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Wednesday, April 17, 2024

Ashtanga Hridayam Nidanasthanam Chapter 5:  Rajayakshmadi Adhyaya (Analysis of Pulmonary tuberculosis and so on.)


The fifth chapter of Nidanasthanam of Ashtanga Hridayam is called as Rajayaksmadi Nidanam Adhyayah. This chapter offers with the reason of ‘prognosis of pulmonary tuberculosis and so on ailments’.

The matters coated on this chapter embody –

–       Definition of Rajayakshma
–       Mythology and that means of Rajayakshma and sosa
–       Causes, pathogenesis, premonitory signs, signs and problems of Rajayakshma
–       Dosha signs of Rajayakshma
–       Prognosis of Rajayakshma
–       Analysis of hoarseness of voice
–       Signs of vataja, pittaja, kaphaja, sannipataja, kshayaja and medaja kinds of hoarseness of voice
–       Analysis and signs of anorexia
–       Analysis, premonitory signs and signs of vataja, pittaja, kaphaja, tridoshaja, and manasika kinds of vomiting
–       Analysis of Hridroga – coronary heart problems
–       Signs of Vataja, pittaja, kaphaja, tridoshaja and krimija kinds of coronary heart problems
–       Analysis and pathogenesis of trishna – thirst dysfunction
–       Signs of vataja, pittaja, kaphaja, sannipataja, amaja and rasa kshayaja kinds of thirst
–       Upasargaja trishna – thirst brought on by different problems

Pledge by the creator(s)   

अथातो राजयक्ष्मादिनिदानं व्याख्यास्याम: ।
इति ह स्महुरात्रेयादयो महर्षय: ।
After having supplied prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of ‘prognosis of pulmonary tuberculosis and so on’. Thus say (pledge) atreya and different sages.

Nirvachana (Definition)

अनेकरोगानुगतो बहुरोगपुरोगमः ।
राजयक्ष्मा क्षयः शोषो रोगराडिति च स्मृतः ॥ १ ॥
Follower of many ailments and chief of many others,Rajayakshman is understood additionally as Kshaya, Shosha and Rogarat.

Mythology and that means of Rajayakshma and Shosha

नक्षत्राणां द्विजानां च राज्ञोऽभूद्यदयं पुरा ।
यच्च राजा च यक्ष्मा च राजयक्ष्मा ततो मतः ॥ २ ॥
देहौषधक्षयकृतेः क्षयस्तत्सम्भवाच्च सः ।
रसादिशोषणाच्छोषो रोगराट् तेषु राजनात् ॥ ३ ॥
Because it affected the king of the celebs (the moon) and the twice born (Brahmanas) lengthy again (within the earlier aeon) and since it’s the king of Yakshmas (illness syndromes) it’s known as Rajayakshma. As a result of it results in loss/depletion of the physique and of medicines (as a result of) of its persistence for very long time within the physique) and in addition as a result of it’s the reason for many illness (which trigger depletion of the physique and medicines) it’s known as Kshaya. It’s Shosha, as a result of it produces depletion (drying up, diminution or loss) of Rasa and others (Dhatus/tissues) and Rogarat – king of illness – because it reigns (overpowers, subdues, controls) over them.

Nidana (causes)

साहसं वेगसंरोधः शुक्रौजःस्नेहसङ्क्षयः ।
अन्नपानविधित्यागश्चत्वारस्तस्य हेतवः ॥ ४ ॥
Exertion, suppression of the urges (of urine, feces, flatus and so on.) lack of Shukra, (semen), ojas, (essence of the tissues) and Sneha (unctuousness, lubricating materials of the tissues) and avoidance of correct routine of food and drinks – these 4 are its causes.

Samprapti (pathogenesis)

तैरुदीर्णोऽनिलः पित्तं कफं चोदीर्य सर्वतः ।
शरीरसन्धीनाविश्य तान् सिराश्च प्रपीडयन् ॥ ५ ॥
मुखानि स्रोतसां रुद्ध्वा तथैवातिविवृत्य वा ।
सर्पन्नूर्ध्वमधस्तिर्यग्यथास्वं जनयेद्गदान् ॥ ६ ॥
Aggravated by these (causes), Anila (Vata) produces improve of each Pitta and Kapha, spreads to and compresses all of the joints of the physique and the Siras (veins and different channels of Rasa), ramified upwards, downwards, and sidewards, both obstructing (constriction) or significantly dilating their mouth (lumen) and provides rise to the illness.

