੨. ਅਰ੍ਸ਼ੋਨਿਦਾਨਮ੍

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Adhikarana ੧ (੧-੨) · Śloka ੨

ਅਥਾਤੋਰ੍ਸ਼ਸਾਂ ਨਿਦਾਨਂ ਵ੍ਯਾਖ੍ਯਾਸ੍ਯਾਮਃ ||੧|| ਯਥੋਵਾਚ ਭਗਵਾਨ੍ ਧਨ੍ਵਨ੍ਤਰਿਃ ||੨||

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अथातोऽर्शसां निदानं व्याख्यास्यामः ||१|| यथोवाच भगवान् धन्वन्तरिः ||२||

Meaning of the śloka

Now the diagnosis of arśas will be explained, as taught by the revered Dhanvantari.

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ਅਥੇਤ੍ਯਾਦਿ| ਨਿਦਾਨਂ ਹੇਤੁਲਕ੍ਸਣਨਿਰ੍ਦੇਸ਼ਃ||੧-੨||

Meaning of the commentary

The commentary explains nidāna here as the statement of causes and diagnostic features.

Key terms

arshas (arśas): A classical anorectal disease category, commonly associated with hemorrhoidal growths.
nidAna (nidāna): An account of causes and diagnostic signs.

Adhikarana ੨ (੩) · Śloka ੩

ਸਡਰ੍ਸ਼ਾਂਸਿ ਭਵਨ੍ਤਿ ਵਾਤਪਿਤ੍ਤਕਫਸ਼ੋਣਿਤਸਨ੍ਨਿਪਾਤੈਃ ਸਹਜਾਨਿ ਚੇਤਿ ||੩||

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षडर्शांसि भवन्ति वातपित्तकफशोणितसन्निपातैः सहजानि चेति ||३||

Meaning of the śloka

Arśas is classified into six types: those associated with vāta, pitta, kapha, blood, combined doṣas, and those present from birth.

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ਸਡਰ੍ਸ਼ਾਂਸੀਤ੍ਯਾਦਿ| ਨਨੁ, ਵਾਤਪਿਤ੍ਤਕਫਸ਼ੋਣਿਤਸਨ੍ਨਿਪਾਤੈਃ ਸਹਜਾਨਿ ਚੇਤ੍ਯਨੇਨੈਵ ਸਟ੍ਸਙ੍ਖ੍ਯਾਯਾ ਲਬ੍ਧਤ੍ਵਾਤ੍ ਕਥਂ ਸਡਿਤਿ ਸਙ੍ਖ੍ਯਾਨਿਰ੍ਦੇਸ਼ਃ? ਉਚ੍ਯਤੇ- ਦ੍ਵਿਦੋਸਜਨਿਤਾਰ੍ਸ਼ੋਗਣਨਾਪਰਿਹਾਰਾਰ੍ਥਮ੍| ਯਦ੍ਯਪਿ ਸ਼ੋਣਿਤਾਧਿਸ੍ਠਾਨਾ ਵਾਤਾਦਯੋ ਰਕ੍ਤਾਰ੍ਸ਼ਸਾਮਾਰਮ੍ਭਕਾਃ, ਤਥਾਪ੍ਯੁਪਚਾਰਾਤ੍ ‘ਸ਼ੋਣਿਤਜਾਨਿ’ ਇਤ੍ਯੁਚ੍ਯਨ੍ਤੇ; ਯਥਾ- ਘਤਾਧਿਸ੍ਠਾਨੇਨਾਗ੍ਨਿਨਾ ਦਗ੍ਧੋ ‘ਘਤਦਗ੍ਧ’ ਇਤ੍ਯੁਚ੍ਯਤੇ||੩||

Meaning of the commentary

The commentary asks why the number six is explicitly stated when the listed categories already total six. It answers that the number prevents additional types produced by pairs of doṣas from being counted separately. Although vāta and the other doṣas acting in the site of blood initiate the blood-associated form, it is conventionally called 'born of blood,' just as something burned by fire supported by ghee may be called 'ghee-burned.'

Key terms

ShaDarshAMsi (ṣaḍ-arśāṃsi): The six classified forms of arśas.
shoNitajAni (śoṇita-jāni): The form conventionally described as arising from blood.
sannipAta (sannipāta): Combined involvement of all three doṣas.
sahaja: Present from birth or congenital.

