The thirty third chapter of Uttara Sthanam of Ashtanga Hridayam is called as ‘Guhyaroga Vijnaniya’. This chapter offers with the reason of ‘Data of ailments of genital organs’.
The matters lined on this chapter embrace –
- Nidana – causes
- Upadamsha
- Medhrarshas – Yonyarshas
- Sarshapika
- Avamantha
- Kumbhika
- Alaji & Uttama
- Pushkarika
- Samvyudha Pitika
- Mridita
- Asthilika
- Nivritta
- Avapatika
- Niruddhamani
- Gratitha
- Sparshahani
- Shataponaka
- Tvakpaka
- Mamsapaka
- Raktarbuda – Mamsarbuda – Vidradhi
- Tilakalaka
- Sadhyasadhya – prognosis
- Yoni Vyapat – problems of vagina
- Vatiki Yoni Vyapat
- Aticharana
- Prakcharana
- Udavritta
- Jataghni
- Antarmukhi
- Suchimukhi
- Shushka Yoni
- Vamini
- Shandha
- Mahayoni
- Paittiki Yoni Vyapat
- Rakta Yoni Vyapat
- Shlaishmiki – Yoni Vyapat
- Lohitakshaya
- Paripluta
- Upapluta
- Vipluta
- Karnini
- Sannipatika Yoni Vyapat
Pledge by the writer(s)
अथातो गुह्यरोगविज्ञानीयं व्याख्यास्याम: ।
इति ह स्माहुरात्रेयादयो महर्षय: ।
After having supplied prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of ‘Data of ailments of the genital organs’. Thus, say (pledge) Atreya and different sages.
Nidana: Causes
स्त्रीव्यवायनिवृत्तस्य सहसा भजतोऽथवा ।
दोषाध्युषितसङ्कीर्णमलिनाणुरजःपथाम् ॥ १ ॥
अन्ययोनिमनिच्छन्तीमगम्यां नवसूतिकाम् ।
दूषितं स्पृशतस्तोयं रतान्तेष्वपि नैव वा ॥ २ ॥
विवर्धयिषया तीक्ष्णान् प्रलेपादीन् प्रयच्छतः ।
मुष्टिदन्तनखोत्पीडाविषवच्छूकपातनैः ॥ ३ ॥
वेगनिग्रहदीर्घातिखरस्पर्शविघट्टनैः ।
दोषा दुष्टा गता गुह्यं त्रयोविंशतिमामयान् ॥ ४ ॥
जनयन्त्युपदंशादीन
Indulging in copulation all of the sudden (for the second time), instantly after retiring from the primary, copulating with girls having their menstrual tract (vagina) vitiated by the doshas, congested, contaminated and enormously narrowed, copulating with the opposite vagina (of animals); with the girl who’s unwilling, who’s forbidden, who has simply delivered, touching (washing the penis in) soiled water, not washing all of it after copulation making use of robust performing pastes (of herbs and many others.) need to extend penis, getting injured (bruised) from assault by the fist, tooth, nails and software of paste of toxic bugs, suppression of the urges, lengthy contact with very tough supplies, scorching or blow (accidentally); by these causes the doshas turn into aggravated, get localized within the genital organ (penis) and produce twenty-three ailments equivalent to Upadamsha and many others.
Upadamsha
उपदंशोऽत्र पञ्चधा ।
पृथग्दोषैः सरुधिरैः समस्तैश्चात्र मारुतात् ॥ ५ ॥
मेढ्रे शोफो रुजश्चित्राः स्तम्भस्त्वक्परिपोटनम् ।
पक्वोदुम्बरसङ्काशः पित्तेन श्वयथुर्ज्वरः ॥ ६ ॥
श्लेष्मणा कठिनः स्निग्धः कण्डूमाञ्छीतलो गुरुः ।
शोणितेनासितस्फोटसम्भवोऽस्रस्रुतिर्ज्वरः ॥ ७ ॥
सर्वजे सर्वलिङ्गत्वं श्वयथुर्मुष्कयोरपि ।
तीव्रा रुगाशुपचनं दरणं कृमिसम्भवः ॥ ८ ॥
याप्यो रक्तोद्भवस्तेषां मृत्यवे सन्निपातजः ।
Upadamsha is of 5 sorts; one from every dosha individually, one from blood and the fifth from all of the doshas collectively. In that attributable to Vata, there may be swelling within the penis, ache of assorted sorts, stiffness, cracks on pores and skin of penis. It seems just like the ripe fruit of Ficus racemosa, together with swelling and fever in that attributable to Pitta; in that attributable to Kapha, the penis seems onerous, greasy, itching, chilly and heavy; that as a result of blood, is vulnerable to develop black coloured vesicles, bleeding and fever. That attributable to all of the doshas, has options of all of the doshas, swelling even of the scrotum, extreme ache, ripens (suppurates) rapidly, putrefaction and look of worms are possible. Amongst these, that born from blood is controllable however persist lengthy, that from all of the doshas collectively goes to kill the particular person.