Purvarupa (premonitory signs)        

रूपं भविष्यतस्तस्य प्रतिश्यायो भृशं क्षवः ।
प्रसेको मुखमाधुर्यं सदनं वह्निदेहयोः ॥ ७ ॥
स्थाल्यमत्रान्नपानादौ शुचावप्यशुचीक्षणम् ।
मक्षिकातृणकेशादिपातः प्रायोऽन्नपानयोः ॥ ८ ॥
हृल्लासश्छर्दिररुचिरश्नतोऽपि बलक्षयः ।
पाण्योरवेक्षा पादास्यशोफोऽक्ष्णोरतिशुक्लता ॥ ९ ॥
बाह्वोः प्रमाणजिज्ञासा काये बैभत्स्यदर्शनम् ।
स्त्रीमद्यमांसप्रियता घृणित्वं मूर्धगुण्ठनम् ॥ १० ॥
नखकेशातिवृद्धिश्च स्वप्ने चाभिभवो भवेत् ।
पतङ्गकृकलासाहिकपिश्वापदपक्षिभिः ॥ ११ ॥
केशास्थितुषभस्मादिराशौ समधिरोहणम् ।
शून्यानां ग्रामदेशानां दर्शनं शुष्यतोऽम्भसो ॥ १२ ॥
ज्योतिर्गिरीणां पततां ज्वलतां च महीरुहाम् ।
Its premonitory signs are – nasal catarrh, too many sneezes, extra salivation, candy style within the mouth, weak spot of (digestive) fireplace and the physique, seeing uncleanliness (dust and so on.) within the vessels (of meals), meals and drinks and so on. Though they’re truly clear; seeing flies, grass, hairs and so on. as if current within the meals and drinks (although not truly current); oppression within the chest (nausea), vomiting, lack of style, (and urge for food), lack of power regardless of consuming (adequate amount), inspecting his personal arms intently, swelling of the ft and face, an excessive amount of of white colour of the eyes, arguing concerning the dimension (thickness) of the arms (doubting its emaciation), presuming a disgusting look of his personal physique (although not truly so), want for girls (intercourse), wine and meat; miserliness, protecting the top (all the time with garments), extra (charge of) development of the nails and hairs; dreaming of getting defeated by butterflies, chameleon, snake, monkey, canine and birds; climbing on heaps of hairs, bones, husk, ash and so on., seeing abandoned villages, empty locations and dry reservoirs of water, falling of stars and mountains, and burning of bushes.

Rupa (Scientific options)

पीनसश्वासकासांसमूर्धस्वररुजोऽरुचिः ॥ १३ ॥
ऊर्ध्वं विड्भ्रंशसंशोषावधश्छर्दिश्च कोष्ठगे ।
तिर्यक्स्थे पार्श्वरुग्दोषे सन्धिगे भवति ज्वरः ॥ १४ ॥
रूपाण्येकादशैतानि जायन्ते राजयक्ष्मिणः ।
Nasal catarrh, dyspnea, cough, ache within the shoulders and head, change of voice, lack of style (and urge for food) are the upward signs (showing when the Doshas are localized within the higher elements of the physique); both extra elimination of feaces or constipation are the downwards (when the Doshas are localized within the decrease elements); vomiting when the Doshas are within the alimentary tract; ache within the flanks when the Doshas are localized sideward; fever when localized within the joints these eleven kind the attribute options of Rajayakshman.

Upadrava (secondary ailments)

तेषामुपद्रवान् विद्यात्कण्ठोद्ध्वंस उरोरुजम् ॥ १५ ॥
जृम्भाङ्गमर्दनिष्ठीववह्निसादास्यपूतिताः ।
Their Upadrava (secondary affections, problems) are – abnormalities of the throat, ache within the chest, an excessive amount of of yawning, physique ache, expectoration of sputum, weak spot of digestive exercise, and dangerous scent of the mouth.

