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ष्ठीवनं रक्तपित्तस्य कफेनोन्मिश्रितस्य च| शिरसो लोठनं तृष्णा निद्रानाशो हृदि व्यथा ||१०६||

h. Excessive fatigue i. Spitting of blood and bile mixed with phlegm (sputum) j. Swaying movements of head, thirst, sleeplessness and pain in the cardiac region

english translation

SThIvanaM raktapittasya kaphenonmizritasya ca| ziraso loThanaM tRSNA nidrAnAzo hRdi vyathA ||106||

hk transliteration by Sanscript

स्वेदमूत्रपुरीषाणां चिराद्दर्शनमल्पशः| कृशत्वं नातिगात्राणां प्रततं कण्ठकूजनम् ||१०७||

k. Sweat, urine and stool reduced in amount with delayed evacuation. l. Body is not excessively emaciated (due to accumulated dosha) m. Constant kujana (cooing sound) n. Urticaria and bluish – black or reddish circular patches appear on the skin

english translation

svedamUtrapurISANAM cirAddarzanamalpazaH| kRzatvaM nAtigAtrANAM pratataM kaNThakUjanam ||107||

hk transliteration by Sanscript

कोठानां श्यावरक्तानां मण्डलानां च दर्शनम्| मूकत्वं स्रोतसां पाको गुरुत्वमुदरस्य च ||१०८||

o. Patient speaks less or unable to speak p. Inflammation of srotasa q. Heaviness in the abdomen

english translation

koThAnAM zyAvaraktAnAM maNDalAnAM ca darzanam| mUkatvaM srotasAM pAko gurutvamudarasya ca ||108||

hk transliteration by Sanscript

चिरात् पाकश्च दोषाणां सन्निपातज्वराकृतिः| दोषे विबद्धे नष्टेऽग्नौ सर्वसम्पूर्णलक्षणः ||१०९||

r. The doshas undergo paka after a very long time (conversion into the healthy state of the doshas do not occur early). [Prognosis of sannipata jwara] If there is obstruction (or non – elimination) of the dosha, the agnis are completely destroyed and if all the signs and symptoms are fully manifested, then sannipata jwara is incurable; otherwise it is treatable with difficulty.

english translation

cirAt pAkazca doSANAM sannipAtajvarAkRtiH| doSe vibaddhe naSTe'gnau sarvasampUrNalakSaNaH ||109||

hk transliteration by Sanscript

सन्निपातज्वरोऽसाध्यः कृच्छ्रसाध्यस्त्वतोऽन्यथा| निदाने त्रिविधा प्रोक्ता या पृथग्जज्वराकृतिः ||११०||

The clinical features of jwaras caused by the individual doshas vata, pitta and kapha have been described separately in the Nidana Sthana. From these sign and symptoms, the features of dwandaja types and the sannipataja types can be known and decided.

english translation

sannipAtajvaro'sAdhyaH kRcchrasAdhyastvato'nyathA| nidAne trividhA proktA yA pRthagjajvarAkRtiH ||110||

hk transliteration by Sanscript