18. triśothīyo'dhyāyaḥ

Larger type: Carakasaṃhitā · indented: Cakrapāṇidatta's Āyurvedadīpikā
athātastriśothīyamadhyāyaṃ vyākhyāsyāmaḥ||1|| iti ha smāha bhagavānātreyaḥ||2||
pūrvādhyāye piḍakā uktāḥ, tāśca śotharūpāḥ, ataḥ śothādhikārāt triśothīyo'bhidhīyate||1-2||
trayaḥ śothā bhavanti vātapittaśleṣmanimittāḥ, te punardvividhā nijāgantubhedena||3||
vakṣyamāṇadvividhādibhede vidyamāne'pi vātādikṛtatritvābhidhānamagre vātādikṛtasyaiva prādhānyakhyāpanārtham||3||
tatrāgantavaśchedanabhedanakṣaṇanabhañjanapicchanotpeṣaṇaprahāravadhabandhanaveṣṭanavyadhanapīḍanādibhirvā bhallātakapuṣpaphalarasātmaguptāśūkakrimiśūkāhitapatralatāgulmasaṃsparśanairvā svedanaparisarpaṇāvamūtraṇairvā viṣiṇāṃ saviṣaprāṇidaṃṣṭrādantaviṣāṇanakhanipātairvā sāgaraviṣavātahimadahanasaṃsparśanairvā śothāḥ samupajāyante||4||
bhedanam āśayavidāraṇaṃ, kṣaṇanam asthicūrṇanaṃ, bhañjanaṃ jarjarīkaraṇaṃ, picchnam atyarthapīḍanam, utpeṣaṇaṃ śilotpeṣaṇamiva, veṣṭanam agranthibandhanaṃ sarpādibhiḥ| śūkavatāṃ krimīṇāṃ śūkaḥ śūkakrimiśūkaḥ| svedanādibhirviṣiṇāmiti yojyam||4||
te punaryathāsvaṃ hetuvyañjanairādāvupalabhyante nijavyañjanaikadeśaviparītaiḥ; bandhamantrāgadapralepapratāpanirvāpaṇādibhiścopakramairupakramyamāṇāḥ praśāntimāpadyante||5||
ādāvupalabhyanta iti vacanāduttarakālamāgantorapi nijatulyatāṃ brūte| yaduktam- “āganturanveti nijaṃ vikāraṃ” (sū.a.19) iti| nijavyañjanaikadeśaviparītairiti nijalakṣaṇebhya āgantūnāmekadeśo viparīto bhavati, sa ca vātādijanyaśyāvādivarṇavikāratvājjñeyaḥ; kiṃvā āganturvyathāpūrvo bhavati paścādvātādibhiranubadhyate, nijastu pūrvaṃ vātādilakṣaṇairyujyate paścādvedanāvān bhavatītyekadeśavaiparītyam| bandhaḥ ariṣṭābandho vraṇabandhaśca| bandhādayaśca yathāyogyatayā boddhavyāḥ||5||
nijāḥ punaḥ snehasvedavamanavirecanāsthāpanānuvāsanaśirovirecanānāmayathāvatprayogānmithyāsaṃsarjanādvā chardyalasakavisūcikāśvāsakāsātisāraśoṣapāṇḍurogodarajvarapradarabhagandarārśovikārātikarśanairvā kuṣṭhakaṇḍūpiḍakādibhirvā chardikṣavathūdgāraśukravātamūtrapurīṣavegadhāraṇairvā karmarogopavāsādhvakarśitasya vā sahasā'tigurvamlalavaṇapiṣṭānnaphalaśākarāgadadhiharitakamadyamandakavirūḍhanavaśūkaśamīdhānyānūpaudaka- piśitopayogānmṛtpaṅkaloṣṭabhakṣaṇāllavaṇātibhakṣaṇādgarbhasampīḍanādāmagarbhaprapatanāt prajātānāṃ ca mithyopacārādudīrṇadoṣatvācca śophāḥ prādurbhavanti; ityuktaḥ sāmānyo hetuḥ||6||
