23. kṛtyākṛtyavidhyadhyāyaḥ

Larger type: Suśrutasaṃhitā · indented: Ḍalhaṇa's Nibandhasaṅgraha
athātaḥ kṛtyākṛtyavidhimadhyāyaṃ 1 vyākhyāsyāmaḥ ||1|| yathovāca bhagavān dhanvantariḥ ||2||
tatra kṛtyāḥ sādhyāḥ; te dvividhāḥ- sukhasādhyāḥ, kṛcchrasādhyāśca| akṛtyā asādhyāḥ; te'pi dvividhāḥ- yāpyāḥ, pratyākhyeyāśca; iti kṛtyākṛtyapadadvayena sarvamuktam||1-2||
tatra, vayaḥsthānāṃ dṛḍhānāṃ prāṇavatāṃ sattvavatāṃ (ātmavatāṃ) ca sucikitsyā vraṇāḥ; ekasmin vā puruṣe yatraitadguṇacatuṣṭayaṃ 2 tasya sukhasādhanīyatamāḥ | tatra, vayaḥsthānāṃ pratyagradhātutvādāśu vraṇā rohanti; dṛḍhānāṃ sthirabahumāṃsatvācchastramavacāryamāṇaṃ sirāsnāyvādiviśeṣānna prāpnoti; prāṇavatāṃ vedanābhighātāhārayantraṇādibhirna glānirutpadyate; sattvavatāṃ dāruṇairapi kriyāviśeṣairna vyathā bhavati; tasmādeteṣāṃ 3 sukhasādhanīyatamāḥ ||3||
tatra yathā vraṇasyākṛtigandhavarṇādiviśeṣāḥ sādhyāsādhyavidhau 4 bhavanti, tathā''turasyāpi ke'pi ke'pi guṇā bhavanti, tāṃstān darśayannāha- tatra vayaḥsthānāmityādi| vayaḥsthānāṃ taruṇānāṃ; dṛḍhā gūḍhasandhisirāsnāyavaḥ, etena susaṃhatasamaśarīrā abhipretāḥ; prāṇavatāṃ śaktiyuktānāṃ; sattvavatāṃ vyasane'pyanākulānāṃ; cakārādanuktā'pyāturopakramaṇīyoktā āturasya guṇasampat samuccīyate| prāṇavatāmityasyāgre ‘ātmavatāṃ’ iti pañcamaṃ 5 guṇaṃ kecit paṭhanti| tatra, ātmavatāṃ jitendriyāṇāmityarthaḥ| atraikaguṇena sukhasādhyatvaṃ, dvābhyāṃ tribhiśca sukhasādhyataratvaṃ, caturbhiḥ sukhasādhyatamatvaṃ ca, etadeva prakaṭayannāha- ekasmin vā puruṣa ityādi| vāśabda ekatra sarvaguṇānāṃ duṣprāptikhyāpanārthaḥ| tasyeti puruṣasyetyarthaḥ| sukhasādhanīyatamā ‘vraṇā’ iti śeṣaḥ| tatra yeṣāṃ guṇānāṃ yena yena sukhasādhyatvaṃ tattannirdiśannāha- tatra vayaḥsthānāmityādi| pratyagraṃ nūtanam| sthiram acalam| prāṇavatāmityādi| glāniratra śarīraśaithilyam| atrāpi ‘ātmavatām’ iti pañcamaguṇasya keciddhetuṃ paṭhanti, sa cābhāvānna likhitaḥ| sattvavatāmityādi| dāruṇairduḥsahaiḥ, kriyāviśeṣaiścikitsāprakāraiḥ| tasmādityādi| eteṣāṃ puruṣāṇāmityarthaḥ| sukhasādhanīyatamāḥ ‘vraṇā’ iti śeṣaḥ||3||
ta eva viparītaguṇā vṛddhakṛśālpaprāṇabhīruṣu draṣṭavyāḥ ||4||