Adhikarana ੩ (੪) · Śloka ੪

ਤਤ੍ਰਾਨਾਤ੍ਮਵਤਾਂ ਯਥੋਕ੍ਤੈਃ ਪ੍ਰਕੋਪਣੈਰ੍ਵਿਰੁਦ੍ਧਾਧ੍ਯਸ਼ਨਸ੍ਤ੍ਰੀਪ੍ਰਸਙ੍ਗੋਤ੍ਕਟੁਕਾਸਨਪਸ੍ਠਯਾਨਵੇਗਵਿਧਾਰਣਾਦਿਭਿਰ੍ਵਿਸ਼ੇਸੈਃ ਪ੍ਰਕੁਪਿਤਾ ਦੋਸਾ ਏਕਸ਼ੋ ਦ੍ਵਿਸ਼ਃ ਸਮਸ੍ਤਾਃ ਸ਼ੋਣਿਤਸਹਿਤਾ ਵਾ ਯਥੋਕ੍ਤਂ ਪ੍ਰਸਤਾਃ ਪ੍ਰਧਾਨਧਮਨੀਰਨੁਪ੍ਰਪਦ੍ਯਾਧੋ ਗਤ੍ਵਾ ਗੁਦਮਾਗਮ੍ਯ ਪ੍ਰਦੂਸ੍ਯ ਗੁਦਵਲੀਰ੍ਮਾਂਸਪ੍ਰਰੋਹਾਞ੍ਜਨਯਨ੍ਤਿ ਵਿਸ਼ੇਸਤੋ ਮਨ੍ਦਾਗ੍ਨੇਃ, ਤਥਾ ਤਣਕਾਸ੍ਠੋਪਲਲੋਸ੍ਠਵਸ੍ਤ੍ਰਾਦਿਭਿਃ ਸ਼ੀਤੋਦਕਸਂਸ੍ਪਰ੍ਸ਼ਨਾਦ੍ਵਾ ਕਨ੍ਦਾਃ ਪਰਿਵਦ੍ਧਿਮਾਸਾਦਯਨ੍ਤਿ, ਤਾਨ੍ਯਰ੍ਸ਼ਾਂਸੀਤ੍ਯਾਚਕ੍ਸਤੇ ||੪||

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तत्रानात्मवतां यथोक्तैः प्रकोपणैर्विरुद्धाध्यशनस्त्रीप्रसङ्गोत्कटुकासनपृष्ठयानवेगविधारणादिभिर्विशेषैः प्रकुपिता दोषा एकशो द्विशः समस्ताः शोणितसहिता वा यथोक्तं प्रसृताः प्रधानधमनीरनुप्रपद्याधो गत्वा गुदमागम्य प्रदूष्य गुदवलीर्मांसप्ररोहाञ्जनयन्ति विशेषतो मन्दाग्नेः, तथा तृणकाष्ठोपललोष्ठवस्त्रादिभिः शीतोदकसंस्पर्शनाद्वा कन्दाः परिवृद्धिमासादयन्ति, तान्यर्शांसीत्याचक्षते ||४||

Meaning of the śloka

In people lacking self-restraint, doṣas may be provoked singly, in pairs, together, or with blood by factors such as incompatible or excessive eating, excessive sexual activity, prolonged squatting, riding, and suppression of natural urges. Spreading through the principal channels and descending to the rectum, they are said to disturb the folds there and produce fleshy outgrowths, especially in those with weak digestive activity. Contact or injury from grass, wood, stone, clods, cloth, and similar objects, or contact with cold water, is also said to enlarge pre-existing swellings. These growths are called arśas.

