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The Compendium of Caraka 5.9: navamo 'adhyāyaḥ/

Carakasaṃhitā 5.9

Language
Sanskrit

navamo 'adhyāyaḥ/

5.9.1

athāto &yasyaśyāvanimittīyamindriyaṃ vyākhyāsyāmaḥ//

Now we shall explain the indriya entitled "Signs of Grayishness."

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5.9.2

iti ha smāha bhagavānātreyaḥ//

Thus spoke the venerable Ātreya:

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5.9.3

yasya śyāve paridhvaste harite cāpi darśane/
āpanno vyādhirantāya jñeyastasya vijānatā//

Whose eyes have become grayish, lustreless, or greenish:
his disease has turned fatal, so the discerning [physician] should know.

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5.9.4

niḥsaṃjñaḥ pariśuṣkāsyaḥ &samṛddho vyādhibhiśca yaḥ/
uparuddhāyuṣaṃ jñātvā taṃ dhīraḥ parivarjayet//

Unconscious, with dried-up mouth, and beset by diseases:
knowing his lifespan to be cut short, the wise [physician] should avoid him.

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5.9.5

&haritāśca sirā yasya lomakūpāśca saṃvṛtāḥ/
so 'amlābhilāṣī puruṣaḥ pittānmaraṇamaśnute//

Whose veins are greenish and hair follicles closed:
that person, craving sour things, meets death from pitta.

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5.9.6

śarīrāntāśca śobhante śarīraṃ copaśuṣyati/
balaṃ ca hīyate yasya rājayakṣmā hinasti tam//

Whose bodily extremities appear handsome while his body withers
and his strength declines: pulmonary consumption destroys him.

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5.9.7

aṃsābhitāpo hikkā ca chardanaṃ śoṇitasya ca/
ānāhaḥ pārśvaśūlaṃ ca bhavatyantāya śoṣiṇaḥ//

Burning heat in the shoulders, hiccup, vomiting of blood,
abdominal distension, and flank pain lead to death for a consumptive.

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5.9.8

vātavyādhirapasmārī kuṣṭhī &śophī tathodarī/
gulmī ca madhumehī ca rājayakṣmī ca yo naraḥ//

A man who has wind disease, epilepsy, leprosy, swelling, or abdominal enlargement,
abdominal lump, madhumeha, or pulmonary consumption—

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5.9.9

acikitsyā bhavantyete balamāṃsakṣaye sati/
anyeṣvapi vikāreṣu tān bhiṣak parivarjayet//

these become incurable when loss of strength and flesh occurs;
in other disorders too, the physician should avoid them.

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5.9.10

virecanahṛtānāho yastṛṣṇānugato naraḥ/
viriktaḥ punarādhmāti yathā pretastathaiva saḥ//

A man whose abdominal distension was removed by purgation, who is attended by thirst,
and who becomes distended again after being purged, is just like a corpse.

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5.9.11

peyaṃ pātuṃ na śaknoti kaṇṭhasya ca mukhasya ca/
urasaśca niśuṣkatvādyo naro na sa &jīvati//

A man who cannot drink a beverage because of dryness
of the throat, mouth, and chest: he does not live.

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5.9.12

svarasya durbalībhāvaṃ hāniṃ ca balavarṇayoḥ/
rogavṛddhimayuktyā ca dṛṣṭvā maraṇamādiśet//

Observing weakness of voice, loss of strength and complexion,
and an improper increase of disease, one should predict death.

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5.9.13

ūrdhvaśvāsaṃ gatoṣmāṇaṃ śūlopahatavaṅkṣaṇam/
śarma cānadhigacchantaṃ buddhimān parivarjayet//

Having upward respiration, departed body heat, groins stricken with pain,
and finding no comfort: the intelligent [physician] should avoid him.

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5.9.14

apasvaraṃ bhāpamāṇaṃ prāptaṃ maraṇamātmanaḥ/
śrotāraṃ cāpyaśabdasya dūrataḥ parivarjayet//

Speaking in a discordant tone, approaching his own death,
and hearing sounds where there are none: one should avoid him from afar.

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5.9.15

yaṃ naraṃ sahasā rogo durbalaṃ parimuñcati/
saṃśayaprāptamātreyo jīvitaṃ tasya manyate//

A weak man whom disease suddenly abandons:
Ātreya considers his life to have fallen into doubt.

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5.9.16

atha cejjñātayastasya yāceran praṇipātataḥ/
rasenādyāditi brūyānnāsmai dadyādviśodhanam//

And if his kinsmen should plead with prostrations,
he should say, "Let him eat with broth"; he should not give him evacuation therapy.

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5.9.17

māsena cenna dṛśyeta viśeṣastasya śobhanaḥ/
rasaiścānyaibahuvidhairdurlabhaṃ tasya jīvitam//

If no auspicious improvement is seen in him within a month,
even with various kinds of broths, his survival is difficult to obtain.

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5.9.18

niṣṭhyūtaṃ ca purīṣaṃ ca retaścāmbhasi majjati/
yasya tasyāyuṣaḥ prāptamantamāhurmanīṣiṇaḥ//

Whose sputum, stool, and semen sink in water:
the wise say the end of his lifespan has arrived.

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5.9.19

niṣṭyūte yasya dṛśyante varṇā bahuvidhāḥ pṛthak/
tacca sīdatyapaḥ prāpya na sa &jīvitumarhati//

In whose sputum various separate colors are seen,
and which sinks on reaching water: he cannot live.

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5.9.20

pittamūṣmānugaṃ yasya śaṅgau prāpya &vimūrcchati/
sa rogaḥ śaṅkhako nāmnā trirātrāddhanti jīvitam//

In whom pitta accompanied by body heat reaches the temples and faints:
that disease, called śaṅkhaka, destroys life in three nights.

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5.9.21

saphenaṃ rudhiraṃ yasya muhurāsyāt prasicyate/
śūlaiśca tudyate kukṣiḥ pratyākhyeyastathāvidhaḥ//

From whose mouth frothy blood repeatedly pours out,
and whose belly is pierced with colicky pains: such a one should be refused.

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5.9.22

balamāṃsakṣayastīvro rogavṛddhirarocakaḥ/
yasyāturasya lakṣyante trīn pakṣānna sa jīvati//

Severe loss of strength and flesh, increase of disease, and anorexia:
in whichever patient these are observed, he does not live three fortnights.

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5.9.23

tatra ślokau---

Here are two verses:

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5.9.23_1

vijñānāni manuṣyāṇāṃ maraṇe pratyupasthite/
bhavantyetāni saṃpaśyedanyānyevaṃvidhāni ca//

These signs appear in men when death is imminent;
one should observe these and others of such kind.

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5.9.24

tāni sarvāṇi lakṣyante na tu sarvāṇi mānavam/
viśanti vinaśiṣyantaṃ tasmādbodhyāni sarvataḥ//

All of them are observed, but not all of them enter
a man about to perish; therefore, they must be recognized on every side.

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5.9.24_1

ityagniveśakṛte tantre carakapratisaṃskṛte indriyasthāne yasyaśyāvanimittīyamindriyaṃ nāma navamo 'adhyāyaḥ//9//

Thus ends the ninth chapter, entitled "Indriya on Signs of Grayishness," in the section on sense faculties of the compendium composed by Agniveśa and redacted by Caraka.

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