Charak Samhita

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अथावरकालंवातलस्यवातातपव्यायामात्रनिषेविणोरूक्षाल्पप्रमिताशिनस्तीक्ष्णमद्यव्यवायनित्यस्योदावर्तयतश्चवेगान्वायुःप्रकोपमापद्यते, पक्ताचोपहन्यते; सवायुःकुपितोऽग्नावुपहतेमूत्रस्वेदौपुरीषाशयमुपहृत्य, ताभ्यांपुरीषंद्रवीकृत्य, अतीसारायप्रकल्पते | तस्यरूपाणि- विज्जलमामंविप्लुतमवसादिरूक्षंद्रवंसशूलमामगन्धमीषच्छब्दमशब्दंवाविबद्धमूत्रवातमतिसार्यतेपुरीषं, वायुश्चान्तःकोष्ठेसशब्दशूलस्तिर्यक्चरतिविबद्धइत्यामातिसारोवातात् | पक्वंवाविबद्धमल्पाल्पंसशब्दंसशूलफेनपिच्छापरिकर्तिकंहृष्टरोमाविनिःश्वसञ्शुष्कमुखःकट्यूरुत्रिकजानुपृष्ठपार्श्वशूलीभ्रष्टगुदोमुहुर्मुहुर्विग्रथितमुपवेश्यतेपुरीषंवातात्; तमाहुरनुग्रथितमित्येके, वातानुग्रथितवर्चस्त्वात् ||५||

sanskrit

[Vataja atisara] 1. Vata dominant atisara occurs if a person with vata dominant constitution indulges in following: Exposure to strong wind, excess sunlight, and physical exercise; 2. Indulgence in dry and rough or less quantities of food (pramitashana) or irregular meals or strong alcoholic drinks or excessive sexual intercourse; and 3. Suppression of natural urges. The above factors aggravate vata, afflicting the power of digestion (or, reducing the agni). With the depletion of agni, the aggravated vata forces urine and sweat to the colon (purishashaya), liquefying the stool and manifesting vataja atisara. Vataja amaja atisara (early stages of vataja atisara): The early signs and symptoms of vataja amaja atisara are as follows: 1. The stool is slimy and has mucus (ama); 2. The stool floats on water; 3. The stool, when placed over the earth, gets soaked; 4. The stool is rough (i.e., not oily) and liquid; 5. Evacuation of stool is accompanied with colic pain; 6. The stool smells like undigested food; 7. Evacuation of stool is associated with little or no sound; 8. Evacuation of the stool is not accompanied with flatus and urine; and 9. The aggravated vata (flatus) moves in the koshtha (gastrointestinal tract) obliquely along with gurgling sound, causing colic pain. The above mentioned signs and symptoms pertain to the ama stage (primary or immature stage) of the vataja atisara. Vataja niramaja atisara (advanced stage of vataja atisara): In the pakva stage (advanced or mature stage) of vataja atisara, the signs and symptoms manifested are as follows: 1. The patient evacuates hard stool in small quantities; 2. The evacuation of stool is associated with sound and colic pain; 3. The stool is frothy and slimy; 4. The patient suffers from griping pain, horripilation, groaning, dryness of the mouth, pain in the lumbar region, thighs, sacral region, knees, back and sides of the chest, and prolapse of the rectum; and 5. Evacuates scybalous stool frequently. According to some physicians, this type of diarrhea is also called anugrathita-atisara because of evacuation the scybalous stool.

english translation

athAvarakAlaMvAtalasyavAtAtapavyAyAmAtraniSeviNorUkSAlpapramitAzinastIkSNamadyavyavAyanityasyodAvartayatazcavegAnvAyuHprakopamApadyate, paktAcopahanyate; savAyuHkupito'gnAvupahatemUtrasvedaupurISAzayamupahRtya, tAbhyAMpurISaMdravIkRtya, atIsArAyaprakalpate | tasyarUpANi- vijjalamAmaMviplutamavasAdirUkSaMdravaMsazUlamAmagandhamISacchabdamazabdaMvAvibaddhamUtravAtamatisAryatepurISaM, vAyuzcAntaHkoSThesazabdazUlastiryakcarativibaddhaityAmAtisArovAtAt | pakvaMvAvibaddhamalpAlpaMsazabdaMsazUlaphenapicchAparikartikaMhRSTaromAviniHzvasaJzuSkamukhaHkaTyUrutrikajAnupRSThapArzvazUlIbhraSTagudomuhurmuhurvigrathitamupavezyatepurISaMvAtAt; tamAhuranugrathitamityeke, vAtAnugrathitavarcastvAt ||5||

hk transliteration