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ਅਰ੍ਸ਼ਸਾਂ ਹੇਤੂਨ੍ ਸਮ੍ਪ੍ਰਾਪ੍ਤਿ ਚ ਦਰ੍ਸ਼ਯਨ੍ਨਾਹ- ਤਤ੍ਰੇਤ੍ਯਾਦਿ| ਪ੍ਰਕੁਪਿਤਾ ਦੋਸਾ ਮਾਂਸਪ੍ਰਰੋਹਾਞ੍ਜਨਯਨ੍ਤੀਤਿ ਸਮ੍ਬਨ੍ਧਃ| ਅਨਾਤ੍ਮਵਤਾਮ੍ ਅਜਿਤੇਨ੍ਦ੍ਰਿਯਾਣਾਮ੍| ਯਥੋਕ੍ਤੈਃ ਪ੍ਰਕੋਪਣੈਰ੍ਬਲਵਦ੍ਵਿਗ੍ਰਹਾਦਿਕ੍ਰੋਧਸ਼ੋਕਾਦਿਦਿਵਾਸ੍ਵਪ੍ਨਾਦਿਭਿਃ| ਵਿਰੁਦ੍ਧਂ ਬਹੁਧਾ ਹਿਤਾਹਿਤੀਯੋਕ੍ਤਮ੍| ਸ੍ਤ੍ਰੀਪ੍ਰਸਙ੍ਗ ਇਤ੍ਯਤ੍ਰ ਪ੍ਰਸ਼ਬ੍ਦੇਨਾਤ੍ਯਨ੍ਤਸਕ੍ਤਿਃ ਪ੍ਰਤਿਪਾਦ੍ਯਤੇ| ‘ਗੁਦਪਾਰ੍ਸ੍ਣੀਸਮਾਯੋਗਃ ਪ੍ਰਾਹੁਰੁਤ੍ਕਟੁਕਾਸਨਮ੍’, ‘ਉਕੁਡੁ’ ਇਤਿ ਲੋਕੇ| ਅਸ਼੍ਵਾਦੀਨਾਂ ਪਸ੍ਠੇਨ ਗਮਨਂ ਪਸ੍ਠਯਾਨਮ੍| ਵੇਗਵਿਧਾਰਣਸ਼ਬ੍ਦੇਨ ਵਾਤਵਿਣ੍ਮੂਤ੍ਰਾਦੀਨਾਂ ਵੇਗਧਾਰਣਮ੍| ਵਿਰੁਦ੍ਧਾਸ਼ਨਸ਼ਬ੍ਦੇਨ ਗੁਰੁਸ਼ੀਤਾਭਿਸ੍ਯਨ੍ਦਿਵਿਦਾਹ੍ਯਸਾਤ੍ਮ੍ਯਪ੍ਰਮਿਤਾਸ਼ਨਾਦੀਨਿ ਗਹ੍ਯਨ੍ਤੇ| ਵਿਸ਼ੇਸੈਰ੍ਭੇਦੈਃ| ਤੇਸਾਂ ਨਿਦਾਨਮਭਿਧਾਯ ਸਮ੍ਪ੍ਰਾਪ੍ਤਿਮਾਹ- ਯਥੋਕ੍ਤਮਿਤ੍ਯਾਦਿ| ਪ੍ਰਸਤਾ ਇਤਿ ‘ਕਿਣ੍ਵੋਦਕਪਿਸ੍ਟਸਮਵਾਯ ਇਵੋਦ੍ਰਿਕ੍ਤਾਨਾਂ ਪ੍ਰਸਰੋ ਭਵਤਿ’ (ਸੂ. ੨੧) ਇਤ੍ਯਾਦਿਕ੍ਰਮੇਣ ਪ੍ਰਸਤਾਃ| ਪ੍ਰਧਾਨਧਮਨੀਃ ਪੁਰੀਸਵਾਹਿਨੀਃ| ਅਨੁ ਪਸ਼੍ਚਾਤ੍, ਪ੍ਰਪਦ੍ਯ ਪ੍ਰਾਪ੍ਯ| ਗੁਦਵਲੀਰਿਤਿ ਵਲਿਸ੍ਤ੍ਵਕ੍ਸਙ੍ਕੋਚਃ| ਮਨ੍ਦਾਗ੍ਨੇਰ੍ਵਿਸ਼ੇਸਤੋਤਿਸ਼ਯੇਨ ਮਾਂਸਪ੍ਰਰੋਹਾਞ੍ਜਨਯਨ੍ਤੀਤਿ ਸਮ੍ਬਨ੍ਧਃ| ਤਥਾ ਤਣੇਤ੍ਯਾਦਿ| ਪਰਿਵਦ੍ਧਿਮਾਸਾਦਯਨ੍ਤਿ ਪ੍ਰਾਪ੍ਨੁਵਨ੍ਤੀਤ੍ਯਰ੍ਥਃ| ਆਚਕ੍ਸਤ ਇਤਿ ‘ਪੂਰ੍ਵਾਚਾਰ੍ਯਾ’ ਇਤ੍ਯਧ੍ਯਾਹਾਰਃ||੪||

