पित्तलिङ्गोऽसृजा बाह्ये स्त्रीणामेव तथान्तरम् । शस्त्राद्यैरभिघातोत्थरक्तैश्च रोगकारणम् ॥ १,१६०.
The signs of pitta are also found in external bleeding, especially in women; and disease can also be caused by blood from injuries by weapons and similar causes.
क्षतोत्थो वायुना क्षिप्तः स रक्तः पित्तमीरयन् । पित्तासृग्लक्षणं कुर्याद्विद्रधिं भूर्युपद्रवम् ॥ १,१६०.
When arising from a wound and agitated by wind, the blood provokes pitta, producing the symptoms of pitta and blood, and causing abscesses with many complications.
तेनोपद्रवभेदश्च स्मृतोऽधिष्ठानभेदतः । नाभौ हि ध्मातं चेद्बस्तौ मूत्रकृच्छ्रञ्चजायते ॥ १,१६०.
Thus, the variations in complications are recognized according to the site of affliction; for example, if swelling occurs at the navel or bladder, difficulty in urination arises.
श्वासप्रश्वासरोधश्च प्लीहायामतितृट्परम् । गलरोधश्च क्लोम्नि स्यात्सर्वाङ्गप्ररुजा हृदि ॥ १,१६०.
Obstruction of breathing and exhalation, spleen disorder, excessive thirst, and throat obstruction occur in the kloma; pain throughout the body and in the heart also arise.
प्रमोहस्तमकः कासौ हृदयोद्धट्टनन्तथा । कुक्षिपार्श्वान्तरे चैव कुक्षौ दोषोपजन्म च ॥ १,१६०.
Fainting, darkness before the eyes, cough, palpitations of the heart, and in the sides of the abdomen, as well as the generation of doshas in the abdomen, also occur.
तथा चेदूरुसन्धौ च वङ्क्षणे कटिपृष्ठयोः । पार्श्वयोश्च व्यथा पायौ पवनस्य निरोधनम् ॥ १,१६०.
Similarly, pain arises in the thigh-joints, groin, hips, back, and sides; there is pain in the anus and obstruction of wind.
आमपक्वविदग्धत्वं तेषां शोथवदादिशेत् । नाभेरूर्ध्वमुखात्पक्वात्प्रद्रवन्त्यपरे गुदात् ॥ १,१६०.
One should recognize in these cases the presence of raw, ripe, or suppurated swelling; some discharge upward from the navel when ripe, others downward from the anus.
गुदास्तनाभिजे विद्याद्दोषक्लेदोच्चविद्रधौ । कुरुते स्वाधिष्ठानस्य विवर्तं सन्निपातजः ॥ १,१६०.
Know that abscesses arising from the anus, breast, or navel are due to the moistening of doshas; the combined disturbance of doshas causes changes at their respective sites.
पक्वो हि नाभिवस्तिस्थो भिन्नोऽन्तर्बहिरेव वा । पाकश्चान्तः प्रवृद्धस्य क्षीणस्योपद्रवार्दितः ॥ १,१६०.
When mature, if located at the navel or bladder, the abscess may rupture either internally or externally; if the abscess is depleted and complications arise, the suppuration occurs within.
विद्रधिश्च भवेत्तत्र पापानां पापयोषिताम् । मृते तु गर्भगे चैव सम्भवेच्छ्वयथर्घनः ॥ १,१६०.
There, abscess develops in wicked women and sinners; if the fetus dies in the womb, a hard swelling may also arise.
स्तने समत्थे दुःखं वा बाह्यविद्रधिलक्षणम् । नारीणां सूक्ष्मरक्तत्वात्कन्यायान्तु न जायते ॥ १,१६०.
Pain in the breast, whether present or not, is a sign of external abscess; due to the subtlety of blood in women, it does not occur in maidens.
क्रुद्धो रुद्धगतिर्वायुः शेफमूलकरो?हि सः । मुष्कवङ्क्षणतः प्राप्य फलकोषातिवाहिनीम् ॥ १,१६०.
When wind is enraged or its movement is obstructed, it produces swelling at the root of the penis; reaching the scrotum and groin, it causes excessive swelling of the testicular sac.
आपीड्य धमनीवृद्धिं करोति फलकोषयोः । दोषो मेदःसु तत्रास्ते सवृद्धिः सप्तधा गदः ॥ १,१६०.
By compressing, it causes enlargement of the veins in the testicular sac; the dosha accumulates in the fat there, and the disease manifests in seven forms with swelling.
मूत्रन्तयोरप्यनिलाद्बाह्ये वाभ्यन्तरे तथा । वातपूर्णः खरस्पर्शो रूक्षो वाताच्च दाहकृत् ॥ १,१६०.
Due to wind, swelling may occur at the ends of the urinary tract, either externally or internally; it is filled with air, rough to the touch, dry, and causes burning due to wind.
पक्वोदुम्बरसङ्काशः पित्ताद्दाहोष्मपाकवान् । कफात्तीव्रो गुरुः स्निग्धः कण्डूमान्कठिनोऽल्परुक् ॥ १,१६०.
