[Pramāṇa](https://indike.org/pramana/) › [Indian literature](https://indike.org/pramana/in) › [Medicine](https://indike.org/pramana/in.med) › [Early and ascribed compendia](https://indike.org/pramana/in.med.samhita) › [The Compendium of Suśruta](https://indike.org/pramana/in.med.samhita.susruta) › 3.4 # The Compendium of Suśruta 3.4: caturtho+adhyāyaḥ/ Suśrutasaṃhitā 3.4 - **Language:** Sanskrit ### caturtho+adhyāyaḥ/ ### [3.4.1](https://indike.org/pramana/in.med.samhita.susruta.3.4.1) athāto garbhavyākaraṇaṁ (nāma) śārīraṁ vyākhyāsyāmaḥ// ### [3.4.2](https://indike.org/pramana/in.med.samhita.susruta.3.4.2) yathovāca bhagavān dhavantariḥ// ### [3.4.3](https://indike.org/pramana/in.med.samhita.susruta.3.4.3) agniḥ somo vāyuḥ sattvaṁ rajastamaḥ pañcendriyāṇi bhūtātmeti prāṇāḥ// ### [3.4.4](https://indike.org/pramana/in.med.samhita.susruta.3.4.4) tasya khalvevaṁpravṛttasya †śukraśoṇitasyābhipacyamānasya\[†'śukraśoṇitasya'iti keṣuciddhastalikhitapustakeṣu nopalabhyate/\] mānasya kṣīrasyeva santānikāḥ sapta †tvaco bhavanti/ tasāṁ prathamā+avabhāsinī nāma, yā sarvavarṇānavabhāsayati pañcavidhāṁ ca chāyāṁ prakāśayati, sā vrīheraṣṭādaśabhāgapramāṇā, siddhmapadmakaṁṭakādhiṣṭhānā; dvitīyā lohitā nāma, vrīhiṣoḍaśabhāgapramāṇā, tilakalakanyacchavyaṅgādhiṣṭhānā; tṛtīyā śvetā nāma,vrīhidvādaśabhāgapramāṇā, carmadalājagallīmaśakādhiṣṭhānā; carurthī tāmrā nāma vrīheraṣṭabhāgapramāṇā, vividhakilāsakuṣṭhādhiṣṭhānā; pañcamī vedinī nāma, vrīhipañcabhāgapramāṇā, kuṣṭhavisarpādhiṣṭhānā; ṣaṣṭhī rohiṇī nāma, vrīhipramāṇā, granthyapacyarbudaślīpadagalagaṇḍādhiṣṭhānā; saptamī māṁsadharā nāma, vrīhidvayapramāṇā, bhagandaravidradhyarśo+adhiṣṭhānā/ yadetat pramāṇaṁ nirdiṣṭaṁ tanmāṁsaleṣvavakāśeṣu, na lalāṭe sūkṣmāṅgulyādiṣu; yato vakṣyatyudareṣu---vrīhimukhenāṅguṣṭhodarapramāṇamavagāḍhaṁ vidhyediti// \[†'śarīre ṣaṭ tvacaḥ;-----'(ca.śā.a.7.sū.5)/ 'ṣaṣṭhī tu prāṇadharā' iti āṣṭāṅgasaṁgrahe pāṭhaḥ/ 'tvaco nāma---sarvadehāvaraṇarūpā bhūmiḥ sparśanevdriyasya srotasāñca svedavahānāṁ, romṇāmapi saromakūpānām/ tāḥ sthūladaṣṭyā staradvayavibhaktāḥ---bahistvagbhāgo+antarastvagbhāgaśceti/ tatra bahistvaṅnāmātīva tanvī kṛṣṇagaurādivarṇādhārā vahnisparśena ploṣapiḍakāvyañjanā ca/ antastvaḍnāma sthūlā śarīrābhirakṣaṇī snehādikarṣaṇī ca/ saiva pradhānāyatanaṁ sparśabhūmeḥ svedasrutāñca mārgāṇām'(pratyakṣaśārīra pra. bhā.pṛ+ 5-6)/\] ### [3.4.5](https://indike.org/pramana/in.med.samhita.susruta.3.4.5) kalāḥ khalvapi sapta †saṁbhavanti dhātvāśayāntaramaryādāḥ// ### [3.4.6](https://indike.org/pramana/in.med.samhita.susruta.3.4.6) †bhavataścātra/\[†'bhavanti cātra'iti pā+\] yathā hi sāraḥ kāṣṭheṣu chidyamāneṣu dṛśyate// tathā dhāturhi māṁseṣu chidyamāneṣu dṛśyate// ### [3.4.7](https://indike.org/pramana/in.med.samhita.susruta.3.4.7) snāyubhiśca praticchannān santatāṁśca jarāyuṇā// śleṣmaṇā veṣṭitāṁścāpi kalābhāgāṁstu tān †viduḥ// \[†'asyāgre'+adhātvāśayāntare+annasya yaḥ kledastvadhiṣṭhati/ dehoṣmaṇā vipakvastu sā kaletyabhidhīyate' ityadhikaṁ paṭhyate kvacitpustake/\] ### [3.4.8](https://indike.org/pramana/in.med.samhita.susruta.3.4.8) tāsaṁ prathamā māṁsadhārā nāma; yasyāṁ †māṁse sirāsnāyudhamanīsrotasāṁ pratānā bhavanti// \[†'māṁsagatānāṁ'iti hārāṇacandrasaṁmataḥ pāṭhaḥ/ 'māṁsasirāsnāyudhamanīsrotasāṁ' iti vai.paṁ.hariprapannasaṁmataḥ pāṭhaḥ/ viśeṣavivaraṇaṁ tu rasayogasāgarasyopoddhāte 164-165 pṛṣṭhayordraṣṭavyam/\] ### [3.4.9](https://indike.org/pramana/in.med.samhita.susruta.3.4.9) bhavati cātra/ yathā bisamṛṇālāni vivardhante samantataḥ// bhūmau paṅkodakasthāni tathā māṁse sirādayaḥ// ### [3.4.10](https://indike.org/pramana/in.med.samhita.susruta.3.4.10) dvitīyā raktadharā nāma māṁsasyābhyantarataḥ, tasyāṁ śoṇitaṁ viśeṣataśca sirāsu yakṛtplīhnośca †bhavati// ### [3.4.11](https://indike.org/pramana/in.med.samhita.susruta.3.4.11) bhavati cātra/ vṛkṣādyathābhiprahatāt kṣīriṇaḥ †kṣīramāvahet// māṁsādevaṁ kṣatāt kṣipraṁ śoṇitaṁ †saṁprasicyate// ### [3.4.12](https://indike.org/pramana/in.med.samhita.susruta.3.4.12) tṛtīyā medodharā nāma; medo hi sarvabhūtānāmudarasthamaṇvasthiṣu ca, mahatsu ca majjā †bhavati// \[†'tadeva ca śirasi kapālapraticchannaṁ mastiṣkākhyaṁ mastuluṅgākhyaṁ ca' ityaṣṭāṅgasaṁgrahe+adhikaḥ pāṭhaḥ/ 'medo nāma---sāndrasarpistulyaḥ snehadhātuḥ śarīrasya/ tasya sthānamudarāntaḥ, tvacāmadhaśca/ vasā tu māṁsāntarānupraviṣṭaḥ snehastasyā medasyanupraveśastulyopādānatvāt/ majjā nāma asthimadhyagataḥ snehaḥ/ sa dvividhaḥ pīto raktaśca/ tatra pīto nalakāsthnāmantaḥ, raktastnitarāsthiṣu, prāntabhāheṣu ca nalakāsthnām/ so+ayaṁ sthūlasvarūpeṇa medaso+abhinno+apikarmavaiśeṣyātpṛthageva dhātuḥ,'(pratyakṣāśārīra pra. bhā.pṛ.10/\] ### [3.4.13](https://indike.org/pramana/in.med.samhita.susruta.3.4.13) bhavati cātra/ sthūlāsthiṣu viśeṣeṇa majjā tvabhyantarāśritaḥ// athetareṣu sarveṣu saraktaṁ meda ucyate// śuddhamāṁsasya yaḥ snehaḥ sā vasā parikīrtitā// ### [3.4.14](https://indike.org/pramana/in.med.samhita.susruta.3.4.14) caturthī śleṣmadharā nāma; sarvasandhiṣu prāṇabhṛtāṁ bhavati// ### [3.4.15](https://indike.org/pramana/in.med.samhita.susruta.3.4.15) bhavati cātra/ snehābhyakte yathā hyakṣe cakraṁ sādhu pravartate// sandhayaḥ sādhu vartante saṁśliṣṭāḥ śleṣmaṇā tathā// ### [3.4.16](https://indike.org/pramana/in.med.samhita.susruta.3.4.16) pañcamī purīṣadharā nāma; yā+avtaḥkoṣṭhe malamabhivibhajate pakvāśayasthā// ### [3.4.17](https://indike.org/pramana/in.med.samhita.susruta.3.4.17) bhavati cātra/ yakṛtsamantāt koṣṭhaṁ ca tathā+antrāṇi samāśritā// uṇḍukasthaṁ vibhajate malaṁ maladharā kalā// ### [3.4.18](https://indike.org/pramana/in.med.samhita.susruta.3.4.18) ṣaṣṭhī †pittadharā nāma; yā caturvidhamannapānamupabhu(yu)ktamāmāśayāt pracyutaṁ pakvāśayopasthitaṁ dhārayati// \[†'ṣaṣṭhī pittadharā nāma pakvāmāśayamadhyasthā/ sā hyantaragneradhiṣṭhānatayā++āmāśayāt pakvāśayonmukhamannaṁ balena vidhārya pittatejasā śoṣayati pacati pakvaṁ ca vimuñcati/ doṣādhiṣṭhitā tu daurbalyādāmameva/ tato+asāvannasya grahaṇāt punargrahaṇīsaṁjñā/ balaṁ ca tasyāḥ pittamevāgnyabhidhānamataḥ sā+agninopastabdhopabṛṁhitaikayogakṣemā śarīraṁ vartayati/' (aṣṭāṅgasaṁgraha śā.sthā.a.)