Charak Samhita

siva.sh/caraka-samhita/sutra-sthana/18/6

निजाः पुनः स्नेहस्वेदवमनविरेचनास्थापनानुवासनशिरोविरेचनानामयथावत्प्रयोगान्मिथ्यासंसर्जनाद्वाछर्द्यलसकविसूचिकाश्वासकासातिसारशोषपाण्डुरोगोदरज्वरप्रदरभगन्दरार्शोविकारातिकर्शनैर्वा कुष्ठकण्डूपिडकादिभिर्वाछर्दिक्षवथूद्गारशुक्रवातमूत्रपुरीषवेगधारणैर्वा कर्मरोगोपवासाध्वकर्शितस्य वासहसाऽतिगुर्वम्ललवणपिष्टान्नफलशाकरागदधिहरितकमद्यमन्दकविरूढनवशूकशमीधान्यानूपौदक-पिशितोपयोगान्मृत्पङ्कलोष्टभक्षणाल्लवणातिभक्षणाद्गर्भसम्पीडनादामगर्भप्रपतनात् प्रजातानां चमिथ्योपचारादुदीर्णदोषत्वाच्च शोफाः प्रादुर्भवन्ति; इत्युक्तः सामान्यो हेतुः ||६||

sanskrit

[General causes of endogenous swellings] Nija shotha i.e. endogenous swelling could be caused due to any of the following factors: 1. Iatrogenic factors: Improper administration of snehana(oleation), swedana(sudation), vamana(therapeutic emesis), virechana(therapeutic purgation), asthapana basti (non-unctuous enema), anuvasana basti(unctuous enema), shirovirechana(nasal errhines) and/or samsarjana krama(dietetic regimen after purification therapy). 2. Complication of other diseases: It can also result as complication of chhardi (vomiting), alasaka (delayed and obstructive digestive process), visuchika (cholera), shwasa (dyspnoea), kasa (cough), atisara (diarrhea), shosha (tuberculosis or pthysis ), pandu roga (anemia), udara roga (abdominal diseases including ascitis), jwara (pyrexia), pradara (excessive vaginal discharge), bhagandara (fistula-in-ano), arsha (piles) excessive emaciation, skin disorders, worm infestation, pidika (boils) etc. 3. Lifestyle: It may be due to suppression of natural urges like vomiting, sneezing, belching, ejaculation, flatus, micturition, defecation, excessive weakness caused by therapeutic purification procedures, chronic diseases, fasting, and excessive walking. 4. Dietary factors: Excess intake of too heavy diet, sour, salty, preparations of rice flour/maida/pastry, fruits, vegetables, raga preparations or pickles, curd, green salads, wine, unfermented curd, sprouted and new corn and cereals, consumption of meat of animals in marshy places or of acquatic animals such as certain types of fish, eating clay or pieces of earthen pots or bricks, or eating excessive salt (resulting in swelling). 5. Ante-natal and post-natal factors: Due to excessive pressure of gravid uterus, abortion, pre mature delivery and improper follow up of puerperal regimen, doshas get aggravated and produce shotha.

english translation

nijAH punaH snehasvedavamanavirecanAsthApanAnuvAsanazirovirecanAnAmayathAvatprayogAnmithyAsaMsarjanAdvAchardyalasakavisUcikAzvAsakAsAtisArazoSapANDurogodarajvarapradarabhagandarArzovikArAtikarzanairvA kuSThakaNDUpiDakAdibhirvAchardikSavathUdgArazukravAtamUtrapurISavegadhAraNairvA karmarogopavAsAdhvakarzitasya vAsahasA'tigurvamlalavaNapiSTAnnaphalazAkarAgadadhiharitakamadyamandakavirUDhanavazUkazamIdhAnyAnUpaudaka-pizitopayogAnmRtpaGkaloSTabhakSaNAllavaNAtibhakSaNAdgarbhasampIDanAdAmagarbhaprapatanAt prajAtAnAM camithyopacArAdudIrNadoSatvAcca zophAH prAdurbhavanti; ityuktaH sAmAnyo hetuH ||6||

