33. avāraṇīyādhyāyaḥ

avāraṇīyamiti ¹ vāraṇaṃ cikitsā, na vidyate vāraṇaṃ yeṣāṃ te avāraṇā vyādhayaḥ, tānadhikṛtya kṛto'dhyāyo'vāraṇīyaḥ; etenāsādhyavyādhīnadhikṛtya kṛto'dhyāyo'vāraṇīya ityarthaḥ||1-2||

upadravairiti yaḥ pūrvotpannaṃ vyādhiṃ jaghanyakālajāto vyādhirupasṛjati sa tanmūla evopadravasañjñaḥ; jaghanyakālajāta iti paścātkālajāta ityarthaḥ| upadravaistviti tuśabdo'trāvadhāraṇārthaḥ, tenedamavadhārayati- pūrvādhyāye'riṣṭairmaraṇamabhihitam, atra tūpadravairiti| kecit ‘upadravaiśca’ iti tuśabdasthāne cakāraṃ paṭhanti, cakārastu lakṣaṇe'rthe, tenopadravairlakṣaṇairjuṣṭā ityarthaḥ; juṣṭāḥ sahitāḥ| rasāyanādvineti rasāyanena hyasādhyo vyādhirapi prāyaḥ sādhyate| ekamanāḥ sāvadhānaḥ| mameti mama pārśvāt| ‘vyādhayo yāntyasādhyatām’ iti kecit paṭhanti||3||

prathamaṃ mūlavyādhayo bhavanti paścādupadravā iti mūlavyādhīn darśayati- vātavyādhirityādi|- vātavyādhiratra mahāvātavyādhirabhipreto mahacchabdalopāt| aṣṭāveta ityatra dvitīyaṃ punaraṣṭagrahaṇaṃ sarveṣāṃ tulyatvakhyāpanārtham; anye tvanyathā samādadhati, tattu vistarabhayānna likhitam| prakṛtyaiva svabhāvenaiva| mahāgadā iti māraṇātmakatvādasādhyatvācca mahattvameṣāmiti| ‘aṣṭāvete mahāntastu vyādhayo dustarāḥ sadā’- iti kecit paṭhanti||4||-

yairupadravairjuṣṭā asādhyā bhavanti vātavyādhyādayo rogāstānupadravānāha- prāṇamāṃsakṣaya ityādi|- utsāhopacayakṣaya ityarthaḥ| cakāratrayaṃ vakṣyamāṇaśophatvaksvāpādīnāṃ samuccayārtham| etairupadravairjuṣṭā ityatra bahuvacanaṃ tribhirvā juṣṭā iti khyāpanārtham| anye ‘prāṇamāṃsakṣayaśvāsatṛṣṇāśoṣavamījvaraiḥ| mūrcchātisārahikkābhiḥ punaścaitairupadravaiḥ|| varjanīyā viśeṣeṇa bhiṣajā siddhimicchatā’- iti paṭhanti||5-6||

prativyādhiniyataṃ viśiṣṭamariṣṭaṃ darśayannāha- śūnamityādi| śūnādyupadravasahitaṃ puruṣaṃ vātavyādhirvināśayediti sambandhaḥ| suptatvacaṃ badhiratvacam, bhagnaṃ vātena truṭitam| rujārtamantaśceti antarmadhye rujārtaṃ gambhīravedanāpīḍitaṃ; kecit ‘naraṃ rujārtimantaṃ ca’ iti paṭhanti; tatra rujā todādilakṣaṇā, artiḥ śūlaḥ||7||

yathoktopadravāviṣṭamiti makṣikopasarpaṇādayaḥ ślaiṣmikāṇāṃ, vṛṣaṇāvadaraṇādayaḥ paittikānāṃ, hṛdgrahādayo vātikānāṃ, tairāviṣṭaṃ saṃyuktaṃ mānavaṃ prameho hanti| atiprasrutamiti suṣṭhu sravanmūtram| piḍakāpīḍitamiti piḍakāḥ śarāvikākacchapikādayaḥ| gāḍham atiśayena||8||