\] ### [3.4.19](https://indike.org/pramana/in.med.samhita.susruta.3.4.19) bhavati cātra/ aśitaṁ khāditaṁ pītaṁ koṣṭhagataṁ nṛṇām// tajjīryati yathākālaṁ śoṣitaṁ pittatejasā// ### [3.4.20](https://indike.org/pramana/in.med.samhita.susruta.3.4.20) saptamī śukradharā nāma; yā sarvaprāṇināṁ sarvaśarīravyāpinī// ### [3.4.21](https://indike.org/pramana/in.med.samhita.susruta.3.4.21) bhavanti cātra/ yathā payasi sarpistu †gūḍhaścekṣau raso yathā// śarīreṣu tathā śukraṁ nṛṇāṁ vidyādbhiṣagvaraḥ// ### [3.4.22](https://indike.org/pramana/in.med.samhita.susruta.3.4.22) dvyaṅgule dakṣiṇe †pārśve bastidvārasya cāpyadhaḥ// mūtrasrotaḥpathāccgukraṁ puruṣasya pravartate// \[†'dvyaṅgule dakṣiṇe pārśve bastidvārasya cāpyadhaḥ/ mūtrasrotaḥpathācchukraṁ puruṣasya pravartata' ityatra+advyaṅgule dakṣiṇe vāma' ityeva sādhīyān pāṭhaḥ, anyathā pratyakṣavirodhāt svāktivirodhācca/ kṣuyate hi+aśukravahe dve śukraprādurbhāvāya, dve śukravisargāya ca' iti suśrute eva' (pratyakṣaśārīra, upoddhāta, pṛṣṭha 72)/\] ### [3.4.23](https://indike.org/pramana/in.med.samhita.susruta.3.4.23) kṛtsnadehāśritaṁ śukraṁ prasannamanasastathā// strīṣu vyāyacchataścāpi harśāttat saṁpravartate// ### [3.4.24](https://indike.org/pramana/in.med.samhita.susruta.3.4.24) gṛhītagarbhāṇāmārtavavahānāṁ srotasāṁ vartmānyavarudhyanta garbheṇa, tasmādgṛhītagarbhāṇāmārtavaṁ na dṛśyate; tatastadadhaḥ pratihatamūrdhvamāgatamaparaṁ copacīyamānamaparāîtyabhidhīyate; śeṣaṁ cordhvataramāgataṁ payodharāvabhipratipadyate, tasmādgarbhiṇyaḥ pīnonnatapayodharā bhavanti// ### [3.4.25](https://indike.org/pramana/in.med.samhita.susruta.3.4.25) garbhasya yakṛtplīhānau śoṇitajau, śoṇitaphenaprabhabhavaḥ †phupphusaḥ, śoṇitāṁkaṭṭaprabhabhva uṇḍukaḥ// ### [3.4.26](https://indike.org/pramana/in.med.samhita.susruta.3.4.26) asṛjaḥ śleṣmaṇaścāpi yaḥ prasādaḥ paro mataḥ// taṁ pacyamānaṁ pittena vāyuścāpyanudhāvati// ### [3.4.27](https://indike.org/pramana/in.med.samhita.susruta.3.4.27) tato+asyāntrāṇi jāyante gudaṁ bastiśca dehinaḥ// udare pacyamānānāmādhmānādrukmasāravat// ### [3.4.28](https://indike.org/pramana/in.med.samhita.susruta.3.4.28) kaphaśoṇitamāṁsānāṁ sāro †jihvā prajāyate// yathārthamūṣmaṇā yukto vāyuḥ srotāṁsi dārayet// \[†'tatrāsya mathyamānasya dhmāyamānasya rukmavat/ jihvā saṁjāyate saumī yayā vedayate rasān' iti pā+\] ### [3.4.29](https://indike.org/pramana/in.med.samhita.susruta.3.4.29) anupraviśya piśitaṁ peśīrvibhajate tathā// †medasaḥ snehamādāya sirāsnāyutvamāpnuyāt// \[†vai+ paṁ+ hariprapannaśarmaṇā tu ayaṁ pāṭho+anyathā paṭhito vyākhyātaśca,+amedaḥ sa snehamādāya sirāsnāyutvamapyatha/ sirāṇāṁ tu mṛduḥ pākaḥ snāyūnāṁ ca tataḥ kharaḥ// āśayyābhyāsayogena karotyāśayasaṁbhavam/ sa vāyuḥ kartā, annarasāt snehamādāya medo vibhajate arthādudare medaścimoti; atha evaṁ sirāsnāyutvaṁ vibhajate arthāt sirātvaṁ sirāsvarūpaṁ, snāyutvaṁ snāyusvarūpaṁ ca vibhajate/ nanu samavāyikāraṇasyaikatve+api kathametadvecitryaṁ saṁjāyata ityāha---sirāṇāṁ tu mṛduḥ pāka ityādi/ ---sirāṇāmaśuddharaktavāhinānāṁ, dhamanīrasāyanīnāmapyupalakṣaṇametat; atra mṛduḥ pākā bhavati