The tenth chapter of Uttara Sthanam of Ashtanga Hridayam is known as as Sandhi Sita Asita Roga Vijnaniya. This chapter offers with the reason of ‘Information of ailments of the fornixes, Sclera and Cornea’.
The matters coated on this chapter embrace –
- Sandhigata Roga – ailments of the fornixes
- Jalasrava
- Kaphasrava
- Upanaha
- Raktasrava
- Parvani
- Puyasrava
- Puyalasa
- Alaji
- Krmi Granthi
- Indication of surgical strategies in Upanaha and different circumstances
- Sita / Shuklagata Roga – Illnesses of the Sclera
- Suklarma and Balasa Grthita
- Pistaka
- Sirotpata
- Siraharsa
- Sirajala
- Sonitarma
- Arjuna
- Prastaryarma
- Adhimamsarma
- Siraja Pitaka
- Strategies of intervention and prognosis
- Asita – Krsnagata Roga – Illnesses of the Cornea
- Ksata Sukra
- Suddha Sukra
- Ajaka
- Sirasukra
- Pakatyaya
Pledge by the creator(s)
अथात: सन्धिसितासितरोगविज्ञानीयं व्याख्यास्याम: ।
इति ह स्माहुरात्रेयादयो महर्षय: ।
अथात: सन्धि सित असित रोग विज्ञानीयं व्याख्यास्याम: – athāta: sandhi sita asita roga vijñānīyaṃ vyākhyāsyāma: – After having supplied prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of ‘Information of ailments of the fornices, Sclera and Cornea’.
इति ह स्माहु: आत्रेयादयो महर्षय: – iti ha smāhu: ātreyādayo maharṣaya: – Thus say (pledge) Atreya and different sages.
Sandhigata Roga: Illnesses of the fornices
Jalasrava
वायुः क्रुद्धः सिराः प्राप्य जलाभं जलवाहिनीः ।
अश्रु स्रावयते वर्त्मशुक्लसन्धेः कनीनकात् ॥ १ ॥
तेन नेत्रं सरुग्रागशोफं स्यात्स जलास्रवः ।
Vata present process enhance, getting localized within the channels of water (tears) causes extra circulation of tears, resembling water from the joints of the lids and the white portion (sclera), by way of the Kaninaka (internal canthus). By this the attention develops ache, redness, and swelling. This illness is named Jalasrava.
Kaphasrava
कफात्कफास्रवे श्वेतं पिच्छिलं बहलं स्रवेत् ॥ २ ॥
From (enhance of) Kapha arises Kaphasrava. The exuding fluid will likely be white, slimy and thick.
Upanaha
कफेन शोफस्तीक्ष्णाग्रः क्षारबुद्बुदकोपमः ।
पृथुमूलबलः स्निग्धः सवर्णो मृदुपिच्छिलः ॥ ३ ॥
महानपाकः कण्डूमानुपनाहः स नीरुजः ।
From Kapha, arises a giant swelling with a pointed tip, resembling the bubbles of kshara (Alkali) with thick base, sturdy, unctuous, of the colour (as of the bottom), tender and slimy, massive in dimension, non-suppurating and having itching however no ache. That is Upanaha.
Raktasrava
रक्ताद्रक्तास्रावे ताम्रं बहूष्णं चाश्रु संस्रवेत् ॥ ४ ॥
From the blood arises Raktasrava, during which the exudation is coppery crimson, bahu – copious, together with heat tears.
Parvani
वर्त्मसन्ध्याश्रया शुक्ले पिटिका दाहशूलिनी ।
ताम्रा मुद्गोपमा भिन्ना रक्तं स्रवति पर्वणी ॥ ५ ॥
Pitaka (eruptions) seem within the joints between the eyelid and sclera having burning sensation and ache, coppery crimson, of the dimensions of a inexperienced gram, exuding blood when burst. This illness is called Parvani.