prabhinnamityādi|- prabhinnaprasrutābhyāṃ sahāṅgaśabdaḥ pratyekaṃ sambadhyate| hatasvaramiti naṣṭasvaram| pañcakarmaguṇātītamiti atra vamanādīnāṃ pañcakarmaṇāmaprāptaphalamityeke; tattu na samyak, yataḥ pañcaśabdena pañcamadhātvavasthitaṃ kuṣṭhamuktaṃ; tatra karmāṇi saṃśodhanasaṃśamanābhyaṅgagugguluśilājatuprabhṛtīni, teṣāṃ guṇāḥ phalāni, tebhyo'tītam; etaduktaṃ bhavati- asthigatakuṣṭhaṃ saṃśodhanādibhirapyaprāptaviśeṣaṃ kuṣṭhinaṃ hanti| anye tu ‘pūrvarūpakriyayā saha rasādidhātūnāṃ caturṇāṃ kriyāsamūhaḥ pañcakarmāṇi’ iti manyante| tadyathā- pūrvarūpeṣu saṃśodhanamubhayataḥ seveta; tvakprāpte śodhanālepanāni, atra tvakśabdena raso'bhidhīyate; evaṃ śoṇitamāṃsamedasāmapi cikitsitaṃ nirdiṣṭaṃ darśanīyamiti| iheti asmin śāstre||9||

tṛṣṇetyādi| tṛṣṇārocakādyupadravasahitaṃ puruṣamarśovyādhirvināśayediti sambandhaḥ||10||

vātetyādi||11||

praśūnanābhītyādyupadravasahitaṃ puruṣamaśmarī kṣapayati vināśayati| āśu śīghram| sikatāśarkarānviteti sikatā vālukā, tatsadṛśā yā śarkarā tayā sahitā'śmarītyarthaḥ||12||

garbhetyādi| garbhakoṣaparāsaṅgaprabhṛtyupadravāḥ striyaṃ hanyurvināśayeyuḥ, kasmin sati? mūḍhagarbhe; garbhakoṣaparāsaṅga iti garbhāśayasya paraḥ śreṣṭha āsaṅgo'tiśayena nirodha ityarthaḥ; anye tu svasthānāt parasthānaṃ gatvā garbhasya saṅgo nirodha utpadyate, anena prakāreṇa ‘parāsaṅga’ iti kathayanti ³| makkalla iti garbhiṇīvyākaraṇokto jñeyaḥ; tatrāprajātāyāśceti cakārānna kevalaṃ prajātāyāḥ, aprajātāyā api makkallo bhavati, tathā garbhāśayāccyutagarbhāyā yonidvārasaktagarbhāśayāśca raktaṃ srutamantaḥsthitaṃ pacyamānaṃ makkallasañjñaṃ bhavatīti jñeyam| yonisaṃvṛtiḥ yonisaṅkocanam| yathoktāścāpyupadravā iti ākṣepakakāsaśvāsabhramādayo mūḍhagarbhanidāne paṭhitāḥ| ‘hanyuḥ striyaṃ mūḍhagarbhāṃ’ iti kecit paṭhanti| mūḍhagarbhāṃ mūḍhagarbhasahitām||13||

pārśvetyādi| pārśvo bhajyate'neneti pārśvabhaṅgo vedanāviśeṣaḥ| viriktaṃ pūryamāṇaṃ ceti virecanadravyairbahuśo viriktaṃ punaḥ pūryamāṇamudarārditaṃ varjayediti||14||

kāyacikitsāvyādhīnupadravairasādhyān nirdiśannāha- yastāmyatītyādi| yastāmyati muhurmuhurmūrcchāṃ gacchati| visañjñaḥ śete sañjñārahitaḥ svapitītyarthaḥ| nipatito'pi veti ‘sañjñārahitaḥ’ iti śeṣaḥ| śītārdito ‘bahiḥ’ iti śeṣaḥ| antaruṣṇaśceti antardāhayuktaḥ| hṛṣṭaromā uddharṣitaromā| hṛdi saṅghātaśūlavāniti aṣṭhīlāvatsaṃhatavastuśūlavānityarthaḥ; anye tu mahāśūlavāniti manyante| nityaṃ vaktreṇa cocchvasyāditi sarvadā mukhenordhvaṃ śvāsaṃ kuryādityarthaḥ| taṃ jvaro hanti mānavamiti taṃ mānavaṃ jvaro hanti vināśayatītyarthaḥ| hikketyādi| mūḍhaṃ vyāmohayuktamanasam| vibhrāntalocanamuccalitākṣam ⁴| kṣapayati jvara iti ‘tatkṣaṇādeva’ iti śeṣaḥ| āvilākṣamityādi| āvilākṣam odanamaṇḍavadaśrupūrṇekṣaṇam| pratāmyantaṃ prakarṣeṇa mohaṃ gacchantam| atīva ceti aharniśamityarthaḥ| itthambhūtamāvilākṣatādyupadravasahitaṃ naraṃ nāśayati jvara iti sambandhaḥ||15-18||

