This text explains Sushruta Samhita Sutrasthana Chapter 33 “Avaraniya Adhyaya” – Incurable illnesses.
Avaraniya Adhyaya
Incurable illnesses
अथातोऽवारणीयमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
We are going to now expound the chapter by title Avaraniya (Vyadhi) incurable illnesses, as revealed by the venerable Dhanvantari.
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उपद्रवैस्तु ये जुष्टा व्याधयो यान्त्यवार्यताम् |
रसायनाद्विना वत्स! तान् शृण्वेकमना मम ||३||
Ailments, that are related to problems / secondary illnesses turn out to be incurable besides by means of Rasayana (rejuvenation remedy). Therefore, pricey son, hear attentively to my phrases.
Learn – Unhealthy Prognosis Based mostly On Premonitory Signs Of Illness – Purvarupiya Arishta
Mahagada
Dreadful illnesses
वातव्याधिः प्रमेहश्च कुष्ठमर्शो भगन्दरम् |
अश्मरी मूढगर्भश्च तथैवोदरमष्टमम् ||४||
अष्टावेते प्रकृत्यैव दुश्चिकित्स्या महागदाः |५|
Under talked about are the eight dreadful illnesses –
- Vata Vyadhi (particular illnesses brought on by vata, illnesses of the nervous system),
- Prameha (diabetes),
- Kustha (leprosy),
- Arshas (Hemorrhoids),
- Bhagandara (fistula- in- ano),
- Ashmari (urinary calculi),
- Mudha garbha (foetal obstruction) and
- Udara (enlargement of the stomach)
Notes: Dalhana explains that the greatness of these illnesses is due to inflicting dying and being incurable. Charaka Samhita (Ind. 9/8-9) enumerates the illnesses in another way as ”Vatavyadhi”, Apasmara (epilepsy), Kustha (leprosy), Shopha (dropsy), Udara (stomach issues), Gulma (stomach tumor), Madhumeha (diabetes mellitus) and Rajayakshma (pulmonary tuberculosis).
Problems, within the presence of which the illnesses must be rejected
प्राणमांसक्षयः शोषस्तृष्णा च्छर्दिर्ज्वरस्तथा ||५||
अतीसारश्च मूर्च्छा च हिक्का श्वासस्तथैव च |
एतैरुपद्रवैर्जुष्टान् सर्वानेव विवर्जयेत् ||६||
Even all different illnesses with the next problems / secondary illnesses must be rejected (not handled). They’re –
Life taking problems of Vata Vyadhi
शूनं सुप्तत्वचं भग्नं कम्पाध्माननिपीडितम् |
नरं रुजार्तमन्तश्च वातव्याधिर्विनाशयेत् ||७||
Vata Vyadhi (illnesses of the nervous system) kills the affected person when accompanied with problems akin to oedema, lack of tactile sensation, fractures, tremors, flatulence and ache.
Deadly problems of Prameha
यथोक्तोपद्रवाविष्टमतिप्रस्रुतमेव वा |
पिडकापीडितं गाढं प्रमेहो हन्ति मानवम् ||८||
Prameha (diabetes) kills the particular person when related to problems talked about therein (Nidana sthana, chap13), an excessive amount of urination, and troubled an excessive amount of by eruptions.
Learn – Charaka Prameha Nidana: 4th Chapter
Deadly problems of Kustha – leprosy / pores and skin issues
प्रभिन्नप्रस्रुताङ्गं च रक्तनेत्रं हतस्वरम् |
पञ्चकर्मगुणातीतं कुष्ठं हन्तीह कुष्ठिनम् ||९||
Kustha (leprosy) kills the affected person when having problems akin to tearing / splitting of the physique elements, decaying and falling of physique elements, reddish discoloration of the eyes, lack of voice and the affected person unsuitable for Panchakarma therapies (situation through which panchakarma therapies wouldn’t assist the affected person).
Learn – Charaka Kushta Nidana: fifth chapter
Life threatening problems of Arshas – haemorrhoids
तृष्णारोचकशूलार्तमतिप्रस्रुतशोणितम् |
शोफातीसारसंयुक्तमर्शोव्याधिर्विनाशयेत् ||१०||
Arshas (haemorrhoids) kills the affected person when accompanied with thirst, lack of style, stomach ache, copious bleeding, oedema and diarrhoea.
Life threatening problems of Bhagandara – fistula-in-ano
वातमूत्रपुरीषाणि क्रिमयः शुक्रमेव च |
भगन्दरात् प्रस्रवन्ति यस्य तं परिवर्जयेत् ||११||
Bhagandara (fistula- in-ano) must be refused when air (gasoline) / flatus, urine, faeces, worms and semen is seen popping out via the fistula.
Learn – Fistula In Ano Ayurvedic Understanding And Efficient Remedy
Deadly problems of ashmari – urinary calculus
प्रशूननाभिवृषणं रुद्धमूत्रं रुगन्वितम् |
अश्मरी क्षपयत्याशु सिकता शर्करान्विता ||१२||
Ashmari (urinary calculus) kills the affected person quickly when accompanied with profound swelling of the umbilicus (area of) and scrotum, obstruction of urination, extreme ache and elimination of urinary gravel.
Life taking problems of Mudha Garbha – obstructed foetus
गर्भकोषपरासङ्गो मक्कल्लो योनिसंवृतिः |
हन्यात् स्त्रियं मूढगर्भे यथोक्ताश्चाप्युपद्रवाः ||१३||
Mudha Garbha (obstructed foetus) kills the girl when accompanied with obstruction (closure) of the uterus, post- partum ache, constriction of the vagina and different problems talked about therein (ch.8 Nidanasthan).
