Sushruta Samhita

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ततः कीलः प्रतिखुरो बीजकः परिघ इति | तत्र, ऊर्ध्वबाहुशिरःपादो यो योनिमुखं निरुणद्धि कील इव स कीलः; निःसृतहस्तपादशिराः कायसङ्गी प्रतिखुरः; यो निर्गच्छत्येकशिरोभुजः स बीजकः; यस्तु परिघ इव योनिमुखमावृत्य तिष्ठति स परिघः; इति चतुर्विधो भवतीत्येके भाषन्ते | तत्तु न सम्यक्; कस्मात्? स यदा विगुणानिलप्रपीडितोऽपत्यपथमनेकधा प्रपद्यते तदा सङ्ख्या हीयते ||४||

sanskrit

Classification and Symptoms:— Mudha-garbha may be classified into four types: Kilah, Pratikhurah, Vijakah, and Parighah. The Kilah is when the fetus presents with its arms, head, and feet turned upward, firmly obstructed at the vaginal entrance, resembling a stake. The Pratikhurah is when the fetus emerges with its hands and feet, while its body is impacted at the entrance. The Vijakah is when a single arm and the head of the fetus emerge, with the rest of its body still obstructed. The Parighah is when the fetus remains in a horizontal position, obstructing the passage like a bolt. However, this classification is not comprehensive. Why? Because when the Apana Vayu is deranged and the fetus presents in various abnormal positions at the vaginal canal, the variety of presentations increases.

english translation

hindi translation

tataH kIlaH pratikhuro bIjakaH parigha iti | tatra, UrdhvabAhuziraHpAdo yo yonimukhaM niruNaddhi kIla iva sa kIlaH; niHsRtahastapAdazirAH kAyasaGgI pratikhuraH; yo nirgacchatyekazirobhujaH sa bIjakaH; yastu parigha iva yonimukhamAvRtya tiSThati sa parighaH; iti caturvidho bhavatItyeke bhASante | tattu na samyak; kasmAt? sa yadA viguNAnilaprapIDito'patyapathamanekadhA prapadyate tadA saGkhyA hIyate ||4||

hk transliteration