Dosha signs in Rajayaksma

तत्र वाताच्छिर: पार्श्वशूलमंसाङ्गमर्दनम् ॥ १६ ॥
कण्ठोद्ध्वंसः स्वरभ्रंशः पित्तात् पादांसपाणिषु ।
दाहोऽतीसारोऽसृक्छर्दिर्मुखगन्धो ज्वरो मदः ॥ १७ ॥
कफादरोचकश्छर्दिः कासो मूर्धाङ्गगौरवम् ।
प्रसेकः पीनसः श्वासः स्वरसादोऽल्पवह्निता ॥ १८ ॥
From Vata (are produced) ache within the head and flanks, aches within the shoulders and physique, abnormalities of the throat and hoarseness; from Pitta (are produced) burning sensation within the soles, shoulders and palms, diarrhea, vomiting of blood, dangerous scent within the mouth, fever and toxicity; from Kapha (are produced) lack of style (and urge for food), vomiting, cough, feeling of heaviness of the top and physique, extra of salivation, nasal catarrh, dyspnoea, weak spot of voice and poor digestive exercise.

Dosha signs in Rajayaksma

दोषैर्मन्दानलत्वेन सोपलेपैः कफोल्बणैः ।
स्रोतोमुखेषु रुद्धेषु धातूष्मस्वल्पकेषु च ॥ १९ ॥
विदह्यमानः स्वस्थाने रसस्तांस्तान् उपद्रवान् ।
कुर्यादगच्चन्मांसादीनसृक् चोर्ध्वं प्रधावति ॥ २० ॥
पच्यते कोष्ठ एवान्नमन्नपक्त्रैव चास्य यत् ।
प्रायोऽस्मान् मलतां यातं नैवालं धातुपुष्टये ॥ २१ ॥
रसोऽप्यस्य न रक्ताय मांसाय कुत एव तु ।
उपस्तब्धः स शकृता केवलं वर्तते क्षयी ॥ २२ ॥
The Doshas, amongst which Kapha is predominant, produce weak spot of the digestive fireplace, as a result of the mouths of the channels (lumen of the channel of Rasa) are coated and so are obstructed; the fireplace within the tissues (metabolic warmth) being poor, the Rasa undergoes improper cooking and remaining in its personal place produces the varied problems. With out resulting in the formation of the Mamsa (muscle and different tissues) and so on. it makes for upward motion of Rakta (blood popping out together with sputum). That which is accountable for digestion of meals (and bifurcation of the digested meals into essence and waste), such a digestive fireplace situated within the alimentary tract in all probability produces extra waste (feces) from the meals (compared to the tissues) and fewer nourishment of dhatus (different tissues).

(The meals not getting digested correctly by the digestive fireplace within the alimentary tract provides rise to extra of wastes and fewer for the nourishment of the Dhatus i.e. different tissues)

When Rasa (essence, nutrient portion) is inadequate for Rakta (blood, the sound Dhatu) itself, the place is it for Mamsa (muscle, the third Dhatu); the affected person of Ksaya is sustained by power of the feaces solely.

Sadhyasadhyata (prognosis)

लिङ्गेष्वल्पेष्वपि क्षीणं व्याध्यौषधबलाक्षमम् ।
वर्जयेत्साधयेदेव सर्वेष्वपि ततोऽन्यथा ॥ २३ ॥
Although the signs are few and gentle, if the affected person is emaciated and unable to face up to the power of the illness and the therapies, such a affected person shouldn’t be handled. The affected person who’s in any other case (not emaciated and able to withstanding the power of the illness and the therapies) must be handled although having all of the signs. Henceforth prognosis of hoarseness of voice shall be defined.

Svarabheda Nidana (prognosis of hoarseness of voice)

दोषैर्व्यस्तैः समस्तैश्च क्षयात् षष्ठश्च मेदसा ।
स्वरभेदो भवेत्
Svarabheda – hoarseness of voice – arises from every of the Doshas individually, from all of them collectively, from Kshaya (Rajayakshma – consumption) and sixth from Medas (fats/ weight problems).

