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पूरयन् सक्थिजङ्घोरु दोषो मेदोबलोत्कटः । अविधेयपरिस्पन्दं जनयत्यल्पविक्रमम् ॥११॥
• Ama with deranged medas obstructs prakupita tridosha and due to heaviness, they move downward through siras to reach lower limbs. Dosha, get accentuated by the strength of themeda dhatu to fill calves and thighs of the lower limbs causing involuntary movements and immobility.
english translation
महासरसि गम्भीरे पूर्णेऽम्बु स्तिमितं यथा । तिष्ठति स्थिरमक्षोभ्यं तद्वदूरुगतः कफः ॥१२॥
The kapha filled lower limbs become like a lake which is large, deep and fully filled with water which remains, still, stable and undisturbed.
english translation
गौरवायाससङ्कोचदाहरुक्सुप्तिकम्पनैः । भेदस्फुरणतोदैश्च युक्तो देहं निहन्त्यसून् ॥१३॥
This disease when gets associated with heaviness, strain, contracture, burning sensation, pain, numbness, tremor, splitting, twitching and pricking types of pain, then it becomes lethal.
english translation
ऊरू श्लेष्मा समेदस्को वातपित्तेऽभिभूय तु । स्तम्भयेत्स्थैर्यशैत्याभ्यामूरुस्तम्भस्ततस्तु सः ॥१४॥
Kapha with its sthira(stable) and sheeta (cold) properties associated with meda dhatusubdues vata and pitta and causes immobility of uru (thighs). Hence the disease is termed as urusthambha.
english translation
प्राग्रूपं ध्याननिद्रातिस्तैमित्यारोचकज्वराः । लोमहर्षश्च छर्दिश्च जङ्घोर्वोः सदनं तथा ॥१५॥
[Prodromal symptoms] Thinking or concentrating on something, excessive sleep, indolence (decreased emotion), anorexia, fever, horripilation, vomiting and reduced movements of calves and thighs (due to loss of strength) are the prodromal symptoms of urusthambha.
english translation