Medhrarshas: Yonyarshas
जायन्ते कुपितैर्दोषैर्गुह्यासृक्पिशिताश्रयैः ॥ ९ ॥
अन्तर्बहिर्वा मेढ्रस्य कण्डूला मांसकीलकाः ।
पिच्छिलास्रस्रवा योनौ तद्वच्च छत्रसन्निभाः ॥ १० ॥
तेऽर्शांस्युपेक्षया घ्नन्ति मेढ्रपुंस्त्वं भगार्तवं ।
Mamsakilaka (projections of muscle) produced by the aggravated doshas, localized within the blood and muscle of the penis, growing both inside or exterior of penis, having itching and discharge of slimy blood. It happens in the identical method within the vagina, resembling an umbrella. These are referred to as Arshas, when uncared for (Medhrarshas) causes lack of penis and masculine efficiency; (and yonyarasas) causes lack of feminine genitals and menstruation.
Sarshapika
गुह्यस्य बहिरन्तर्वा पिटिकाः कफरक्तजाः ॥ ११ ॥
सर्षपामानसंस्थाना घनाः सर्षपिकाः स्मृताः ।
Eruptions growing both inside or exterior the genitals (penis and vagina), attributable to Kapha and rakta (blood) resembling Brassica juncea in measurement and form and onerous are generally known as Sarshapika.
Avamantha
पिटिका बहवो दीर्घा दीर्यन्ते मध्यतश्च याः ॥ १२ ॥
सोऽवमन्थः कफासृग्भ्यां वेदनारोमहर्षवान् ।
Pitikas attributable to Kapha and blood, multiple in quantity, elongated, tearing within the center, accompanied with ache and horripilation is Avamantha.
Kumbhika
कुम्भीका रक्तपित्तोत्था जाम्बवास्थिनिभाशुजा ॥१३॥
Kumbhika is born from Rakta and Pitta, resembles the Kernel of Syzygium cumini fruit and develops quickly.
Alaji & Uttama
अलजीं मेहवद्विद्यादुत्तमां पित्तरक्तजाम् ।
पिटिकां माषमुद्गाभां
Alaji is much like Alaji belonging to Prameha. Uttama is Pitika born from Pitta and rakta resembling Vigna mungo or Vigna radiata.
Pushkarika
पिटिका पिटिकाचिता ॥ १४ ॥
कर्णिका पुष्करस्येव ज्ञेया पुष्करिकेति सा
Pitika surrounded by small eruptions just like the pushkara karnikka is named Pushkarika.
Samvyudha Pitika
पाणिभ्यां भृशसंव्यूढे संव्यूढपिटिका भवेत् ॥ १५ ॥
Pitika attributable to onerous rubbing of the penis by the fingers is Samvyudha Pitika.
Mridita
मृदितं मृदितं वस्त्रसंरब्धं वातकोपतः ।
Mridita is a contusion of the penis attributable to rubbing it with tough fabric and many others. and attributable to aggravation of Vata.
Asthilika
विषमा कठिना भुग्ना वायुनाऽष्ठीलिका स्मृता ॥१६॥
The penis changing into curved/distorted, onerous and bent attributable to Vayu is named Asthilika.
Nivritta
विमर्दनादिदुष्टेन वायुना चर्म मेढ्रजम् ।
निवर्तते सरुग्दाहं क्वचित्पाकं च गच्छति ॥ १७ ॥
पिण्डितं ग्रन्थितं चर्म तत्प्रलम्बमधो मणेः ।
निवृत्तसञ्ज्ञं सकफं कण्डूकाठिन्यवत्तु तत् ॥ १८ ॥
Vata present process aggravation by onerous rubbing and many others., the fore-skin of the penis goes again related to ache, burning sensation and generally suppuration happens, the pores and skin turns into folded, knotted and hangs beneath the glans, having Kapha, itching and hardness, This is named Nivritta.
Avapatika
दुरूढं स्फुटितं चर्म निर्दिष्टमवपाटिका ।
The pores and skin which doesn’t heal correctly, which is cracked is named Avapatika.