Meaning of the commentary

The commentary supplies the etiological sequence: provoked doṣas produce fleshy growths. Anātmavat is glossed as a person whose senses are uncontrolled. Previously described provocations include struggle with stronger persons, anger, grief, daytime sleep, and others. The prefix in strīprasaṅga conveys extreme attachment or excess. Utkaṭukāsana is explained as squatting with the anus and heels in contact, popularly called ukuḍu, while pṛṣṭhayāna means travel on the back of a horse or similar animal. Suppression includes urges for flatus, feces, and urine. Viruddhāśana is extended to heavy, cold, channel-clogging, burning, unaccustomed, and improperly measured food. The doṣas spread as described earlier, enter the feces-carrying principal vessels, descend to the rectum, disturb its skin folds, and particularly in weak digestion form outgrowths. The final term is attributed to earlier teachers.

Key terms

viruddhAshana (viruddhāśana): Eating regarded as incompatible or otherwise unsuitable in the classical framework.
adhyashana (adhyaśana): Eating again before the preceding meal is digested or excessive superimposed eating.
utkaTukAsana (utkaṭukāsana): A prolonged squatting posture with heels near the anal region, as explained here.
vegavidhAraNa (vega-vidhāraṇa): Suppression of natural urges such as flatus, stool, or urine.
gudavalI (guda-valī): A fold of the anal canal in the text's anatomy.

Adhikarana ੧੩ (੧੫) · Śloka ੧੫

ਸਹਜਾਨਿ ਦੁਸ੍ਟਸ਼ੋਣਿਤਸ਼ੁਕ੍ਰਨਿਮਿਤ੍ਤਾਨਿ, ਤੇਸਾਂ ਦੋਸਤ ਏਵ ਪ੍ਰਸਾਧਨਂ ਕਰ੍ਤ੍ਤਵ੍ਯਮ੍, ਵਿਸ਼ੇਸਤਸ਼੍ਚੈਤਾਨਿ ਦੁਰ੍ਦਰ੍ਸ਼ਨਾਨਿ ਪਰੁਸਾਣਿ ਪਾਂਸੂਨਿ ਦਾਰੁਣਾਨ੍ਯਨ੍ਤਰ੍ਮੁਖਾਨਿ; ਤੈਰੁਪਦ੍ਰੁਤਃ ਕਸ਼ੋਲ੍ਪਭੁਕ੍ ਸਿਰਾਸਨ੍ਤਤਗਾਤ੍ਰੋਲ੍ਪਪ੍ਰਜਃ ਕ੍ਸੀਣਰੇਤਾਃ ਕ੍ਸਾਮਸ੍ਵਰਃ ਕ੍ਰੋਧਨੋਲ੍ਪਾਗ੍ਨਿਪ੍ਰਾਣਃ ਪਰਮਲਸਸ਼੍ਚ, ਤਥਾ ਘ੍ਰਾਣਸ਼ਿਰੋਕ੍ਸਿਨਾਸਾਸ਼੍ਰਵਣਰੋਗੀ, ਸਤਤਮਨ੍ਤ੍ਰਕੂਜਾਟੋਪਹਦਯੋਪਲੇਪਾਰੋਚਕਪ੍ਰਭਤਿਭਿਃ ਪੀਡ੍ਯਤੇ ||੧੫||

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सहजानि दुष्टशोणितशुक्रनिमित्तानि, तेषां दोषत एव प्रसाधनं कर्त्तव्यम्, विशेषतश्चैतानि दुर्दर्शनानि परुषाणि पांसूनि दारुणान्यन्तर्मुखानि; तैरुपद्रुतः कृशोऽल्पभुक् सिरासन्ततगात्रोऽल्पप्रजः क्षीणरेताः क्षामस्वरः क्रोधनोऽल्पाग्निप्राणः परमलसश्च, तथा घ्राणशिरोऽक्षिनासाश्रवणरोगी, सततमन्त्रकूजाटोपहृदयोपलेपारोचकप्रभृतिभिः पीड्यते ||१५||

