Charak Samhita
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अथातस्त्रिशोथीयमध्यायं व्याख्यास्यामः ॥१॥
Now we shall expound the chapter "Trishothiya Adhyaya" (Three types of swellings and other conditions).
english translation
athAtastrizothIyamadhyAyaM vyAkhyAsyAmaH ॥1॥
hk transliteration by Sanscriptइति ह स्माह भगवानात्रेयः ॥२॥
Thus said Lord Atreya.
english translation
iti ha smAha bhagavAnAtreyaH ॥2॥
hk transliteration by Sanscriptत्रयः शोथा भवन्ति वातपित्तश्लेष्मनिमित्ताः, ते पुनर्द्विविधा निजागन्तुभेदेन ॥३॥
॥ Three types of shotha॥ There are three types of shothas (swelling) i.e. vataja, pittaja and kaphaja. Further, they can be classified into two i.e. nija (endogenous) and agantuja (exogenous).
english translation
trayaH zothA bhavanti vAtapittazleSmanimittAH, te punardvividhA nijAgantubhedena ॥3॥
hk transliteration by Sanscriptतत्रागन्तवश्छेदनभेदनक्षणनभञ्जनपिच्छनोत्पेषण प्रहारवधबन्धनवेष्टनव्यधन पीडनादिभिर्वाभल्लातकपुष्पफलरसात्मगुप्ताशूकक्रिमिशूकाहितपत्रलतागुल्मसंस्पर्शनैर्वा स्वेदनपरिसर्पणावमूत्रणैर्वा विषिणांसविषप्राणिदंष्ट्रादन्तविषाणनखनिपातैर्वा सागरविषवातहिमदहनसंस्पर्शनैर्वा शोथाः समुपजायन्ते ॥४॥
॥ Causes of exogenous swelling॥ Causes of agantuja shotha (exogenous swelling): Common etiological factors of agantuja shotha include chhedana (excision), bhedana (incision), kshanana (churning of bones), bhanjana (breaking), pichhana (excess squeezing), utprashana (grinding), prahaara (hitting), vadha (stroking), bandhana (binding), veshtana (twisting), vyadhana (piercing), peedana (pressing) etc. In addition to these traumas some other factors such as coming in contact with the juice of flowers or fruits of some plants such as bhallātaka (Semicarpus anacardium), atmagupta (Mucuna pruriens) or getting bitten or stung by certain insects or touching irritant leaves, climbers, shrubs, sweat or urine of poisonous animals or even coming in physical contact with them, or getting injured by their teeth, horns and nails, or exposure to marine or poisonous air, or exposure to excess cold or burns may also result in agantuja shotha.
english translation
tatrAgantavazchedanabhedanakSaNanabhaJjanapicchanotpeSaNa prahAravadhabandhanaveSTanavyadhana pIDanAdibhirvAbhallAtakapuSpaphalarasAtmaguptAzUkakrimizUkAhitapatralatAgulmasaMsparzanairvA svedanaparisarpaNAvamUtraNairvA viSiNAMsaviSaprANidaMSTrAdantaviSANanakhanipAtairvA sAgaraviSavAtahimadahanasaMsparzanairvA zothAH samupajAyante ॥4॥
hk transliteration by Sanscriptते पुनर्यथास्वं हेतुव्यञ्जनैरादावुपलभ्यन्ते निजव्यञ्जनैकदेशविपरीतैः;बन्धमन्त्रागदप्रलेपप्रतापनिर्वापणादिभिश्चोपक्रमैरुपक्रम्यमाणाः प्रशान्तिमापद्यन्ते ॥५॥
॥ Diagnosis and treatment of exogenous swelling॥ Exogenous swellings can be primarily identified by characteristic signs of injury and localization. After some time, they become similar to endogenous swellings (due to vitiation of dosha). They are treated by bandage, mantra (holy chants), antidotes, local application of medicines, fomentation, cooling measures etc.
english translation
te punaryathAsvaM hetuvyaJjanairAdAvupalabhyante nijavyaJjanaikadezaviparItaiH;bandhamantrAgadapralepapratApanirvApaNAdibhizcopakramairupakramyamANAH prazAntimApadyante ॥5॥
hk transliteration by Sanscript