chardyādayaḥ svarūpata eva śothahetavaḥ| karmādyatikarśitasya tu sahasā'tigurvādisevanaṃ śothahetuḥ; karmeti pañcakarma| virūḍhanavaśabdau śūkaśamīdhānyaviśeṣaṇau| prajātānāmiti aciraprasūtānām||6||
ayaṃ tvatra viśeṣaḥ- śītarūkṣalaghuviśadaśramopavāsātikarśanakṣapaṇādibhirvāyuḥ 1 prakupitastvaṅmāṃsaśoṇitādīnyabhibhūya śophaṃ janayati; sa kṣiprotthānapraśamo bhavati, tathā śyāmāruṇavarṇaḥ prakṛtivarṇo vā, calaḥ spandanaḥ kharaparuṣabhinnatvagromā chidyata iva bhidyata iva pīḍyata iva sūcībhiriva tudyate pipīlikābhiriva saṃsṛpyate sarṣapakalkāvalipta iva cimicimāyate saṅkucyata āyamyata iveti vātaśothaḥ (1); uṣṇatīkṣṇakaṭukakṣāralavaṇāmlājīrṇabhojanairagnyātapapratāpaiśca pittaṃ prakupitaṃ tvaṅmāṃsaśoṇitānyabhibhūya śothaṃ janayati; sa kṣiprotthānapraśamo bhavati, kṛṣṇapītanīlatāmrāvabhāsa uṣṇo mṛduḥ kapilatāmraromā 2 uṣyate dūyate dhūpyate ūṣmāyate svidyate klidyate na ca sparśamuṣṇaṃ ca suṣūyata 3 iti pittaśothaḥ (2); gurumadhuraśītasnigdhairatisvapnāvyāyāmādibhiśca śleṣmā prakupitastvaṅmāṃsaśoṇitādīnyabhibhūya śothaṃ janayati; sa kṛcchrotthānapraśamo bhavati, pāṇḍuśvetāvabhāso guruḥ snigdhaḥ ślakṣṇaḥ sthiraḥ styānaḥ śuklāgraromā sparśoṣṇasahaśceti śleṣmaśothaḥ (3); yathāsvakāraṇākṛtisaṃsargāddvidoṣajāstrayaḥ śothā bhavanti; yathāsvakāraṇākṛtisannipātāt sānnipātika ekaḥ; evaṃ 4 saptavidho bhedaḥ||7|| prakṛtibhistābhistābhirbhidyamāno 5 dvividhastrividhaścaturvidhaḥ saptavidho'ṣṭavidhaśca śotha upalabhyate, punaścaika 6 evotsedhasāmānyāt||8||
kṣapaṇaṃ vamanādibhiḥ| prakṛtivarṇaḥ dehasamānavarṇaḥ| calaḥ saṅkramaṇavān| spandanaḥ kampanaḥ| uṣyate pārśvastheneva vahninā dahyate| dhūpyate dhūmamivodvamati| ūṣmāyate 7 bahiḥ parairapyuṣṇatvenopalabhyate| svidyate svedavān bhavati| na suṣūyate na sahate; sparśanaṃ ca na sahate, uṣṇaṃ ca na sahate| sa kṛcchrotthānapraśama iti cirotthānapraśamaḥ| prakṛtibhiriti kāraṇaiḥ| utsedha unnatatvam||7-8||
bhavanti cātra- śūyante yasya gātrāṇi svapantīva 8 rujanti ca| pīḍitānyunnamantyāśu vātaśothaṃ tamādiśet||9|| yaścāpyaruṇavarṇābhaḥ śotho naktaṃ praṇaśyati| snehoṣṇamardanābhyāṃ ca praṇaśyet sa ca vātikaḥ||10|| yaḥ pipāsājvarārtasya dūyate'tha vidahyate| svidyati klidyate gandhī sa paittaḥ svayathuḥ smṛtaḥ||11|| yaḥ pītanetravaktratvak 9 pūrvaṃ madhyāt praśūyate| tanutvak cātisārī ca pittaśothaḥ sa ucyate||12|| śītaḥ 10 saktagatiryastu kaṇḍūmān pāṇḍureva ca| nipīḍito nonnamati 11 śvayathuḥ sa kaphātmakaḥ||13|| yasya śastrakuśacchinnācchoṇitaṃ 12 na pravartate| kṛcchreṇa picchā sravati sa cāpi kaphasambhavaḥ||14|| nidānākṛtisaṃsargācchvayathuḥ syāddvidoṣajaḥ| sarvākṛtiḥ sannipātācchotho vyāmiśrahetujaḥ||15||