hk transliteration

siva.sh/caraka-samhita/sutra-sthana/18/6

निजाः पुनः स्नेहस्वेदवमनविरेचनास्थापनानुवासनशिरोविरेचनानामयथावत्प्रयोगान्मिथ्यासंसर्जनाद्वाछर्द्यलसकविसूचिकाश्वासकासातिसारशोषपाण्डुरोगोदरज्वरप्रदरभगन्दरार्शोविकारातिकर्शनैर्वा कुष्ठकण्डूपिडकादिभिर्वाछर्दिक्षवथूद्गारशुक्रवातमूत्रपुरीषवेगधारणैर्वा कर्मरोगोपवासाध्वकर्शितस्य वासहसाऽतिगुर्वम्ललवणपिष्टान्नफलशाकरागदधिहरितकमद्यमन्दकविरूढनवशूकशमीधान्यानूपौदक-पिशितोपयोगान्मृत्पङ्कलोष्टभक्षणाल्लवणातिभक्षणाद्गर्भसम्पीडनादामगर्भप्रपतनात् प्रजातानां चमिथ्योपचारादुदीर्णदोषत्वाच्च शोफाः प्रादुर्भवन्ति; इत्युक्तः सामान्यो हेतुः ||६||

sanskrit

[General causes of endogenous swellings] Nija shotha i.e. endogenous swelling could be caused due to any of the following factors: 1. Iatrogenic factors: Improper administration of snehana(oleation), swedana(sudation), vamana(therapeutic emesis), virechana(therapeutic purgation), asthapana basti (non-unctuous enema), anuvasana basti(unctuous enema), shirovirechana(nasal errhines) and/or samsarjana krama(dietetic regimen after purification therapy). 2. Complication of other diseases: It can also result as complication of chhardi (vomiting), alasaka (delayed and obstructive digestive process), visuchika (cholera), shwasa (dyspnoea), kasa (cough), atisara (diarrhea), shosha (tuberculosis or pthysis ), pandu roga (anemia), udara roga (abdominal diseases including ascitis), jwara (pyrexia), pradara (excessive vaginal discharge), bhagandara (fistula-in-ano), arsha (piles) excessive emaciation, skin disorders, worm infestation, pidika (boils) etc. 3. Lifestyle: It may be due to suppression of natural urges like vomiting, sneezing, belching, ejaculation, flatus, micturition, defecation, excessive weakness caused by therapeutic purification procedures, chronic diseases, fasting, and excessive walking. 4. Dietary factors: Excess intake of too heavy diet, sour, salty, preparations of rice flour/maida/pastry, fruits, vegetables, raga preparations or pickles, curd, green salads, wine, unfermented curd, sprouted and new corn and cereals, consumption of meat of animals in marshy places or of acquatic animals such as certain types of fish, eating clay or pieces of earthen pots or bricks, or eating excessive salt (resulting in swelling). 5. Ante-natal and post-natal factors: Due to excessive pressure of gravid uterus, abortion, pre mature delivery and improper follow up of puerperal regimen, doshas get aggravated and produce shotha.

english translation

nijAH punaH snehasvedavamanavirecanAsthApanAnuvAsanazirovirecanAnAmayathAvatprayogAnmithyAsaMsarjanAdvAchardyalasakavisUcikAzvAsakAsAtisArazoSapANDurogodarajvarapradarabhagandarArzovikArAtikarzanairvA kuSThakaNDUpiDakAdibhirvAchardikSavathUdgArazukravAtamUtrapurISavegadhAraNairvA karmarogopavAsAdhvakarzitasya vAsahasA'tigurvamlalavaNapiSTAnnaphalazAkarAgadadhiharitakamadyamandakavirUDhanavazUkazamIdhAnyAnUpaudaka-pizitopayogAnmRtpaGkaloSTabhakSaNAllavaNAtibhakSaNAdgarbhasampIDanAdAmagarbhaprapatanAt prajAtAnAM camithyopacArAdudIrNadoSatvAcca zophAH prAdurbhavanti; ityuktaH sAmAnyo hetuH ||6||

hk transliteration