The Compendium of Caraka 6.14.11

6.14.11

teṣāmayaṃ viśeṣaḥ---śuṣkamlānakaṭhinaparuṣarūkṣaśyāvāni, tīkṣṇāgrāṇi, vakrāṇi, sphuṭitamukhāni, viṣamavisṛtāni, śūlākṣepatodasphuraṇacimicimāsaṃharṣaparītāni, snigdhoṣṇopaśayāni, pravāhikādhmānaśiśnavṛṣaṇabastivaṅkṣaṇahṛdgrahāṅgamardahṛdayadravaprabalāni, pratatavibaddhavātamūtravarcāṃsi, ūrukaṭīpṛṣṭhatrikapārśvakukṣibastiśūlaśiro 'abhitāpakṣavathūdgārapratiśyāyakāsodāvartāyāmaśoṣaśothamūrcchārocakamukhavairasyataimiryakaṇḍūnāsākarṇaśaṅkhaśūlasvaropaghātakarāṇi, śyāvāruṇaparuṣanakhanayanavadanatvaṅmūtrapurīṣasya vātolbaṇānyarśāṃsīti vidyāt//

Their distinctive characteristics are as follows: those that are dry, withered, hard, rough, arid, dusky; having sharp tips, crooked, with fissured openings, irregularly spread; accompanied by colic, spasms, pricking pain, twitching, tingling, and goosebumps; relieved by unctuous and hot things; accompanied by severe tenesmus, flatulence, cardiac constriction and constriction of the penis, testicles, bladder, and groin, body aches, and palpitation; with persistently obstructed flatus, urine, and stool; causing pain in the thighs, hips, back, sacrum, flanks, belly, and bladder, headache, heat in the head, sneezing, belching, coryza, cough, udāvarta, tetany, emaciation, swelling, fainting, anorexia, bad taste in the mouth, visual impairment, itching, pain in the nose, ears, and temples, and loss of voice; in a patient whose nails, eyes, face, skin, urine, and stool are dusky, reddish, and rough—these should be recognized as hemorrhoids dominated by vāta.