śūyanta ityādi| punaḥ ślokena lakṣaṇābhidhānaṃ prāyobhāvilakṣaṇadarśanārtham| svapantīveti nirvedanaḥ| etena 13 vāyoścalatvena kṣaṇācca ruk, kṣaṇācca tadabhāva iti jñeyam| madhyāditi śarīramadhyāt| saktagatiḥ avisārī| śastrakuśacchinnāditi śastrakuśakṛtācchedāt||9-15||
yastu pādābhinirvṛttaḥ śothaḥ sarvāṅgago bhavet| jantoḥ sa ca sukaṣṭaḥ syāt prasṛtaḥ strīmukhācca yaḥ||16|| yaścāpi guhyaprabhavaḥ striyā vā puruṣasya vā| sa ca kaṣṭatamo jñeyo yasya ca syurupadravāḥ||17||
pādābhinirvṛttaḥ śothaḥ puruṣāṇāṃ laghāvadhodeśe jātaḥ san yadā na jīyate tadā gurumūrdhvadeśaṃ gataḥ sa na pāryate jetuṃ, yo hi laghau pradeśe jetuṃ na pāryate sa gurupradeśagato nitarāmeva na pāryate; evaṃ prasṛtaḥ strīmukhācca ya ityapi jñeyam| vacanaṃ hi- “adhobhāgo guruḥ strīṇāmūrdhvaḥ puṃsāṃ gurustathā” (su.sū.a.46) iti||16-17||
chardiḥ śvāso'rucistṛṣṇā jvaro'tīsāra eva ca| saptako'yaṃ sadaurbalyaḥ śophopadravasaṅgrahaḥ||18||
uktānupadravānāha- chardirityādi||18||
yasya śleṣmā prakupito jihvāmūle'vatiṣṭhate| āśu sañjanayecchothaṃ 14 jāyate'syopajihvikā||19|| yasya śleṣmā prakupitaḥ kākale vyavatiṣṭhate| āśu sañjanayecchophaṃ 15 karoti galaśuṇḍikām||20|| yasya śleṣmā prakupito galabāhye'vatiṣṭhate| śanaiḥ sañjanayecchophaṃ 16 galagaṇḍo'sya jāyate||21|| yasya śleṣmā prakupitastiṣṭhatyantargale sthiraḥ| āśu sañjanayecchophaṃ 17 jāyate'sya galagrahaḥ||22|| yasya pittaṃ prakupitaṃ saraktaṃ tvaci sarpati| śophaṃ sarāgaṃ janayedvisarpastasya 18 jāyate||23|| yasya pittaṃ prakupitaṃ tvaci rakte'vatiṣṭhate| śothaṃ sarāgaṃ janayet 19 piḍakā tasya jāyate||24|| yasya prakupitaṃ pittaṃ śoṇitaṃ prāpya śuṣyati| tilakā piplavo vyaṅgā nīlikā tasya jāyate||25|| yasya pittaṃ prakupitaṃ śaṅkhayoravatiṣṭhate| śvayathuḥ śaṅkhako nāma dāruṇastasya jāyate||26|| yasya pittaṃ prakupitaṃ karṇamūle'vatiṣṭhate| jvarānte durjayo'ntāya śothastasyopajāyate||27|| vātaḥ plīhānamuddhūya kupito yasya tiṣṭhati| śanaiḥ paritudan 20 pārśvaṃ plīhā tasyābhivardhate||28|| yasya vāyuḥ prakupito gulmasthāne'vatiṣṭhate| śophaṃ saśūlaṃ janayan gulmastasyopajāyate||29|| yasya vāyuḥ prakupitaḥ śophaśūlakaraścaran| vaṅkṣaṇādvṛṣaṇau yāti vṛddhistasyopajāyate||30|| yasya