सर्वत्र तोये मरणं शोचनं तत्र निष्फलम् । गवाक्षवच्छिराजालैरुदरं गुड्गुडायते ॥ १,१६१.
Death occurs in all watery places, and lamentation there is fruitless; the abdomen, like a window with a mesh of veins, makes gurgling sounds.
नाभिमन्त्रश्च विष्टभ्य वेगं कृत्वा प्रणश्यति । मारुते हृत्कटीनाभिपायुवङ्क्षणवेदनाः ॥ १,१६१.
The navel is obstructed and, creating pressure, is destroyed; with wind, there is pain in the heart, waist, navel, anus, and groin.
सशब्दो निः सरेद्वायुर्वहते मूत्रमल्पकम् । नातिमात्रं भवेल्लौल्यं नरस्य विरसं मुखम् ॥ १,१६१.
The wind passes out with sound, and carries little urine; there is no excessive craving, and the mouth of the person becomes tasteless.
तत्रवातोदरे शोथः पाणिपान्मुखकुक्षिषु । कुर्क्षिपार्श्वोदरकटीपृष्ठरुक्पर्वभदनम् ॥ १,१६१.
In abdominal disease caused by wind, there is swelling in the hands, feet, face, and belly; pain arises in the groin, sides, abdomen, waist, back, and joints.
शुष्ककासाङ्गमर्दाधोगुरुतामलसंग्रहः । श्यामारुणत्वगादित्वं मुखे च रसवद्धिता ॥ १,१६१.
There is dry cough, body ache, heaviness below, and accumulation of impurities; the skin becomes dark or reddish, and the mouth loses its sense of taste.
सतोदभेदमुदरं नीलकृष्णशिराततम् । आध्मातमुदरे शब्दमद्भुतं वा करोति सः ॥ १,१६१.
When the abdomen is split with pain, the veins appear blue-black and spread; when bloated, the belly produces strange sounds.
वायुश्चात्र सरुक्च्छब्दं विधत्ते सर्वथा गतिम् । पित्तोदरे ज्वरो मूर्छा दाहित्वं कटुकास्यता ॥ १,१६१.
Here, the wind causes pain and noise, moving in all directions; in abdominal disease from bile, there is fever, fainting, burning, and bitterness in the mouth.
भ्रमोतिसारः पीतत्वं त्वगादावुदरं हरित् । पीतताम्रशिरादित्वं सस्वेदं सोष्म दह्यते ॥ १,१६१.
There is dizziness, diarrhea, yellowness of the skin and other areas; the veins become yellow or coppery, with sweating and heat, and the person feels burning.
धूमायते मृदुस्पर्शं क्षैप्रपाकं प्रदूयते । श्लेष्मोदरेषु सदनं स्वेदश्वयथुगौरवम् ॥ १,१६१.
There is a smoky appearance, soft to the touch, and rapid decay; in diseases of the abdomen caused by phlegm, there is heaviness, sweating, and swelling.
निद्रा क्लेशोऽरुचिः श्वासः काशः शुक्लत्वगादिता । उदरं तिमिरं स्निग्धं शुक्लकृष्णशिरावृतम् ॥ १,१६१.
There is sleepiness, discomfort, loss of appetite, shortness of breath, cough, and paleness of the skin; the abdomen is cloudy, oily, and covered with white and black veins.
नीरातिवृद्धौ कठिनं शीतस्पर्शं गुरु स्थिरम् । त्रिदोषकोपने तैस्तैस्त्रिदोषजीनैतर्मलैः ॥ १,१६१.
With excessive increase, it becomes hard, cold to the touch, heavy, and firm; it provokes all three doṣas, and is tainted by impurities arising from those three doṣas.
सर्वदूषणदुष्टाश्च सरक्ताः सञ्चिता मलाः । कोष्ठं प्राप्य विकुर्वाणाः शोषमूर्छाभ्रमान्वितम् ॥ १,१६१.
All the impurities, corrupted by every kind of taint and mixed with blood, accumulate; reaching the abdomen, they undergo transformation, causing wasting, fainting, and dizziness.
कुर्युस्त्रिलिङ्गमुदरं शीघ्रपाकं सुदारुणम् । वर्धते तच्च सुतरां शीतवातप्रदर्शने ॥ १,१६१.
They produce the threefold type of abdominal disease, which matures quickly and is extremely severe; it increases especially upon exposure to cold and wind.
अत्यशनाच्च संक्षोभाद्यानपानादिचेष्ठितैः । अविहितैश्च पानाद्यैर्वमनव्याधिकर्षणैः ॥ १,१६१.
Due to overeating, agitation, improper food and drink, unsuitable beverages, and the strain of vomiting or other illnesses—
वामपार्श्वास्थितः प्लीहा त्युतस्थानो विवर्धते । शोणिताद्वा रसादिभ्यो विवृद्धो जनयेद्व्यथाम् ॥ १,१६१.
The spleen, situated on the left side, becomes enlarged from its place; when increased by blood or other bodily fluids, it causes pain.