pūrvoktaguṇānāṃ viparyayamāha- ta eva viparītaguṇā ityādi| ekaguṇābhāvāt kṛcchrasādhyatvaṃ, dvitriguṇābhāvāt kṛcchrasādhyataratvaṃ, caturguṇābhāvāt kṛcchrasādhyatamatvam| atra kecit ‘anātmavatsu ca’ iti pañcamaṃ viparītaguṇaṃ paṭhanti| teṣāṃ mate cakāreṇāturopakramaṇīyoktaguṇāsampūrṇatā'nuktā'pi samuccīyate||4||
sphikpāyuprajananalalāṭagaṇḍauṣṭhapṛṣṭhakarṇaphalakoṣodarajatrumukhābhyantarasaṃsthāḥ sukharopaṇīyā 6 vraṇāḥ ||5||
āturaviśeṣeṇa kṛtyākṛtyān pratipādya tadavayavaviśeṣasambhavatvena vraṇānāṃ kṛtyatvaṃ darśayannāha- sphikpāyuprajananetyādi| sphicau kaṭiprothau ‘podau’ iti loke, pāyurgudaṃ, prajananaṃ guhyapradeśaḥ, gaṇḍau gallau, phalakoṣo'ṇḍakoṣaḥ, jatru grīvāmūlam||5||
akṣidantanāsāpāṅgaśrotranābhijaṭharasevanīnitambapārśvakukṣivakṣaḥkakṣāstanasandhibhāgagatāḥ saphenapūyaraktānilavāhino'ntaḥśalyāśca duścikitsyāḥ; adhobhāgāścordhvabhāganirvāhiṇo 7, romāntopanakhamarmajaṅghāsthisaṃśritāśca, bhagandaramapi cāntarmukhaṃ sevanīkuṭakāsthisaṃśritam ||6|| kuṣṭhināṃ 8 viṣajuṣṭānāṃ śoṣiṇāṃ madhumehinām | vraṇāḥ kṛcchreṇa sidhyanti yeṣāṃ cāpi vraṇe vraṇāḥ ||7||
sādhyabhedān kṛcchrasādhyān darśayannāha- akṣidantanāsetyādi| apāṅgo bhrūpucchāntaḥ| nitambaḥ kaṭeḥ paścādbhāgaḥ| vakṣa uraḥ, sandhibhāgaḥ sandhipradeśaḥ| vāhiśabdaḥ saphenapūyādibhiḥ saha pratyekaṃ sambadhyate| antaḥśalyā ābhyantaraśalyāḥ| adhobhāgāścordhvabhāganirvāhiṇa iti adhobhāgagatā ye vraṇāste yadordhvamukhā bhavanti tadordhvabhāganirvāhiṇa ucyante| romāntopanakhetyādi romāntaḥ keśāntaḥ, upanakhaṃ nakhasamīpaṃ, jaṅghāsthi gulphajānvantarāsthi| bhagandaramapi cāntarmukhamiti gude abhyantaraṃ mukhaṃ yasyetyarthaḥ| sevanīkuṭakāsthisaṃśritaṃ ‘bhagandaram’ iti śeṣaḥ, kuṭakāsthi śroṇikāṇḍāsthi, ‘mayūrāsthi’ iti loko brūte| anye tu ‘kuṭakāsthisaṃśritaṃ’ ityatra ‘upasthasaṃśritaṃ’ iti paṭhanti; teṣāṃ mate upastho mūtramārgaḥ| viṣajuṣṭānāmiti dūṣīviṣajuṣṭānāṃ puruṣāṇāṃ ye vraṇā ityarthaḥ||6-7||
avapāṭikāniruddhaprakaśasanniruddhagudajaṭharāṇi, granthikṣatakrimayaḥ pratiśyāyajāḥ koṣṭhajāśca tvagdoṣiṇāṃ pramehiṇāṃ vā ye parikṣateṣu dṛśyante, śarkarā sikatāmeho vātakuṇḍalikā'ṣṭhīlā dantaśarkaropakuśaḥ kaṇṭhaśālūkaṃ niṣkoṣaṇadūṣitāśca dantaveṣṭā visarpāsthikṣatoraḥkṣatavraṇagranthiprabhṛtayaśca 9 yāpyāḥ ||8||