Rupa (scientific options)

Vataja

तत्र क्षामो रूक्षश्चलः स्वरः ॥ २४ ॥
शूकपूर्णाभकण्ठत्वं स्निग्धोष्णोपशयोऽनिलात् ।
That through which the voice is feeble, dry (disagreeable, harsh) and unsteady feeling as if the throat is stuffed with thorns, the affected person discovering consolation with fatty (unctuous) and scorching issues – is of Vata origin.

Pittaja

पित्तात्तालुगले दाहः शोष उक्तावसूयनम् ॥ २५ ॥
Feeling of burning sensation and dryness within the palate and throat, and incapability to talk – is of Pitta origin.

Kaphaja, tridoshaja, kshayaja and medaja kinds of hoarseness of voice

लिम्पन्निव कफात्कण्ठं मन्दः खुरखुरायते ।
स्वरो विबद्धः सर्वैस्तु सर्वलिङ्गः क्षयात्कषेत् ॥ २६ ॥
धूमायतीव चात्यर्थं मेदसा श्लेष्मलक्षणः ।
कृच्छ्रलक्ष्याक्षरश्चात्र सर्वैरन्त्यं च वर्जयेत् ॥ २७ ॥
Feeling of coating of the throat, voice is sluggish, husky and obstructed – is of Kapha origin. In that brought on by all of the three doshas (tridosha origin) are current all of the signs (enumerated above). Voice (talking) is painful and related to feeling of scorching fumes popping out from the throat – is because of Ksaya (Rajayaksman). That brought on by meda (fats) as signs of Kaphaja, the affected person producing just some identified phrases with issue – is because of Medas (improve of fats). Amongst these, that brought on by all of the Doshas and the final one (Medaja) must be refused remedy (as these are incurable).

Thus ends the prognosis of Svarabheda (hoarseness).

Arochaka Nidana (prognosis of anorexia)

अरोचको भवेद्दोषैर्जिह्वाहृदयसंश्रयैः ।
सन्निपातेन मनसः सन्तापेन च पञ्चमः ॥ २८ ॥
Arochaka – (lack of style, lack of urge for food, anorexia) arises from the Doshas (one from every Dosha individually) that are localized within the Jihva (tongue) and Hridaya (thoughts); one from all of the Doshas collectively and the fifth from the love of the thoughts.

Arochaka Lakshana (signs of anorexia)

कषायतिक्तमधुरं वातादिषु मुखं क्रमात् ।
सर्वोत्थे विरसं शोकक्रोधादिषु यथामलम् ॥ २९ ॥
The mouth has astringent, bitter and candy tastes (in these produced) from Vata and so on. (Pitta and Kapha) respectively; in that from all (Doshas collectively) there’s unnatural style (irregular style and even absence of style); and in that resulting from (affection of the thoughts) by grief, anger and so on. The style will likely be, as associated to the Mala (Dosha) concerned.

Thus ends the prognosis of Arochaka (anorexia)

Chardi Nidana (prognosis of vomiting)

छर्दिर्दोषैः पृथक् सर्वैर्द्विष्टैरर्थैश्च पञ्चमी ।
उदानो विकृतो दोषान् सर्वास्वप्यूर्ध्वमस्यति ॥ ३० ॥
Chardi (vomiting) arises from every Dosha individually, from all of them collectively and the fifth from undesirable/disliked sense objects. Udana (division of Vata) which has grow to be irregular aggravates all of the Doshas and makes them transfer upward.

Purvarupa (Premonitory signs)

तासूत्क्लेशास्यलावण्यप्रसेकारुचयोऽग्रगाः।
Nausea, salt style within the mouth, extra of salivation and lack of style and urge for food are the premonitory signs.

Rupa (scientific options)

Vataja

नाभिपृष्ठं रुजन् वायुः पार्श्वे चाहारम् उत्क्षिपेत् ॥ ३१ ॥
ततो विच्छिन्नमल्पाल्पं कषायं फेनिलं वमेत् ।
शब्दोद्गारयुतं कृष्णमच्छं कृच्छ्रेण वेगवत् ॥ ३२ ॥
कासास्यशोषहृन्मूर्धस्वरपीडाक्लमान्वितः ।
Vata produces vomiting of meals, inflicting ache within the umbilicus, again and flanks; (vomiting is) interrupted, little, by little, astringent in style; frothy materials accompanied by sound and belching; black in colour, skinny in consistence, popping out with nice issue and drive related to cough, dryness of the mouth, ache within the area of the center and head, hoarseness and exhaustion.

