विशुष्कं चैव मुक्ताग्रं पक्वामं चान्तरान्तरम् । पाण्डुपित्तं हरिद्राक्तं पिच्छिलं चोपवेश्यते ॥ १,१५६.
Dry, expelled at the tip, ripe or unripe in between; pale bile, colored like turmeric, sticky, and passed while seated.
गुदाङ्कुरा बह्वनिलाः शुष्काश्चिमचिमान्विताः । पीनाङ्गारारुणाः स्तब्धा विषमाः परुषाकराः ॥ १,१५६.
Rectal sprouts, many winds, dry, accompanied by itching; fat, dark red, stiff, uneven, rough to the touch.
मिथो विसदृश वक्रास्तीक्ष्णा विस्फुटि(रि) ताननाः । शिम्बीखर्जृरकर्कन्धूकार्पासफलसन्निभाः ॥ १,१५६.
Mutually dissimilar, crooked, sharp, with split faces; resembling the fruits of jujube, date, karkandhu, and cotton.
केचित्कदम्बपुष्पाभाः केचित्सिद्धार्थकोपमाः । शिरः पार्श्वांसजङ्घोरुवङ्क्षणाद्यधिकव्यथाः ॥ १,१५६.
Some resemble kadamba flowers, some are like siddhartha seeds; there is excessive pain in the head, sides, calves, thighs, groin, and other areas.
क्षवथूद्गारविष्टम्भहृद्गहारोचकप्रदाः । कासश्वासाग्निवैषम्यकर्णनादभ्रमावहाः ॥ १,१५६.
They cause sneezing, belching, obstruction, heart pain, nausea, coughing, shortness of breath, irregular digestion, ringing in the ears, and dizziness.
तैरार्तो ग्रथितं स्तोकं सशब्दं सप्रवाहिकम् । रुक्फेनपिच्छानुगतं विबद्धमुपवेश्यते ॥ १,१५६.
Afflicted by these, the person passes stool that is lumpy, scanty, noisy, and comes out in a stream, accompanied by pain and mucus, and is difficult to expel.
कृष्णत्वग्बद्धविण्मूत्रनेत्रवक्त्रश्च जायते । गुल्मप्लीहोदराष्ठीलासंभवस्तस्य चैव हि ॥ १,१५६.
He develops dark skin, retention of urine and stool, and discoloration of the eyes and mouth; from this arise tumors, spleen disorders, abdominal swelling, and hard masses.
पित्तोत्तरा नीलमुखा रक्तपीतासितप्रभाः । तन्वग्रस्त्राविणो विश्रास्तनवो मृदवः श्लथाः ॥ १,१५६.
When bile predominates, the mouth turns blue, and the masses appear red, yellow, or black; they are thin, sharp, oozing, foul-smelling, slender, soft, and loose.
शुकजिह्वा यकृत्खण्डजलौकावक्त्रसन्निभाः । दाहशो (ष) कज्वरस्वेदतृण्मूर्छारुचिमोहदाः ॥ १,१५६.
Their tongues resemble that of a parrot, their mouths like a piece of liver or the mouth of a leech; they cause burning, fever, sweating, thirst, fainting, loss of appetite, and confusion.
सोष्माणो द्रवनीलोष्णपीतरक्तामवर्चसः । यवमध्या हरित्पीतहारिद्रत्वङ्नखादयः ॥ १,१५६.
They are hot, fluid, blue, warm, yellow, or red in color; their middles are like barley, and their skin, nails, and other parts are greenish-yellow.
श्लेष्मोल्बणा महामूला घना मन्दरुजः सिताः । उत्सन्नोपचितस्निग्धस्तब्धवृत्तगुरुस्थिराः ॥ १,१५६.
When phlegm predominates, the masses are large, dense, slightly painful, white, elevated, swollen, oily, stiff, round, heavy, and firm.
पिच्छिलाः स्तिमिताः श्लक्ष्णाः कण्ड्वाढ्याः स्पर्शनप्रियाः । करीरपनसास्थ्याभास्तथा गोस्तनसन्निभाः ॥ १,१५६.
They are slimy, still, smooth, rich in itching, pleasant to the touch, resembling the stem of the karira or jackfruit, and like the udder of a cow.
वङ्क्षणानाहिनः पुयुबस्तिनाभिविकर्तनाः । सकाशश्वासहृल्लासप्रसेकारुचिपीनसाः ॥ १,१५६.
Located in the groin, they are snake-like, with pus, causing pain in the bladder and navel; they are accompanied by shortness of breath, palpitations, excessive saliva, loss of appetite, and nasal congestion.
महकृच्छ्रशिरोजाड्यशिशिरक्षारकारिणः । क्लैब्याग्निमार्दवच्छर्द्यतीसारादिविकारदाः ॥ १,१५६.
They cause severe difficulty, heaviness of the head, coldness, and astringency; they bring about impotence, weak digestion, softness, vomiting, diarrhea, and other disorders.
वसाभसकफप्राज्यपुरीषासृक्प्रवाहिकाः । न स्त्रवन्ति न भिद्यन्ते पाण्डुस्निग्धत्वगादयः ॥ १,१५६.