Learn – Mudha Garbha – Obstructed Labor, Ayurveda Perspective
Deadly problems of Udara – stomach enlargement
पार्श्वभङ्गान्नविद्वेषशोफातीसारपीडितम् |
विरिक्तं पूर्यमाणं च वर्जयेदुदरार्दितम् ||१४||
A affected person of Udara (stomach enlargement) must be refused when related to problems akin to splitting ache within the flanks, aversion to meals, oedema, diarrhoea, stomach being crammed (with fluid) once more even after purgation.
Deadly problems of Jwara – fever
यस्ताम्यति विसञ्ज्ञश्च शेते निपतितोऽपि वा |
शीतार्दितोऽन्तरुष्णश्च ज्वरेण म्रियते नरः ||१५||
यो हृष्टरोमा रक्ताक्षो हृदि सङ्घातशूलवान् |
नित्यं वक्त्रेण चोच्छ्वस्यात्तं ज्वरो हन्ति मानवम् ||१६||
हिक्काश्वासपिपासार्तं मूढं विभ्रान्तलोचनम् |
सन्ततोच्छ्वासिनं क्षीणं नरं क्षपयति ज्वरः ||१७||
आविलाक्षं प्रताम्यन्तं निद्रायुक्तमतीव च |
क्षीणशोणितमांसं च नरं नाशयति ज्वरः ||१८||
- Jvara (fever) kills the affected person who faints typically, falls on the bottom unconscious, suffers from chilly externally (coldness on the floor of the physique) and warmth internally (elevated warmth contained in the physique).
- Fever kills the affected person of fever who has frequent horripilation, reddish eyes, ache within the coronary heart as if (feels as if) hit by stone, at all times breathes via the mouth.
- Fever will kill the affected person who’s affected by hiccups, dyspnoea, extreme thirst, unconsciousness, unsteady look, fixed expirations and debility.
- Fever would destroy (kill) an individual whose eyes are turbid (soiled), who faints typically, having very deep sleep, and diminution of blood and muscular tissues.
Learn – Charaka – Jwara Chikitsa third Chapter
Deadly problems of Atisara – diarrhoea
श्वासशूलपिपासार्तं क्षीणं ज्वरनिपीडितम् |
विशेषेण नरं वृद्धमतीसारो विनाशयेत् ||१९||
Atisara (diarrhoea) kills the affected person when related to dyspnoea, ache within the stomach, extreme thirst, emaciation, fever and particularly so in older individuals.
Life threatening problems in Rajayaksma – pulmonary tuberculosis
शुक्लाक्षमन्नद्वेष्टारमूर्ध्वश्वासनिपीडितम् |
कृच्छ्रेण बहु मेहन्तं यक्ष्मा हन्तीह मानवम् ||२०||
Rajayaksma (pulmonary tuberculosis) kills the sufferers when accompanied with white colored eyes (vibrant / lustrous eyes), aversion to meals, outstanding expiration and frequent urination.
Deadly problems in Gulma – stomach tumour
श्वासशूलपिपासान्नविद्वेषग्रन्थिमूढताः |
भवन्ति दुर्बलत्वं च गुल्मिनो मृत्युमेष्यतः ||२१||
Gulma (stomach tumour) kills the affected person when accompanied with dyspnoea, ache within the stomach (colic), extreme thirst, aversion to meals, absence of motion of the tumour and debility.
Learn – Gulma- Belly Tumor- A Distinctive Illness In Ayurveda
Life threatening problems of Vidradhi – abscess
आध्मातं बद्धनिष्यन्दं छर्दिहिक्कातृडन्वितम् |
रुजाश्वाससमाविष्टं विद्रधिर्नाशयेन्नरम् ||२२||
Vidradhi (abscess) kills the affected person when having signs akin to distension (of the abscess), obstruction to circulation of exudations (blood, pus and so on), vomiting, hiccup, thirst, ache and dyspnoea.
Deadly problems of Pandu Roga – Anaemia
पाण्डुदन्तनखो यश्च पाण्डुनेत्रश्च मानवः |
पाण्डुसङ्घातदर्शी च पाण्डुरोगी विनश्यति ||२३|
The affected person of Pandu Roga (anaemia) perishes when accompanied with whitish-yellow (pale) coloration of the enamel, nails and eyes and sees all issues as yellowish white in color.
Deadly Signs of Raktapitta – bleeding issues
लोहितं छर्दयेद्यस्तु बहुशो लोहितेक्षणः |
रक्तानां च दिशां द्रष्टा रक्तपित्ती विनश्यति ||२४||
Raktapitta (bleeding illness) kills the affected person who has vomiting of blood steadily, has crimson colored eyes and sees the areas round as crimson in color.
Life threatening problems of Unmada – Madness
अवाङ्मुखस्तून्मुखो वा क्षीणमांसबलो नरः |
जागरिष्णुरसन्देहमुन्मादेन विनश्यति ||२५||
Unmada (madness) kills the affected person who retains his face at all times both wanting down or up, has lack of muscular tissues and power and is awake at all times (does stay awake in any respect).
Learn – Unmada-Madness: Ayurvedic Understanding And Administration
Deadly problems of Apasmara – epilepsy
बहुशोऽपस्मरन्तं तु प्रक्षीणं चलितभ्रुवम् |
नेत्राभ्यां च विकुर्वाणमपस्मारो विनाशयेत् ||२६||
Apasmara (epilepsy) kills the affected person who faints very steadily, is emaciated significantly, has unsteady brows and makes irregular actions of the eyeballs.
इति श्रीसुश्रुतसंहितायां सूत्रस्थानेऽवारणीयो नाम त्रयस्त्रिंशत्तमोऽध्यायः ॥३३॥
Thus ends the Thirty third chapters by title Avaraniya in Sutra Sthana of Sushruta Samhita.