Niruddhamani
वातेन दूषितं चर्म मणौ सक्तं रुणद्धि चेत् ॥ १९ ॥
स्रोतो मूत्रं ततोऽभ्येति मन्दधारमवेदनम् ।
मणेर्विकाशरोधश्च स निरुद्धमणिर्गदः ॥ २० ॥
The pores and skin vitiated by Vata, adhering to the penis obstructs the channel of urine, then the urine flows out in sluggish stream and with out ache, there may be obstruction to the publicity of the glans. This illness is named Niruddhamani.
Gratitha
लिङ्गं शूकैरिवापूर्णं ग्रथिताख्यं कफोद्भवम् ।
The penis showing as if stuffed with thorns is named Gratitha and is of Kapha origin.
Sparshahani
शूकदूषितरक्तोत्था स्पर्शहानिस्तदाह्वया ॥ २१ ॥
Sparshahani is that which arises from blood and arises as a result of vitiated toxic worms.
Shataponaka
छिद्रैरणुमुखैर्यत्तु मेहनं सर्वतश्चितम् ।
वातशोणितकोपेन तं विद्याच्छतपोनकम् ॥ २२ ॥
Penis growing small holes throughout its floor attributable to the aggravation of Vata and Shonita (blood) is named Shataponaka.
Tvakpaka
पित्तासृग्भ्यां त्वचः पाकस्त्वक्पाको ज्वरदाहवान् ।
The pores and skin present process paka (suppuration ulceration) attributable to Pitta and asrik (blood) accompanied with fever and burning sensation is Tvakpaka.
Mamsapaka
मांसपाकः सर्वजः सर्ववेदनो मांसशातनः ॥ २३ ॥
Mamsapaka is attributable to all of the doshas collectively, having all of the options and results in the muscle groups falling off.
Raktarbuda, Mamsarbuda, Vidradhi
सरागैरसितैः स्फोटैः पिटिकाभिश्च पीडितम् ।
मेहनं वेदना चोग्रा तं विद्यादसृगर्बुदम् ॥ २४ ॥
Penis growing crimson and black vesicles and eruptions, having extreme ache ought to be understood as Asrik Arbuda.
मांसार्बुदं प्रागुदितं विद्रधिश्च त्रिदोषजः ।
Mamsarbuda has been described earlier (chapter 29), so additionally Vidrdhi which arises from all of the three doshas (Chapter 11 of Nidana Sthana).
Tilakalaka
कृष्णानि भूत्वा मांसानि विशीर्यन्ते समन्ततः ॥२५॥
पक्वानि सन्निपातेन तान् विद्यात्तिलकालकान् ।
Black moles develop on the penis, the muscle groups fall off in every single place, undergoes suppuration / ulceration quickly attributable to all of the doshas collectively is named Tilakalaka.
Sadhyasadhyata: Prognosis
मांसोत्थमर्बुदं पाकं विद्रधिं तिलकालकान् ॥ २६ ॥
चतुरो वर्जयेदेषां शेषाञ्छीघ्रमुपाचरेत् ।
Mamsarbuda, Mamsapaka, Vidradhi and Tilakalaka these 4 ailments ought to be rejected, the remaining ought to be handled rapidly.
Yoni Vyapat: Issues of vagina
विंशतिर्व्यापदो योनेर्जायन्ते दुष्टभोजनात् ॥ २७
Twenty ailments of the vagina come up due to consuming unhealthy meals.
Vatiki Yoni Vyapat
विषमस्थाङ्गशयनभृशमैथुनसेवनैः ।
दुष्टार्तवादपद्रवैर्बीजदोषेण दैवतः ॥ २८ ॥
योनौ क्रुद्धोऽनिलः कुर्याद्रुक्तोदायामसुप्तताः ।
पिपीलिकासृप्तिमिव स्तम्भं कर्कशतां स्वनम् ॥ २९ ॥ फेनिलारुणकृष्णाल्पतनुरूक्षार्तवस्रुतिम् ।
स्रंसं वङ्क्षणपार्श्वादौ व्यथां गुल्मं क्रमेण च ॥ ३० ॥
तांस्तांश्च स्वान् गदान् व्यापद्वातिकी नाम सा स्मृता |
Improper postures throughout dwelling, sleeping, extra of sexual activity, vitiation of the menstrual circulate, use of unhealthy supplies (as substitutes for the phallus), problems of the seed (ovum) and results of actions of earlier lives, by these causes Vata will get aggravated within the vagina and produces ache, pricking and dilating varieties of ache, lack of sensation, feeling of ants crawling, lack of motion, roughness and noise (gasoline popping out with noise) and discharge of menstrual blood which is frothy, slight reddish black, skinny and dry (non- unctuous), drooping of groins and flanks, discomfort and gradual improvement of stomach tumor. All these totally different sorts of ailments are referred to as Vatiki (Yoni Vyapat).