sādhyān dvividhānabhidhāyāsādhyabhedaṃ yāpyaṃ darśayannāha- avapāṭiketyādi| granthikṣatakrimaya iti granthyupalakṣito yo kṣatastatra ye kṛmaya ityarthaḥ| pratiśyāyajāḥ koṣṭhajāśca kṛmaya iti sambandhaḥ| tvagdoṣiṇāṃ pramehiṇāṃ vā ye parikṣateṣu dṛśyanta iti tvagdoṣaprameharogayoḥ kṣate sati ye kṛmayo dṛśyanta ityarthaḥ| śarkareti aśmarī vātabhinnetyarthaḥ| sikatāmeho mehaviśeṣaḥ| vātakuṇḍalikāṣṭhīle mūtrāghātaviśeṣau| niṣkoṣaṇadūṣitāśca dantaveṣṭā iti niṣkoṣaṇaṃ saviṣo dantarañjakānāṃ śāṇo'bhidhīyate; etenaitaduktaṃ bhavati- dantān rañjayanti ye puruṣāsteṣāṃ yaddantaniśānārthaṃ 10 saviṣaṃ dantakāṣṭhaṃ tena yadā dūṣitā dantaveṣṭā ityarthaḥ| ‘niścakṣaṇadūṣitā’ ityanye paṭhanti, ‘niṣkarṣaṇadūṣitā’ ityapare, tatrāpi sa evārthaḥ| atrāvapāṭiketyādau pāṭhe ye vraṇāḥ sambhavanti te vraṇā eva yāpyāḥ, ye ca vyādhayasteṣu vyādhiṣu satsu ye vraṇāste yāpyā ityabhiprāyaḥ||8||
sādhyā yāpyatvamāyānti yāpyāścāsādhyatāṃ tathā | ghnanti prāṇānasādhyāstu narāṇāmakriyāvatām ||9||
ta ete nirdiṣṭā na niyamena sādhyāḥ sādhyā eva, yāpyā vā yāpyā evetyukteṣvaniyamaṃ kriyayā darśayannāha- sādhyā ityādi| ghnanti prāṇānasādhyāstviti kālāntaraprāṇahāriṇaḥ sadyaḥ prāṇān ghnantītyarthaḥ| akriyāvatāmiti kriyārahitānāṃ viruddhakriyākāriṇāṃ ca||9||
yāpanīyaṃ vijānīyāt kriyā dhārayate tu yam | kriyāyāṃ tu nivṛttāyāṃ sadya eva vinaśyati ||10|| prāptā 11 kriyāṃ dhārayati yāpyavyādhitamāturam | prapatiṣyadivāgāraṃ viṣkambhaḥ sādhuyojitaḥ ||11||
atha kīdṛśo yāpyastamāha- yāpanīyaṃ vijānīyādityādi| yāpye prāṇadhāraṇameva kriyā karoti na punarvyādhimūlocchedamiti darśayannāha- prāptā kriyetyādi|- prāptā vaidyena prayuktā| viṣkambhaḥ sthūṇā||10-11||
ata ūrdhvamasādhyān vakṣyāmaḥ- māṃsapiṇḍavadudgatāḥ prasekino'ntaḥpūyavedanāvanto'śvāpānavadudvṛttauṣṭhāḥ 12, kecit kaṭhinā gośṛṅgavadudgatamṛdumāṃsaprarohāḥ, apare duṣṭarudhirāsrāviṇastanuśītapicchilāsrāviṇo vā madhyonnatāḥ, kecidavasannaśuṣiraparyantāḥ śaṇatūlavat snāyujālavanto durdarśanāḥ, vasāmedomajjamastuluṅgasrāviṇaśca doṣasamutthāḥ, pītāsitamūtrapurīṣavātavāhinaśca