Puyasrava
पूयास्रवे मलाः सास्रा वर्त्मसन्धेः कनीनकात् ।
स्रावयन्ति मुहुः पूयं सास्रं त्वङ्मांसपाकतः ॥ ६ ॥
In Puyasrava, the malas (doshas) related to blood, discharge pus combined with blood, usually from the joints of the lids, although the internal canthus, on account of suppuration/ulceration of the pores and skin and muscle groups.
Puyalasa
पूयालसो व्रणः सूक्ष्मः शोफसंरम्भपूर्वकः ।
कनीनसन्धावाध्मायी पूयास्रावी सवेदनः ॥ ७ ॥
Puyalasa is a small ulcer, preceded with swelling and ache, redness and so on. inflicting swelling of the internal canthus, discharge of pus and ache.
Alaji
कनीनस्यान्तरलजी शोफो रुक्तोददाहवान् ।
Alaji is a swelling contained in the internal canthus, having ache, pricking sensation and burning sensation.
Krimi Granthi
अपाङ्गे वा कनीने वा कण्डूषापक्ष्मपोटवान् ॥ ८ ॥
पूयास्रावी कृमिग्रन्थिर्ग्रन्थिः कृमियुतोऽर्तिमान् ।
A tumor growing both on the outer canthus or internal canthus, accompanied with itching, native burning sensation, falling of eyelashes, discharge of pus, having worms (micro organism and so on.) inside and painful. This illness is named Krmigranthi.
Indication of surgical strategies in Upanaha and different circumstances
उपनाहकृमिग्रन्थिपूयालसकपर्वणीः ॥ ९ ॥
शस्त्रेण साधयेत्पञ्च सालजीनास्रवांस्त्यजेत् ।
Upanaha, Krmigranthi, Puyalasaka, Parvani and Alaji, these 5 are to be handled surgically, the (4) Asrava needs to be refused remedy.
Sita / Shuklagata Roga: Illnesses of the Sclera
पित्तं कुर्यात्सिते बिन्दूनसितश्यावपीतकान् ॥ १० ॥
मलाक्तादर्शतुल्यं वा सर्वं शुक्लं सदाहरुक् ।
रोगोऽयं शुक्तिकासञ्ज्ञः सशकृद्भेदतृड्ज्वरः ॥ ११ ॥
Pitta elevated, produces within the sclera, small dots (spots) of black, blue or yellow coloration; your complete sclera
showing like a mirror coated by filth and has burning sensation and ache. These ailments generally known as Shuktika, are accompanied with diarrhoea, thirst and fever.
Shuklarma and Balasa Grathita
कफाच्छुक्ले समं श्वेतं चिरवृद्ध्यधिमांसकम् ।
शुक्लार्म शोफस्त्वरुजः सवर्णो बहलोऽमृदुः ॥ १२ ॥ गुरुः स्निग्धोऽम्बुबिन्द्वाभो बलासग्रथितं स्मृतं ।
From Kapha, there develops on the sclera, an additional development of muscle which is even, white and rising very slowly, that is Suklarma. A swelling which is painless, of the identical coloration (of the sclera), thick, not tender, heavy, greasy, resembling a water bubble is called Balasa Grathita.
Pistaka
बिन्दुभिः पिष्टधवलैरुत्सन्नैः पिष्टकं वदेत् ॥ १३ ॥
Presence of pasty white, raised dots on the sclera is named as Pisthaka.
Sirotpata
रक्तराजीततं शुक्लमुष्यते यत्सवेदनम् ।
अशोफाश्रूपदेहं च सिरोत्पातः स शोणितात् ॥ १४ ॥
The sclera is filled with crimson strains, has burning sensation, ache, with slight or no swelling, tears and thickening, this illness is Sirotpata and attributable to blood (vitiated).