vātaḥ prakupitastvaṅmāṃsāntaramāśritaḥ| śothaṃ sañjanayet kukṣāvudaraṃ tasya jāyate||31|| yasya vātaḥ prakupitaḥ kukṣimāśritya tiṣṭhati| nādho vrajati nāpyūrdhvamānāhastasya jāyate||32|| rogāścotsedhasāmānyadadhimāṃsārbudādayaḥ| viśiṣṭā nāmarūpābhyāṃ nirdeśyāḥ śothasaṅgrahe||33|| vātapittakaphā yasya yugapat kupitāstrayaḥ| jihvāmūle'vatiṣṭhante vidahantaḥ samucchritāḥ||34|| janayanti bhṛśaṃ śothaṃ vedanāśca pṛthagvidhāḥ| taṃ śīghrakāriṇaṃ rogaṃ rohiṇīti vinirdiśet||35|| trirātraṃ paramaṃ tasya jantorbhavati jīvitam| kuśalena tvanukrāntaḥ 21 kṣipraṃ sampadyate sukhī||36||
sampratyutsedhasāmānyāt prādeśikāñchothānāha- yasyetyādi| kākalaṃ tālumūlam| śanairitivacanena galagaṇḍakāriṇo doṣāścirakriyā bhavantīti darśayati; galagrahādau cāśukāriṇo doṣā bhavanti| visarpasya piḍakāyāśca tulyakāraṇatve'pi visarpe sarpaṇaśīlo doṣaḥ, piḍakāyāṃ ca sthiro jñeyaḥ; ata eva piḍakāsamprāptau ‘avatiṣṭhate’ ityuktam| yasya pittamityādau pittaṃ prāpya śoṇitaṃ kartṛ śuṣyatīti yojanīyam| piplavaḥ ‘jaṭulā’ iti prasiddhaḥ| dāruṇaḥ anupakramādāśumārakaḥ| durjayo'ntāyeti durjayo vā yathākramamupakramyamāṇaḥ 22, antāya vā mithyopakramādveti mantavyam| ayameva śotho'nyatrāpyuktaḥ- “sannipātajvarasyānte karṇamūle sudāruṇāḥ| śothaḥ sañjāyate tena kaścideva pramucyate” iti| gulmādayo vistaravaktavyā api ihotsedhasāmānyālleśata ucyante| śothasaṅgraha iti śothatvenotsedharūpeṇa saṅgrahaḥ śothasaṅgrahaḥ|| samucchritā atiriktapramāṇāḥ| bhṛśam atyarthaduḥkhakāriṇam| kṣipramityanukrānta ityanena sambadhyate, tena trirātraghātitvaṃ yasya tasya kathaṃ śīghrapraśama iti codyaṃ nottiṣṭhate; kiṃvā kṣipraṃ sampadyate sukhīti vyādhimahimnā bhavati| vyādherevaitat svarūpaṃ yacchīghraṃ hanti, śīghraṃ praśāmyatīti| yaduktaṃ- “sa śīghraṃ śīghrakāritvāt praśamaṃ yāti hanti vā” (ci. 3) iti||19-36||
santi hyevaṃvidhā rogāḥ sādhyā dāruṇasammatāḥ| ye hanyuranupakrāntā mithyācāreṇa 23 vā punaḥ||37|| sādhyāścāpyapare 24 santi vyādhayo mṛdusammatāḥ| yatnāyatnakṛtaṃ yeṣu karma sidhyatyasaṃśayam||38|| asādhyāścāpare santi vyādhayo yāpyasañjñitāḥ| susādhvapi kṛtaṃ yeṣu karma yātrākaraṃ bhavet||39|| santi cāpyapare rogā yeṣu karma na sidhyati| api yatnakṛtaṃ bālairna tān vidvānupācaret||40|| sādhyāścaivāpyasādhyāśca vyādhayo dvividhāḥ smṛtāḥ| mṛdudāruṇabhedena te bhavanti caturvidhāḥ||41||
