोपयति, एते सर्व एव प्रकुपिताः पञ्च वायवः पित्तश्लेष्माणौ चार्शसमभिद्रवन्त एतान् विकारानुपजनयन्ति; इत्युक्तानि सहजान्यर्शांसि ||८||
sanskrit
[Signs and symptoms of congenital hemorrhoids] The person suffering with congenital hemorrhoids has the following signs and symptoms: 1. Right from the birth he is lean and thin, pale, emaciated, weak, excessive or obstructed flatus, urine and stool. He has gravels and stone in the urinary system. 2. Irregular bowel habit- sometimes constipation and sometimes normal; sometimes stool is pakva (free from ama) and sometimes it is associated with ama (mucus or products of improper digestion); sometimes stool is dry and sometimes it is liquid. 3. The stool color differs, having white, pale yellow, green, yellow, red, thin, dense, slimy, having bad odor like dead tissue and associated with ama. 4. The patient suffers from severe colicky pain in umbilicus, region of urinary bladder, pelvic region and anus. 5. Patient suffers from dysentery, horripilation, prameha (obstinate urinary disorders including diabetes), constipation, gurgling sound in the intestine, abdominal distension and a feeling of covering on the heart and the sense organs. 6. Patient gets excessive eructation associated with bitter and sour taste, extreme weakness, weak digestive power; he has very little semen; he is irritable and is difficult to treat. 7. He has frequent cough, dyspnea, bronchial asthma, morbid thirst, nausea, vomiting, anorexia, indigestion, chronic rhinitis and sneezing. 8. He gets fits of fainting and headache; his voice is weak, broken, of low pitch, impeded and has hoarseness. 9. He may suffer from ear diseases, gets swelling around the eyes, suffers from fever, malaise and pain in all the joints and bones. 10. Patient gets stiffness in chest, abdomen, region of urinary bladder, cardiac region, back and lumber region. 11. He has persistent giddiness and is extremely lazy. 12. Right from the birth, his apana vayu gets obstructed by the hemorrhoid-mass and moves upwards leading to aggravation of samana vayu, vyana vayu, prana vayu, udana vayu, pitta and kapha. When all these five types of vata, pitta and kapha get aggravated the individual suffers from above mentioned morbidities of congenital hemorrhoids.
english translation
tairupahato janma prabhRti bhavatyatikRzo vivarNaH kSAmo dInaH pracura vibaddha vAta mUtra purISaH zarkarAzmarImAn, tathA'niyatavibaddhamuktapakvAmazuSkabhinnavarcA antarA'ntarA zveta pANDu harita pIta raktAruNa tanu sAndra picchila kuNapagandhyAma purISopavezI, nAbhi basti vaGkSaNoddeze pracura parikartikAnvitaH, sagudazUla pravAhikA pariharSa prameha prasakta viSTambhAntrakUjodAvarta hRdayendriyopalepaH pracura vibaddha tiktAmlodgAraH, sudurbalaH, sudurbalAgniH, alpazukraH, krodhano, duHkhopacArazIlaH, kAsa zvAsa tamaka tRSNA hRllAsa cchardyarocakA vipAka pInasa kSavathu parItaH, taimirikaH, ziraHzUlI, kSAmabhinnasannasaktajarjarasvaraH, karNarogI, zUna pANipAda vadanAkSikUTaH, sajvaraH, sAGgamardaH, sarva parvAsthi zUlI ca, antarA'ntarA pArzva kukSi basti hRdaya pRSTha trikagrahopataptaH, pradhyAnaparaH, paramAlasazceti; janma prabhRtyasya gudajairAvRto mArgoparodhAdvAyurapAnaH pratyArohan samAnavyAnaprANodAnAn pittazleSmANau ca prakopayati, ete sarva eva prakupitAH paJca vAyavaH pittazleSmANau cArzasamabhidravanta etAn vikArAnupajanayanti; ityuktAni sahajAnyarzAMsi ||8||
hk transliteration