Meaning of the śloka

Congenital arśas are attributed to affected parental reproductive blood and semen, and their assessment or management is to be determined from the responsible doṣa. They are described as difficult to see, rough, greyish, severe, and inward-facing. The affected person is thin, eats little, has prominent veins, few offspring, diminished reproductive strength, a weak voice, irritability, weak digestion and vitality, and marked lethargy. The person is also described as having disorders of smell, head, eyes, nose, and hearing, and as continually troubled by intestinal sounds, gurgling, distension, a coated or burdened feeling in the heart region, poor appetite, and related symptoms.

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ਸ਼ਰੀਰੇਣ ਸਹ ਜਾਤਾਨਾਮਰ੍ਸ਼ਸਾਂ ਦੋਸੇਭ੍ਯੋ ਭਿਨ੍ਨਂ ਹੇਤੁਂ ਦਰ੍ਸ਼ਯਨ੍ਨਾਹ- ਸਹਜਾਨੀਤ੍ਯਾਦਿ| ਦੁਸ੍ਟਸ਼ੋਣਿਤਸ਼ੁਕ੍ਰਨਿਮਿਤ੍ਤਾਨੀਤਿ ਗਰ੍ਭਗੁਦਾਰਮ੍ਭਕਮਾਤ੍ਰਂ ਬੀਜਂ ਦੁਸ੍ਟਂ ਨ ਸਰ੍ਵਂ, ਸਰ੍ਵਦੁਸ੍ਟਤ੍ਵੇ ਹਿ ਪ੍ਰਜੋਤ੍ਪਤ੍ਤਿਰੇਵ ਨ ਸ੍ਯਾਤ੍| ‘ਤੇਸਾਂ ਦੋਸਤ ਏਵ ਪ੍ਰਸਾਧਨਂ ਕਰ੍ਤਵ੍ਯਮਿਤਿ ਯੇਨ ਦੋਸੇਣ ਯਸ੍ਯ ਸ਼ੁਕ੍ਰਸ਼ੋਣਿਤਂ ਦੂਸਿਤਂ ਭਵੇਤ੍ਤਸ੍ਯ ਦੋਸਸ੍ਯ ਲਕ੍ਸਣਵਰ੍ਣਵੇਦਨਾਕਤਿਭਿਃ ਪ੍ਰਸਾਧਨਂ ਵਿਜ੍ਞਾਨਮ੍’ ਇਤ੍ਯੇਕੇ; ਅਨ੍ਯੇ ਤੁ ‘ਦੋਸਤ ਇਤਿ ਦੋਸਲਿਙ੍ਗਂ ਸਮੀਕ੍ਸ੍ਯ ਪ੍ਰਸਾਧਨਂ ਚਿਕਿਤ੍ਸਾ’ ਇਤ੍ਯਾਹੁਃ| ਦੁਰ੍ਦਰ੍ਸ਼ਨਾਨਿ ਦੁਃਖੇਨ ਦਸ਼੍ਯਨ੍ਤੇ, ਅਨ੍ਤਰ੍ਵਿਦ੍ਰਧਿਵਦਿਤ੍ਯਰ੍ਥਃ| ਪਾਂਸੂਨਿ ਧੂਸਰਾਣਿ| ਦਾਰੁਣਾਨਿ ਅਤਿਦੁਃਖਕਰਾਣਿ||੧੫||

Meaning of the commentary

The commentary distinguishes the cause of congenital lesions from doṣa-produced arśas. Only the portion of the reproductive seed forming the fetal anal region is said to be affected; if the whole seed were affected, conception could not occur. One interpretation of ‘prasādhana according to doṣa’ is diagnostic: determine the responsible doṣa through its signs, colour, pain, and form in the affected semen and blood. Another interpretation makes prasādhana treatment selected after examining doṣa signs. Durdarśana means difficult to visualize, like an internal abscess; pāṃsu means greyish, and dāruṇa means extremely distressing.

