The twenty ninth chapter of Uttara Sthanam of Ashtanga Hridayam is known as as ‘Granthi Arbuda Shlipada Apachi Nadi Vijnaniya’. This chapter offers with the reason of ‘Knowledge of tumors-cancer-filariasis-Scrofula-Sinus ulcer’.
The subjects coated on this chapter embody –
- Granthi – Benign Tumor
- Vataja Granthi
- Pittaja Granthi
- Kaphaja Granthi
- Raktaja Granthi
- Mamsaja Granthi
- Medo Granthi
- Asthi Granthi
- Sira Granthi
- Vrana Granthi
- Curable and incurable Granthi
- Arbuda – malignant tumor / most cancers
- Shonitarbuda
- Prognosis of arbuda
- Shlipada – filariasis
- Gandamala – Apachi(scrofula)
- Nadi Vrana – Sinus Ulcer
Pledge by the creator(s)
अथातो ग्रन्थ्यर्बुदश्लीपदापचीनाडीविज्ञानीयं व्याख्यास्याम: ।
इति ह स्माहुरात्रेयादयो महर्षय: ।
After having provided prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of ‘Knowledge of tumors-cancer-filariasis-scrofula-sinus ulcer’. Thus, say (pledge) Atreya and different sages.
Granthi: Benign Tumor
कफप्रधानाः कुर्वन्ति मेदोमांसास्रगा मलाः ।
वृत्तोन्नतं यं श्वयथुं स ग्रन्थिर्ग्रथनात्स्मृतः ॥ १ ॥ दोषास्रमांसमेदोऽस्थिसिराव्रणभवा नव ।
Malas (doshas) of which Kapha is the predominant one, invading the fats, muscle and blood produce a spherical, raised swelling (new development) referred to as Granthi; due to its knotty (lumpy) nature. It’s of 9 varieties viz, arising from every dosha, blood, from muscle tissue, fats tissue, bone, vein, and from ulcer.
Vataja Granthi
ते तत्र वातादायामतोदभेदान्वितोऽसितः ॥ २ ॥
स्थानात्स्थानान्तरगतिरकस्माद्धानिवृद्धिमान् ।
मृदुर्बस्तिरिवानद्धो विभिन्नोऽच्छं स्रवत्यसृक् ॥ ३ ॥
That arising from Vata, is broad, has pricking ache and chopping varieties of ache, black in colour, shifts from place to position, undergoes improve or lower in dimension with none motive, tender, bulged like a leather-based bag and exudes clear skinny blood when pricked.
Pittaja Granthi
पित्तात्सदाहः पीताभो रक्तो वा पच्यते द्रुतम् ।
भिन्नोऽस्रमुष्णं स्रवति
That arising from Pitta, has burning sensation, yellow or crimson in colour, ripens (suppurates) rapidly; exudes heat blood when pricked.
Kaphaja Granthi
श्लेष्मणा नीरुजो घनः ॥ ४ ॥
शीतः सवर्णः कण्डूमान् पक्वः पूयं स्रवेद्घनम् ।
That arising from Kapha, is painless, arduous, chilly, of the identical colour of the pores and skin, has itching; when ripens, exudes thick pus.
Raktaja Granthi
दोषैर्दुष्टेऽसृजि ग्रन्थिर्भवेन्मूर्छत्सु जन्तुषु ॥ ५ ॥
सिरामांसं च संश्रित्य सस्वापः पित्तलक्षणः ।
When the doshas get aggravated within the blood, a granthi (tumor) develops containing worms, which invade the veins and muscle mass, is accompanied with lack of tactile sensation and presence of signs of (aggravation of) Pitta.
Mamsaja Granthi
मांसलैर्दूषितं मांसमाहारैर्ग्रन्थिमावहेत् ॥ ६ ॥
स्निग्धं महान्तं कठिनं सिरानद्धं कफाकृतिम् ।
Muscle tissue, getting vitiated by indulgence in dangerous type of meat as meals, results in formation of granthi which is unctuous, massive in dimension, arduous, studded with veins and having signs of aggravation of Kapha.
Medo Granthi
प्रवृद्धं मेदुरैर्मेदो नीतं मांसेऽथवा त्वचि ॥ ७ ॥
वायुना कुरुते ग्रन्थिं भृशं स्निग्धं मृदुं चलम् ।
श्लेष्मतुल्याकृतिं देहक्षयवृद्धिक्षयोदयम् ॥ ८ ॥
स विभिन्नो घनं मेदस्ताम्रासितसितं स्रवेत्
Fats tissue getting elevated by indulgence in meals containing an excessive amount of of fats, dropped at the muscle or pores and skin by Vata provides rise to granthi which may be very unctuous, tender, movable, having signs of aggravation of Kapha, rising and reducing in dimension, with the rise or lower of the physique. It exudes coppery, black, or white, thick, fatty fluid when pricked.
Asthi Granthi
अस्थिभङ्गाभिघाताभ्यामुन्नतावनतं तु यत् ॥ ९ ॥
सोऽस्थिग्रन्थिः
Asthi granthi develops because of fractures, accidents inflicting upward or decrease displacement (development) of bones.
