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sandhAraNaM Vatatapau cAtisevamAnasya pittaM saha mArutena prakopamApadyate||8||

sandhAraNaM Vatatapau cAtisevamAnasya pittaM saha mArutena prakopamApadyate||8||

If a person, weakened by ailments or various etiological factors (as mentioned above in verse 6), uses sour, salty, pungent, and alkaline substances with hot and sharp potency, vinegar, improperly prepared or denatured alcoholic drinks, salads, sour fruits and acidic vegetables, grains, meat etc., takes food during indigestion, is administered emesis when amashaya is dry (or not properly oleated), suppresses natural urges for long, or is exposed excessively to the sun and wind, his pitta along with vata gets vitiated or aggravated. [8]

If a person, weakened by ailments or various etiological factors (as mentioned above in verse 6), uses sour, salty, pungent, and alkaline substances with hot and sharp potency, vinegar, improperly prepared or denatured alcoholic drinks, salads, sour fruits and acidic vegetables, grains, meat etc., takes food during indigestion, is administered emesis when ''amashaya'' is dry (or not properly oleated), suppresses natural urges for long, or is exposed excessively to the sun and wind, his ''pitta'' along with ''vata'' gets vitiated or aggravated. [8]

तत् प्रकुपितं मारुत आमाशयैकदेशे संवर्त्य तानेव वेदनाप्रकारानुपजनयति,                 

तत् प्रकुपितं मारुत आमाशयैकदेशे संवर्त्य तानेव वेदनाप्रकारानुपजनयति,                 

गुल्मावकाशश्चास्य दह्यते दूयते धूप्यते ऊष्मायते स्विद्यति क्लिद्यति शिथिल  इव स्पर्शासहोऽल्परोमाञ्चश्च भवति; ज्वरभ्रमदवथुपिपासागलतालुमुखशोषप्रमोहविड्भेदाश्चैनमुपद्रवन्ति;

गुल्मावकाशश्चास्य दह्यते दूयते धूप्यते ऊष्मायते स्विद्यति क्लिद्यति शिथिल  इव स्पर्शासहोऽल्परोमाञ्चश्च भवति; ज्वरभ्रमदवथुपिपासागलतालुमुखशोषप्रमोहविड्भेदाश्चैनमुपद्रवन्ति;

हरितहारिद्रत्वङ्नखनयनवदनमूत्रपुरीषश्च भवति; निदानोक्तानि चास्य नोपशेरते, विपरीतान्युपशेरत इति पित्तगुल्मः||९||

हरितहारिद्रत्वङ्नखनयनवदनमूत्रपुरीषश्च भवति; निदानोक्तानि चास्य नोपशेरते, विपरीतान्युपशेरत इति पित्तगुल्मः||९||

tat prakupitaṁ māruta āmāśayaikadēśē saṁvartya [11] tānēva vēdanāprakārānupajanayati, ya uktā vātagulmē; pittaṁ tvēnaṁ vidahati kukṣau hr̥dyurasi kaṇṭhē ca; savidahyamānaḥ sadhūmamivōdgāramudgiratyamlānvitaṁ, gulmāvakāśaścāsya dahyatē dūyatē dhūpyatē [12] ūṣmāyatē svidyati klidyati śithila [13] ivasparśāsahō'lparōmāñcaśca [14] bhavati; jvarabhramadavathupipāsāgalatālumukhaśōṣapramōhaviḍbhēdāścainamupadravanti;haritahāridratvaṅnakhanayanavadanamūtrapurīṣaśca bhavati; nidānōktāni cāsya nōpaśēratē, viparītānyupaśērata iti pittagulmaḥ||9||