Aticharana
सैवातिचरणा शोफसंयुक्तातिव्यवायतः ॥ ३१ ॥
Aticharana is an analogous one accompanied with swelling (of the vagina) attributable to extra copulation.
Prakcharana
मैथुनादतिबालायाः पृष्ठजङ्घोरुवङ्क्षणम् ।
रुजन् सन्दूषयेद्योनिं वायुः प्राक्चरणेति सा ॥ ३२ ॥
Copulation in a really younger woman, produces ache in her again, calves, thighs and groins and Vata vitiates the vagina. It is named Prakcharana.
Udavarta
वेगोदावर्तनाद्योनिं प्रपीडयति मारुतः ।
सा फेनिलं रजः कृच्छ्रादुदावृत्तं विमुञ्चति ॥ ३३ ॥
इयंव्यापदुदावृत्ता
Vata aggravated by suppression of the urges, torments the vagina and expels frothy menstrual blood with issue, resulting in the vaginal illness referred to as Udavarta.
Jataghni
जातघ्नी तु यदानिलः ।
जातं जातं सुतं हन्ति रौक्ष्याद्दुष्टार्तवोद्भवम् ॥३४॥
Jataghni is attributable to Vata by rising the dryness of the vitiated menstrual blood; it kills each youngster that’s born.
Antarmukhi
अत्याशिताया विषमं स्थितायाः सुरते मरुत् ।
अन्नेनोत्पीडितो योनेः स्थितः स्रोतसि वक्रयेत् ॥३५॥
सास्थिमांसं मुखं तीव्ररुजमन्तर्मुखीति सा ।
Indulging in copulation after a heavy meal or adopting irregular postures, Vata pressed by the meals, will get localised within the vagina and distorts the channels together with bones and muscle groups across the opening of vagina
together with extreme ache, is named Antarmukhi.
Suchimukhi
वातलाहारसेविन्यां जनन्यां कुपितोऽनिलः ॥ ३६ ॥
स्त्रियो योनिमणुद्वारां कुर्यात्सूचीमुखीति सा
Vata getting aggravated in these girls who bask in Vata rising meals, producing causes narrowing of the vaginal passage in girls, that is referred to as Suchimukhi.
Shushka Yoni
वेगरोधादृतौ वायुर्दुष्टो विण्मूत्रसङ्ग्रहम् ॥ ३७ ॥
करोति योनेः शोषं च शुष्काख्या सातिवेदना ।
As a result of behavior of suppressing the urges (throughout the interval of menstruation), Vata getting aggravated, causes accumulation of feces and urine and causes dryness of the vagina, accompanied with extreme ache. That is referred to as Shushka Yoni.
Vamini
षडहात्सप्तरात्राद्वा शुक्रं गर्भाशयान्मरुत् ॥ ३८ ॥
वमेत्सरुङ्नीरुजो वा यस्याः सा वामिनी मता ।
Both on the sixth day or seventh day, the semen is vomited (expelled) out of the uterus, both accompanied with ache or with out ache by Vata that is referred to as Vamini.
Shandha
योनौ वातोपतप्तायां स्त्रीगर्भे बीजदोषतः ॥ ३९ ॥
नृद्वेषिण्यस्तनी च स्यात्षण्ढसञ्ज्ञाऽनुपक्रमा ।
The lady who resents options of aggravation of Vata in uterus and vagina as a result of defect within the seed, who hates males and has no (developed) breasts is named Shandha and can’t be cured.
Mahayoni
दुष्टो विष्टभ्य योन्यास्यं गर्भकोष्ठं च मारुतः ॥४०॥
कुरुते विवृतां स्रस्तां वातिकीमिव दुःखिताम् ।
उत्सन्नमांसां तामाहुर्महायोनिं महारुजाम् ॥४१॥
Vata getting vitiated, obstructing the vaginal passage, the mouth and cavity of the uterus, causes them to dilate, droop down and ache like that of Vatiki (described earlier) muscle groups protrude out and trigger extreme ache. This is named Mahayoni.
Paittiki Yoni Vyapat
यथास्वैर्दूषणैर्दुष्टं पित्तं योनिमुपाश्रितम् ।
करोति दाहपाकोषापूतिगन्धिज्वरान्विताम् ॥ ४२ ॥
भृशोष्णभूरिकुणपनीलपीतासितार्तवाम् ।
सा व्यापत्पैत्तिकी
Pitta getting aggravated by its personal causes getting localized in vagina produces burning sensation, suppuration/ ulceration, heat, foul odor, fever, discharge of menstrual blood which may be very scorching, giant in amount, of cadaveric odor, blue, yellow or black in shade. These are options of Paittika (yoni vyapat).