Pittaja

पित्तात् क्षारोदकनिभं धूम्रं हरितपीतकम् ॥ ३३ ॥
सासृगम्लं कटूष्णं च तृण्मूर्छातापदाहवत् ।
From Pitta, the vomiting materials resembles answer of ash, brown, inexperienced or yellow in colour, combined with blood; bitter or bitter in style, scorching, accompanied with thirst, fainting, elevated warmth and burning sensation (of the physique).

Kaphaja

कफात् स्निग्धं घनं शीतं श्लेष्मतन्तुगवाक्षितम् ॥३४॥
मधुरं लवणं भूरि प्रसक्तं लोमहर्षणम् ।
मुखश्वयथुमाधुर्यतन्द्राहृल्लासकासवान् ॥३५॥
From Kapha, the vomited materials is unctuous, thick, chilly with internet of threads of Kapha; candy or salt in style, massive in amount; bouts are steady, related to horripilation, swelling of the face, sweetness, stupor, oppression within the chest (nausea) and cough.

Tridoshaja

सर्वलिङ्गा मलैः सर्वैरिष्टोक्ता या च तां त्यजेत् ।
That arising from all of the Malas (Doshas) additionally, has all of the signs showing collectively and in addition these signs enumerated within the Rista chapter (fifth of Sarira Sthana). This, must be rejected.

Manasika

पूत्यमेध्याशुचिद्विष्टदर्शनश्रवणादिभिः ॥ ३६ ॥
तप्ते चित्ते हृदि क्लिष्टे छर्दिर्द्विष्टार्थयोगजा ।
Arises from seeing, listening to or different kinds of contact with issues that are emitting foul scent, disagreeable and unclean (soiled, inauspicious) the thoughts will get disturbed and causes vomiting related to ache within the area of the center; that is known as as vomiting resulting from contact with the disliked sensory objects.

Manasika

वातादीनेव विमृशेत् कृमितृणामदौर्हृदे ॥ ३७ ॥
शूलवेपथुहृल्लासैर्विशेषात् कृमिजां वदेत् ।
कृमिहृद्रोगलिङ्गैश्च

Vomiting resulting from worms (inner parasites), thirst, Ama (undigested materials accumulation) and being pregnant must also be thought of as produced from Vata, and so on; that resulting from worms, particularly by the appearances of ache within the stomach; rigors, nausea and signs of coronary heart ailments brought on by worms. (to be described additional).

Thus ends the prognosis of Chardi (vomiting).

अथहृद्रोगनिदानम्

Hridroga Nidana (prognosis of coronary heart ailments)

स्मृताः पञ्च तु हृद्गदाः ॥ ३८ ॥
तेषां गुल्मनिदानोक्तैः समुत्थानैश्च सम्भवः ।
Henceforth the prognosis of coronary heart ailments (shall be defined) illness of the center are mentioned to be 5 (sorts). They come up from the causes enumerated in Gulma Nidana (chapter. 11).

Rupa (scientific options)

Vataja

वातेन शूल्यतेऽत्यर्थं तुद्यते स्फुटतीव च ॥ ३९ ॥
भिद्यते शुष्यति स्तब्धं हृदयं शून्यता द्रवः ।
अकस्माद्दीनता शोको भयं शब्दासहिष्णुता ॥ ४० ॥
वेपथुर्वेष्टनं मोहः श्वासरोधोऽल्पनिद्रता ।
In that resulting from Vata, there’s extreme ache corresponding to pricking, piercing, bursting or splitting; drying up, steadiness (absence of motion), feeling of vacancy and elevated charge of the center; feeling of helplessness (incapacity to face up to the troubles), grief, and concern with out (another obvious) purpose, incapability to face up to noise; tremors and contractions of the physique; delusion (coma), obstructed respiration and little or no sleep.

Pittaja

पित्तात्तृष्णा भ्रमो मूर्छा दाहः स्वेदोऽम्लकः क्लमः ॥ ४१ ॥
छर्दनं चाम्लपित्तस्य धूमकः पीतता ज्वरः ।
In that resulting from Pitta, there’s warmth, thirst, dizziness, fainting, burning sensation, extreme sweating, sourness (acidity), exhaustion, vomiting of bitter Pitta (bile) or feeling of scorching fumes developing, yellowish look of the pores and skin and fever.