Sira Granthi
पदातेस्तु सहसाऽम्भोऽवगाहनात् ।
व्यायामाद्वा प्रतान्तस्य सिराजालं सशोणितम् ॥१०॥
वायुः सम्पीड्य सङ्कोच्य वक्रीकृत्य विशोष्य च ।
निःस्फुरं नीरुजं ग्रन्थिं कुरुते स सिराह्वयः ॥११॥
Foot troopers getting into into water all of a sudden or by fatigue after exertion, Vata getting aggravated together with blood, invades the community of veins inflicting ache, constriction, distortion, drying up and offers rise to the formation of granthi which is non- pulsating and painless. This is called Siragranthi.
Vrana Granthi
अरूढे रूढमात्रे वा व्रणे सर्वरसाशिनः ।
सार्द्रे वा बन्धरहिते गात्रेऽश्माभिहतेऽथवा ॥१२॥
वातोऽस्रमस्रुतं दुष्टं संशोष्य ग्रथितं व्रणम् ।
कुर्यात्सदाहः कण्डूमान् व्रणग्रन्थिरयं स्मृतः ॥१३॥
If the affected person indulgent in meals of all tastes with none management, when the ulcer has not healed or healed simply then, or if it (ulcer) shouldn’t be bandaged, when nonetheless moist, or the physique is hit by stones and so forth., then Vata dries up the vitiated blood which has not gone out, causes a granthi within the ulcer related to burning sensation and itching. This is called Vrana Granthi.
Curable and incurable Granthi
साध्या दोषास्रमेदोजा न तु स्थूलखराश्चलाः ।
मर्मकण्ठोदरस्थाश्च
These Granthi (tumors) arising from the doshas, rakta and medas are curable; these that are massive, arduous and moveable, these situated on important spots, throat and stomach should not curable.
Arbuda: Malignant tumor / most cancers
महत्तु ग्रन्थितोऽर्बुदम् ॥ १४ ॥
तल्लक्षणं च मेदोऽन्तैः षोढा दोषादिभिस्तु तत् ।
प्रायो मेदःकफाढ्यत्वात्स्थिरत्वाच्च न पच्यते ॥ १५ ॥
Massive granthis are referred to as Arbuda (malignant tumors). The (indicators of) Arbuda are of six varieties, (three) brought on by the doshas and so forth. and three ending with meda (rakta, mamsa and meda) due to predominance of medas (fats) and Kapha typically and resulting from deep rootedness, they don’t ripen (suppurate).
Shonita Arbuda
सिरास्थं शोणितं दोषः सङ्कोच्यान्तः प्रपीड्य च ।
पाचयेत तदानद्धं सास्रावं मांसपिण्डितम् ॥ १६ ॥
मांसाङ्कुरैश्चितं याति वृद्धिं चाशु स्रवेत्ततः ।
अजस्रं दुष्टरुधिरं भूरि तच्छोणितार्बुदम् ॥ १७ ॥
Doshas getting aggravated, vitiate the blood current contained in the veins, inflicting contractions, ache and ripening, with obstruction and discharges (blood) produce a development of (tumor) muscle, studded with sprouts of muscle, the tumor develops quick and discharges vitiated blood continually in massive portions, that is Shonitarbuda (brought on resulting from vitiation of blood tissue).
Prognosis of Arbuda
तेष्वसृङ्मांसजे वर्ज्ये चत्वार्यन्यानि साधयेत् ।
Amongst these (Arbudas) these arising from blood (Shonitarbuda) and muscle tissue (Mamsarbuda) must be refused, the remaining 4 must be handled.
Shlipada: Filariasis
प्रस्थिता वङ्क्षणोर्वादिमधःकायं कफोल्बणाः ॥ १८ ॥
दोषा मांसास्रगाः पादौ कालेनाश्रित्य कुर्वते ।
शनैः शनैर्घनं शोफं श्लीपदं तत्प्रचक्षते ॥ १९ ॥
Doshas with the predominance of Kapha, getting aggravated invade the muscle and blood, commencing first within the groin and step by step with time descend to the thigh and different components of the decrease physique and the ft, making it largely swollen, slowly and steadily, this illness is named filariasis.
परिपोटयुतं कृष्णमनिमित्तरुजं खरम् ।
रूक्षं च वातात्पित्तात्तु पीतं दाहज्वरान्वितम् ॥ २० ॥ कफाद्गुरु स्निग्धमरुक् चितं मांसाङ्कुरैर्बृहत् ।
In that brought on by Vata, the leg is having small cracks within the pores and skin, black in colour, ache develops with none motive and (pores and skin) is tough and dry; in Pitta, it’s yellow, accompanied with burning sensation and fever; in that brought on by Kapha the leg is heavy, unctuous, painless and studded with massive sprouts of muscle fibres.
तत्त्यजेद्वत्सरातीतं सुमहत्सुपरिस्रुति ॥ २१ ॥
That which is a couple of 12 months previous, very massive and exuding closely must be rejected.