nirantararasasaṁmṛtatvāt; snāyūnāṁ ca peśīprāntānāṁ kharaḥ pāko bhavati alparasagamanāt/ ----sa vāyuḥ māṁsapeśīṣu āśayya āsamantāt nivāsaṁ kṛtvā hṛdayādyāśayānāṁ saṁbhavamutpattiṁ karoti'(rasayogasāgara, upoddhāta, pṛ+ 113-114)/\] ### [3.4.30](https://indike.org/pramana/in.med.samhita.susruta.3.4.30) sirāṇāṁ tu mṛduḥ pākaḥ snāyūnāṁ ca tataḥ kharaḥ// āśayyābhyāsayogena karotyāśayasaṁbhavam// ### [3.4.31](https://indike.org/pramana/in.med.samhita.susruta.3.4.31) raktamedaḥprasādādvṛkkau; māṁsāsṛkkalhamedaḥprasādādvṛṣaṇau; śoṇitakaphaprasādajaṁ hṛdayaṁ, yadāśrayā hi dhamanyaḥ prāṇavahāḥ; †tasyādho vāmataḥ plīhā phupphusaśca, dakṣiṇato yakṛt †kloma ca; taddhṛdayaṁ viśeṣeṇa cetanāsthānam, atastasmiṁstamasā++āvṛte sarvaprāṇinaḥ svapanti// \[†yattu+ahṛdayasyādho vāmataḥ plīhā phusphusaśca, dakṣiṇato yakṛt kloma ca' iti sauśrutaḥ pāṭhaḥ tatra pramāda eva darīdṛśyate,+ahṛdayasyādho vāmataḥ plīhā, dakṣiṇato yakṛt, ubhayataḥ kloma phusphusau ca' iti tu sādhīyān pāṭhaḥ, anyathā na kenāpi kathamapi śakyaṁ samādhātum,(pratyakṣaśārīra, upoddhāta, pṛ+ 68)/ kloma śvāsanalikā---'ṭrekiyā "trachea"' iti gaṇanāthasenaḥ (pratyakṣaśārīra, dvitīyabhāga, pṛ+ 178),+agāla blaḍara "gall-bladder"' iti rasayogasāgarasyopoddhāte(pṛ+96-102) vai+ paṁ+ hariprapannaśarmā/ vistarastu tatraiva draṣṭavyaḥ/\] ### [3.4.32](https://indike.org/pramana/in.med.samhita.susruta.3.4.32) bhavati cātra/ puṇḍarīkeṇa sadṛśaṁ hṛdayaṁ syādadhomukham// jāgratastadvikasati svapataśca nimīlati// ### [3.4.33](https://indike.org/pramana/in.med.samhita.susruta.3.4.33) nidrāṁ tu vaiṣṇavīṁ pāpmānamupadiśanti, sā svabhāvata eva sarvaprāṇino+abhispṛśati/ tatra yadā saṁjñāvahāni srotāṁsi tamobhūyiṣṭhaḥ śleṣmā pratipadyate tadā tāmasī nāma nidrā †bhavatyanavabodhinī, sā pralayakāle; tamobhūyiṣṭhānāmahaḥsu niśāsu ca bhavati, rajobhūyiṣṭhānāmanimittaṁ, sattvabhūyiṣṭhānāmardharātre; kṣīṇaśleṣmanilabahulānāṁ manaḥśarīrābhitāpavatāṁ ca naiva, sā vaikārikī bhavati// ### [3.4.34](https://indike.org/pramana/in.med.samhita.susruta.3.4.34) bhavanti cātra/ hṛdayaṁ cetanāsthānamuktaṁ suśruta! dehinām// tamobhibhūte tasmiṁstu nidrā viśati dehinam// ### [3.4.35](https://indike.org/pramana/in.med.samhita.susruta.3.4.35) nidrāhetustamaḥ, sattvaṁ bodhane heturucyate// svabhāva eva vā heturgarīyān parikīrtyate// ### [3.4.36](https://indike.org/pramana/in.med.samhita.susruta.3.4.36) pūrvadehānubhūtāṁstu bhūtātmā svapataḥ prabhuḥ// rajoyuktena manasā gṛhṇātyarthān śubhāśubhān// ### [3.4.37](https://indike.org/pramana/in.med.samhita.susruta.3.4.37) karaṇānāṁ tu †vaikalye\[†'vaiguṇye'iti pā+\] tamasā+abhipravardhite// asvapannapi bhūtātmā prasupta iva cocyate// ### [3.4.38](https://indike.org/pramana/in.med.samhita.susruta.3.4.38) sarvartuṣu divāsvāpaḥ pratiṣiddho+anyatra grīṣmāt, pratiṣiddheṣvapi tu bālavṛddhastrīkarśitakṣatakṣīṇamadyanityayānavāhanādhvakarmapariśrāntānāmabhuktavatāṁ medaḥsvedakapharasaraktakṣīṇānāmajīrṇināṁ ca muhūrtaṁ †divāsvapanamapratiṣiddham/ rātrāvapi jāgaritavatāṁ jāgaritakālādardhamiṣyate divāsvapanam/ vikṛtirhi divāsvapno