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Ashtangasamgraha 22.4

Aṣṭāṅgasaṃgraha 22.4

Language
Sanskrit

22.4

tatra nijāstu doṣotthāḥ |

teṣu pūrvaṃ vātādayo vaiṣamyamāpadyante tato vyathābhinirvartate |

bāhyahetujāstvāgantavaḥ teṣu prāhareṇa vyathā pūrvamupajāyate tato doṣavaiṣamyam |

doṣavaiṣamyeṇaiva ca bahurūpā ruganubadhyate pravarddhate ca |

evañca kṛtvā na doṣavyatirekeṇa rogānubandhaḥ kevalaṃ paurvāparye viśeṣaḥ |

tasmādekākārā evarogā ruksāmānyāt |

asaṅkhyabhedā vā pratyekaṃ samutthānasthānasaṃsthānavarṇanāmavedanāprabhāvo pakvamaviśeṣāt |

yathāsthūlaṃ yathāsvamevopadekṣyante |

asaṅkhyeyatvācca doṣaliṅgaireva rogānupakramaṃ ca vibhajet ||

saniśādvayā daśapalā kvāthe 'mīṣāṃ kṣipet piṣṭvā ||

jīvakamadhukakuṣṭhamaṇḍūkīdevadārumahauṣadhakalkāṣṭaguṇakṣīrisiddhena vā ||

Among them, endogenous [diseases] arise from the doṣas.
In them, vāta and the others first undergo imbalance, and from that pain is produced.
Exogenous [diseases], however, arise from external causes; in them, pain is first produced by an assault, and from that doṣa-imbalance [arises].
And through doṣa-imbalance alone, multiform pain persists and increases.
And taking this into account, there is no continuance of disease apart from the doṣas; the only distinction lies in the sequence.
Therefore, diseases are of a single form because of the generality of pain;
or they are of countless varieties, because of the non-distinction of each [with regard to] origin, site, form, color, name, sensation, superhuman influence, and ripening.
They will be taught in detail according to each, as far as the broad categories [permit].
And because of their innumerability, one should classify diseases and treatment by the signs of the doṣas alone.

Together with the two niśās, ten palas; having ground [them], one should throw [them] into the decoction of these,
or prepared with eight times milk and the paste of jīvaka, madhuka, kuṣṭha, maṇḍūkī, devadāru, and mahauṣadha.

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