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अथातस्त्रिमर्मीयचिकित्सितमध्यायंव्याख्यास्यामः॥१॥
Now we shall expound the chapter on "Trimarmiya Chikitsitam" (Management of diseases of the three vital organs).
english translation
इतिहस्माहभगवानात्रेयः॥२॥
Thus said Lord Atreya.
english translation
सप्तोत्तरंमर्मशतंयदुक्तंशरीरसङ्ख्यामधिकृत्यतेभ्यः। मर्माणिबस्तिंहृदयंशिरश्चप्रधानभूतानिवदन्तितज्ज्ञाः॥३॥
[Importance of marma] The vital organs (marma) are mentioned as 107 in number while enumerating different body parts in Sankhya Sharira. As per the specialists of the subjects, three vital organs, viz, basti (urinary bladder), hridayam (heart) and shira (head) are considered supreme among themselves, because they possess life (prana) in them.
english translation
प्राणाश्रयात्,तानिहिपीडयन्तोवातादयोऽसूनपिपीडयन्ति। तत्संश्रितानामनुपालनार्थंमहागदानांशृणुसौम्यरक्षाम्॥४॥
Their suffering due to vata, etc. also troubles/ endangers life (prana). Hence to protect these vital organs, the method of protection from the attack of diseases, and their management will be discussed which you may listen (addressed to Agnivesha)
english translation
कषायतिक्तोषणरूक्षभोज्यैः पक्वाशयेकुप्यतिचेदपानःस्रोतांस्यधोगानिबलीसरुद्ध्वा॥५॥
[Etiology and pathogenesis, signs and symptoms of udavarta (abnormal upward movement of vata)] Excessive consumption of astringent, bitter, pungent, dry/ ununctuous food, suppression of natural urges, starvation, and excess indulgence of sex excessively aggravates apana vata in the colon.
english translation