अत ऊर्ध्वं जातस्योत्तरकालजानि व्याख्यास्यामः- गुरु मधुर शीताभिष्यन्दि विदाहि विरुद्धाजीर्ण प्रमिताशना सात्म्य भोजनाद्गव्य मात्स्य वाराह माहिषा जाविक पिशित भक्षणात् कृश शुष्क पूतिमांस पैष्टिक परमान्न क्षीर दधि मण्ड तिलगुड विकृति सेवनान्माषयूषेक्षुरस पिण्याक पिण्डालुक शुष्क शाक- शुक्तल शुन किलाट तक्र पिण्डक बिस मृणाल शालूक क्रौञ्चादन कशेरुक शृङ्गाटकतरूट विरूढ नव शूक शमी- धान्याममूलकोपयोगाद्गुरु फल शाक राग हरितक मर्दक वसा शिरस्पद पर्युषित पूति शीत सङ्कीर्णान्नाभ्यवहारान्मन्द- कातिक्रान्त मद्यपानाद्व्यापन्न गुरु सलिलपानादति स्नेहपानादसंशोधनाद्बस्तिकर्म विभ्रमाद व्यायामाद व्यवायाद्दिवास्वप्नात् सुख शयनासन स्थान सेवनाच्चोपहताग्नेर्मलोपचयो भवत्यतिमात्रं, तथोत्कटक विषम कठिनासनसेवनादुद्भ्रान्तयानोष्ट्रयानादति व्यवायाद्बस्तिनेत्रा सम्यक्प्रणिधानाद्गुदक्षणनाद भीक्ष्णं शीताम्बु संस्पर्शाच्चेललोष्ट तृणादि घर्षणात् प्रतताति निर्वाहणाद्वातमूत्रपुरीषवेगोदीरणात् समुदीर्ण वेग विनिग्रहात् स्त्रीणां चामगर्भभ्रंशाद्गर्भोत्पीडनाद्विषमप्रसूतिभिश्च प्रकुपितो वायुरपानस्तं मलमुपचितमधोगमासाद्य गुदवलिष्वाधत्ते, ततस्तास्वर्शांसि प्रादुर्भवन्ति||९||
sanskrit
[Etiology and pathogenesis of acquired arsha (hemorrhoids)] The causes of acquired hemorrhoids : In a person whose power of digestion is afflicted, mala (waste products) gets accumulated in excess due to the following reasons: 1. Intake of heavy, sweet, cold, abhishyandi (food that causes obstruction in the channels of circulation), vidahi (that causes burning sensation) and viruddha ( mutually contra¬dictory ) food; intake of food before the previous meal is digested; intake of a small quantity of food; and intake of unwholesome food; 2. Excessive intake of the meats of cattle, fish, pig, buffalo, goat and sheep; 3. Meat of emaciated animals, dried meat and putrefied meat. 4. Excessive intake of pastries, paramanna (preparation of milk, rice and sugar), milk, dadhimanda (whey), preparations of sesame seed and jaggery-products; 5. Excessive intake of masha, sugarcane juice, oil cake, pindaluka, dry vegetables, vinegar, garlic, kilat (cream of milk) takra-pindaka (cream of curd), bisa (thick lotus stalk ), naktamala (thin lotus stalk) shaluka, kraunchodana, kasheruka, shringataka, tarut, germinated corns and pulses, freshly harvested corns and cereals and tender radish; 6. Intake of heavy fruits, vegetables, pickles, hantaka (uncooked vegetables), mardaka, vasa (muscle fat), meat of head and legs of animals, stale, putrid and sankeerna anna (food prepared by the mixture of different items, like rice and meat). 7. Intake of mandaka (immature curds) and wrongly (excess) fermented wines. 8. Drinking of polluted and heavy water, excess intake of sneha (oleation therapy), non-use of panchakarma (elimination therapies), improper basti karma (enema therapy) 9. Lack of exercise, avayaya (lack of sexual activity) or adhivayaya (excess sexual activity), sleep during day time; and habits to pleasant beds, seats and location. Similarly, the following factors are responsible for the aggravation of apana vayu. 1. Use of rough, irregular and hard seats 2. Use of vehicles carried by improperly trained animals or vehicles carried by camels 3. Excessive indulgence in sexual act; 4. Improper insertion of enema nozzle and frequent injury in the anal region. 5. Frequent application of cold water. 6. Use of rags, clods of grass, etc. for rubbing the anus 7. Continued and excessive strain 8. Forcible attempts for passing flatus, urine and stool 9. Suppression of natural urges 10. Miscarriage, pressure of the pregnant uterus and abnormal delivery in the case of women. The apana vayu aggravated by the above mentioned factors, brings down the accumulated waste products and so afflicts the anal sphincters and leads to acquired type of hemorrhoids.
