Ashtangasamgraha 22.1

22.1

athāto rogabhedīyamadhyāyaṃ vyākhyāsyāmaḥ iti hasmāhurātreyādayo maharṣayaḥ |

saptavidhāḥ khalu rogā bhavanti |

sahagarbhajātapīḍākālaprabhāvasvabhāvajāḥ |

te tu pṛthagdvividhāḥ |

tatra sahajāḥ śukrārtavadoṣānvayāḥ |

kuṣṭhārśomehādayaḥ |

pitṛjā mātṛjāśca |

garbhajā jananyabhivārāt kaubjapāṅgulyapaiggalyakilāsādayo 'nnarasajā dauhṛdavimānanajāśca |

jātajāḥ svāpacārāt santarpaṇajā apatarpaṇajāśca |

pīḍākṛtāḥ kṣatabhaṅgaprahārakrodhaśokabhayādayaḥ śārīramānasāśca |

kālajāḥ śītādikṛtā jvarādayo vyāpannajā asaṃrakṣaṇajāśca |

prabhāvajā devagurūllaṅghanaśāpārthavaṇādikṛtā jvarādayaḥ piśācādayaśca |

svabhāvajāḥ kṣutpipāsājvarādayaḥ kālajā akālajāśca |

tatra kālajā raksaṇakṛtāḥ |

arakṣaṇajā akālajāḥ |

ta ete samāsataḥ punardvividhā bhavanti |

pratyutpannakarmajāḥ pūrvakarmajāśca |

tatra rogotpattiṃ prati pratyutpannaṃ karma yadanenaiva śarīreṇa dṛṣṭamadṛṣṭañcoddiśyāptopadiṣṭānāṃ vihitānāṃ pratiṣiddhānāmananuṣṭhānamanuṣṭhānaṃ vā |

janmāntarātītena tu pūrvam |

tattu punardaivākhyamuktañca niyatāniyatabhedena prāk |

tasmād dṛṣṭahetavaḥ pratyutpannakarmajāḥ |

viparītā daivajanmānaḥ alpanidānā mahārujāścobhayātmakāḥ ||

iti ha smāhurātreyādayo maharṣayaḥ ||

iti hasmāhurātreyādayomaharṣayaḥ ||

Now we shall explain the chapter on the classification of diseases. Thus spoke the great sages led by Ātreya.

Diseases are indeed of seven kinds:
congenital, hereditary, born after birth, caused by trauma, caused by time, caused by superhuman power, and natural.

They, in turn, are each of two kinds.
Among them, congenital diseases originate from defects in the semen and menstrual fluid,
such as dermatosis, hemorrhoids, and urinary disorders;
and they are paternal and maternal.

Hereditary diseases arise from the mother's improper conduct, such as hunchback, lameness, squint, and leukoderma; and they arise from the nutrient fluid of food and from thwarting longings during pregnancy.

Diseases born after birth arise from one's own misconduct, and they arise from over-nourishment and under-nourishment.

Diseases caused by trauma are wounds, fractures, blows, anger, grief, fear, and the like; and they are physical and mental.

Diseases caused by time are produced by cold and the like, such as fevers; and they arise from seasonal abnormalities and from lack of protection.

Diseases caused by superhuman power are fevers and the like produced by transgressing gods and elders, curses, Atharvan sorcery, and so forth, as well as possession by piśācas and the like.

Natural diseases are hunger, thirst, aging, and the like; and they are timely and untimely.
Among them, timely ones are conditioned by self-protection;
untimely ones arise from lack of self-protection.

In brief, these very [diseases] are again of two kinds:
arising from present action and arising from past action.
Among them, in regard to the arising of disease, present action is that which, having a visible or invisible outcome, is non-performance of what is prescribed or performance of what is prohibited by the teachings of authoritative teachers, carried out by this very body.
Past [action], however, is that done in a previous lifetime.
That, in turn, is called fate, and it was explained earlier according to the distinction of predetermined and indeterminate.
Therefore, those with visible causes arise from present action;
those contrary to these arise from fate; and those with minor etiology but great pain partake of both nature[s].

Thus spoke the great sages led by Ātreya.
Thus spoke the great sages led by Ātreya.