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अत्युष्णलवणक्षारविदाह्यम्लगराशनात्|  

अत्युष्णलवणक्षारविदाह्यम्लगराशनात्|  

मिथ्यासंसर्जनाद्रूक्षविरुद्धाशुचिभोजनात्||१२||  

मिथ्यासंसर्जनाद्रूक्षविरुद्धाशुचिभोजनात्||१२||  

प्लीहार्शोग्रहणीदोषकर्शनात् कर्मविभ्रमात्|  

प्लीहार्शोग्रहणीदोषकर्शनात् कर्मविभ्रमात्|  

क्लिष्टानामप्रतीकाराद्रौक्ष्याद्वेगविधारणात्||१३||  

क्लिष्टानामप्रतीकाराद्रौक्ष्याद्वेगविधारणात्||१३||  

स्रोतसां दूषणादामात् सङ्क्षोभादतिपूरणात्|  

स्रोतसां दूषणादामात् सङ्क्षोभादतिपूरणात्|  

अर्शोबालशकृद्रोधादन्त्रस्फुटनभेदनात्||१४||  

अर्शोबालशकृद्रोधादन्त्रस्फुटनभेदनात्||१४||  

अतिसञ्चितदोषाणां पापं कर्म च कुर्वताम्|  

अतिसञ्चितदोषाणां पापं कर्म च कुर्वताम्|  

उदराण्युपजायन्ते मन्दाग्नीनां विशेषतः||१५||

उदराण्युपजायन्ते मन्दाग्नीनां विशेषतः||१५||

atyuṣṇalavaṇakṣāravidāhyamlagarāśanāt|  

atyuṣṇalavaṇakṣāravidāhyamlagarāśanāt|  

mithyāsaṁsarjanādrūkṣaviruddhāśucibhōjanāt||12||  

mithyāsaṁsarjanādrūkṣaviruddhāśucibhōjanāt||12||  

plīhārśōgrahaṇīdōṣakarśanāt karmavibhramāt|  

plīhārśōgrahaṇīdōṣakarśanāt karmavibhramāt|  

kliṣṭānāmapratīkārādraukṣyādvēgavidhāraṇāt||13||  

kliṣṭānāmapratīkārādraukṣyādvēgavidhāraṇāt||13||  

srōtasāṁ dūṣaṇādāmāt saṅkṣōbhādatipūraṇāt|  

srōtasāṁ dūṣaṇādāmāt saṅkṣōbhādatipūraṇāt|  

arśōbālaśakr̥drōdhādantrasphuṭanabhēdanāt||14||  

arśōbālaśakr̥drōdhādantrasphuṭanabhēdanāt||14||  

atisañcitadōṣāṇāṁ pāpaṁ karma ca kurvatām|  

atisañcitadōṣāṇāṁ pāpaṁ karma ca kurvatām|  

udarāṇyupajāyantē mandāgnīnāṁ viśēṣataḥ||15||

udarāṇyupajāyantē mandāgnīnāṁ viśēṣataḥ||15||

atyuShNalavaNakShAravidAhyamlagarAshanAt|  

atyuShNalavaNakShAravidAhyamlagarAshanAt|  

mithyAsaMsarjanAdrUkShaviruddhAshucibhojanAt||12||  

mithyAsaMsarjanAdrUkShaviruddhAshucibhojanAt||12||  

plIhArshograhaNIdoShakarshanAt karmavibhramAt|  

plIhArshograhaNIdoShakarshanAt karmavibhramAt|  

kliShTAnAmapratIkArAdraukShyAdvegavidhAraNAt||13||  

kliShTAnAmapratIkArAdraukShyAdvegavidhAraNAt||13||  

srotasAM dUShaNAdAmAt sa~gkShobhAdatipUraNAt|  

srotasAM dUShaNAdAmAt sa~gkShobhAdatipUraNAt|  

arshobAlashakRudrodhAdantrasphuTanabhedanAt||14||  

arshobAlashakRudrodhAdantrasphuTanabhedanAt||14||  

atisa~jcitadoShANAM pApaM karma ca kurvatAm|  

atisa~jcitadoShANAM pApaM karma ca kurvatAm|  

udarANyupajAyante mandAgnInAM visheShataH||15||

udarANyupajAyante mandAgnInAM visheShataH||15||

Consumption of foods that are excessively hot in property, excessive consumption of salty foods, excessive intake of foods containing solutions of kshara (alkali obtained from ash of herbs), excessive intake of foods that cause burning sensation on digestion, excessive consumption of foods that are sour in taste, consumption of garavisha (intentional application of poison or poison synthesized by combination of nontoxic substances), erroneous dietary management following shodhana treatment, excessive consumption of foods having ruksha (dry) property, intake of viruddha ahara (combination of foods having mutually contradictory properties), consumption of unhealthy foods, emaciation due to splenic enlargement, emaciation due to arshas (mass per rectum), emaciation due to grahani roga (malabsorption), improper  administration of panchakarma, ignorance of persistent illness without treatment, dryness of the body, withholding the naturally manifesting