atra viśeṣeṇa vṛddhamiti avṛddhamapyevambhūtaṃ vināśayet, vṛddhaṃ punarviśeṣeṇātiśayenetyarthaḥ; itthambhūtaṃ naraṃ śvāsādyupadravasahitamatisāro vināśayediti sambandhaḥ| ‘kṣīṇaṃ jvaranipīḍitam’ ityatra sthāne ‘kṣīṇaṃ bimbiśīpīḍitaṃ’ iti paṭhanti kecit| atra bimbiśīśabdena pravāhikocyate, bheḍenātroktaṃ- ‘pravāhikāmiti vidurbimbiśīṃ tvapare budhāḥ’- iti||19||

kṛcchreṇa bahumehantamiti kṛcchreṇa kaṣṭena, bahu mehantaṃ kṣarantaṃ, ‘malaṃ’ iti śeṣaḥ| etenāhārasyātiśayamalībhāvaḥ kathitaḥ, yasya cātiśayamalo niṣpadyate tasya māṃsaraktakṣayo bhavati, sa punarasādhyo bhavati, itthambhūtaṃ naraṃ śuklākṣatvādyupadravasahitaṃ yakṣmā hantīti sambandhaḥ| iheti asmin śāstre||20||

śvāsetyādi| granthimūḍhateti gulmasyādarśanam| ete śvāsādyupadravā bhavanti, kasyetyāha- gulmino mṛtyumeṣyata iti|- gulmino gulmayuktasya puruṣasya, mṛtyuṃ maraṇam, eṣyato gamiṣyata ityarthaḥ||21||

ādhmātamityādi| baddhaniṣyandaṃ baddhamūtraṃ ruddhapūyagatikaṃ vā| kāyacikitsāyāṃ yadyapi vidradhirna paṭhitaḥ, tathā'pīha gulmānantaramupadravaiḥ so'pyasādhyo bhavatīti paṭhitaḥ| samāviṣṭamiti sahitaṃ naraṃ, vidradhirnāśayediti sambandhaḥ||22||

pāṇḍvityādi| pāṇḍu śabdena śvetatvamabhidīyate| dantanakhayoḥ pāṇḍutā'sthigatadoṣeṇa, netrapāṇḍutā pāṇḍusaṅghātadarśitvaṃ ca majjagatadoṣeṇa| pāṇḍusaṅghātadarśī ceti pāṇḍūnāṃ śvetadravyāṇāṃ saṅghātaḥ samūhaḥ, taṃ sarvāsu dikṣu paśyatītyarthaḥ||23||

lohitamityādi| bahuśa iti bahuvāram| lohitekṣaṇa iti raktanetraḥ, etacca pūrvavanmajjagatadoṣeṇeti| raktānāṃ ca diśāṃ draṣṭeti etadapi majjagatadoṣeṇa| ‘raktānāṃ ca diśāṃ draṣṭā’ ityatra kecit ‘lohitodgāradarśī ca’ iti paṭhanti| tatrodgāre'pi lohitāgamatvena lohitodgāraḥ, lohitadarśitvaṃ ca majjagatadoṣeṇaiva, lohitaṃ raktaṃ ca sarvaṃ vastu paśyatītyarthaḥ| ‘lohitotkaradarśī’ ityanye paṭhanti; vyākhyānayanti ca- lohitaṃ sarvaṃ vastu paśyatītyarthaḥ| ‘lohitākāradarśī ca’ ityapare paṭhanti||24||

avāgityādi|- avāṅmukhastu adhomukhaḥ, unmukho veti ūrdhvamukhaḥ| balaśabdenātrotsāhaḥ kathyate| jāgariṣṇuḥ jāgaraṇaśīlaḥ| anye ‘avāñcī vā'pyudañcī vā’ iti paṭhanti, tatrāpi sa evārthaḥ||25||

bahuśa ityādi| bahuśo bahuvārān| apasmarantam apasmāravegavantam| prakṣīṇaṃ ‘puruṣam’ iti śeṣaḥ| netrābhyāṃ ca vikurvāṇamiti netradvayaṃ vikṛtiyuktaṃ karotītyarthaḥ| itthambhūtaṃ puruṣamapasmāravegādyupadravasahitamapasmāro vināśayediti sambandhaḥ| ya ete kāyacikitsārogopadravāste samastā evāsādhyā iti jñeyāḥ||26||

iti śrīḍalha(hla)ṇaviracitāyāṃ nibandhasaṅgrahākhyāyāṃ suśrutavyākhyāyāṃ sūtrasthāne trayastriṃśattamo'dhyāyaḥ||33||