Siraharsha
उपेक्षित: सिरोत्पातो राजीस्ता एव वर्धयन् ।
कुर्यात्सास्रं सिराहर्षं तेनाक्ष्युद्वीक्षणाक्षमम् ॥ १५ ॥
Sirotapata when uncared for results in Siraharsa with enhance of crimson line and discharge of blood (from them); by that the attention turns into unable to see.
Sirajala
सिराजाले सिराजालं बृहद्रक्तं घनोन्नतम् ।
Sirajala is the looks of a giant, blood crimson, arduous and elevated community of veins.
Shonitarma
शोणितार्म समं श्लक्ष्णं पद्माभमधिमांसकम् ॥ १६ ॥
Sonitarma is an additional development of muscle which is even, easy and resembling a lotus flower (in coloration).
Arjuna
नीरुक् श्लक्ष्णोऽर्जुनं बिन्दुः शशलोहितलोहितः ।
Arjuna is a dot which is painless, easy and crimson in coloration much like that of blood of the rabbit.
Prastaryarma
मृद्वाशुवृद्ध्यरुङ्मांसं प्रस्तारि श्यावलोहितम् ॥ १७ ॥ प्रस्तार्यर्म मलैः सास्रैः स्नावार्म स्नावसन्निभम् ।
A tender, fast growing, painless, development of muscle unfold side-wards, bluish crimson in coloration is called Prastharyarma and is attributable to all of the Doshas along with blood. Snayvarma resembles a tendon.
Adhimamsarma
शुष्कासृक्पिण्डवच्छ्यावं यन्मांसं बहलं पृथु ॥ १८ ॥
अधिमांसार्म
The muscle (of the sclera) turns into thick and arduous, blue in coloration just like the clump of dried blood; this is called Adhimamsarma.
Siraja Pitaka
दाहहघर्षवत्यः सिरावृताः ।
कृष्णासन्नाः सिरासञ्ज्ञाः पिटिकाः सर्षपोपमाः ॥ १९ ॥
Eruptions resembling mustard, surrounded by veins, having burning sensation and inflicting friction showing close to the cornea is called Siraja Pitaka.
Strategies of intervention and prognosis
शुक्तिहर्षसिरोत्पातपिष्टकग्रथितार्जुनम् ।
साधयेदौषधैः षट्कं शेषं शस्त्रेण सप्तकम् ॥ २० ॥ नवोत्थं तदपि द्रव्यैरर्मोक्तं यच्च पञ्चधा ।
तच्छेद्यमसितप्राप्तं मांसस्नावसिरावृतम् ॥ २१ ॥
चर्मोद्दालवदुच्छ्रायि दृष्टिप्राप्तं च वर्जयेत् ।
Suktika, Harsa (Siraharsa), Sirotpata, Pistaka, Balasagrahita, and Arjuna; these six needs to be handled with medicines. The remaining seven by surgical procedure; amongst these, these that are of latest origin could also be handled with herbs. The 5 sorts of arma needs to be excised however not these which have reached the Cornea, that are surrounded by Muscle tissue, tendons and veins, that which is elevated as if rearing the pores and skin, and has reached the Dristi (vision-pupil and hindering it) needs to be rejected.
Asita: Krishnagata Roga: Illnesses of the Cornea
Kshata Shukra
पित्तं कृष्णेऽथवा दृष्टौ शुक्रं तोदाश्रुरागवत् ॥ २२ ॥
छित्त्वा त्वचं जनयति तेन स्यात्कृष्णमण्डलम् ।
पक्वजम्बूनिभं किञ्चिन्निम्नं च क्षतशुक्रकम् ॥ २३ ॥
तत्कृच्छ्रसाध्यं याप्यं तु द्वितीयपटलव्यधात् ।
तत्र तोदादिबाहुल्यं सूचीविद्धाभकृष्णता ॥ २४ ॥
तृतीयपटलच्छेदादसाध्यं निचितं व्रणैः ।
Pitta invading the Krsna (cornea) or the Drsti (pupil) causes shukra having pricking ache, discharge of tears and redness, by producing a tear by breaking the pores and skin (conjunctiva), by this the cornea seems like a ripe Jambu fruit (bluish black) in coloration and barely depressed, known as Ksata shukra. That is tough to treatment; when it breaks the second layer, it causes an amazing enhance of pricking ache and so on. resembles the black gap made by the needle and the illness turns into controllable however persisting for a very long time. When the third layer is damaged it offers rise to many wounds/ ulcers and turns into incurable.