The stools are rich in fat, mucus, and phlegm, and there is a flow of blood; they neither flow freely nor break apart, and the skin and other parts are pale and oily.
संसृष्टलिङ्गत्संसर्गनिचयात्सर्वलक्षणाः । रक्तोल्बणा गुदे कीलाः पीताकृतिसमन्विताः ॥ १,१५६.
When all symptoms are mixed together, all features appear; when blood predominates, the masses in the anus are yellowish in appearance.
वटप्रसेहसदृशाः गुञ्जाविद्रुमसन्निभाः । तेऽत्यर्थं दुष्टमुष्णं च गाढविष्टंभपीडिताः ॥ १,१५६.
They resemble the fruit of the banyan tree, or are like gunja or coral; they are extremely foul, hot, and severely obstructed and painful.
स्त्रवन्ति सहसा रक्तं तस्य चातिप्रवृत्तितः । केकाभः पीड्यते दुः खैः शोणितक्षयसम्भवैः ॥ १,१५६.
They suddenly discharge blood, and due to excessive flow, the person suffers with a cry like a peacock, afflicted by the consequences of blood loss.
हीनवर्णबलोत्साहो हतौजाः कलुषेन्द्रियः । मुद्गकोद्रवजंबीरकरीरचणकादिभिः ॥ १,१५६.
He becomes deficient in color, strength, enthusiasm, and vitality, with impaired senses, especially after consuming mudga, kodrava, jambira, karira, chanaka, and similar foods.
रूक्षैः संग्राहिभिर्वायुर्विट्स्थाने कुपितो बली । अधोवहानि स्रोतांसि संरुध्याधः प्रशोषयन् ॥ १,१५६.
When wind is aggravated by dry, binding foods, it becomes strong in the rectum, obstructs the downward channels, and dries out the lower parts.
पुरीषं वातविष्णूत्रसंगं कुर्वीत दारुणम्? । तेन तीव्रा रुजा कोष्ठपृष्ठहृत्पार्श्वगा भवेत् ॥ १,१५६.
Because of this, the stool becomes hard, dry, and mixed with wind, causing severe pain in the abdomen, back, heart, and sides.
आध्मानमुदरे विष्ठा हृल्लासपरिकर्तने । बस्तौ च सुतरां शूलो गण्डश्वयथुसंभवः ॥ १,१५६.
There is bloating in the abdomen, hard stool, nausea, cutting pain, and especially severe pain in the bladder, along with swelling of the cheeks.
पवनस्योर्ध्वगामित्वात्ततश्छर्द्यरुचिज्वराः । हृद्रोगग्रहणीदोषमूत्रसंगप्रवाहिकाः ॥ १,१५६.
Because of the upward movement of wind, there arise vomiting, loss of appetite, fever, heart disease, disorders of digestion, retention of urine, and diarrhea.
बाधिर्यातिशिरः श्वासशिरोरुक्काशपीनसाः? । मनोविकारस्तृट्श्वासपित्तगुल्मोदरादयः ॥ १,१५६.
Deafness, severe headache, breathlessness, head pain, cough, nasal congestion, mental disturbances, thirst, difficulty breathing, disorders of bile, abdominal tumors, and similar conditions also occur.
एते च वातजा रोगा जायन्ते भृशदारुणाः । दुर्नामामृत्यूदावर्तपरमोऽयमुपद्रवः ॥ १,१५६.
These are the diseases caused by wind, arising intensely and severely; among them, the most dangerous are those with terrible names, leading even to death and severe complications.
वाताभिभूतकोष्ठानां तैर्विनापि विजायते । सहजानि तु दोषाणि यानि चाभ्यन्तरे वलौ ॥ १,१५६.
Even without these, those whose bowels are afflicted by wind develop inherent disorders, as well as those that are internal and associated with the channels.
स्थितानि तान्यसाध्यानि याप्यन्तेऽग्निबलादिभिः । द्वन्द्वजानि द्वितीयायां वला यान्याश्रितानि च ॥ १,१५६.
Those which are established are incurable, but may be managed by the strength of digestive fire and other means; those arising from the combination of two humors, and those dependent on the second channel, are also described.
कृच्छ्रसाध्यानि तान्याहुः परिसंवत्सराणि च । बाह्यायां तु वलौ जातान्येकदोषोल्बणानि च ॥ १,१५६.
These are said to be difficult to cure, taking years to resolve; those arising in the external channel and dominated by a single humor are also described.
अर्शांसि सुखसाध्यानि न चिरोत्पत्तिकानि च । मेढ्रादिष्वपि वक्ष्यन्ते यथास्वं नाभिजानि तु ॥ १,१५६.
Hemorrhoids are easily curable and do not take long to develop; those that arise in the genitals and similar areas will be described according to their type, but not those that are congenital.
गण्डूपदस्य रूपाणि पिच्छिलानि मृदूनि च । व्यानो गृहीत्वा श्लेष्माणं करोत्यर्शस्त्वचो बहिः ॥ १,१५६.
The forms of worm infestation are slimy and soft; when the circulating wind takes up phlegm, it produces external hemorrhoids on the skin.