सोऽष्ठीला चातिकठिनः प्रोन्नतः कूर्मपृष्ठवत्? । क्रमेण वर्धमानश्च कुक्षौ व्याततिमाहरेत् ॥ १,१६१.
It becomes hard as a stone, excessively firm, raised up like the back of a tortoise; gradually enlarging, it spreads across the abdomen.
श्वासकासपिपासास्यवैरस्याध्मानकज्वरैः । पाण्डुत्वमूर्छाछर्दित्वग्दाहमोहैश्च संयुतः ॥ १,१६१.
Accompanied by shortness of breath, cough, thirst, bad taste in the mouth, bloating, fever, pallor, fainting, vomiting, burning sensation, and confusion.
अरुणाभं विचित्राभं नीलहारिद्रराजितम् । उदावर्तेन चानाहमोहतृड्द्गहनज्वरैः ॥ १,१६१.
With a reddish or variegated appearance, tinged with blue and yellow; along with upward movement of wind, nausea, fainting, intense thirst, and persistent fever.
गौरवारुचिकाठिन्यैर्विघातभ्रमसंक्रमात् । प्लीहवद्दक्षिणात्पार्श्वात्कुर्याद्यकृदपि च्युतम् ॥ १,१६१.
Due to heaviness, loss of appetite, hardness, obstruction, and dizziness, the spleen may even shift from the left side to the right.
पक्वे भूते यकृति च सदा बद्धमलो गुदे । दुर्नामभिरुदावर्तैरन्यैर्वा पीडितो भवेत् ॥ १,१६१.
When the liver is affected and the feces are always retained in the rectum, one suffers from distressing symptoms with difficult names, or from other painful upward movements.
वर्चः पित्तकफान्बद्धान्करोति कुपितोऽनिलः । अपानो जठरे तेन संरुद्धो ज्वररुक्करः ॥ १,१६१.
When aggravated, the downward wind (apāna) in the abdomen binds the stool, bile, and phlegm, causing fever and pain.
काशश्वासोरुसद्गनं शिरोरुङ्नाभिपार्श्वरुक् । मलासंगोऽरुचिश्छर्दिरुदरे मलमारुतः ॥ १,१६१.
Cough, breathlessness, chest pain, headache, pain in the navel and sides, constipation, loss of appetite, vomiting—these are caused by the abdominal wind.
स्थिरनीलारुणशिराजालैरुदरमावृतम् । नाभेरुपरि च प्रायो गोपुच्छाकृति जायते ॥ १,१६१.
The abdomen becomes covered with firm, blue, and red veins; above the navel, a shape resembling a cow's tail often appears.
अस्थ्यादिशल्यै रन्यैश्च विद्धे चैवोदरे तथा । पच्यते यकृतादिश्च तच्छिद्रैश्च सरन्बहिः ॥ १,१६१.
When the abdomen is pierced by bone fragments or other foreign bodies, the liver and other organs begin to decay, and fluid flows out through those openings.
आम एव गुदाहेति ततोऽल्पाल्पः शकृद्रसः । स स्याद्विकृतगन्धोऽपि पिच्छिलः पीतलोहितः ॥ १,१६१.
If there is rawness or burning in the rectum, the fecal matter becomes scanty, foul-smelling, slimy, yellow, and bloody.
शेषश्चापूर्य जठरं घोरमारभते ततः । वर्धते तदधो नाभेराशु चैति जलात्मताम् ॥ १,१६१.
The remaining matter fills the abdomen, causing severe distress; it increases below the navel and quickly takes on a watery nature.
उद्रिक्ते दोषरूपे च व्याप्ते च श्वासतृट्भ्रमैः । छिद्रोदरमिदं प्राहुः परिस्त्रावीति चापरे ॥ १,१६१.
When the doṣas are greatly increased and pervade the body, along with breathlessness, thirst, and dizziness, this is called 'perforated abdomen'; others call it 'leakage.'
प्रवृत्तस्नेहपानादेः सहसापथ्यसेविनः । अत्यम्बुपानान्मन्दाग्नेः क्षीणस्यातिकृशस्य च ॥ १,१६१.
In those who suddenly indulge in unwholesome foods after consuming oily substances, who drink excessive water, have weak digestion, or are emaciated and very thin—
रुद्धः स्वमार्गादनिलः कफश्च जलमूर्छितः । वर्धते तु तदेवाम्बु तन्मात्राद्विन्दुराशितः ॥ १,१६१.
When the wind is obstructed from its own path, and phlegm is thickened by water, that very water increases, and from that essence, a drop is formed and accumulates.
तत्कोपादुदरं तृष्णागुदस्नुतिरुजान्वितम् । काशश्वासारुचियुतं नानावर्णाशिराततम् ॥ १,१६१.
From that disturbance arises abdominal swelling, accompanied by thirst, the flow of mucus, pain, cough, breathlessness, loss of appetite, and various colored veins spreading.