koṣṭhasthāḥ, ta evobhayatobhāgavraṇamukheṣu pūyaraktanirvāhiṇaḥ, (kṣīṇamāṃsānāṃ ca 13 ) sarvatogatayaścāṇumukhā māṃsabudbudavantaḥ, saśabdavātavāhinaśca śiraḥkaṇṭhasthāḥ, kṣīṇamāṃsānāṃ ca pūyaraktanirvāhiṇo'rocakāvipākakāsaśvāsopadravayuktāḥ, bhinne vā śiraḥkapāle yatra mastuluṅgadarśanaṃ tridoṣaliṅgaprādurbhāvaḥ kāsaśvāsau vā yasyeti ||12||
māṃsapiṇḍavadudgatā ityādi| prasekinaḥ srāvabahulāḥ| aśvāpānavat vaḍavāyonivat, udvṛttauṣṭhā utsannavartmānaḥ| kecidavasannaśuṣiraparyantā iti nimnacchidrāvasānā ityarthaḥ| vasā māṃsaniryāsaḥ, mastuluṅgaḥ ardhavilīnaghṛtākāro mastakamajjā| doṣasamutthā iti vātādidoṣajā na punarabhighātajāḥ, te hyevambhūtā api sidhyanti| doṣajānasādhyānabhidhāya koṣṭhasthān darśayitumāha- pītāsitamūtretyādi| ta eva koṣṭhasthā eva| ubhayatobhāgavraṇamukheṣviti gudavadanobhayamārgābhyāṃ vraṇamukhamārgeṇa pūyādivāhinaḥ| sarvavraṇavastugatā vraṇāḥ kīdṛśā asādhyā ityāha- sarvata ityādi| śiraḥkaṇṭhasthāḥ kīdṛśā asādhyā ityāha- saśabdetyādi| kṣīṇamāṃsānāṃ kīdṛśā asādhyā ityāha- kṣīṇetyādi| śiraḥkapāle bhinne| kīdṛśā asādhyā ityāha- bhinne vā śiraḥkapāla ityādi||12||
bhavati cātra- vasāṃ medo'tha majjānaṃ mastuluṅgaṃ ca yaḥ sravet | āgantustu 14 vraṇaḥ sidhyenna sidhyeddoṣasambhavaḥ ||13||
anantaroktamevārthaṃ sukhāvabodhāya ślokena darśayannāha- bhavati cātretyādi||13||
amarmopahite 15 deśe sirāsandhyasthivarjite | vikāroyo'nuparyeti tadasādhyasya lakṣaṇam ||14||
aparigṛhītānāmapi vraṇānāmavasthāviśeṣaprāptyā'sādhyatvaṃ darśayannāha- amarmetyādi|- amarmopahite na marmasamīpavyavasthite, deśe śarīrāvayave tvacītyarthaḥ| sirāsandhyasthivarjita ityatrādiśabdo lupto draṣṭavyaḥ, tena sirāsandhyasthyādivarjita ityarthaḥ; etena snāyudhamanīvarjita ityuktam| anye sirādipadena sthūlasirāvarjita ityāhuḥ| vikāro yo'nuparyeti vikāro'tra vraṇaḥ, anuparyeti sarvato dhātūn vyāpnoti cikitsyamāno'pi, tadasādhyasya lakṣaṇam; etena suvaidyopakrame'pi supradeśajāte'pi yadā sarvadhātuvyāptirdṛśyate, tadā jñāyate karmajo'yaṃ vyādhiriti| anye tu vikāraśabdena kuṣṭhavātaraktakṣayādīnapi 16 kathayanti||13-14||