tat prakupitaṁ māruta āmāśayaikadēśē saṁvartya [11] tānēva vēdanāprakārānupajanayati, ya uktā vātagulmē; pittaṁ tvēnaṁ vidahati kukṣau hr̥dyurasi kaṇṭhē ca; savidahyamānaḥ sadhūmamivōdgāramudgiratyamlānvitaṁ, gulmāvakāśaścāsya dahyatē dūyatē dhūpyatē [12] ūṣmāyatē svidyati klidyati śithila [13] ivasparśāsahō'lparōmāñcaśca [14] bhavati; jvarabhramadavathupipāsāgalatālumukhaśōṣapramōhaviḍbhēdāścainamupadravanti;haritahāridratvaṅnakhanayanavadanamūtrapurīṣaśca bhavati; nidānōktāni cāsya nōpaśēratē, viparītānyupaśērata iti pittagulmaḥ||9||

tat prakupitaM mAruta AmAshayaikadeshe saMvartya tAneva vedanAprakArAnupajanayati, ya uktA Vatagulme; pittaM tvenaM vidahati kukShau

tat prakupitaM mAruta AmAshayaikadeshe saMvartya tAneva vedanAprakArAnupajanayati, ya uktA Vatagulme; pittaM tvenaM vidahati kukShau

hRudyurasi kaNThe ca; sa vidahyamAnaH sadhUmamivodgAramudgiratyamlAnvitaM,

hRudyurasi kaNThe ca; sa vidahyamAnaH sadhUmamivodgAramudgiratyamlAnvitaM,

Aggravated vata, along with vitiated pitta, gets (completely or partially) collected in the amashaya and produces the same types of pain as mentioned for vatagulma. Due to aggravation of pitta in certain cases, the patient feels a burning sensation (with hyperacidity ) in the belly, cardiac region, chest and throat while letting out smoky and sour eructations at the same time. In the location of gulma, there is burning sensation, pain, sensations of fuming, sweating and moistening, laxity, tenderness and  slight horripilation. The patient could exhibit symptoms such as fever, giddiness, burning pain, thirst, dryness of throat, palate and mouth, fainting and diarrhoea, and develops greenish or yellowish discoloration of skin, nails, eyes, face, urine and faeces. The disease aggravates due to these etiological factors and pacifies due to opposite factors. This variant of gulma is called pittagulma. [9]

Aggravated vata, along with vitiated pitta, gets (completely or partially) collected in the amashaya and produces the same types of pain as mentioned for vatagulma. Due to aggravation of pitta in certain cases, the patient feels a burning sensation (with hyperacidity ) in the belly, cardiac region, chest and throat while letting out smoky and sour eructations at the same time. In the location of gulma, there is burning sensation, pain, sensations of fuming, sweating and moistening, laxity, tenderness and  slight horripilation. The patient could exhibit symptoms such as fever, giddiness, burning pain, thirst, dryness of throat, palate and mouth, fainting and diarrhoea, and develops greenish or yellowish discoloration of skin, nails, eyes, face, urine and faeces. The disease aggravates due to these etiological factors and pacifies due to opposite factors. This variant of gulma is called pittagulma. [9]

Kapha dominant gulma:

 

==== Kapha-dominant gulma ====

 

तैरेव तु कर्शनैः कर्शितस्यात्यशनादतिस्निग्धगुरुमधुरशीताशनात्  

तैरेव तु कर्शनैः कर्शितस्यात्यशनादतिस्निग्धगुरुमधुरशीताशनात्  

पिष्टेक्षुक्षीरतिलमाषगुडविकृतिसेवनान्मन्दकमद्यातिपानाद्धरितकातिप्रणनयादानूपौदकग्राम्यमांसातिभक्षणात् सन्धारणादबुभुक्षस्य  चातिप्रगाढमुदपानात्  

पिष्टेक्षुक्षीरतिलमाषगुडविकृतिसेवनान्मन्दकमद्यातिपानाद्धरितकातिप्रणनयादानूपौदकग्राम्यमांसातिभक्षणात् सन्धारणादबुभुक्षस्य  चातिप्रगाढमुदपानात्