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गर्भाशयस्य योन्याश्च मुखं विष्टम्भयेत् स्त्रियाः । असंवृतमुखी सार्ती रूक्षफेनास्रवाहिनी ॥३६॥
By this, vaginal opening is unclosed, painful and rough, frothy menstrual blood comes out. There is muscular protuberance in the vagina and there is associated pain in the joints and groin.
english translation
मांसोत्सन्ना महायोनिः पर्ववङ्क्षणशूलिनी । इत्येतैर्लक्षणैः प्रोक्ता विंशतिर्योनिजा गदाः ॥३७॥
This is known as mahayoni. [Consequences of yonivyapat] Thus, the twenty female gynecological disorders (disorders of the genital tract) have been described based upon clinical features.
english translation
न शुक्रं धारयत्येभिर्दोषैर्योनिरुपद्रुता । तस्माद्गर्भं न गृह्णाति स्त्री गच्छत्यामयान् बहून् ॥३८॥
The affected yoni (uterus) due to these defects is unable to hold the semen (sperm).
english translation
गुल्मार्शःप्रदरादींश्च वाताद्यैश्चातिपीडनम् । आसां षोडश यास्त्वन्त्या आद्ये द्वे पित्तदोषजे ॥३९॥
So, woman does not conceive and suffers from gulma, piles, heavy bleeding and gets afflicted with various disorders of vata, pitta and kapha. [Dosha dominance in yonivyapat] Sixteen disorders mentioned in the end (excluding those four, described first with specific dosha dominance).
english translation
परिप्लुता वामिनी च वातपित्तात्मिके मते । कर्णिन्युपप्लुते वातकफाच्छेषास्तु वातजाः ॥४०॥
Among these, the first two are caused by pitta dosha. Paripluta and vamini are caused by dominance of vata and pitta dosha.
english translation