Sushruta Samhita

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भवति चात्र- बाह्यमध्यवलिस्थानां प्रतिकुर्याद्भिषग्वरः | अन्तर्वलिसमुत्थानां प्रत्याख्यायाचरेत् क्रियाम् ||१६||

sanskrit

In cases where hemorrhoids are located externally or in the middle part of the rectum, the physician should apply treatment methods specifically for these conditions. For those that arise from internal rectal structures, the physician should reject the use of certain treatments and proceed accordingly.

english translation

hindi translation

bhavati cAtra- bAhyamadhyavalisthAnAM pratikuryAdbhiSagvaraH | antarvalisamutthAnAM pratyAkhyAyAcaret kriyAm ||16||

hk transliteration

प्रकुपितास्तु दोषा मेढ्रमभिप्रपन्ना मांसशोणिते प्रदूष्य कण्डूं जनयन्ति, ततः कण्डूयनात् क्षतं समुपजायते, तस्मिंश्च क्षते दुष्टमांसजाः प्ररोहाः पिच्छिलरुधिरस्राविणो जायन्ते कूर्चकिनोऽभ्यन्तरमुपरिष्टाद्वा, ते तु शेफो विनाशयन्त्युपघ्नन्ति च पुंस्त्वं; योनिमभिप्रपन्नाः सुकुमारान् दुर्गन्धान् पिच्छिलरुधिरस्राविणश्छत्राकारान् करीराञ्जनयन्ति, ते तु योनिमुपघ्नन्त्यार्तवं च; नाभिमभिप्रपन्नाः सुकुमारान् दुर्गन्धान् पिच्छिलान् गण्डूपदमुखसदृशान् करीराञ्जनयन्ति; त एवोर्ध्वमागताः श्रोत्राक्षिघ्राणवदनेष्वर्शांस्युपनिर्वर्तयन्ति; तत्र कर्णजेषु बाधिर्यं शूलं पूतिकर्णता च, नेत्रजेषु वर्त्मावरोधो वेदना स्रावो दर्शननाशश्च, घ्राणजेषु प्रतिश्यायोऽतिमात्रं क्षवथुः कृच्छ्रोच्छ्वासता पूतिनस्यं सानुनासिकवाक्यत्वं शिरोदुःखं च; वक्रजेषु कण्ठौष्ठतालूनामन्यतमस्मिंस्तैर्गद्गदवाक्यता रसाज्ञानं मुखरोगाश्च भवन्ति ||१७||

sanskrit

When the doshas become aggravated and enter the rectal region, they contaminate the flesh and blood, leading to the production of itching. This itching may result in wounds, which, in turn, lead to the formation of pus and internal growths. These growths can severely damage the genital area and overall health. If these growths are localized in the genital region, they cause unpleasant symptoms such as foul odor and pus. If they are in the abdominal region, they produce similar effects in terms of foul odor and pus. In cases where these growths are present in the ear, nose, or mouth, they can cause hearing loss, nasal congestion, and loss of taste or smell, respectively. Additionally, if the growths are in the throat or mouth, they can lead to difficulties in speaking and other throat-related issues.

english translation

hindi translation

prakupitAstu doSA meDhramabhiprapannA mAMsazoNite pradUSya kaNDUM janayanti, tataH kaNDUyanAt kSataM samupajAyate, tasmiMzca kSate duSTamAMsajAH prarohAH picchilarudhirasrAviNo jAyante kUrcakino'bhyantaramupariSTAdvA, te tu zepho vinAzayantyupaghnanti ca puMstvaM; yonimabhiprapannAH sukumArAn durgandhAn picchilarudhirasrAviNazchatrAkArAn karIrAJjanayanti, te tu yonimupaghnantyArtavaM ca; nAbhimabhiprapannAH sukumArAn durgandhAn picchilAn gaNDUpadamukhasadRzAn karIrAJjanayanti; ta evordhvamAgatAH zrotrAkSighrANavadaneSvarzAMsyupanirvartayanti; tatra karNajeSu bAdhiryaM zUlaM pUtikarNatA ca, netrajeSu vartmAvarodho vedanA srAvo darzananAzazca, ghrANajeSu pratizyAyo'timAtraM kSavathuH kRcchrocchvAsatA pUtinasyaM sAnunAsikavAkyatvaM ziroduHkhaM ca; vakrajeSu kaNThauSThatAlUnAmanyatamasmiMstairgadgadavAkyatA rasAjJAnaM mukharogAzca bhavanti ||17||

hk transliteration

व्यानस्तु प्रकुपितः श्लेष्माणं परिगृह्य बहिःस्थिराणि कीलवदर्शांसि निर्वर्तयति, तानि चर्मकीलान्यर्शांसीत्याचक्षते ||१८||

sanskrit

When the Vyana dosha is aggravated, it collects the excess mucus and causes the formation of external, firm lumps that resemble keels. These lumps are referred to as 'skin keels' or 'lesions' in medical terms.

english translation

hindi translation

vyAnastu prakupitaH zleSmANaM parigRhya bahiHsthirANi kIlavadarzAMsi nirvartayati, tAni carmakIlAnyarzAMsItyAcakSate ||18||

hk transliteration

भवन्ति चात्र- तेषु कीलेषु निस्तोदो मारुतेनोपजायते | श्लेष्मणा तु सवर्णत्वं ग्रन्थित्वं च विनिर्दिशेत् ||१९||

sanskrit

In these keels, the symptoms are due to a lack of discharge, which is caused by the Vata dosha. The mucus, however, will show uniformity and will be characterized by the formation of lumps.

english translation

hindi translation

bhavanti cAtra- teSu kIleSu nistodo mArutenopajAyate | zleSmaNA tu savarNatvaM granthitvaM ca vinirdizet ||19||

hk transliteration

पित्तशोणितजं रौक्ष्यं कृष्णत्वं श्लक्ष्णता तथा | समुदीर्णखरत्वं चर्मकीलस्य लक्षणम् ||२०||

sanskrit

The symptoms of a keela (lump) caused by Pitta and blood include dryness, blackness, smoothness, and a rough texture.

english translation

hindi translation

pittazoNitajaM raukSyaM kRSNatvaM zlakSNatA tathA | samudIrNakharatvaM carmakIlasya lakSaNam ||20||

hk transliteration