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The Compendium of Caraka 5.8: aṣṭamo 'adhyāyaḥ/

Carakasaṃhitā 5.8

Language
Sanskrit

aṣṭamo 'adhyāyaḥ/

5.8.1

athāto 'avākśirasīyamindriyaṃ vyākhyāsyāmaḥ//

Now we shall explain the sense faculty concerning the head hanging down.

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5.8.2

iti ha smāha bhagavānātreyaḥ//

Thus spoke the blessed Ātreya:

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5.8.3

avākśirā vā jihmā vā yasya vā viśirā bhavet/
janto rūpapraticchāyā nainamiccheccikitsitum//

Whose reflected image is head downwards, crooked,
or headless: one should not wish to treat that person.

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5.8.4

jaṭībhūtāni pakṣmāṇi dṛṣṭiścāpi &nigṛhyate/
yasya jantorna taṃ dhīro bheṣajenopapādayet//

Whose eyelashes have become matted and whose vision is also restricted:
the wise physician should not approach that person with medicine.

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5.8.5

yasya śūnāni vartmāni na samāyānti śuṣyataḥ/
cakṣuṣī &copadihyete yathā pretastathaiva saḥ//

Whose eyelids are swollen and do not meet as he wastes away,
and whose eyes are smeared [with discharge]: he is just as good as dead.

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5.8.6

bhruvorvā yadi vā mūrdhni sīmantāvartakān bahūn/
apūrvānakṛtān vyaktān dṛṣṭvā maraṇamādiśet//

If on the eyebrows or on the head one sees many partings and cowlicks,
unprecedented, unmade, and distinct, one should predict death.

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5.8.7

tryahametena jīvanti lakṣaṇenāturā narāḥ/
arogāṇāṃ punastvetat ṣaḍrātraṃ &paramucyate//

Sick men live for three days with this sign;
for the healthy, however, this [lifespan] is said to be at most six nights.

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5.8.8

āyamyotpāṭitān keśān yo naro nāvabudhyate/
anāturo vā rogī vā ṣaḍrātraṃ nātivartate//

A man who does not notice when his hair is grasped and plucked out,
whether healthy or sick, does not survive past six nights.

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5.8.9

yasya keśā nirabhyaṅgā dṛśyante 'abhyaktasannibhāḥ/
uparuddhāyuṣaṃ jñātvā taṃ dhīraḥ parivarjayet//

Whose unanointed hair appears as if anointed:
knowing his life to be obstructed, the wise physician should avoid him.

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5.8.10

&glāyate nāsikāvaṃśaḥ pṛthutvaṃ yasya gacchati/
aśūnaḥ śūnasaṃkāśaḥ pratyākhyeyaḥ sa jānatā//

Whose nasal bridge droops and becomes broadened,
and though unswollen appears swollen: he should be refused by the discerning physician.

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5.8.11

atyarthavivṛtā yasya yasya cātyarthasaṃvṛtā/
jihmā vā pariśuṣkā vā nāsikā na sa jīvati//

Whose nose is exceedingly open or exceedingly contracted,
or crooked, or dried up: he does not live.

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5.8.12

mukhaṃ &śabdaśravāvoṣṭhau śuklaśyāvātilohitau/
vikṛtyā yasya vā nīlau na sa rogādvimucyate//

Whose mouth, ears, and lips are white, grayish, extremely red,
or abnormally blue: he is not freed from disease.

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5.8.13

asthiśvetā dvijā yasya puṣpitāḥ paṅkasaṃvṛtāḥ/
vikṛtyā na sa rogaṃ taṃ vihāyārogyamaśnute//

Whose teeth are bone-white, flowered, or covered with grime
by morbid change: he does not abandon that disease and attain health.

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5.8.14

stabdhā niścetanā gurvī kaṇṭakopacitā bhṛśam/
śyāvā śuṣkā 'athavā śūnā pretajihvā nisarpiṇī//

Rigid, senseless, heavy, thickly covered with thorns,
grayish, dry, or swollen, sliding out—[such is] a dead man's tongue.

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5.8.15

dīrghamucchvasya yo hrasvaṃ naro niḥśvasya tāmyati/
uparuddhāyuṣaṃ jñātvā taṃ dhīraḥ parivarjayet//

A man who inhales deeply, exhales shortly, and faints:
knowing his lifespan to be cut short, the wise [physician] should avoid him.

