The nineteenth chapter of Uttara Sthanam of Ashtanga Hridayam is called as Nasaroga Vijnaniya. This chapter offers with the reason of ‘Knowledge of diseases of the nose’.
The subjects coated on this chapter embrace –
- Pratishyaya
- Vataja Pratishyaya
- Pittaja Pratishyaya
- Kaphaja Pratishyaya
- Sarvaja Pratishyaya
- Raktaja Pratishyaya
- Dushta Pratishyaya
- Bhrishakshava
- Nasashosha
- Nasanaha
- Ghranapaka
- Ghranasrava
- Apinasa
- Dipti
- Putinasa
- Puyarakta
- Putaka
- Arshasa Arbuda
Pledge by the writer(s)
अथातो नासारोगविज्ञानीयं व्याख्यास्याम: ।
इति ह स्माहुरात्रेयादयो महर्षय: ।
After having supplied prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of ‘Knowledge of diseases of the nose’. Thus, say (pledge) Atreya and different sages.
Pratishyaya
अवश्यायानिलरजोभाष्यातिस्वप्नजागरैः ।
नीचात्युच्चोपधानेन पीतेनान्येन वारिणा ॥ १ ॥
अत्यम्बुपानरमणच्छर्दिबाष्पग्रहादिभिः ।
क्रुद्धा वातोल्बणा दोषा नासायां स्त्यानतां गताः ॥२॥
जनयन्ति प्रतिश्यायं वर्धमानं क्षयप्रदम् ।
Publicity to dew (mist, fog), breeze and mud, an excessive amount of of talking, sleeping and holding awake, holding the pillow both very low or very excessive underneath the pinnacle, ingesting different varieties of (unaccustomed) water, extreme ingesting of water, sexual activity, planetary affect, suppression of vomiting and tears and many others. By these and different comparable causes, the doshas provoked by vitiation of Vata, grow to be solidified within the nostril and produce Pratishyaya which when superior results in Kshaya (consumption).
Vataja Pratishyaya
तत्र वातात्प्रतिश्याये मुखशोषो भृशं क्षवः ॥ ३ ॥
घ्राणोपरोधनिस्तोददन्तशङ्खशिरोव्यथाः ।
कीटिका इव सर्पन्तीर्मन्यते परितो भ्रुवौ ॥ ४ ॥
स्वरसादश्चिरात्पाकः शिशिराच्छकफस्रुतिः ।
In Partishyaya attributable to Vata, there seems dryness of the mouth, profuse sneezing, blocking of the nostril and pricking ache within the enamel, temples and headache, feeling of crawling like bugs across the eyebrows, weak voice, delayed ripening, discharge of chilly and skinny fluid from the nostril.
Pittaja Pratishyaya
पित्तात्तृष्णाज्वरघ्राणपिटिकासम्भवभ्रमाः ॥ ५ ॥
नासाग्रपाको रूक्षोष्णताम्रपीतकफस्रुतिः ।
In that attributable to Pitta, there’s thirst, fever, chance of eruptions growing contained in the nostril, giddiness, ulceration of the nasal tip and discharge of fluid which is dry (non- sticky), heat, coppery or yellow in colour.
Kaphaja Pratishyaya
कफात्कासोऽरुचिः श्वासो वमथुर्गात्रगौरवम् ॥ ६ ॥
माधुर्यं वदने कण्डूः स्निग्धशुक्लकफस्रुतिः ।
In that attributable to Kapha, there’s cough, lack of style, dyspnea, vomiting, feeling of heaviness of the physique, candy style within the mouth, itching (within the nostril) and discharge of unctuous (sticky) white fluid.
Sarvaja Pratishyaya
सर्वजो लक्षणैः सर्वैरकस्माद्वृद्धिशान्तिमान् ॥ ७ ॥
In that attributable to all of the doshas, all of the signs manifest and bear improve or get subsided with none motive.
