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In ''tridoshaja hridroga'', the etiological factors and symptoms of all the three ''doshika'' types of ''hridroga'' are present. (''tridoshaja hridroga'' is considered most troublesome disease by great sages)[35½]

In ''tridoshaja hridroga'', the etiological factors and symptoms of all the three ''doshika'' types of ''hridroga'' are present. (''tridoshaja hridroga'' is considered most troublesome disease by great sages)[35½]

   

   

Etiological factors and pathogenesis of krimija hridroga:

==== Etiological factors and pathogenesis of ''krimija hridroga'' ====

 

त्रिदोषजे तु हृद्रोगे यो दुरात्मा निषेवते||३६||  

त्रिदोषजे तु हृद्रोगे यो दुरात्मा निषेवते||३६||  

तिलक्षीरगुडादीनि ग्रन्थिस्तस्योपजायते|  

तिलक्षीरगुडादीनि ग्रन्थिस्तस्योपजायते|  

मर्मैकदेशे सङ्क्लेदं रसश्चास्योपगच्छति||३७||  

मर्मैकदेशे सङ्क्लेदं रसश्चास्योपगच्छति||३७||  

सङ्क्लेदात् क्रिमयश्चास्य भवन्त्युपहतात्मनः|  

सङ्क्लेदात् क्रिमयश्चास्य भवन्त्युपहतात्मनः|  

मर्मैकदेशे ते जाताः सर्पन्तो भक्षयन्ति च||३८||  

मर्मैकदेशे ते जाताः सर्पन्तो भक्षयन्ति च||३८||  

tridōṣajē tu hr̥drōgē yō durātmā niṣēvatē||36||  

tridōṣajē tu hr̥drōgē yō durātmā niṣēvatē||36||  

tilakṣīraguḍādīni granthistasyōpajāyatē|  

tilakṣīraguḍādīni granthistasyōpajāyatē|  

marmaikadēśē saṅklēdaṁ rasaścāsyōpagacchati||37||  

marmaikadēśē saṅklēdaṁ rasaścāsyōpagacchati||37||  

saṅklēdāt krimayaścāsya bhavantyupahatātmanaḥ|  

saṅklēdāt krimayaścāsya bhavantyupahatātmanaḥ|  

marmaikadēśē tē jātāḥ sarpantō bhakṣayanti ca||38||  

marmaikadēśē tē jātāḥ sarpantō bhakṣayanti ca||38||  

tridoShaje tu hRudroge yo durAtmA niShevate||36||  

tridoShaje tu hRudroge yo durAtmA niShevate||36||  

tilakShIraguDAdIni granthistasyopajAyate|  

tilakShIraguDAdIni granthistasyopajAyate|  

marmaikadeshe sa~gkledaM rasashcAsyopagacchati||37||  

marmaikadeshe sa~gkledaM rasashcAsyopagacchati||37||  

sa~gkledAt krimayashcAsya bhavantyupahatAtmanaH|  

sa~gkledAt krimayashcAsya bhavantyupahatAtmanaH|  

marmaikadeshe te jAtAH sarpanto bhakShayanti ca||38||  

marmaikadeshe te jAtAH sarpanto bhakShayanti ca||38||  

An unfortunate person already suffering from tridoshaja hridroga, if further indulges in excessive intake of sesame, milk, and molasses, then he develops thrombosis (granthi) in  the rasavaha srotas of the heart, leading to softening of the affected area and making it vulnerable to worm infestations. This infestation then spreads and consumes (bhakṣyanti) the heart tissues. It is krimija hridroga (36-38).

An unfortunate person already suffering from ''tridoshaja hridroga'', if further indulges in excessive intake of sesame, milk, and molasses, then he develops thrombosis (''granthi'') in  the ''rasavaha srotas'' of the heart, leading to softening of the affected area and making it vulnerable to worm infestations. This infestation then spreads and consumes (''bhakṣyanti'') the heart tissues. It is ''krimija hridroga'' [36-38]

Symptoms of krimija hridroga:

 

==== Symptoms of ''krimija hridroga'' ====

 

तुद्यमानं स हृदयं सूचीभिरिव मन्यते|  

तुद्यमानं स हृदयं सूचीभिरिव मन्यते|  

छिद्यमानं यथा शस्त्रैर्जातकण्डूं महारुजम्||३९||  

छिद्यमानं यथा शस्त्रैर्जातकण्डूं महारुजम्||३९||  

हृद्रोगं क्रिमिजं त्वेतैर्लिङ्गैर्बुद्ध्वा सुदारुणम्|  

हृद्रोगं क्रिमिजं त्वेतैर्लिङ्गैर्बुद्ध्वा सुदारुणम्|  

त्वरेत जेतुं तं विद्वान् विकारं शीघ्रकारिणम्||४०||                     tudyamānaṁ sa hr̥dayaṁ sūcībhiriva manyatē|  

त्वरेत जेतुं तं विद्वान् विकारं शीघ्रकारिणम्||४०||  

tudyamānaṁ sa hr̥dayaṁ sūcībhiriva manyatē|  

chidyamānaṁ yathā śastrairjātakaṇḍūṁ mahārujam||39||  

chidyamānaṁ yathā śastrairjātakaṇḍūṁ mahārujam||39||  

hr̥drōgaṁ krimijaṁ tvētairliṅgairbuddhvā sudāruṇam|  

hr̥drōgaṁ krimijaṁ tvētairliṅgairbuddhvā sudāruṇam|