Kaphaja

श्लेष्मणा हृदयं स्तब्धं भारिकं साश्मगर्भवत् ॥ ४२ ॥
कासाग्निसादनिष्ठीवनिद्रालस्यारुचिज्वराः ।
In that resulting from Shleshma (Kapha) the center is static, heavy as if having a stone inside, is accompanied with cough, poor digestion, expectoration of sputum, extra of sleep, lassitude, lack of style and urge for food and fever.

Tridoshaja

सर्वलिङ्गस्त्रिभिर्दोषैः
That resulting from all of the three Doshas, can have all of the signs.

Krimija

कृमिभिः श्यावनेत्रता ॥ ४३ ॥
तमःप्रवेशो हृल्लासः शोषः कण्डूः कफस्रुतिः ।
हृदयं प्रततं चात्र क्रकचेनेव दार्यते ॥ ४४ ॥
चिकित्सेदामयं घोरं तं शीघ्रं शीघ्रकारिणम् ।
That resulting from worms (intestinal parasites), can have black discoloration of the eyes, getting into into darkness (fainting), oppression within the (area of the center, dryness and irritation (of the pores and skin), elimination of the sputum, affected person feels that his coronary heart is being repeatedly torn aside by a noticed; remedy of this grave illness which goes to extend shortly must be commenced quickly.

Thus ends the prognosis of Hrdroga (coronary heart illness).

अथ तृष्णानिदानम् – henceforth will likely be expounded the prognosis of thirst

Trishna Nidana (prognosis of thirst)

वातात्पित्तात्कफात्तृष्णा सन्निपाताद्रसक्षयात् ॥ ४५ ॥
षष्ठी स्यादुपसर्गाच्च
Trishna (thirst) arises from (aggravation of) Vata, Pitta, Kapha, Sannipata (mixture of all of the Doshas), Rasa Kshaya (depletion or lack of Rasa Dhatu (plasma) and the sixth kind (impact of) different ailments.

Trishna samprapti (pathogenesis of thirst)

वातपित्ते तु कारणम् ।
सर्वासु तत्प्रकोपो हि सौम्यधातुप्रशोषणात् ॥ ४६ ॥
सर्वदेहभ्रमोत्कम्पतापतृड्दाहमोहकृत् ।
Vata and Pitta collectively (present process aggravation) are the causes (for all the categories); such an aggravation is because of evaporation (depletion or lack of) Saumya Dhatu (tissues that are coolant and watery). It leads on to dizziness, elevated tremors all around the physique, feeling of elevated warmth, thirst, burning sensation and delusion.

Mechanism of manifestation of Trishna

जिह्वामूलगलक्लोमतालुतोयवहाः सिराः ॥ ४७ ॥
संशोष्य तृष्णा जायन्ते
Trishna (thirst) is produced resulting from dryness of the basis of the tongue, throat, Kloma, palate and channels purveying water (brought on by the Doshas).

Notes: Kloma is recognized variously as trachea, proper lung and pancreas, the final one (pancreas) being broadly accepted.

Trishna lakshana – basic options of thirst illness

तासां सामान्यलक्षणम् ।
मुखशोषो जलातृप्तिरन्नद्वेषः स्वरक्षयः ॥ ४८ ॥
कण्ठौष्ठजिह्वाकार्कश्यं जिह्वानिष्क्रमणं क्लमः ।
प्रलापश्चित्तविभ्रंशस्तृड्ग्रहोक्तास्तथामयाः ॥ ४९ ॥
Their basic options are – dryness of the mouth, non-contentment by consuming water, aversion to meals, feeble voice, roughness of the throat, lips and tongue, protrusion of the tongue, exhaustion, irrelevant speak, disorderliness of the thoughts and different ailments (signs) enumerated as arising from suppression of thirst (in chapter 4 of Sutrasthana).