Raktaja Pratishyaya
दुष्टं नासासिराः प्राप्य प्रतिश्यायं करोत्यसृक् ।
उरसः सुप्तता ताम्रनेत्रत्वं श्वासपूतिता ॥ ८ ॥
कण्डूः श्रोत्राक्षिनासासु पित्तोक्तं चात्र लक्षणम् ।
Blood getting vitiated and localized within the veins of the nostril produces (Raktaja) Pratishyaya, characterised by lack of motion of chest, copper-colored eyes, foul smelling breath, itching within the ears, eyes and nostril and different signs of Pittaja sort.
Dushta Pratishyaya
सर्व एव प्रतिश्याया दुष्टतां यान्त्युपेक्षिताः ॥ ९ ॥
यथोक्तोपद्रवाधिक्यात्स सर्वेन्द्रियतापनः ।
साग्निसादज्वरश्वासकासोरःपार्श्ववेदनः ॥ १० ॥
कुप्यत्यकस्माद्बहुशो मुखदौर्गन्ध्यशोफकृत् ।
नासिकाक्लेदसंशोषशुद्धिरोधकरो मुहुः ॥ ११ ॥
पूयोपमासितारक्तग्रथितश्लेष्मसंस्रुतिः ।
मूर्छन्ति चात्र कृमयो दीर्घस्निग्धसिताणवः ॥ १२ ॥
All of the varieties when uncared for lead on to Dustapratishyaya, having most of the following problems and so tormenting all of the organs of the physique. weak spot of digestion, fever, dyspnea, cough, ache within the chest and flanks; will get significantly aggravated with none motive, produces foul smelling mouth and swelling (of the face), drying of the moisture of the nostril, opening and blocking of the passage of the nostril usually, discharge of fluid resembling pus, black and crimson in colour and nodular, on this fluid, lengthy, unctuous, white and minute worms and many others. develop.
Signs of achieving pakwata (ripening)
पक्वलिङ्गानि तेष्वङ्गलाघवं क्षवथोः शमः ।
श्लेष्मा सचिक्कणः पीतोऽज्ञानं च रसगन्धयोः ॥ १३
In all of them (Pratishyaya) the signs of ripening are – feeling of lightness of the physique, subsiding of sneezing, fluid discharge) is slimy (unctuous) and yellow and incapability to grasp style and odor.
Bhrishakshava
तीक्ष्णाघ्राणोपयोगार्करश्मिसूत्रतृणादिभिः ।
वातकोपिभिरन्यैर्वा नासिकातरुणास्थनि ॥ १४ ॥
विघट्टितेऽनिलः क्रुद्धो रुद्धः शृङ्गाटकं व्रजेत् ।
निवृत्तः कुरुतेऽत्यर्थं क्षवथुं स भृशक्षवः ॥ १५ ॥
Inhaling robust odor (of pungent nature similar to powder of chillies, ginger, tobacco and many others.), publicity to solar rays, inserting threads, grass and many others. (into the nostril) and different causes which irritate Vata, when the cartilage of the nostril will get scratched, Vata getting aggravated and obstructed, strikes upwards to the Shrungataka (a significant spot inside the pinnacle) and getting dislodged from that spot, offers rise to an excessive amount of of sneezing. This illness is named Bhrishakshava.
Nasashosha
शोषयन्नासिकास्रोतः कफं च कुरुतेऽनिलः ।
शूकपूर्णाभनासात्वं कृच्छ्रादुच्छ्वसनं ततः ॥ १६ ॥
स्मृतोऽसौ नासिकाशोषो
Vata getting elevated produces drying of Kapha (moistness of the nostril) within the nasal passages; feeling of thorns filling within the nostril, and problem in respiration. This is called Nasika Shosha.
Nasanaha
नासानाहे तु जायते ।
नद्धत्वमिव नासायाः श्लेष्मरुद्धेन वायुना ॥ १७ ॥
निःश्वासोच्छ्वाससंरोधात्स्रोतसी संवृते इव ।
Vata produces distension of the nostril as if the nostril is totally blocked, by blocking it with Kapha, related to obstruction to inspiration and expiration; the nasal passage feels as if constricted.
Ghranapaka
पचेन्नासापुटे पित्तं त्वङ्मांसं दाहशूलवत् ॥ १८ ॥
स घ्राणपाकः
Pitta (getting aggravated) produces ulcerations by cooking the pores and skin and muscle tissue contained in the nostril, accompanied with burning sensation and ache. That is Ghranapaka.