urges, morbidity of body channels, illness of ama (undigested food), psychological irritation, excessive consumption of foods, obstruction of the ano-rectal canal by the arshas (mass per rectum), impaction of hair within the lumen of the intestines, impaction of hardened stools within the intestines, perforation or rupture of intestines, excessive accumulation of morbidity, indulging in sinful activities,  these causes will lead to development of udara roga and among these more particularly the impairment of jatharāgni [12-15].

Consumption of foods that are excessively hot in property, excessive consumption of salty foods, excessive intake of foods containing solutions of ''kshara'' (alkali obtained from ash of herbs), excessive intake of foods that cause burning sensation on digestion, excessive consumption of foods that are sour in taste, consumption of ''garavisha'' (intentional application of poison or poison synthesized by combination of nontoxic substances), erroneous dietary management following ''shodhana'' treatment, excessive consumption of foods having ''ruksha'' (dry) property, intake of ''viruddha ahara'' (combination of foods having mutually contradictory properties), consumption of unhealthy foods, emaciation due to splenic enlargement, emaciation due to ''arshas'' (mass per rectum), emaciation due to ''grahani roga'' (malabsorption), improper  administration of [[Panchakarma]], ignorance of persistent illness without treatment, dryness of the body, withholding the naturally manifesting urges, morbidity of body channels, illness of ''ama'' (undigested food), psychological irritation, excessive consumption of foods, obstruction of the ano-rectal canal by the ''arshas'' (mass per rectum), impaction of hair within the lumen of the intestines, impaction of hardened stools within the intestines, perforation or rupture of intestines, excessive accumulation of morbidity, indulging in sinful activities,  these causes will lead to development of ''udara roga'' and among these more particularly the impairment of ''jatharagni'' [12-15]

Premonitary symptoms:

 

==== Premonitary symptoms ====

 

क्षुन्नाशः स्वाद्वतिस्निग्धगुर्वन्नं पच्यते चिरात्|  

क्षुन्नाशः स्वाद्वतिस्निग्धगुर्वन्नं पच्यते चिरात्|  

भुक्तं विदह्यते सर्वं जीर्णाजीर्णं न वेत्ति च||१६||  

भुक्तं विदह्यते सर्वं जीर्णाजीर्णं न वेत्ति च||१६||  

सहते नातिसौहित्यमीषच्छोफश्च पादयोः|  

सहते नातिसौहित्यमीषच्छोफश्च पादयोः|  

शश्वद्बलक्षयोऽल्पेऽपि व्यायामे श्वासमृच्छति||१७||  

शश्वद्बलक्षयोऽल्पेऽपि व्यायामे श्वासमृच्छति||१७||  

वृद्धिः पुरीषनिचयो  रूक्षोदावर्तहेतुका|  

वृद्धिः पुरीषनिचयो  रूक्षोदावर्तहेतुका|  

बस्तिसन्धौ रुगाध्मानं वर्धते पाट्यतेऽपि च||१८||  

बस्तिसन्धौ रुगाध्मानं वर्धते पाट्यतेऽपि च||१८||  

आतन्यते च जठरमपि  लघ्वल्पभोजनात्|  

आतन्यते च जठरमपि  लघ्वल्पभोजनात्|  

राजीजन्म वलीनाश इति लिङ्गं भविष्यताम्||१९||

राजीजन्म वलीनाश इति लिङ्गं भविष्यताम्||१९||

kṣunnāśaḥ svādvatisnigdhagurvannaṁ pacyatē cirāt|  

kṣunnāśaḥ svādvatisnigdhagurvannaṁ pacyatē cirāt|  

bhuktaṁ vidahyatē sarvaṁ jīrṇājīrṇaṁ na vētti ca||16||  

bhuktaṁ vidahyatē sarvaṁ jīrṇājīrṇaṁ na vētti ca||16||  

sahatē nātisauhityamīṣacchōphaśca pādayōḥ|  

sahatē nātisauhityamīṣacchōphaśca pādayōḥ|  

śaśvadbalakṣayō'lpē'pi vyāyāmē śvāsamr̥cchati||17||  

śaśvadbalakṣayō'lpē'pi vyāyāmē śvāsamr̥cchati||17||