The Compendium of Caraka 6.14.8

6.14.8

tairupahato janmaprabhṛti bhavatyatikṛśo vivarṇaḥ kṣāmo dīnaḥ pracuravibaddhavātamūtrapurīṣaḥ śarkarāśmarīmān, tathā 'aniyatavibaddhamuktapakvāmaśuṣkabhinnavarcā antarā 'antarā śvetapāṇḍuharitapītaraktāruṇatanusāndrapicchilakuṇapagandhyāmapurīṣopaveśī, nābhibastivaṃkṣaṇoddeśe pracuraparikartikānvitaḥ, sagudaśūlapravāhikāpariharṣapramehaprasaktaviṣṭambhāntrakūjodāvartahṛdayendriyopalepaḥ pracuravibaddhatiktāmlodgāraḥ, sudurbalaḥ, sudurbalāgniḥ, alpaśukraḥ, krodhano, duḥkhopacāraśīlaḥ, kāsaśvāsatamakatṛṣṇāhṛllāsacchardyarocakāvipākapīnasakṣavathuparītaḥ, taimirikaḥ, śirāḥśūlī, kṣāmabhinnasannasaktajarjarasvaraḥ, karṇarogī, śūnapāṇipādavadanākṣikūṭaḥ, sajvaraḥ, sāṅgamardaḥ, sarvaparvāsthiśūlī ca, antarā 'antarā pārśvakukṣibastihṛdayapṛṣṭhatrikagrahopataptaḥ, pradhyānaparaḥ, paramālasaśceti; janmaprabhṛtyasya gudajairāvṛto &mārgoparodhādvāyurapānaḥ pratyārohan samānavyānaprāṇodānān pittaśleṣmāṇau ca prakopayati, ete sarva eva prakupitāḥ pañca vāyavaḥ pittaśleṣmāṇau cārśasamabhidravanta etān vikārānupajanayanti; ityuktāni sahajānyarśāṃsi//

Afflicted by them from birth, he becomes extremely emaciated, discolored, wasted, miserable, with excessive retention of flatus, urine, and stool, suffering from gravel and urinary calculi; likewise, his stool is irregularly obstructed or loose, ripe or unripe, dry or broken, passing occasionally white, pale, green, yellow, red, brownish-red, thin, thick, slimy, corpse-smelling, and undigested feces; accompanied by intense cutting pain in the region of the navel, bladder, and groin; with anal pain, tenesmus, goosebumps, excessive urination, persistent distension of the abdomen, intestinal gurgling, upward movement of wind, and a sensation of a coating over the heart and sense organs; having excessive, suppressed bitter or sour belching; very weak, with very weak digestive fire, with little semen, irritable, habitually difficult to manage, beset with cough, dyspnea, bronchial asthma, thirst, nausea, vomiting, anorexia, indigestion, coryza, and sneezing; suffering from blurred vision, having headache, with an emaciated, cracked, weak, hoarse, and broken voice, suffering from ear disease, with swollen hands, feet, face, and orbital rims, febrile, with generalized body-aches, and pain in all joints and bones, from time to time afflicted by spasms in the flanks, abdomen, bladder, heart, back, and sacral region, given to deep brooding, and excessively indolent. From birth, obstructed by the [growths] born in the rectum, due to the blockage of the passage, the apāna wind ascends and aggravates the samāna, vyāna, prāṇa, and udāna, as well as pitta and kapha; all these aggravated five winds, along with pitta and kapha, assailing the hemorrhoids, produce these disorders. Thus have congenital hemorrhoids been described.