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प्रदूष्य कफवातासृक्त्वङ्मांसानि करोति तत्। पाण्डुहारिद्रहरितान् वर्णान् बहुविधांस्त्वचि॥११॥
There, it gets located in between the tvacha (skin) and the mamsa dhatu (flesh) and additionally vitiates the kapha, vata, rakta, tvacha and mamsa dhatu resulting in the development of various discolorations in the body like pandu (pale), haridra (yellow),and harita (green).
english translation
स पाण्डुरोग इत्युक्तः तस्य लिङ्गं भविष्यतः। हृदयस्पन्दनं रौक्ष्यं स्वेदाभावः श्रमस्तथा॥१२॥
[Premonitory symptoms] This is called as pandu roga The premonitory symptoms of the disease are palpitations, ununctuousness, absence of sweating and fatigue
english translation
सम्भूतेऽस्मिन् भवेत् सर्वः कर्णक्ष्वेडी हतानलः। दुर्बलः सदनोऽन्नद्विट् श्रमभ्रमनिपीडितः॥१३॥
[General symptoms of pandu] On developing pandu roga the patients have the symptoms of tinnitus, low digestion, weakness, prostration, disliking for food, fatigue, giddiness, pain in the body, fever, dyspnea, heaviness and anorexia.
english translation
गात्रशूलज्वरश्वासगौरवारुचिमान्नरः। मृदितैरिव गात्रैश्च पीडितोन्मथितैरिव॥१४॥
The patient feels as if the limbs are being kneaded, pressed or churned; develops peri-orbital swelling, greenish complexion and falling of body hair.
english translation
शूनाक्षिकूटो हरितः शीर्णलोमा हतप्रभः। कोपनः शिशिरद्वेषी निद्रालुः ष्ठीवनोऽल्पवाक्॥१५॥
The person loses his body luster, becomes irritable, dislikes cold things, feels sleepy, spits in excess, avoids speaking, suffers from cramps in the calf region
english translation