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मधुरस्निग्धगुर्वन्नसेवनाच्चिन्तनाच्छ्रमात् । शोकाद्व्याध्यनुषङ्गाच्च वायुनोदीरितः कफः॥२१॥
[Etiopathology and treatment of tandra (drowsiness)] Due to consumption of anna (foods) that are madhura (sweet), snigdha (unctuous), guru (heavy to digest), chintana (excessive thinking), shrama (exertion), shoka (grief), vyadhyanushanga (chronicity of diseases),
english translation
यदाऽसौ समवस्कन्द्य हृदयं हृदयाश्रयान्। समावृणोति ज्ञानादींस्तदा तन्द्रोपजायते॥२२॥
kapha aggravated by vata in association when gets lodged in hridaya, obscures the process of jnana, tandra (drowsiness) occurs.
english translation
हृदये व्याकुलीभावो वाक्चेष्टेन्द्रियगौरवम्। मनोबुद्ध्यप्रसादश्च तन्द्राया लक्षणं मतम्॥२३॥
The symptoms of tandra are hridaye vyakulibhava (uneasiness or discomfort in the region of heart), sluggishness of speech and physical activity, decreased acuity of the sense organs, clouding of mind and intellect.
english translation
कफघ्नं तत्र कर्तव्यं शोधनं शमनानि च। व्यायामो रक्तमोक्षश्च भोज्यं च कटुतिक्तकम्॥२४॥
This condition should be managed by shodhana and shamana measures that are kaphahara, vyayama (exercise), raktamokshana (blood letting) and intake of foods that are predominantly katu (pungent) and tikta (bitter).
english translation
मूत्रौकसादो जठरं कृच्छ्रमुत्सङ्गसङ्क्षयौ। मूत्रातीतोऽनिलाष्ठीला वातबस्त्युष्णमारुतौ॥२५॥
[Thirteen types of urinary disorders] Mutraukasada(dense urine), mutrajathara (accumulation of urine in abdominal cavity), mutrakrichchra (dysuria), mutrotsanga (residual urination), mutrasamkshaya (suppression of urine formation), mutratita (delayed micturition), vatashthila (hard globular swelling like tumor), vatabasti (vata affection of bladder), ushnavata (vata-pitta vitiation of urine/burning micturition),
english translation