etadeva śīghrakāritvamanyeṣvapi jvarāntakarṇaśothavalayādiṣvastītyāha- santītyādi| dāruṇā iti sammatā dāruṇasammatāḥ| dāruṇatvaprasaṅgena mṛdvādibhedānapyāha- sādhyāścetyādi| yātrākaraṃ yāpanākaram| bālaiḥ ajñaiḥ, asādhye ajñā evotsāhāt pravartanta ityarthaḥ| asādhyasya mṛdudāruṇatvaṃ yāpyapratyākhyeyabhedena, tathā sadyaḥprāṇaharakālāntaraprāṇaharatvādinā ca||37-41||
ta evāparisaṅkhyeyā bhidyamānā bhavanti hi| rujāvarṇasamutthānasthānasaṃsthānanāmabhiḥ 25||42|| vyavasthākaraṇaṃ 26 teṣāṃ yathāsthūleṣu saṅgrahaḥ| tathā prakṛtisāmānyaṃ vikāreṣūpadiśyate||43||
ta evetyādi| samutthānabhedā hetubhedāḥ; rūkṣabhojanarātrijāgaraṇādibhinnahetujanyo hi vāto bhinnopakramasādhyaśca bhavatīti bhāvaḥ| sthānabhedā āmāśayādayo rasādayaśca| saṃsthānam ākṛtiḥ, yathā- gulmārbudādiḥ| nāmabhedo yathā- ekasminneva rājayakṣmaṇi rājayakṣmaśoṣādisañjñā| nanvevamaparisaṅkhyeyatve kathaṃ vyavahāra ityāha- vyavasthetyādi| vyavasthākaraṇaṃ cikitsāvyavahārārthaṃ saṅkhyākathanam| yathāsthūleṣviti ye ye sthūlā udaramūtrakṛcchrādayasteṣu; saṅgrahaḥ aṣṭodarīyarogasaṅgrahe (udiśyate) ityarthaḥ| asthūleṣu vikāreṣu aṣṭodarīye sañjñayā'nukteṣu kathaṃ vyavasthākaraṇamityāha- tathetyādi| prakṛtisāmānyaṃ samānakāraṇatā; tenānukteṣu sākṣāddhyādhiṣu vātajo'yaṃ śleṣmajo'yamiti, tathā rasajo'yaṃ raktajo'yamityādikā cikitsāvyavahārārthaṃ vyavasthā kartavyeti bhāvaḥ| ata evāṣṭodarīye vakṣyati- “sarve vikārā vātapittakaphānnātivartante” (sū. 19) iti||42-43||
vikāranāmākuśalo na jihrīyāt kadācana| na hi sarvavikārāṇāṃ nāmato'sti dhruvā sthitiḥ||44|| sa eva kupito doṣaḥ samutthānaviśeṣataḥ| sthānāntaragataścaiva janayatyāmayān bahūn 27||45|| tasmādvikāraprakṛtīradhiṣṭhānāntarāṇi ca| samutthānaviśeṣāṃśca buddhvā karma samācaret||46|| yo hyetattritayaṃ jñātvā karmāṇyārabhate bhiṣak| jñānapūrvaṃ yathānyāyaṃ 28 sa karmasu na muhyati||47||
jvararaktapittādivannāmājñāne'pi vātādijanyatvajñānenaiva pracaritavyamityāha- vikāretyādi| sthānāntaragataścetyatra cakāra ekasthānagato'pi bahuvikāraṃ karotīti samuccinoti| yato vakṣyati- “karoti galamāśritaḥ| kaṇṭhoddhvaṃsaṃ ca kāsaṃ ca svarabhedamarocakam” (ci. 8) iti| adhiṣṭhānāntarāṇi āśayāntarāṇi| jñānapūrvamiti cikitsājñānapūrvakam| yathānyāyaṃ yathāgamam| evaṃ manyate- yadvātārabdhatvādijñānameva kāraṇaṃ rogāṇāṃ cikitsāyāmupakāri, nāmajñānaṃ tu vyavahāramātraprayojanārthaṃ na svarūpeṇa cikitsāyāmupakārīti||44-47||
nityāḥ prāṇabhṛtāṃ dehe vātapittakaphāstrayaḥ| vikṛtāḥ prakṛtisthā vā tān bubhutseta paṇḍitaḥ||48||