nāma; tatra svapatāmadharmaḥ sarvadoṣaprakopaśca, tatprakopācca kāsaśvāsapratiśyāyaśiro-†gauravāṅgamardārocakajvarāgnidaurbalyāni\[†'gauravajvarāgnidaurbalyāni'iti pā+\] bhavanti; rātrāvapi jāgaritavatāṁ vātapittanimittāsta evopadravā bhavanti// ### [3.4.39](https://indike.org/pramana/in.med.samhita.susruta.3.4.39) bhavanti cātra/ tasmānna jāgṛyādrātrau divāsvapnaṁ ca varjayet// jñātvā doṣakarāvetau budhaḥ svapnaṁ mitaṁ caret// ### [3.4.40](https://indike.org/pramana/in.med.samhita.susruta.3.4.40) arogaḥ sumanā hyevaṁ balavarṇānvito vṛṣaḥ// nātisthūlakṛśaḥ śrīmān naro jīvet samāḥ śatam// ### [3.4.41](https://indike.org/pramana/in.med.samhita.susruta.3.4.41) †nidrā sātmyīkṛtā yaistu rātrau ca yadi vā divā// (divārātrau ca ye nityaṁ svapnajāgaraṇocitāḥ/) na teṣāṁ svapatāṁ doṣo jāgratāṁ vā+api jāyate// \[†ayamardhaślokaḥ keṣucitpustakeṣu nopalabhyate/\] ### [3.4.42](https://indike.org/pramana/in.med.samhita.susruta.3.4.42) nidrānāśo+anilāt pittānmanastāpāt kṣayādapi// saṁbhavatyabhighātācca pratyanīkaiḥ praśāmyati// ### [3.4.43](https://indike.org/pramana/in.med.samhita.susruta.3.4.43) nidrānāśe+abhyaṅgayogo mūrdhni tailaniṣevaṇam// gātrasyodvartanaṁ caiva hitaṁ saṁvāhanāni ca // ### [3.4.44](https://indike.org/pramana/in.med.samhita.susruta.3.4.44) śāligodhūmapiṣṭānnabhakṣyairaikṣavasaṁskṛtaiḥ// bhojanaṁ madhuraṁ snigdhaṁ kṣīramāṁsarasādibhiḥ// ### [3.4.45](https://indike.org/pramana/in.med.samhita.susruta.3.4.45) rasairbileśayānāṁ ca viṣkirāṇāṁ tathaiva ca// drākṣāsitekṣudravyāṇāmupayogo bhavenniśi// ### [3.4.46](https://indike.org/pramana/in.med.samhita.susruta.3.4.46) śayanāsanayānāni manojñāni mṛduni ca// nidrānāśe tu kurvīta tathā+anyānyapi buddhimān// ### [3.4.47](https://indike.org/pramana/in.med.samhita.susruta.3.4.47) nidrātiyoge vamanaṁ †hitaṁ saṁśodhanāni ca// laṅghanaṁ raktamokṣaśca manovyākulanāni ca// \[†'vamennidrātiyoge tu kuryāt'iti pā+\] ### [3.4.48](https://indike.org/pramana/in.med.samhita.susruta.3.4.48) kaphamedoviṣārtānāṁ rātrau jāgaraṇaṁ hitam// divāsvapnaśca tṛṭśūlahikkājīrṇātisāriṇām// ### [3.4.49](https://indike.org/pramana/in.med.samhita.susruta.3.4.49) indriyārtheṣvasaṁprāptirgauravaṁ jṛmbhaṇaṁ klamaḥ// nidrārtasyeva †yasyehā tasya tandrāṁ vinirdiśet// ### [3.4.50](https://indike.org/pramana/in.med.samhita.susruta.3.4.50) pītvaikamanilocchvāsamudveṣṭan vivṛtānanaḥ// yaṁ muñcati sanetrāsraṁ sa jṛmbha iti saṁjñitaḥ// ### [3.4.51](https://indike.org/pramana/in.med.samhita.susruta.3.4.51) yo+anāyāsaḥ śramo dehe pravṛddhaḥ śvāsavarjitaḥ// klamaḥ sa iti vijñeya indriyārthaprabādhakaḥ// ### [3.4.52](https://indike.org/pramana/in.med.samhita.susruta.3.4.52) sukhasparśaprasaṅgitvaṁ duḥkhadveṣaṇalolatā// śaktasya cāpyanutsāhaḥ karmasvālasyamucyate// ### [3.4.53](https://indike.org/pramana/in.med.samhita.susruta.3.4.53) utkliśyānnaṁ na nirgacchet †prasekaṣṭhīvaneritam// hṛdayaṁ pīḍyate cāsya tamutkleśaṁ vinirdiśet// ### [3.4.54](https://indike.org/pramana/in.med.samhita.susruta.3.4.54) vaktre madhuratā tandrā hṛdayodveṣṭanaṁ bhramaḥ// na cānnamabhikāṅkṣeta