Rakta Yoni Vyapat
रक्तयोन्याख्याऽसृगतिस्रुतेः ॥ ४३ ॥
When there may be copious discharge of blood it is named Raktayoni.
Shlaishmiki: Yoni Vyapat
कफोऽभिष्यन्दिभिः क्रुद्धः कुर्याद्योनिमवेदनाम् ।
शीतलां कण्डुलां पाण्डुपिच्छिलां तद्विधस्रुतिम् ॥४४॥
सा व्यापच्छ्लैष्मिकी
Kapha getting aggravated by use of meals which enhance moisture results in Shlaihsmiki (Kaphajayoni Vyapat), characterised by absence of ache, feeling of chilly, itching and discharge of pale, slimy blood of that sort. That is referred to as Shliahsmiki yoni vyapat.
Lohitakshaya
वातपित्ताभ्यां क्षीयते रजः ।
सदाहकार्श्यवैवर्ण्यं यस्याः सा लोहितक्षया ॥ ४५ ॥|
Loss or lower of menstrual blood is attributable to aggravation of Vata and Pitta collectively and is accompanied with burning sensation, emaciation, and discoloration. That is referred to as Lohitakshaya.
Paripluta
पित्तलाया नृसंवासे क्षवथूद्गारधारणात् ।
इत्तयुक्तेन मरुता योनिर्भवति दूषिता ॥ ४६ ॥
शूना स्पर्शासहा सार्तिर्नीलपीतास्रवाहिनी ।
बस्तिकुक्षिगुरुत्वातीसारारोचककारिणी ॥ ४७ ॥
श्रोणिवङ्क्षणरुक्तोदज्वरकृत्सा परिप्लुता ।
The lady belonging to pitta structure, who suppresses the urges of sneezing and belching throughout copulation, goes in for aggravation of Vata together with Pitta, which collectively vitiate the vagina, which turns into swollen, illiberal to the touch, painful, exuding blue and yellow blood, related to feeling of heaviness of the urinary bladder and stomach, diarrhoea, lack of style/urge for food, ache within the waist, groin, pricking ache and fever. This illness is Paripluta.
Upapluta
वातश्लेष्मामयव्याप्ता श्वेतपिच्छिलवाहिनी ॥ ४८ ॥
उपप्लुता स्मृता
This having the options of enhance of Vata and Kapha, exudes blood which is white and slimy, that is Upapluta yoni.
Vipluta
योनिर्विप्लुताख्या त्वधावनात् ।
सञ्जातजन्तुः कण्डूला कण्ड्वा चातिरतिप्रिया ॥ ४९
Vipluta is because of not washing the vagina (clearing once more), offers rise to development of worms (micro organism and many others.) and itching, due to itching the girl wishes copulation typically.
Karnini
अकालवाहनाद्वायुः श्लेष्मरक्तविमूर्छितः ।
कर्णिकां जनयेद्योनौ रजोमार्गनिरोधिनीम् ॥ ५० ॥
सा कर्णिनी
By untimely initiation of the urges, Vata getting aggravated together with Kapha and blood produces Karnika (sprouts of muscle groups) of vagina, obstructing the channel of the menstrual blood. This is named Karnini.
Sannipatika Yoni Vyapat
त्रिभिर्दोषैर्योनिगर्भाशयाश्रितैः ।
यथास्वोपद्रवकरैर्व्यापत्सा सान्निपातिकी ॥ ५१
Illnesses come up together with secondary affections from the aggravation of all of the doshas collectively localized in vagina and uterus, having all of the options. That is referred to as Sannipatiki yoni Vyapat.
Yoni rogas resulting in different ailments
इति योनिगदा नारी यैः शुक्रं न प्रतीच्छति ।
ततो गर्भं न गृह्णाति रोगांश्चाप्नोति दारुणान् |
असृग्दरार्शोगुल्मादीन् आबाधांश्चानिलादिभिः ॥ ५२ ॥
These are the ailments of the Vagina, by which the girl doesn’t retain the semen, nor develop the embryo and purchase extreme (tough to remedy) ailments equivalent to menorrhagia, haemorrhoids, stomach tumor and many others. ailments produced by Vata.
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां षष्ठे उत्तरस्थाने गुह्यरोगविज्ञानीयो नाम त्रयस्त्रिंशोऽध्याय ॥ ३३ ॥
Thus, ends the chapter-Guhyarogavijnaniya- the thirty third in Uttarsthana of Astanga Hridaya Samhita composed by Srimad Vagbhata, son of Sri Vadiyapati Simhagupta.
