The Compendium of Caraka 6.13.14

6.13.14

srotasāṃ dūṣaṇādāmāt saṃkṣobhādatipūraṇāt/
arśobālaśakṛdrodhādantrasphuṭanabhedanāt//

From vitiation of channels, from āma, from physical agitation, from over-filling; / from obstruction by hemorrhoids, hair, or feces; from perforation and rupture of the intestine;