glāniṁ tasya vinirdiśet// ### [3.4.55](https://indike.org/pramana/in.med.samhita.susruta.3.4.55) ārdracarbhāvanaddhaṁ vā(hi)yo †gātramabhimanyate// tathā guru śiro+atyarthaṁ gauravaṁ tadvinirdiśet// ### [3.4.56](https://indike.org/pramana/in.med.samhita.susruta.3.4.56) mūrcchā pittatamaḥprāyā, rajaḥpittānilādbhramaḥ// tamovātakaphāttandrā, nidrā śleṣmatamobhavā// ### [3.4.57](https://indike.org/pramana/in.med.samhita.susruta.3.4.57) garbhasya khalu rasanimittā mārutādhmānanimittā ca parivṛddhirbhavati// ### [3.4.58](https://indike.org/pramana/in.med.samhita.susruta.3.4.58) bhavanti cātra/ tasyāntareṇa nābhestu jyotiḥsthānaṁ dhruvaṁ smṛtam// tadādhamati vātastu dehastenāsya vardhate// ### [3.4.59](https://indike.org/pramana/in.med.samhita.susruta.3.4.59) ūṣmaṇā sahitaścāpi dārayatyasya mārutaḥ// ūrdhvaṁ tiryagadhastācca srotāṁsyapi yathā tathā// ### [3.4.60](https://indike.org/pramana/in.med.samhita.susruta.3.4.60) dṛṣṭiśca romakūpāśca na vardhante †kadācana// dhruvāṇyetāni martyānāmiti dhanvantarermatam// ### [3.4.61](https://indike.org/pramana/in.med.samhita.susruta.3.4.61) śarīre kṣīyamāṇe+api vardhete dvāvimau sadā// svabhāvaṁ prakṛtiṁ kṛtvā nakhakeśāviti sthitiḥ// ### [3.4.62](https://indike.org/pramana/in.med.samhita.susruta.3.4.62) sapta prakṛtayo bhavanti---doṣaiḥ pṛthak, dviśaḥ, samastaiśca// ### [3.4.63](https://indike.org/pramana/in.med.samhita.susruta.3.4.63) śukraśoṇitasaṁyoge yo bhaveddoṣa utkaṭaḥ// prakṛtirjāyate tena tasyā me lakṣaṇaṁ śṛṇu// ### [3.4.64](https://indike.org/pramana/in.med.samhita.susruta.3.4.64) tatra yaḥ prajāgarūkaḥ śītadveṣī durbhagaḥ steno matsaryanāryo gāndharvacittaḥ sphuṭitakaracaraṇo+†alparūkṣaśmaśrunakhakeśaḥ\[†'atirūkṣaśmaśrunakhakeśaḥ'iti pā+\] †krāthī dantanakhakhādī ca bhavati// ### [3.4.65](https://indike.org/pramana/in.med.samhita.susruta.3.4.65) adhṛtiradṛḍhasauhṛdaḥ kṛtaghnaḥ kṛśaparuṣo dhamanītataḥ pralāpī// drutagatiraṭano+anavasthitātmā †viyati ca gacchati saṁbhrameṇa suptaḥ// ### [3.4.66](https://indike.org/pramana/in.med.samhita.susruta.3.4.66) avyavasthitamatiścaladṛṣṭirmandaratnadhanasaṁcayamitraḥ// kiṁcideva vilapatyanibaddhaṁ †mārutaprakṛtireṣa manuṣyaḥ// ### [3.4.67](https://indike.org/pramana/in.med.samhita.susruta.3.4.67) vātikāścājagomāyuśaśākhūṣṭraśunāṁ tathā// gṛghrakākakharādīnāmanūkaiḥ kīrtitā narāḥ// ### [3.4.68](https://indike.org/pramana/in.med.samhita.susruta.3.4.68) svedano durgandhaḥ pītaśithilāṅgastāmranakhanayanatālujihvauṣṭhapāṇipādatalo durbhago valipalitakhālityajuṣṭo bahubhuguṣṇadveṣī kṣiprakopaprasādo madhyamaṣolo madhyamāyuśca bhavati// ### [3.4.69](https://indike.org/pramana/in.med.samhita.susruta.3.4.69) medhāvī nipuṇamatirvigṛhya vaktā tejasvī samitiṣu durnivāravīryaḥ// suptaḥ san kanakapalāśakarṇikārān saṁpaśyedapi ca hutāśavidyudulkāḥ// ### [3.4.70](https://indike.org/pramana/in.med.samhita.susruta.3.4.70) na bhayāt praṇamedanateṣvamṛduḥ praṇateṣvapi sāntvanadānaruciḥ// bhavatīha sadā vyathitāsyagatiḥ sa bhavediha