Suśrutapāthaśuddhi of Candraṭa: Nidānasthāna

Suśruta project, University of Alberta

 London United Kingdom British Library IOLR Taylor 1842 (Eggeling 2646) L [description of manuscript] Suśruta Suśrutapāṭhaśuddhi Candraṭa [title of commentary] [Sanskrit in Devanagari script.] Devanagari unknown [record of ownership] [how it was acquired] Started the file. Added 1.12
athāto bhagaṃdarāṇāṃ nidānaṃ vyākhyāsyāmaḥ || || vātapittaśleṣmasannipātāgaṃtunimittāḥ śataponakoṣṭragrīvapariśrāvīśaṃbūkāvarttonmārgagiṇo yathāsaṃkhyaṃ pañcabhagaṃdarā bhavaṃti || abhinnāḥ piḍikāḥ pakvās tu bhagaṃdarāḥ || te ca bhagagudavastipradeśavidāraṇāt bhagaṃdarā ity ucyaṃte || teṣāṃ tu pūrvarūpāṇi kaṭī = kaṭīphalakaḥ ||1|| kapālavedanā gudakaṃḍur dāhaśophaś ca gudasya bhavati || tatrāpathyasevināṃ vāyuḥ prakupitaḥ sannivṛttaḥ = sannivṛttopyāghuṭitaḥ ||2|| sthirībhūto guda = gudasya sarvataḥ ||3|| mabhitoṃ'gule vā māṃsaśoṇite praduṣyāruṇavarṇāṃ piḍakāṃ janayati || sāsya todādīn vedanā viśeṣān janayati || apratikriyamāṇe tu pākam upaiti || mūtrāśayābhyāsagatitvāc ca vraṇaḥ || klinnaḥ śataponakavad = aśvavālaracitaṃ śatākṣaṃ aṇumukhai chidrair āpūryate || tāni ca chidrāṇi ajasramachaṃ phenānuviddham adhikaṃ māśrāvaṃ śravaṃti || vraṇaś ca bhidyate = bhidyate tvāgvidāryata iva ||6|| chidyate = chidyate dvidhākakriyata iva | 2 || sūcībhiiva nistudyate = cyavyate ||1|| gudaś ca avadīryate || vātareṣamūtrapurīṣaretasām apy āgamaś ca ā taiś chidrair bhavati taṃ bhagaṃdaraṃ śataponakam ity ācakṣate || pittaṃ tu prakupitamalinādhaḥ preritaṃ pūrvavad = gudam abhimato 'gule dvyaṃgule vetyarthaḥ || 1 || avasthitaṃ raktāṃ tanvīm utchitām uṣṭragrīvākārāṃ piḍakāṃ janayati || sāsya coṣādīn vedanāviśeṣān janayati || apratikriyamāṇe ca pākam upaiti || vraṇaś cāgnikṣārābhyām iva dahyate || durgraṃdham uṣṇaśrāvaṃ sravaty upekṣitaś ca vātamūtrapurīṣaretāṃsi visṛjati = śravati ||4|| taṃ bhagaṃdaram uṣṭragrīvam ity āca\ kṣate | śleṣmā tu prakupitaḥ samīreṇādhaḥ preritaḥ pūrvavad avasthitaḥ || śuklāvabhāsāṃschirāṃ kaṃḍūmatī piḍikāṃ janayati || sāsya kaṃdrādīn vedanā viśeṣān janayati || apratikriyamāṇe ca pākam upaiti | vraṇaś ca kaṭhinaḥ | saṃraṃbhī = śophavān || kaṃḍūprāyaḥ = kharjubahulaḥ ||7|| || || || || pisthilam ajasram āśrāvaṃ sravati || upe kṣitaś ca vātamūtrapurīṣaretāṃsi visṛti taṃ bhagaṃdaraṃ parisrāviṇam = pariśrāvatīty evaṃ śīlaḥ pariśrāvī ||1|| ity ācakṣate || vāyuḥ prakupitaḥ prakupitau pittaśleṣmāṇau parigṛhyādho gatvā pūrvavad avasthitapādāṃguṣṭhapramāṇaṃ sarvaliṃgāṃ piṭikāṃ janayati || sāsya todadāhakaṃḍvādīn vedanāviśeṣān janayati || apratikriyamāṇe ca pākam upaiti || vraṇaś