english translation
ata UrdhvaM jAtasyottarakAlajAni vyAkhyAsyAmaH- guru madhura zItAbhiSyandi vidAhi viruddhAjIrNa pramitAzanA sAtmya bhojanAdgavya mAtsya vArAha mAhiSA jAvika pizita bhakSaNAt kRza zuSka pUtimAMsa paiSTika paramAnna kSIra dadhi maNDa tilaguDa vikRti sevanAnmASayUSekSurasa piNyAka piNDAluka zuSka zAka- zuktala zuna kilATa takra piNDaka bisa mRNAla zAlUka krauJcAdana kazeruka zRGgATakatarUTa virUDha nava zUka zamI- dhAnyAmamUlakopayogAdguru phala zAka rAga haritaka mardaka vasA ziraspada paryuSita pUti zIta saGkIrNAnnAbhyavahArAnmanda- kAtikrAnta madyapAnAdvyApanna guru salilapAnAdati snehapAnAdasaMzodhanAdbastikarma vibhramAda vyAyAmAda vyavAyAddivAsvapnAt sukha zayanAsana sthAna sevanAccopahatAgnermalopacayo bhavatyatimAtraM, tathotkaTaka viSama kaThinAsanasevanAdudbhrAntayAnoSTrayAnAdati vyavAyAdbastinetrA samyakpraNidhAnAdgudakSaNanAda bhIkSNaM zItAmbu saMsparzAccelaloSTa tRNAdi gharSaNAt pratatAti nirvAhaNAdvAtamUtrapurISavegodIraNAt samudIrNa vega vinigrahAt strINAM cAmagarbhabhraMzAdgarbhotpIDanAdviSamaprasUtibhizca prakupito vAyurapAnastaM malamupacitamadhogamAsAdya gudavaliSvAdhatte, tatastAsvarzAMsi prAdurbhavanti||9||
hk transliteration
सर्षप मसूर माष मुद्गमकुष्ठ कयव कलाय पिण्डिटिण्टिकेर केबुक तिन्दुक कर्कन्धु काकणन्तिका बिम्बी बदर करीरोदुम्बर- खर्जूर जाम्बव गोस्तनाङ्गुष्ठ कशेरु शृङ्गाटक शृङ्गीदक्ष शिखि शुकतुण्ड जिह्वा पद्ममुकुलकर्णिका संस्थानानि सामान्याद्वात पित्त कफ प्रबलानि||१०||
sanskrit
[Shapes of the arsha (hemorrhoids)] Hemorrhoids have different shapes and resemble mustard, masura, masha, mudga, kushtaka (Saussurea lappa CB. Clarke), yava (barley), kalaya (green pea), pindi, tundikeri (fruit of karira), kebuka, tinduka, karkandhu, kakanantika, bimbi badara, karira, udumbara (Ficus racemosa Linn), kharjura (Phoenix dactylifera) jambu (Syzygium cuminii (Linn.)), gostana (cow's breast), thumb, kasheruka, shringataka, shringi, beaks or tongues of a fowl, a peacock or a parrot, and buds of lotus or karyika. All above mentioned shapes are in general the characteristic shapes of hemorrhoids caused by excessive aggravation of vata, pitta and kapha.
english translation
sarSapa masUra mASa mudgamakuSTha kayava kalAya piNDiTiNTikera kebuka tinduka karkandhu kAkaNantikA bimbI badara karIrodumbara- kharjUra jAmbava gostanAGguSTha kazeru zRGgATaka zRGgIdakSa zikhi zukatuNDa jihvA padmamukulakarNikA saMsthAnAni sAmAnyAdvAta pitta kapha prabalAni||10||
hk transliteration