athātō bhagandarāṇāṁ cikitsitaṁ vyākhyāsyāmaḥ ||1|| yathōvāca bhagavān dhanvantariḥ ||2|| pañca bhagandarā vyākhyātāḥ , tēṣvasādhyaḥ śambūkāvartaḥ śalyanimittaśca; śēṣāḥ kr̥cchrasādhyāḥ ||3||
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अथातो भगन्दराणां चिकित्सितं व्याख्यास्यामः ||१|| यथोवाच भगवान् धन्वन्तरिः ||२|| पञ्च भगन्दरा व्याख्याताः , तेष्वसाध्यः शम्बूकावर्तः शल्यनिमित्तश्च; शेषाः कृच्छ्रसाध्याः ||३||
Meaning of the śloka
The chapter on the treatment of bhagandara is introduced according to the teaching of Dhanvantari. Five forms of bhagandara have been described. Of these, shambukavarta and the form caused by a retained foreign body are said to be incurable, while the remaining forms are difficult to treat.
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nidānē'pi bhagandarāṇāṁ sādhyāsādhyavibhāgē pūrvōktē punariha cikitsitavidhānāyānukathanaṁ prakaraṇāntaratvāditi na paunaruktyam||1-3||
Meaning of the commentary
The commentary explains that the curable and incurable forms were already distinguished in the diagnostic section. Their repetition here is justified because this is a new context devoted to treatment, and therefore it is not needless repetition.
Key terms
- bhagandara
- The anorectal tract disorder treated in this chapter.
- shambUkAvarta (shambukavarta)
- One of the five named forms, classified here as incurable.
- shalyanimitta (shalya-nimitta)
- A form attributed to a foreign body, classified here as incurable.
- kRucchrasAdhya (kricchra-sadhya)
- Treatable only with difficulty.