ca nānāvidhavarṇam āśrāvaṃ sravati || pūrṇanadīśaṃbūkāvarttavac = pūrṇanadīśaṃbūkāvarttavat tair aṃtaryeṇa vedanā uttiṣṭhaṃitītyeke | anyetu tathāvidha gatyāraṃbhakasya śophasya pūrṇanadyāvarttaśaṃbūkāvartākāriṇo vāvadāvagāḍhatvāt || avagāḍhe vedanā bhavaṃtītyarthaḥ || śaṃbūkāḥ śaṃkhā unmārgriṇaḥ ||3|| cātra samupatiṣṭhaṃti vedanāviśeṣās taṃ bhagaṃdaraṃ śaṃbūkāvarttam ity ācakṣate || mūḍhena = saṃprāptiṃ darśayannāha || mūḍhena ajñānena ||2|| māṃsalubdhena vāsthiśalyam annena sahābhyavahṛtaṃ yadāvagāḍhapurīṣaśra miśravimiśramapānenanādhaḥ preritam asamyag āgataṃ gudaṃ kṣiṇoti | = sakṣataṃ karoti ||1|| tatra kṣatanimittaḥ kotha = kotha upajāyate || upajāyate || tasmiś ca kṣate pūyarudhirāvakīrṇe māṃsakothe bhūmāviva jalapraklinnāyāṃ kṛmayaḥ saṃjāyate || te bhakṣayaṃto gu dam anekadhā pārśvato = pakṣato dārayaṃti ||3|| dārayaṃti || tasya tair māgraiḥ kṛmikṛtair vātamūtrapurīṣaretāṃsi abhiniśvaṃraṃ ti taṃ bhagaṃdaram unmārgriṇam ity ācakṣate || bhavaṃti cātra || || utpadyate 'lparuk = alpavedanā ||4|| śepho kṣipraṃ cāpy upaśāmyati || pāyvaṃtadeśe = gudasyāṃte ||5|| piḍikā sā jñeyānyā = aparā bhagaṃdarebhya ity arthaḥ ||2|| bhagaṃdarāt ||1|| bhagaṃdarīti vijñeyā piḍikāṃ = ato 'bhāgaṃdaryāḥ piḍikāyā viparitatvāt bhagaṃdarakarī bhavatītyarthaḥ ||1|| || tā vipayāt || pāyoḥ syā dvyaṃgule deśe guḍamūlā sarugjvarāḥ ||2|| yānayānān = rathādigamanāt || malotsargāt = purīṣatyāgāt | kaṃḍūrug dāhadāśophavān || pāyur bhavet tataḥ = tato 'naṃtaraṃ ||3|| kaṭyāṃ pūrvarūpaṃ bhagaṃdaro ||3|| ghorāḥ = ghorāḥ duḥkhapradāḥ || sādhayituṃ duḥkhātḥ = kaṣṭasādhyā bhavatītyadhyāhāraḥ ||4|| sarva eva bhagaṃdarāḥ || teṣv asādhyas tridoṣotthaḥ kṣatajaś ca bhagaṃdaraḥ ||4||

|| iti bhagaṃdaranidānaṃ caturthaṃ samāptaṃ || ||4|| ||

athātaḥ kuṣṭhanidānaṃ = rasādidhātūnāṃ koṣaṇāt kuṣṭhaṃ | uktaṃ ca || dhātvaṃtarapraveśena kālenopekṣitaṃ vapuḥ || sarvaṃ kuṣṭhāni vai yasmāt tasmāt kuṣṭham uśaṃti hi ||3|| vyākhyāsyāmaḥ || || mithyāhā=rācārasya = devadravyāpaharaṇaṃ gurudārābhimarśanaṃ || vyāyāmādikam ucchāstraṃ mithyācāra iti smṛtaḥ || śāstroktavidhibhraṣṭāhārācārasya mithyāhārācārayo lakṣaṇam āhaḥ || viṣamādhyaśanājīrṇaviruddhānnātisevanaṃ | satyādi viparītaṃ tu mithyāhāra ihocyate ||1|| || |||| || || viśeṣād guruviruddhāsātmyājīrṇājīrṇaktva hitāśinaḥ snehapītasya vātasya vā vyāyāmagrāmadharmiṇogrāmyānūpodakamāṃsāni vā payasā bhīkṣṇamaśnato yo vā majjatyapsuṣmābhitaptaḥ sahasā chardiṃ pra vā pratihaṃti || tasya prakupitau pittaśleṣmā ṇau prarigṛhyānilaḥ || pravṛddhas tiryaggāḥ śirāḥ saṃpratipadyasamuddhūya = ākṣipya ||3|| bāhyamārgraṃ pratisamaṃtād = sarvatra -tana