pittakṛtaprakṛtiḥ// ### [3.4.71](https://indike.org/pramana/in.med.samhita.susruta.3.4.71) bhujaṅgolūkagandharvayakṣamārjāravānaraiḥ// vyāghrarkṣanakulānūkaiḥ paittikāstu narāḥ smṛtāḥ// ### [3.4.72](https://indike.org/pramana/in.med.samhita.susruta.3.4.72) dūrvendīvaranistriṁśārdrāriṣṭakaśarakāṇḍānāmanyatamavarṇaḥ subhagaḥ priyadarśano madhurapriyaḥ kṛtajño dhṛtimān sahiṣṇuralolupo balavāṁściragrāhī dṛḍhavairaśca bhavati// ### [3.4.73](https://indike.org/pramana/in.med.samhita.susruta.3.4.73) śuklākṣaḥ sthirakuṭilāli(ti)nīlakeśo lakṣmīvān jaladamṛdaṅgasiṁhaghoṣaḥ// suptaḥ san sakamalahaṁsacakravākān saṁpaśyedapi ca jalāśayān manojñān// ### [3.4.74](https://indike.org/pramana/in.med.samhita.susruta.3.4.74) raktāntanetraḥ suvibhaktagātraḥ snigdhacchaviḥ sattvaguṇopapannaḥ// kleśakṣamo mānayitā gurūṇāṁ jñeyo balāsaprakṛtirmanuṣyaḥ// ### [3.4.75](https://indike.org/pramana/in.med.samhita.susruta.3.4.75) dṛḍhaśāstramatiḥ sthiramitradhanaḥ parigaṇya cirāt pradadāti bahu// pariniścitavākyapadaḥ satataṁ gurumānakaraśca bhavetsa sadā// ### [3.4.76](https://indike.org/pramana/in.med.samhita.susruta.3.4.76) brahmarudrendravaruṇaiḥ siṁhāśvagajagovṛṣaiḥ// tārkṣyahaṁsasamānūkāḥ śleṣmaprakṛtayo narāḥ// ### [3.4.77](https://indike.org/pramana/in.med.samhita.susruta.3.4.77) dvayorvā tisṛṇāṁ vā+api prakṛtīnāṁ tu lakṣaṇaiḥ// jñātvā saṁsargajā vaidyaḥ prakṛtīrabhinirdiśet// ### [3.4.78](https://indike.org/pramana/in.med.samhita.susruta.3.4.78) prakopo vā+anyabhāvo †vā kṣayo vā nopajāyate// prakṛtīnāṁ svabhāvena jāyate tu gatāyuṣaḥ// ### [3.4.79](https://indike.org/pramana/in.med.samhita.susruta.3.4.79) viṣajāto yathā kīṭo na viṣeṇa vipadyate// tadvatprakṛtayo martyaṁ śaknuvanti na bādhitum// ### [3.4.80](https://indike.org/pramana/in.med.samhita.susruta.3.4.80) prakṛtimiha narāṇāṁ bhautikīṁ kecidāhuḥ pavanadahanatoyaiḥ kīrtitāstāstu tisraḥ// sthiravipulaśarīraḥ pārthivaśca kṣamāvān śuciratha cirajīvī nābhasaḥ khairmahadbhiḥ// ### [3.4.81](https://indike.org/pramana/in.med.samhita.susruta.3.4.81) śaucamāstikyamabhyāso vedeṣu gurupūjanam// priyātithitvamijyā ca brahmakāyasya lakṣaṇam// ### [3.4.82](https://indike.org/pramana/in.med.samhita.susruta.3.4.82) māhātmyaṁ śauryamājñā ca satataṁ śāstrabuddhitā// bhṛtyānāṁ bharaṇaṁ cāpi māhendraṁ kāyalakṣaṇam// ### [3.4.83](https://indike.org/pramana/in.med.samhita.susruta.3.4.83) śītasevā sahiṣṇutvaṁ paiṅgalyaṁ harikeśatā// priyavāditvamityetaddāruṇaṁ kāyalakṣaṇam// ### [3.4.84](https://indike.org/pramana/in.med.samhita.susruta.3.4.84) madhyasthatā sahiṣṇutvamarthasyāgamasaṁcayau// mahāprasavaśaktitvaṁ kauberaṁ kāyalakṣaṇam// ### [3.4.85](https://indike.org/pramana/in.med.samhita.susruta.3.4.85) gandhamālyapriyatvaṁ ca nṛtyavāditrakāmitā// vihāraśīlatā caiva gāndharvaṁ kāyalakṣaṇam// ### [3.4.86](https://indike.org/pramana/in.med.samhita.susruta.3.4.86) prāptakārī dṛḍhotthāno nirbhayaḥ smṛtimān śuciḥ// rāgamohamadaddeṣairvarjito †yāmyasattvavān// ### [3.4.87](https://indike.org/pramana/in.med.samhita.susruta.3.4.87) /japavratabrahmacaryahomādhyayanasevinam// jñānavijñānasaṁpannamṛṣisattvaṁ naraṁ viduḥ// ### [3.4.88](https://indike.org/pramana/in.med.samhita.susruta.3.4.88) saptaite sāttvikāḥ kāyā rajasāṁstu nibodhame// aiśvaryavantaṁ raudraṁ ca śūraṁ caṇḍamasūyakam// ### [3.4.89](https://indike.org/pramana/in.med.samhita.susruta.3.4.89) ekāśinaṁ caudarikamāsuraṁ sattvamīdṛśam// tīkṣṇamāyāsinaṁ bhīruṁ caṇḍaṁ māyānvitaṁ tathā// ### [3.4.90](https://indike.org/pramana/in.med.samhita.susruta.3.4.90) vihārācāracapalaṁ sarpasattvaṁ vidurnaram// †pravṛddhakāmasevī cāpyajasrāhāra eva ca //\[†'abaddhakāmasevī'iti pā+\] ### [3.4.91](https://indike.org/pramana/in.med.samhita.susruta.3.4.91) amarṣaṇo+anavasthāyī śākunaṁ kāyalakṣaṇam// ekāntagrāhitā raudramasūyā dharmabāhyatā// ### [3.4.92](https://indike.org/pramana/in.med.samhita.susruta.3.4.92) †bhṛśamātmastavaścāpi rākṣasaṁ kāyalakṣaṇam// ucchiṣṭāhāratā taikṣṇyaṁ sāhasapriyatā tathā// ### [3.4.93](https://indike.org/pramana/in.med.samhita.susruta.3.4.93) strīlolupatvaṁ nairlajjyaṁ paiśācaṁ kāyalakṣaṇam// asaṁvibhāgamalasaṁ duḥkhaśīlamasūyakam// ### [3.4.94](https://indike.org/pramana/in.med.samhita.susruta.3.4.94) lolupaṁ cāpyadātāraṁ pretasattvaṁ vidurnaram// ṣaḍete rājasāḥ kāyāḥ, tāmasāṁstu nibodha me// ### [3.4.95](https://indike.org/pramana/in.med.samhita.susruta.3.4.95) durmedhastvaṁ mandatā ca svapne maithunanityatā// nirākariṣṇutā caiva vijñeyāḥ pāśavā guṇāḥ// ### [3.4.96](https://indike.org/pramana/in.med.samhita.susruta.3.4.96) anavasthitatā maurkhyaṁ bhīrutvaṁ salilārthitā// parasparābhimardaśca matsyasattvasya lakṣaṇam// ### [3.4.97](https://indike.org/pramana/in.med.samhita.susruta.3.4.97) ekasthānaratirnityamāhāre kevale rataḥ// vānaspatyo naraḥ sattvadharmakāmārthavarjitaḥ// ### [3.4.98](https://indike.org/pramana/in.med.samhita.susruta.3.4.98) ityete trividhāḥ kāyāḥ proktā vai tāmasāstathā// kāyānāṁ prakṛtīrjñātvā tvanurūpāṁ kriyāṁ caret// ### [3.4.99](https://indike.org/pramana/in.med.samhita.susruta.3.4.99) mahāprakṛtayastvetā rajaḥsattvatamaḥkṛtāḥ// proktā lakṣaṇataḥ samyagbhiṣak tāśca vibhāvayet// ### [3.4.99\_1](https://indike.org/pramana/in.med.samhita.susruta.3.4.99_1) iti suśrutasaṁhitāyāṁ śārīrasthāne garbhavyākaraṇaṁ śārīraṁ nāma caturtho+adhyāyaḥ //4// ## Commentaries (1) - [Nibandhasaṅgraha](https://indike.org/pramana/in.med.samhita.susruta!dalhana.78.2) — Ḍalhaṇa, Sanskrit ## Linked texts (5) - [Aṣṭāṅgasaṃgraha](https://indike.org/pramana/in.med.samhita.astangasamgraha.5.21_2) — Vāgbhaṭa, Sanskrit - [Bṛhadyogataraṅgiṇī](https://indike.org/pramana/in.med.yoga.brhadyogatarangini.2.46) — Trimalla, Sanskrit - [Yogataraṅgiṇī (Trimalla)](https://indike.org/pramana/in.med.yoga.yogatarangini-trimalla-bhatta.2.46) — Trimalla, Sanskrit - [Madanapālanighaṇṭu (Madanavinoda)](https://indike.org/pramana/in.med.nighantu.namaguna.madanapala.13.17) — Madanapāla (Ṭāka), Sanskrit - [Vāgbhaṭamaṇḍana](https://indike.org/pramana/in.med.paribhasa.vagbhatamandana.28.32) — Narahari, Sanskrit --- Source: [https://indike.org/pramana/in.med.samhita.susruta.3.4](https://indike.org/pramana/in.med.samhita.susruta.3.4) · Pramāṇa