krameṇopacayaṃ 17 prāpya 18; dhātūnanugataḥ śanaiḥ | na śakya unmūlayituṃ vṛddho vṛkṣa ivāmayaḥ ||15|| sa sthiratvānmahattvācca dhātvanukramaṇena ca | nihantyauṣadhavīryāṇi mantrān duṣṭagraho yathā ||16||
evaṃ vyādheḥ kasyacidutpattāvevāsādhyatvaṃ pratipādyāparasyāpi vyādheḥ sādhyasyāpyupekṣayā'sādhyatvaṃ darśayannāha- krameṇetyādi| kutaḥ punaḥ kāraṇādṛṣṭaphalairauṣadhaiḥ sa vyādhirnopaśāmyatītyāha- sa sthiratvādityādi|- sa iti upekṣito vyādhirityarthaḥ; sthiratvāditi sthiratvamapathyakāriṇo doṣabāhulyāt| kaścidanupekṣito'pyutpattāveva vyādhirauṣadhavīryāṇi hantītyatra hetvantaramāha- mahattvācceti|- mahattvaṃ codarādivyādhinidānabalaprāktanakarmapariṇāmasamprāptiviśeṣairdraṣṭavyaṃ, cakāreṇa rohiṇikāvalayamukharogiṇāmauṣadhavīryopaghāte svabhāvo'pi heturiti samuccīyate| dhātvanukramaṇena ceti kuṣṭhādiṣu caitaddraṣṭavyam| duṣṭagraha 19 iti skandāpasmārādika ityarthaḥ||15-16||
ato yo viparītaḥ syāt sukhasādhyaḥ sa ucyate | abaddhamūlaḥ kṣupako yadvadutpāṭane sukhaḥ ||17||
etannirdiṣṭārthaprakaraṇaviparyayeṇāpi sukhasādhyatvaṃ darśayannāha- ato yo viparītaḥ syādityādi| marmasirāsnāyusandhyasthidhamanīsthito yo nānuparyeti sa sukhasādhya ucyate| kiṃvadityāha 20 - abaddhamūla ityādi| kṣupakaḥ atibālavṛkṣaḥ||17||
tribhirdoṣairanākrāntaḥ śyāvauṣṭhaḥ piḍakī samaḥ | avedano nirāsrāvo vraṇaḥ śuddha ihocyate ||18||
idānīṃ vraṇasya śuddhilakṣaṇamāha- tribhirdoṣairanākrānta ityādi| doṣaśabdo'tra doṣakāryeṣu vraṇākṛtigandhavarṇasrāvavedanāsu vartate, kārye kāraṇopacārāt; yathā- ghṛtamāyuriti 21; tairdoṣākṛtigandhādibhiranākrāntaḥ| ‘tribhirdvandvaiḥ’ ityanye paṭhanti; te tu dvandvaśabdamabhivyaktau varṇayanti, tena doṣatrayābhivyaktibhirākṛtyādibhiranākrānta iti sa evārthaḥ| anye tu śītoṣṇaṃ, mṛdukaṭhinaṃ saṃvṛtavivṛtamiti dvandvatrayaṃ manyante| apare tu ‘dvandvāni doṣāḥ, te cātra vātādayaḥ,tairanākrānta’ iti vyākhyānayanti| śyāvauṣṭha iti kiñcitkṛṣṇapāṇḍuḥ, prasīdacchoṇitatvāt; anye śyāvauṣṭhatāṃ kaṣāyapariṣekābhyaṅgādikṛtāṃ vadanti| piḍakāḥ yasya santi sa piḍakī, piḍakā vraṇauṣṭhe'ṇumāṃsāṅkurāḥ| ‘apiḍakī’ ityanye paṭhanti, tatra na vidyante piḍakā asyeti| samaḥ samatalaḥ| avedana iti na vidyate vātādīnāṃ todādivedanā yasya sa avedanaḥ, sāmānyaśuddhavraṇavedanā tu vidyata eva, yena surūḍhe vakṣyati- ‘aśūnamarujaṃ vraṇam’ iti||18||
kapotavarṇapratimā yasyāntāḥ kledavarjitāḥ | sthirāścipiṭikāvanto rohatīti tamādiśet ||19||
rohadvraṇalakṣaṇaṃ nirdiśannāha- kapotavarṇapratimā ityādi|- kapotavarṇapratimāḥ pāṇḍudhūsarāḥ| sthirāḥ kaṭhinā ityarthaḥ| cipiṭikāvanta iti carmacelīyuktāḥ; viśuṣyamāṇatvāttvacaścarmacelīsambhavaḥ| vraṇe śuṣkasūkṣmaśvetā yā uccaṭati tvak sā ‘carmacelī’ iti kathyate| anye tu ‘apiṭikāvanta’ iti paṭhanti| rohati rohaṃ gacchati||19||
rūḍhavartmānamagranthimaśūnamarujaṃ vraṇam | tvaksavarṇaṃ samatalaṃ samyagrūḍhaṃ vinirdiśet ||20||
samyagrūḍhavraṇasya lakṣaṇaṃ darśayannāha- rūḍhavartmānamagranthimityādi| rūḍhavartmānaṃ rūḍhamārgaṃ rūḍhavraṇavastvityarthaḥ| agranthipadenopariṣṭācchūnatā 22 niṣiddhā| tvaksavarṇaṃ tvacā samānavarṇamityarthaḥ| samatalamiti sadṛśaṃ karatalena jihvātalena vetyarthaḥ, anye ‘tvagranthipadenopariṣṭācchūnatā niṣiddhā,samatalaśabdenādhonimnatā niṣidhyate’ iti vadanti| teṣāṃ mate ‘samastale sa samatala’ iti yojyate||20||
doṣaprakopādvyāyāmādabhighātādajīrṇataḥ | harṣāt krodhādbhayādvā'pi vraṇo rūḍho'pi dīryate ||21||
kecidatrādhyāyānte rūḍhavraṇavyāpatpāṭhaṃ paṭhanti ‘doṣaprakopāt’ ityādi; ayaṃ ca ślokaḥ sarveṣvapi nibandheṣvaparigṛhīta ityanārṣaḥ, tasmānna paṭhanīya iti||21||
iti suśrutasaṃhitāyāṃ sūtrasthāne kṛtyākṛtyavidhirnāma trayoviṃśo'dhyāyaḥ ||23||
iti śrīḍalha(hla)ṇaviracitāyāṃ suśrutavyākhyāyāṃ nibandhasaṅgrahākhyāyāṃ sūtrasthāne trayoviṃśo'dhyāyaḥ||23||

pāṭhāntarāḥ

  1. 1 ‘pūrvādhyāye srāvādinā sādhyāsādhyavraṇasya leśato'bhidhānāttatprasaṅgena prapañcena sādhyāsādhyavraṇavijñānārthaṃ kṛtyākṛtyavidhirabhidhīyate| kṛtyāścikitsārūpakriyārhāḥ sādhyāḥ, tadviparyayeṇākṛtyā asādhyāḥ| tayorvidhirbhedaḥ, sa ca sādhyasya sukhasādhyatvādirasādhyasya yāpyatvasadyaḥprāṇaharatvādiḥ’ iti cakraḥ
  2. 2 ‘guṇapañcakaṃ’ iti pā.
  3. 3 ‘ātmavatāṃ punarmitāhāravihārādibhirupadeśairnānyathāmatiḥ pravartate| sarvaṃ caiṣāṃ sādhu bhavati| tasmādeteṣāṃ sukhasādhanīyatamāḥ’ iti tāḍapatrapustake pāṭhaḥ
  4. 4 ‘kṛtyākṛtyavidhau’ iti pā.
