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हेतुलक्षणसंसर्गादुच्यते सान्निपातिकः। (हृद्रोगः कष्टदः कष्टसाध्य उक्तो महर्षिभिः) त्रिदोषजे तु हृद्रोगे यो दुरात्मा निषेवते ॥३६॥
[Etiological factors and pathogenesis of three dosha-dominant heart diseases (tridoshaja hridroga)] In tridoshaja hridroga, the etiological factors and symptoms of all the three dosha dominant types of the heart diseases are present. (tridoshaja hridroga is considered a most troublesome disease by great sages) [Etiological factors and pathogenesis of krimija hridroga] An unfortunate person already suffering from tridoshaja hridroga,
english translation
तिलक्षीरगुडादीनि ग्रन्थिस्तस्योपजायते। मर्मैकदेशे सङ्क्लेदं रसश्चास्योपगच्छति ॥३७॥
if further indulges in excessive intake of sesame, milk, and molasses, then he develops swelling (granthi) in the channels carrying nutrient fluid (rasavaha srotas) of the heart, leading to softening of the affected area and making it vulnerable to worm infestations.
english translation
सङ्क्लेदात् क्रिमयश्चास्य भवन्त्युपहतात्मनः। मर्मैकदेशे ते जाताः सर्पन्तो भक्षयन्ति च ॥३८॥
This infestation then spreads and consumes (bhakṣyanti) the heart tissues. It is krimija hridroga.
english translation
तुद्यमानं स हृदयं सूचीभिरिव मन्यते। छिद्यमानं यथा शस्त्रैर्जातकण्डूं महारुजम् ॥३९॥
[Symptoms of krimija hridroga] The patient of krimija hridroga feels severe pain in the precordial region and complains of itching, as if the heart is being pricked and pierced with needles or cut open by weapons.
english translation
हृद्रोगं क्रिमिजं त्वेतैर्लिङ्गैर्बुद्ध्वा सुदारुणम्। त्वरेत जेतुं तं विद्वान् विकारं शीघ्रकारिणम् ॥४०॥
Krimija hridroga is a very grave heart condition and may lead to immediate death. Therefore it should be promptly diagnosed and managed
english translation