samprati vātādijñānena rogajñānamuddiṣṭaṃ tenopoddhātena vātādīnāṃ prakṛtisthānāmaprakṛtisthānāṃ ca lakṣaṇaṃ vaktumāha- nityā ityādi| bubhutseta jñātumicchet||48||
utsāhocchvāsaniḥ śvāsaceṣṭā dhātugatiḥ samā| samo mokṣo gatimatāṃ vāyoḥ karmāvikārajam||49|| darśanaṃ paktirūṣmā ca kṣuttṛṣṇā dehamārdavam| prabhā prasādo medhā ca pittakarmāvikārajam||50|| sneho bandhaḥ sthiratvaṃ ca gauravaṃ vṛṣatā balam| kṣamā dhṛtiralobhaśca kaphakarmāvikārajam||51||
ceṣṭeti avikṛtā ceṣṭā| dhātugatiriti rasādīnāṃ poṣyaṃ dhātuṃ prati gamanam| gatimatāmiti purīṣādīnāṃ bahirniḥsaratām| prasādaḥ manaḥprasādaḥ| bandhaḥ sandhibandhaḥ| sthiratvam aśaithilyam| gauravaṃ prākṛtaṃ śarīragauravam| kṣamā sahiṣṇutā| dhṛtiḥ manaso'cāñcalyam| kṣamādayaśca śleṣmaṇaḥ prabhāvāt kriyante; evamanyatrāpi jñeyam||49-51||
vāte pitte kaphe caiva kṣīṇe lakṣaṇamucyate| karmaṇaḥ prākṛtāddhānirvṛddhirvā'pi virodhinām||52||
kṣayalakṣaṇamāha- vāte ityādi| karmaṇaḥ prākṛtāditi vātādiprakṛtikarmatvenoktādutsāhādeḥ| hāniḥ apacayaḥ| vṛddhirvā'pi virodhināmiti uktaprākṛtalakṣaṇavirodhināṃ karmaṇāṃ vṛddhiḥ; yathā vātakṣaye utsāhavirodhino viṣādasya vṛddhiḥ, pittakṣaye'darśanāpaktyādīnāṃ, śleṣmakṣaye raukṣyādīnāṃ vṛddhiḥ| iha prākṛtakarmahānau satyāṃ nāvaśyaṃ virodhikarmavṛddhirata uktaṃ- vṛddhirvetyādi; na hyavaśyamutsāhahānāvalpamātrāyāṃ satyāṃ viṣādo vardhate, alobhanyūnatve vā manāglobho vardhate; kiṃvā, utsāhādyabhāvenābhāvamukhena jñānārthaṃ ‘karmaṇaḥ prākṛtāddhāniḥ’ ityuktaṃ, viṣādādivṛddhyā tu vidhimukhena jñānārthaṃ ‘vṛddhirvā'pi virodhinām’ ityuktam| yaducyate- vṛddhirvā'pi virodhināmiti virodhidoṣāṇāṃ, yathā- pittavṛddhau śleṣmakṣayo jāyate, ityevamādi; tanna, yato'nyadoṣavṛddhāvanyasyāvaśyaṃ na hyapāyo bhavati, tathāhi sati pittavṛddhau satyāṃ sarvadā śleṣmakṣyaḥ syāt; na ca doṣāḥ parasparaghātakā iti prāgeva pratipāditaṃ; pradeśāntare'pi doṣāṇāṃ svalakṣaṇahānireva paraṃ kṣayalakṣaṇaṃ- “kṣīṇā jahati liṅgaṃ svaṃ” (sū.a.17) ityanenoktam||52||
doṣaprakṛtivaiśeṣyaṃ niyataṃ vṛddhilakṣaṇam| doṣāṇāṃ prakṛtirhānirvṛddhiścaivaṃ parīkṣyate||53||
vṛddhilakṣaṇamāha- doṣetyādi| prakṛtiḥ svabhāvaḥ, tasya vaiśeṣyamādhikyaṃ; śleṣmaṇaḥ snehaśaityamādhuryādiryā prakṛtistasyā atisnigdhātiśaityātimādhuryādivaiśeṣyaṃ vṛddhilakṣaṇam| niyatamiti pratiniyataṃ, yadyasya prakṛtilakṣaṇaṃ tadvṛddhaṃ saptasyaiva vṛddhilakṣaṇamityarthaḥ; anye tu niścitamityāhuḥ||53||