Key terms

sahaja arshas (sahaja arśas): Arśas described as congenital or present from birth.
duShTashoNitashukra (duṣṭa-śoṇita-śukra): Affected parental reproductive blood and semen in the classical etiological account.
prasAdhana (prasādhana): Interpreted either as diagnostic ascertainment or as treatment according to the doṣa.
antar mukha (antar-mukha): Facing or opening inward.
ATopa (āṭopa): Abdominal gurgling or distension in this symptom list.

Adhikarana ੧੮ (੨੧) · Śloka ੨੧

ਅਰ੍ਸ਼ਸਾਂ ਲਕ੍ਸਣਂ ਵ੍ਯਾਸਾਦੁਕ੍ਤਂ ਸਾਮਾਨ੍ਯਤਸ੍ਤੁ ਯਤ੍ | ਤਤ੍ਸਰ੍ਵਂ ਪ੍ਰਾਗ੍ਵਿਨਿਰ੍ਦਿਸ੍ਟਾਤ੍ਸਾਧਯੇਦ੍ਭਿਸਜਾਂ ਵਰਃ ||੨੧||

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अर्शसां लक्षणं व्यासादुक्तं सामान्यतस्तु यत् | तत्सर्वं प्राग्विनिर्दिष्टात्साधयेद्भिषजां वरः ||२१||

Meaning of the śloka

The best physician should determine the general features of arshas described in detail by referring to what was set out previously.

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ਇਦਾਨੀਂ ਸਰ੍ਵੇਸਾਮੇਵ ਮੇਢ੍ਰਾਦਿਜਾਨਾਂ ਵਾਤਾਦਿਲਕ੍ਸਣਮਤਿਦੇਸ਼ੇਨ ਨਿਰ੍ਦਿਸ਼ਨ੍ਨਾਹ- ਅਰ੍ਸ਼ਸਾਮਿਤ੍ਯਾਦਿ| ਅਰ੍ਸ਼ਸਾਂ ਮੇਢ੍ਰਾਦਿਜਾਨਾਂ ਵਾਤਾਦਿਦੋਸਲਕ੍ਸਣਂ ਵਿਨਾ ਯਤ੍ ਸਙ੍ਕ੍ਸੇਪਤੋ ਲਕ੍ਸਣਮੁਕ੍ਤਂ ਤਤ੍ ਸਰ੍ਵਂ ਸਾਧਯੇਤ੍ ਜਾਨੀਯਾਤ੍ ਚਿਕਿਤ੍ਸੇਦ੍ਵਾ| ਕਥਮਿਤ੍ਯਾਹ- ਪ੍ਰਾਗ੍ਵਿਨਿਰ੍ਦਿਸ੍ਟਾਦਿਤਿ; “ਪ੍ਰਾਕ੍ ਪੂਰ੍ਵਂ ਵ੍ਯਾਸੇਨ ਪ੍ਰਤ੍ਯੇਕਂ ਵਾਤਾਦਿਜਾਰ੍ਸ਼ੋਲਕ੍ਸਣਮੁਕ੍ਤਂ ਵੀਕ੍ਸ੍ਯੇਤ੍ਯਰ੍ਥਃ” ਇਤਿ ਗਯਦਾਸਾਚਾਰ੍ਯਃ; ਅਨ੍ਯੇ ਤੁ “ਸਙ੍ਕ੍ਸੇਪਤਃ ਸੋਢਾ, ਵ੍ਯਾਸਤੋ ਵਿਸ੍ਤਰੇਣ, ਪ੍ਰਾਗ੍ਵਿਨਿਰ੍ਦਿਸ੍ਟਾਤ੍ ਪਞ੍ਚਦਸ਼ਧਾ ਪ੍ਰਸਰਾਤ੍ ਸਾਧਯੇਤ੍” ਇਤਿ ਮਨ੍ਯਨ੍ਤੇ||੨੧||

Meaning of the commentary

The commentary extends earlier dosha-based features to arshas arising at sites such as the genitals. Apart from the specific vata and other dosha signs, the general features stated briefly are to be determined from the earlier detailed account. Sadhayet may mean either 'should know or determine' or 'should treat.' Gayadasa understands the instruction as consulting the earlier detailed signs of each dosha type of arshas. Others distinguish six types in the concise account and fifteen modes of spread in the detailed earlier account, from which the physician should make the determination.