When ripe, due to pitta, it resembles a fig, with burning, heat, and suppuration; due to kapha, it is severe, heavy, unctuous, itchy, hard, and causes little pain.
कृष्णः स्फोटावृतः पिण्डों वृद्धिलिङ्गश्च रक्ततः । कफवन्मेदसां वृद्धिर्मृदुतालफलोपमः ॥ १,१६०.
The swelling is black, covered with eruptions, and shows signs of growth due to blood; with kapha and fat, the swelling increases, soft and resembling a ripe palmyra fruit.
मूत्रधारणशीलस्य मूत्रजस्तत्र गच्छतः । अलोभः पूर्णधृतिमान्क्षोभं याति सरन्मृदु ॥ १,१६०.
For one who habitually retains urine, as the urine moves there, the absence of greed and full steadiness are disturbed, and the gentle flow becomes agitated.
मूत्रकृच्छ्रमधस्ताच्च वलयः फलकोषयोः । वातकोपिभिसहारैः शीततोयावगाहनैः ॥ १,१६०.
Difficulty in urination arises below, with swelling of the scrotum and testicles, accompanied by aggravation of wind, and by immersions in cold water.
विण्मूत्रधारणाच्चैव विषमाङ्गविचेष्टनैः । क्षोभितैः क्षोभितौजाश्च क्षीणान्तर्देहिनो यदा ॥ १,१६०.
Also, by retaining feces and urine, and by irregular movements of the limbs, when the vital energies are disturbed and depleted within the body—
पवनो विगुणीभूय शोणितं तदधोनयेत् । कुर्यात्तत्क्षणसन्धिस्थो ग्रन्थ्याभः श्वयथुस्तदा ॥ १,१६०.
The wind, having become disordered, drives the blood downward; then, at the joint, it produces swelling resembling a knot.
उपेक्ष्यमाणस्य च गुल्मवृद्धिमाध्मानरुग्वै विविधाश्च रोगाः । सुपीडितोऽन्तः स्वनवान् प्रयाति प्रध्मापयन्नेति पुनश्च मूर्ध्नि ॥ १,१६०.
If neglected, there is growth of a lump, distension, pain, and various diseases; when greatly afflicted, there is internal noise, and it moves upward, causing swelling again at the head.
रक्तवृद्धिरसाध्येऽयं वातवृद्धिसमाकृतिः । रूक्षकृष्णारुणशिरा ऊर्णावृतगवाक्षवत् ॥ १,१६०.
This increase of blood is incurable, having the appearance of wind increase: with dry, black, or reddish veins, covered like a window with wool.
वातोऽष्टधा पृथदौषैः संस्पृष्टैर्निचयं गतः । आर्तवस्य च दोषेण नारीणां जायतेऽष्टमः ॥ १,१६०.
Wind, in eight ways, when combined with various faulty humors, accumulates; and, due to menstrual disorders, the eighth type arises in women.
ज्वरमूर्छातिसारैश्च वमनाद्यैश्च कर्मभिः । कर्शितो बलवान्याति शीतार्तश्च बुभुक्षितः ॥ १,१६०.
Afflicted by fever, fainting, diarrhea, vomiting, and other actions, one who is emaciated but strong becomes cold and hungry.
यः पिबत्यन्नपानानि लङ्घनप्लावनादिकम् । सेवते हीनसंज्ञाभिरर्दितः समुदीरयन् ॥ १,१६०.
Whoever consumes food and drink, and undertakes fasting, swimming, and the like, is afflicted by weak perceptions, and provokes (the disorder) further.
स्नेहस्वेदावनभ्यस्य शोषणं वा निषेवयेत् । शुद्धो वा सुद्धिहानिर्वा भजेत स्पन्दनानि वा ॥ १,१६०.
If one applies oil and sweat therapies, or instead undertakes drying therapies, or if purification is lost or not achieved, or if there are spasms—
वातोल्बणास्तस्य मलाः पृथक्चैव हि तेऽथवा । सर्वो रक्तयुतो वाताद्देहस्नोतोऽनुसारिणः ॥ १,१६०.
His excretions become dominated by wind, and they may be separate, or all mixed with blood, following the course of wind throughout the body.
ऊर्ध्वाधोमार्गमावृत्य वायुः शूलं करोति वै । स्पर्शोपलभ्यं गुल्मोत्थमुष्णं ग्रन्थिस्वरूपिणम् ॥ १,१६०.
Wind, blocking the upward and downward channels, causes pain; a lump arises, hot to the touch, with the form of a swelling.
कर्षणात्कफविड्घातैर्मार्गस्यावरणेन वा । वायुः कृताश्रयः कोष्ठे रौक्ष्यात्काठिन्यमागतः ॥ १,१६०.
By wasting, by obstruction from phlegm and feces, or by blockage of the channels, wind, taking refuge in the abdomen, becomes hard due to dryness.
स्वतन्त्रः स्वाश्रये दुष्टः परतन्त्रः पराश्रये । ततः पिण्डकवच्छ्लेष्मा मलसंसृष्ट एव च ॥ १,१६०.
When independent, it is corrupted in its own abode; when dependent, it is corrupted in another's abode; then, like a mass, phlegm mixes with excretions.