Vataja

मारुतात्क्षामता दैन्यं शङ्खतोदः शिरोभ्रमः ।
गन्धाज्ञानास्यवैरस्यश्रुतिनिद्राबलक्षयाः ॥ ५० ॥
शीताम्बुपानाद्वृद्धिश्च
From Maruta (Vata) come up, emaciation of the physique, (helplessness, ache within the temples, dizziness, lack of scent, dangerous style within the mouth, extra of tears within the eyes, lack of sleep and power, thirst rising by consuming chilly water.

Pittaja

पित्तान् मूर्छास्यतिक्तता ।
रक्तेक्षणत्वं प्रततं शोषो दाहोऽतिधूमकः ॥ ५१ ॥
From Pitta come up, fainting, bitter style within the mouth, purple colour within the eyes, fixed dryness of the mouth, burning sensation and feeling of scorching fumes popping out usually.

Kaphaja

कफो रुणद्धि कुपितस्तोयवाहिषु मारुतम् ।
स्रोतःसु स कफस्तेन पङ्कवच्छोष्यते ततः ॥ ५२ ॥
शूकैरिवाचितः कण्ठो निद्रा मधुरवक्त्रता ।
आध्मानं शिरसो जाड्यं स्तैमित्यच्छर्द्यरोचकाः ॥ ५३ ॥
आलस्यमविपाकश्च
Kapha getting aggravated, obstructs Maruta (Vata) within the channels bearing water, then Kapha dries up like silt and provides rise to feeling of thorns filling the throat, (extra of) sleep, candy style within the mouth, flatulence, boring ache within the head, lack of exercise, vomiting, lack of style and urge for food, lassitude and indigestion.

Sannipataja

सर्वैः स्यात्सर्वलक्षणा ।
All of the signs will seem from (the mix of) all of the Doshas.

Amaja and so on.

आमोद्भवा च भक्तस्य संरोधाद्वातपित्तजा ॥ ५४ ॥
उष्णक्लान्तस्य सहसा शीताम्भो भजतस्तृषम् ।
ऊष्मा रुद्धो गतः कोष्ठं यां कुर्यात्पित्तजैव सा ॥ ५५ ॥
या च पानातिपानोत्था तीक्ष्णाग्नेः स्नेहजा च या ।
स्निग्धगुर्वम्ललवणभोजनेन कफोद्भवा ॥ ५६ ॥
Amaja Trishna arises from Vatapitta, resulting from obstruction to meals (fasting hunger, or incapability to eat meals resulting from any trigger). Trishna happens in the one that has grow to be exhausted by publicity to warmth (daylight, fireplace and so on.), taking tub in chilly water instantly; by this the warmth obstructed (from popping out) will get into the stomach and causes thirst. It’s born from (aggravation of) Pitta itself (so has the identical signs as enumerated underneath Pittaja). So additionally, thirst is produced by an excessive amount of of consuming of wines and the thirst produced by an excessive amount of of consuming of fatty meals, by individuals who’ve very highly effective digestive exercise (each these are Pittaja solely). Thirst produced by an excessive amount of indulgence in meals that are unctuous (fatty), indigestible, bitter and salt style is brought on by Kapha.

Thirst brought on by lack of rasa tissue

तृष्णा रसक्षयोक्तेन लक्षणेन क्षयात्मिका|
Thirst produced by lack of Rasa (plasma) can have the signs enumerated underneath Rasaksaya (vide, chapter 11 of Sutrasthana).

Upasargaja Trishna – thirst brought on by different ailments

शोषमेहज्वराद्यन्यदीर्घरोगोपसर्गतः ॥ ५७ ॥
या तृष्णा जायते तीव्रा सोपसर्गात्मिका स्मृता ॥ ५७ऊअब् ॥
Extreme thirst produced on account of long-standing ailments corresponding to Sosa (consumption, tuberculosis), Meha (diabetes), Jvara (fevers) and so on. is called UpasargajaTrishna.

इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहिताया तृतीये निदानस्थाने राजयक्ष्मादिनिदानं नाम पञ्चमोऽध्याय: ।।१॥
Thus ends the chapter Rajayakshmadi Nidana – prognosis of Rajayakshma and so on. the fifth in Nidanasthana of Astangahridaya Samhita composed by Srimad Vagbhata, son of Sri Vaidyapati Simhagupta.



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