Key terms

arshas: The classical lesion or disease category discussed in this chapter.
sAmAnyalakShaNa (samanyalakshana): General features shared by the condition.
vyAsa (vyasa): Detailed exposition.
sAdhayet (sadhayet): May mean should determine or know, or alternatively should treat.
atidesha: Extension or application of an earlier rule to the present cases.

Adhikarana ੨੧ (੨੫-੨੬) · Śloka ੨੬

ਸਰ੍ਵਾਃ ਸ੍ਯੁਰ੍ਵਲਯੋ ਯੇਸਾਂ ਦੁਰ੍ਨਾਮਭਿਰੁਪਦ੍ਰੁਤਾਃ | ਤੈਸ੍ਤੁ ਪ੍ਰਤਿਹਤੋ ਵਾਯੁਰਪਾਨਃ ਸਨ੍ਨਿਵਰ੍ਤਤੇ ||੨੫|| ਤਤੋ ਵ੍ਯਾਨੇਨ ਸਙ੍ਗਮ੍ਯ ਜ੍ਯੋਤਿਰ੍ਮਦ੍ਨਾਤਿ ਦੇਹਿਨਾਮ੍ ||੨੬||

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सर्वाः स्युर्वलयो येषां दुर्नामभिरुपद्रुताः | तैस्तु प्रतिहतो वायुरपानः सन्निवर्तते ||२५|| ततो व्यानेन सङ्गम्य ज्योतिर्मृद्नाति देहिनाम् ||२६||

Meaning of the śloka

When all the anal folds are affected by arshas, apana vayu is obstructed by them and cannot move outward. Joining with vyana, it is then said to weaken the person's digestive fire.

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ਸਰ੍ਵਵਲਿਵ੍ਯਾਪਿਨਾਮਰ੍ਸ਼ਸਾਂ ਪਞ੍ਚਾਤ੍ਮਕਸ੍ਯਾਪ੍ਯਗ੍ਨੇਰ੍ਮਹਾਨਰ੍ਥਕਰਤ੍ਵਂ ਦਰ੍ਸ਼ਯਨ੍ਨਾਹ- ਸਰ੍ਵਾ ਇਤ੍ਯਾਦਿ| ਯੇਸਾਂ ਦੇਹਿਨਾਮ੍| ਦੁਰ੍ਨਾਮਭਿਃ ਅਰ੍ਸ਼ੋਭਿਃ| ਤੈਸ੍ਤੁ ਅਰ੍ਸ਼ੋਭਿਰਿਤ੍ਯਰ੍ਥਃ| ਅਪਾਨੋ ਵਾਯੁਰਿਤਿ ਸਮ੍ਬਨ੍ਧਃ| ਸਨ੍ਨਿਵਰ੍ਤਤੇ ਸ੍ਥਿਤਿਂ ਬਧ੍ਨਾਤਿ ਨ ਨਿਃਸਰਤੀਤ੍ਯਰ੍ਥਃ| ਸਙ੍ਗਮ੍ਯ ਮਿਲਿਤ੍ਵਾ| ਜ੍ਯੋਤਿਃ ਪਞ੍ਚਾਤ੍ਮਕਮਗ੍ਨਿਂ, ਮਦ੍ਨਾਤਿ ਮਨ੍ਦੀਕਰੋਤਿ| ਅਯਂ ਚੋਪਦ੍ਰਵਃ, ਪ੍ਰਾਯੇਣ ਸਹਜੇਸ੍ਵਰ੍ਸ਼ਃਸੁ ਜ੍ਞੇਯਃ||੨੫-੨੬||

Meaning of the commentary

The commentary describes the serious consequence of arshas occupying all the folds. Durnama here means arshas. The obstructed apana becomes fixed and does not pass outward; after combining with vyana, it diminishes jyotis, interpreted as the fivefold agni. This complication is said to occur especially in congenital arshas.

Key terms

sarvavalI (sarvavali): All of the anal folds.
durnAma (durnama): A euphemistic designation for arshas.
apAna vAyu (apana vayu): The form of vayu governing downward outward movement in the classical account.
vyAna (vyana): A form of vayu said here to combine with obstructed apana.
jyotis: The fivefold digestive fire or agni in the commentary.

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