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5.8.16

hastau pādau ca manye ca tālu caivātidītalam/
bhavatyāyuḥkṣaye krūramathavā 'api bhavenmṛdu//

Both hands, both feet, both carotids, and the palate become extremely cold;
at the exhaustion of lifespan they become either hard or soft.

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5.8.17

ghaṭṭayañjānunā jānu pādāvudyamya pātayan/
yo 'apāsyati muhurvaktramāturo na sa jīvati//

Knocking knee against knee, raising and dropping both feet,
and repeatedly turning his face aside: that sick man does not live.

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5.8.18

dantaiśchindannakhāgrāṇi nakhaicchindañchiroruhān/
kāṣṭhena bhūmiṃ vilikhanna rogāt parimucyate//

Biting the tips of his nails with his teeth, pulling out head hairs with his nails,
[or] scratching the ground with a stick: he is not freed from disease.

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5.8.19

dantān khādati yo jāgradasāmnā virudan hasan/
vijānāti na cedduḥkhaṃ na sa rogādvimucyate//

One who grinds his teeth while awake, weeping and laughing without cause,
and if he does not recognize suffering: he is not freed from disease.

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5.8.20

muhurhasan muhuḥ kṣveḍan śayyāṃ pādena hanti yaḥ/
&uccaiśchidrāṇi vimṛśannāturo na sa jīvati//

Laughing repeatedly, hissing repeatedly, striking the bed with his foot,
and probing his upper bodily orifices: that sick man does not live.

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5.8.21

yairvindati purā bhāvaiḥ sametaiḥ paramāṃ ratim/
tairevāramamāṇasya glāsnormaraṇamādiśet//

Things that once brought supreme delight when joined together,
in which he no longer finds pleasure while languishing: one should predict death.

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5.8.22

na bibharti śiro grīvā na pṛṣṭhaṃ bhāramātmanaḥ/
na hanū piṇḍamāsyasthamāturasya mumūrṣataḥ//

The neck does not bear the head, nor the back its own load,
nor do the jaws [bear] the bolus placed in the mouth of a sick man about to die.

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5.8.23

sahasā jvarasaṃtāpastṛṣṇā mūrcchā balakṣayaḥ/
viśleṣaṇaṃ ca sandhīnāṃ mumūrṣorupajāyate//

Suddenly feverish heat, thirst, fainting, loss of strength,
and loosening of the joints arise in one about to die.

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5.8.24

gosargo vadanādyasya svedaḥ pracyavate bhṛśam/
lepajvaropataptasya durlabhaṃ tasya jīvitam//

From whose face profuse perspiration pours forth at daybreak,
consumed by coating fever: his survival is difficult to obtain.

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5.8.25

nopaiti kaṇṭhamāhāro jihvā kaṇṭhamupaiti ca/
āyuṣyantaṃ gate jantorbalaṃ ca parihīyate//

Food does not reach the throat, and the tongue retracts into the throat;
when the living being's life-span has reached its end, strength also wanes.

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5.8.26

śiro vikṣipate kṛcchrānmuñcayitvā prapāṇikau/
lalāṭasrupratasvedo &mumūrṣuścyutabandhanaḥ//

He tosses his head with difficulty, letting go of his forearms,
with sweat streaming from his forehead, his fastenings undone, about to die.

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5.8.27

tatra ślokaḥ---

Here is a verse:

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5.8.27_1

imāni liṅgāni nareṣu buddhimān vibhāvayetāvahito mumūrṣuṣu/
kṣaṇena bhūtvā hyupayānti kānicinnacāphalaṃ liṅgamihāsti kiñcana//

The intelligent [physician] should observe these signs attentively in men about to die;
for appearing in an instant, some vanish, and no sign here is without result.

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5.8.27_2

ityagniveśakṛte tantre carakapratisaṃskṛte indriyasthāne 'avākṇirasīyamindriyaṃ nāmāṣṭamo 'adhyāyaḥ//8//

Thus ends the eighth chapter, entitled "Indriya Concerning the Downward-Turned Head," in the section on sense faculties of the compendium composed by Agniveśa and redacted by Caraka.

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