  5. 5 ‘ekasminnityādi’| sarvavayastvādiguṇapañcakamelakena sukhasādhyatamatvaṃ darśayan madhyavidhayā dvitryādiguṇena sukhasādhyataratvādi yathottaraṃ darśayati | atra vayasthā yuvānaḥ, bālānāṃ vedanārhatvābhāvāt’ iti cakraḥ
  6. 6 ‘atra cādhikaraṇamahimnaiva sukhasādhyatvādiviśeṣo bhavati’ iti cakraḥ
  7. 7 ‘adhogatānāmūrdhvamukhenāsamyakpūyanirgamāt kṛcchratvam’ iti cakraḥ
  8. 8 ‘kuṣṭhyādīnāmatiśayaduṣṭadūṣyatayā vraṇakṛcchratvam’ iti cakraḥ
  9. 9 ‘vraṇayukto granthirvraṇagranthiḥ’ iti cakraḥ
  10. 10 ‘dantaniśātanārthaṃ’ iti pā.
  11. 11 ‘kriyāyāmiti samyakkriyāyām| prāpteti ucitā’ iti cakraḥ
  12. 12 udvṛttauṣṭhetyādinaiko'sādhyavraṇaḥ| prasekinaḥ srāvabahulāḥ| vasādisravaṇaṃ pratyekaṃ doṣasamutthavraṇe'sādhyatālakṣaṇam| śiraḥkaṇṭhasthā iti atra śiraḥsthā vā kaṇṭhasthā vā’ iti cakraḥ
  13. 13 hārāṇacandrasammato'yaṃ pāṭhaḥ
  14. 14 ‘atrāgantoḥ sādhyatvamaduṣṭatvādvraṇadeśasya sāmānyenaiva’ iti cakraḥ
  15. 15 ‘amarmopahite iti marmavarjite| deśe iti śarīrapradeśe| tasyaiva viśeṣaṇaṃ- siretyādi| atrādiśabdaṃ luptamicchanti| tena sirāsnāyvādivarjite tvacīti labhyate, anyatra māṃsādau sirādīnāṃ vidyamānatvāt| vikāro yo'nuparyetīti dhātvantareṣvavagāhate kuṣṭhavātaraktādistadasādhyalakṣaṇaṃ, taduktaṃ- ‘evaṃ kuṣṭhaṃ samutpannaṃ tvaci kālaprakarṣataḥ| krameṇa dhātūn vyāpnoti narasyāpratikāriṇaḥ’ (su. ni. a. 6) iti| anye tu vikāro'nuparyetītyanena pratikriyākaraṇe'pi yathoktasukhasādhyadeśabhūto'pi vikāro'nuparyeti vardhate tadbalavadadṛṣṭārabdhatayā'sādhyalakṣaṇamiti vadanti, nahi yathoktadehajātasya vikārasya balavadasādhyatākārakādṛṣṭaṃ vinā vṛddhiryuktā’ iti cakraḥ
  16. 16 ‘kuṣṭhavātaraktajvarādīnapi’ iti pā.
  17. 17 ‘sādhyasyāpyupekṣayā dhātvavagāhanenāsādhyatvaṃ darśayannāha- krameṇetyādi| upacayaṃ prāpta iti dhātvavagāhane hetugarbhaṃ viśeṣaṇam| upacayaścāpratīkārādeva jñeyaḥ| śanairityanena cireṇāsya dhātvavasthānaṃ darśayati| atha tatra punaḥ punarbahvauṣadhaṃ kasmāt sādhakaṃ na bhavatītyāha- sa sthiratvādityādi| sthiratve eva hetudvayaṃ mahattvāddhātvanukramaṇena ceti| mahattvena mahādoṣatvaṃ, dhātvanukramaṇena gambhīratvamucyate’ iti cakraḥ
  18. 18 ‘prāptaḥ’ iti pā.
  19. 19 ‘duṣṭaḥ’ iti pā.
  20. 20 kiṃvat? atastvāha’ iti pā.
  21. 21 ‘ghṛtamāyuriveti’ iti pā.
  22. 22 ‘agranthimiti anucchūnadṛḍhamāṃsam’ iti cakraḥ