tatra ślokāḥ- saṅkhyāṃ nimittaṃ rūpāṇi śothānāṃ sādhyatāṃ na ca| teṣāṃ teṣāṃ vikārāṇāṃ śothāṃstāṃstāṃśca pūrvajān||54|| vidhibhedaṃ vikārāṇāṃ trividhaṃ bodhyasaṅgraham| prākṛtaṃ karma doṣāṇāṃ lakṣaṇaṃ hānivṛddhiṣu||55|| vītamoharajodoṣalobhamānamadaspṛhaḥ| vyākhyātavāṃstriśothīye rogādhyāye punarvasuḥ||56||
saṅgrahe śothānāṃ sādhyatāmiti bheṣajaviśeṣasādhyatvam, upaśaya ityarthaḥ; tacca ‘snehauṣṇyamardanābhyāṃ ca praṇaśyet sa ca vātika’ ityuktaṃ jñeyam| na ceti na ca sādhyatāṃ, yathā- ‘yaśca pādābhinirvṛttaḥ’ ityādi| teṣāṃ teṣāmiti upajihvādīnām| śothān pūrvajānityabhidadhāna upajihvādiṣu pūrvaṃ śotho bhavati, paścādupajihvādirogavyaktiriti darśayati| ata eva ‘āśu sañjanayecchothaṃ’ ityuktvā ‘jāyate'syopajihvikā’ ityuktam| bodhyaḥ boddhavyo vikāraprakṛtyādiḥ| tasya trividhaṃ saṅgrahamiti ‘tasmādvikāraprakṛtīḥ’ ityādyuktaṃ trayam||54-56||
ityagniveśakṛte tantre carakapratisaṃskṛte ślokasthāne triśothīyo nāmāṣṭādaśo'dhyāyaḥ||18||
iti śrīcakrapāṇidattaviracitāyāṃ carakatātparyaṭīkāyāmāyurvedadīpikākhyāyāṃ sūtrasthāne rogacatuṣke triśothīyo nāmāṣṭādaśo'dhyāyaḥ||18||

pāṭhāntarāḥ

  1. 1 '... dhūmopavāsa...' iti pā.
  2. 2 'kapilapiṅgalatāmraromā' iti pā.
  3. 3 'sahate' iti pā.
  4. 4 'evaṃ saptavidho bhedaḥ' iti kvacitpustake na paṭhyate
  5. 5 'evaṃ bhedaprakṛtibhistābhistābhirbhidyamānaḥ' iti pā.
  6. 6 'sa punaścaikaḥ' iti pā.
  7. 7 'uṣṇāyate' iti pā.
  8. 8 'spandantīva' iti pā.
  9. 9 'pītamukhanetratvak' iti pā.
  10. 10 'yaḥ śītalaḥ saktagatiḥ pāṇḍuḥ kaṇḍūyate'pi ca' iti pā.
  11. 11 'pīḍito nonnamenmandaḥ' iti pā.
  12. 12 'chinnādityanantaraṃ 'aṅgāt' iti śeṣaḥ' iti śivadāsasenaḥ| 'śastrakuśacchedāt' iti pā.
  13. 13 'etacca' iti pā.
  14. 14 'sañjanayañchothaṃ' iti pā.
  15. 15 'sañjanayañchothaṃ' iti pā.
  16. 16 'sañjanayañchothaṃ' iti pā.
  17. 17 'sañjanayañchothaṃ' iti pā.
  18. 18 'janayat' iti pā.
  19. 19 'janayat' iti pā.
  20. 20 'śūlaiḥ paritudan' iti pā.
  21. 21 'kṣipramanukrānta iti śīghraṃ cikitsita ityarthaḥ' iti śivadāsasenaḥ
  22. 22 'yathākramamanupakramyamāṇaḥ' iti pā.
  23. 23 'mithyārambheṇa' iti pā.
  24. 24 'sādhyāścaivāpare' iti pā.
  25. 25 'nidānavedanāvarṇasthānasaṃsthānanāmabhiḥ' iti pā.
  26. 26 'vyavasthākāraṇaṃ iti yogīndranāthasenasammataḥ pāṭhaḥ
  27. 27 'sthānāntaragataścāpi vikārān kurute bahūn' iti pā.
  28. 28 'yathāmnāyaṃ' iti pā.