Suddha Sukra
शङ्खशुक्लं कफात्साध्यं नातिरुक् शुद्धशुक्रकम् ॥ २५ ॥
From Kapha Sudha Sukra is produced, during which the cornea has white coloration like that of a conch shell and with out a lot ache; that is curable.
Ajaka
आताम्रपिच्छिलास्रस्रुदाताम्रपिटिकाऽतिरुक् ।
अजाविट्सदृशोच्छ्रायकार्ष्ण्या वर्ज्याऽसृजाऽजका ॥ २६ ॥
Eruptions that are coppery crimson in coloration, slimy, exuding blood, which is coppery crimson, very painful, resembling the excreta of the goat in dimension and black coloration. This illness ajaka attributable to (vitiated) blood is to be rejected.
Sirashukra
सिराशुक्रं मलैः सास्रैस्तज्जुष्टं कृष्णमण्डलम् ।
सतोददाहताम्राभिः सिराभिरवतन्यते ॥ २७ ॥
अनिमित्तोष्णशीताच्छघनास्रस्रुच्च तत्त्यजेत् ।
Sirasukra is attributable to all of the Mala (Dosha) related to blood; vitiated by these, the Cornea turns into crammed with veins, which produce pricking ache, burning sensation and coppery coloration, blood which is usually scorching and generally chilly, clear and thick exuded out with none trigger. This needs to be rejected.
Pakatyaya
दोषैः सास्रैः सकृत्कृष्णं नीयते शुक्लरूपताम् ॥ २८ ॥ धवलाभ्रोपलिप्ताभं निष्पावार्धदलाकृति ।
अतितीव्ररुजारागदाहश्वयथुपीडितम् ॥ २९ ॥
पाकात्ययेन तच्छुक्रं वर्जयेत्तीव्रवेदनम् ।
All of the Doshas along with blood, abruptly; make the cornea to imagine the options of the Sclera. It seems as if coated with white clouds, has the form of cotyledon of a Dolicos lablab, related to extreme ache, redness, burning sensation and swelling, troubling the affected person because of over ripening. This Sukra, having very extreme ache, needs to be rejected.
Pakatyaya
यस्य वा लिङ्गनाशोऽन्तः श्यावं यद्वा सलोहितम् ॥ ३० ॥
अत्युत्सेधावगाढं वा साश्रु नाडीव्रणावृतम् ।
पुराणं विषमं मध्ये विच्छिन्नं यच्च शुक्रकम् ॥ ३१ ॥
That (cornea) which has brought on lack of imaginative and prescient, that which is blue inside, that which is barely crimson, that which is drastically elevated or drastically depressed with copious tears flowing out, surrounded by sinus ulcers, which is power, uneven, torn within the middle and that having dots / sports activities needs to be rejected.
Pakatyaya
पञ्चेत्युक्ता गदाः कृष्णे साध्यासाध्यविभागतः ॥ ३१ऊअब् ॥
Thus, have been described the 5 ailments of the Krsna (black portion/ cornea), categorised into curable incurable ailments.
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां षष्ठे उत्तरस्थाने सन्धिसितासितरोग विज्ञानीयो नाम दशमोऽध्याय: ॥ १० ॥
Thus, ends the chapter-Sandhisitasita Roga Vijnaniya, the tenth in Uttarasthana of Asthaga Hrdaya Samhita composed by Srimad Vagbhata, son of Sri Vaidyapati Simhagupta.