Ghranasrava
स्रावस्तु तत्संज्ञ: श्लेष्मसम्भवः ।
अच्छो जलोपमोऽजस्रं विशेषान्निशि जायते ॥ १९ ॥
Srava is produced by Kapha, there’s discharge of clear, watery fluid repeatedly, particularly throughout night time. That is Ghranasrva.
Apinasa
कफः प्रवृद्धो नासायां रुद्ध्वा स्रोतांस्यपीनसम् ।
कुर्यात्सघुर्घुरश्वासं पीनसाधिकवेदनम् ॥ २० ॥
अवेरिव स्रवत्यस्य प्रक्लिन्ना तेन नासिका ।
अजस्रं पिच्छिलं पीतं पक्वं सिङ्घाणकं घनम् ॥२१॥
Kapha will get elevated, blocks the passage of the nostril and produces Apinasa, related to respiration with rambling sounds which is extra painful than Pinasa. There may be steady discharge of fluid from his nostril and at all times retains moist like that of a sheep (nostril of sheep), the fluid being slimy, yellow and when ripe the nasal excretion turns into solidified.
Deepti
रक्तेन नासा दग्धेव बाह्यान्तःस्पर्शनासहा ।
भवेद्धूमोपमोच्छ्वासा सा दीप्तिर्दहतीव च ॥ २२ ॥
By aggravation of blood, the nostril seems although burnt by hearth, each externally and internally, unable to tolerate contact and expiration is like sizzling fumes popping out, as if burning the nostril, that is referred to as Deepti.
Putinasa
तालुमूले मलैर्दुष्टैर्मारुतो मुखनासिकात् ।
श्लेष्मा च पूतिर्निर्गच्छेत्पूतिनासं वदन्ति तम् ॥ २३ ॥
The basis of the palate vitiated by the malas (doshas) chief of them, Vata and Kapha make for emission of dangerous smelling shleshma (nasal secretion) from the mouth and nostril, that is referred to as as Putinasa.
Puyarakta
निचयादभिघाताद्वा पूयासृङ्नासिका स्रवेत् ।
तत्पूयरक्तमाख्यातं शिरोदाहरुजाकरम् ॥ २४ ॥
Both by mixture of all of the doshas or by harm, there’s discharge of pus and blood from the nostril, producing burning sensation and ache within the head; this illness is called Puryarakta.
Putaka
पित्तश्लेष्मावरुद्धोऽन्तर्नासायां शोषयेन्मरुत् ।
कफं स शुष्कः पुटतां प्राप्नोति पुटकं तु तत् ॥२५॥
Vata obstructed by Pitta and Kapha contained in the nostril, dries up the Kapha; the dried up Kapha assumes the form of a leather-based bag, that is referred to as Putaka.
Arshasa Arbuda
अर्शोऽर्बुदानि विभजेद्दोषलिङ्गैर्यथायथम् ।
सर्वेषु कृच्छ्रोच्छ्वसनं पीनसः प्रततं क्षुतिः ॥ २६ ॥
सानुनासिकवादित्वं पूतिनासः शिरोव्यथा ।
Arshas (nasal polyp) and Arbuda (malignant tumor) ought to be understood by attribute signs of the doshas. Accordingly, in all of them there’s problem respiration, operating within the nostril, steady sneezing, nasal voice, foul odor from the nostril and headache.
Dusta Pinasa therapy period
अष्टादशानामित्येषां यापयेद्दुष्टपीनसम् ॥ २७ ॥
Among the many eighteen illnesses described thus far solely Dusta Pinasa is to be handled for a protracted interval (all of the others are curable).
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां षष्ठे उत्तरस्थाने नासारोगविज्ञानीयो नामैकोनविंशोऽध्याय: ॥ १९ ॥
Thus, ends the chapter-Nasaroga Vijnaniya- the nineteenth in Uttarasthana of Athanga Hridaya Samhita composed by Srimad Vagbhata, son of Sri Vaidyapati Simhagupta.
