The Compendium of Caraka 6.12.6

6.12.6

arśāṃsyaceṣṭā na ca dehaśuddhirmarmopaghāto viṣamā prasūtiḥ/
mithyopacāraḥ pratikarmaṇāṃ ca nijasya hetuḥ śvayathoḥ pradiṣṭaḥ//

piles, lack of movement, lack of body purification, injury to vital organs, difficult childbirth, / and improper application of evacuative therapies are declared the causes of innate swelling.