पाणिनासौष्ठकर्णेषु वदन्त्येके तु पादवत् ।
श्लीपदं जायते तच्च देशेऽनूपे भृशं भृशम् ॥२२॥
Shlipada impacts the arms, nostril, lips and ears additionally just like the ft, some (authorities) say so; and it’s particularly frequent in extraordinarily marshy areas.
Gandamala: Apachi (Scrofula)
मेदस्थाः कण्ठमन्याक्षकक्षावङ्क्षणगा मलाः ।
सवर्णान् कठिनान् स्निग्धान् वार्ताकामलकाकृतीन् ॥२३॥
अवगाढान् बहून् गण्डांश्चिरपाकांश्च कुर्वते ।
पच्यन्तेऽल्परुजस्तेऽन्ये स्रवन्त्यन्येऽतिकण्डुराः ॥२४॥ नश्यन्त्यन्ये भवन्त्यन्ये दीर्घकालानुबन्धिनः ।
गण्डमालाऽपची चेयं दूर्वेव क्षयवृद्धिभाक् ॥२५॥
Doshas aggravated invading the medas (fats) current within the throat, neck, area of collar bone, axilla and groin, give rise to development of arduous, unctuous, deep rooted, a number of, small tumors of the identical colour as of the pores and skin resembling vārtāka – Solanum melongena, āmalaka – Emblica officinalis (in dimension), inflicting delayed maturation (suppuration), ripening inflicting delicate ache. Some others are exuding fluid and a few others inflicting extreme itching, some disappear and afresh the illness persists for lengthy. This is called Gandamala and Apachi and undergoes improve or lower just like the durva grass (Cynodon dactylon) (disappears in unsuitable local weather and reappears in appropriate local weather).
Gandamala: Apachi (Scrofula) Prognosis
तां त्यजेत्सज्वरच्छर्दिपार्श्वरुक्कासपीनसाम् ।
That related to fever, vomiting, ache within the flanks, cough and nasal catarrh must be refused remedy.
Nadi Vrana: Sinus Ulcer
अभेदात्पक्वशोफस्य व्रणे चापथ्यसेविनः ॥ २६ ॥
अनुप्रविश्य मांसादीन् दूरं पूयोऽभिधावति ।
गतिः सा दूरगमनान्नाडी नाडीव संस्रुतेः ॥ २७ ॥
नाड्येकानृजुरन्येषां सैवानेकगतिर्गतिः ।
Not chopping the ripened abscess (and draining out the pus) and the individual indulging in unsuitable meals and so forth., the pus retained contained in the ulcer getting into into the muscle mass and so forth. and runs deep into them, produces that (channels / sinus) which go inside them for lengthy distances are referred to as gati, nadi is that in which there’s exudation identical to in a sieve, just one channel which is straight is named as Nadi (sinus); different one which has a couple of channel and which aren’t straight (curved) is named as Gati- technically.
Kinds of Nadi Vrana
सा दोषैः पृथगेकस्थैः शल्यहेतुश्च पञ्चमी ॥ २८ ॥
It (Nadivrana) is of 5 varieties, from every dosha individually, from the mix of all of them and fifth from the international physique.
Vataja Nadi Vrana (Sinus Ulcer)
वातात्सरुक् सूक्ष्ममुखी विवर्णा फेनिलोद्वमा ।
स्रवत्यभ्यधिकं रात्रौ
That brought on by Vata has ache, small opening, discolored, exudes froth, extra at nights.
Pittaja Nadi Vrana (Sinus Ulcer)
पित्तात्तृड्ज्वरदाहकृत् ॥ २९ ॥
पीतोष्णपूतिपूयस्रुद्दिवा चाति निषिञ्चति ।
That brought on by Pitta has thirst, fever, burning sensation, exudes yellow, heat, foul-smelling pus, exudes extra through the day.
Kaphaja Nadi Vrana (Sinus Ulcer)
घनपिच्छिलसंस्रावा कण्डूला कठिना कफात् ॥ ३० ॥
निशि चाभ्यधिकक्लेदा
That brought on by Kapha has thick and slimy exudation, extreme itching, hardness, exudation extra at nights.
Tridoshaja Nadi Vrana (Sinus Ulcer)
सर्वैः सर्वाकृतिं त्यजेत् ॥ ३१अब् ॥
In that, brought on by all of the doshas, all of the signs will likely be current, this must be rejected.
Nadi Vrana: Sinus Ulcer
अन्तःस्थितं शल्यमनाहृतं तु करोति नाडीं वहते च सास्य |
फेनानुविद्धं तनुमल्पमुष्णं सास्रं च पूयं सरुजं च नित्यम् ॥ ३१॥
The international physique remaining contained in the physique, if not eliminated results in nadi (sinus Ulcer); it exudes skinny, little, heat, frothy blood and pus, together with ache, every single day.
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां षष्ठे उत्तरस्थाने ग्रन्थ्यर्बुदश्लीपदापचीनाडीविज्ञानीयं नामैकोनत्रिंशोऽध्याय: ॥ २९ ॥
Thus, ends the chapter- Granthi- Arbuda Shlipada Apachi-Nadi Vijnaniya- the twenty ninth in Uttara Sthana of Astanga Hridaya Samhita composed by Srimad Vagbhata, son of Sri Vaidyapati Simhagupta.