sarvadehagatatvaṃ rogasya sūcayati ||3|| vikṣapati || yatra yatra ca doṣo vikṣipto niścarati tatra tatra maṃḍalāni prāhur bhavaṃti || evam utpannas tvaci doṣas tatra tatra ca parivṛddhiṃ prāpyāpratikriyamāṇo 'bhaṃtaram anuprapadya dhātūn abhidūṣayati || tasya pūrvarūpāṇi tvakpāruṣyam akasmād = kāraṇaṃ vinā ||6|| romaharṣaḥ kaṃḍūṃ svedabāhulyaṃm asvedanaṃ vāṃgapradeśānāṃ svāpa = sparśajñānaṃ ||7|| kṣatavisarpaṇamasṛjataḥ kṛṣṇatā ceti || tatra sapta mahākuṣṭhāny ekādaśakṣudrakuṣṭhāny evam aṣṭādaśakuṣṭhāni bhavaṃti || tatra mahākuṣṭhāny aruṇoduṃbararirkṣajihvakapālakākaṇakapuṃḍarīkadadrukuṣṭhāni || kṣudrakuṣṭhāny api sthūlāruṣkaṃ mahākuṣṭhaṃ mekakuṣṭhaṃ carmadalaṃ visarppaḥ parisarppaḥ sidhmaṃ vicarcikā kiṭipaṃ pāmā kārasa ceti || sarvāṇi kuṣṭhāni savātāni sāpittāni ca śleṣmāṇi sakramīṇi ca bhavaṃti || utasannatas = autkaṭyātdepidoṣagrahaṇaṃ ||3|| tu doṣagrahaṇam abhibhavāt = itaradoṣayor iti ||4|| || tatra vātenāruṇaṃ pittenoduṃbararokṣajihvakapālakākaṇakāni śleṣmaṇā puṃḍarīka dṛ-- ceti || teṣāṃ tu mahatvaṃ kriyāgurutvaṃ uttarottaraṃ dhātvanu= praveśād= asādhyatvaṃ = anuśabdena paścād arthavācināmakatve 'sādhyatvepi kākaṇakavarjaṃ kasāṃtaraṃ sūcyate | kākaṇakaṃ punarutpattāvevasādhyadhyādhistv abhāvāt asādhyatvaṃ ||1|| cakāro dhātvanupraveśāc cetyanaṃtaraṃ draṣṭavyaḥ || tenānuktam āraṃbhakadoṣamahatvaṃ samuścinoti ||1|| || || ceti || tatra vātenāruṇābhāni tanunī visarppīṇi todabhedasvāpayuktābhyaruṇāni || pittena pakvoduṃbaraphalākṛtivarṇāny auduṃbarāṇi || rikṣajihvā = ṛkṣajihvāyā iva prakāśaḥ sādasyāṃ yogaṃ tāni | ṛṃdyajihvo nīlāṃḍaḥ || roru iti prasiddha || anye ṛkṣo rīccha iti ||2|| prakāśakharatvāni rakṣajihvāni || kṛṣṇa = kṛṣṇakarma ||2|| kapālikā prakāśāni kapālakuṣṭhāni || kākanaṃtikāphala = guṃjā ||3|| sadṛśāni atīvaraktakṛṣṇāni kākaṇakāni || teṣāṃ caturṇāṃ mapyoṣa = uṣo 'nalasamīpa ivopatāpaḥ pluṣṭasyeva ivedanāviśeṣa ity anye 3 coṣa = coṣa ācūṣyata iva vedanā viśeṣaḥ || pipāsetyanye ||3|| paridāha = sarvatohaḥ ||3|| dhūmāyanāni = dhūmopahatasyeva cumucumāyanaṃ dhūmodvamanam ivāṃgānām ity anye ||3|| kṣiprotthānaprapākabheditvāni kṛmijanma ca sāmānyaliṃgāni | śleṣmaṇā puṃḍarīkapatra = śvetapamdaṃdmaṃ prakāśāni puṃḍarīkāṇi || atasi puṣpavarṇāni tāmrāṇi vā visarppāṇi piṭikāvaṃti ca ||dadrūkuṣṭhāni | = dadrukuṣṭhaṃ dvividhaṃ sitam asitaṃ ca | asitasya mahopakramasādhyatvāt tadvanubaṃdhitvaprakarṣācca tadanubaṃdhitvaprakarṣāś ca mahākuṣṭheṣu madhyeṣu śrute pākaḥ sitadadrūkuṣṭhasyeva sukhasādhyatvāt ||1|| tayor dvayor api uchannatā parimaṃḍalatā = paripūrṇamaṃḍalaāita ||1|| kaṃḍucirotthānaṃ ceti | sāmānyarūpāṇi || kṣudrakuṣṭhonyata urddhvaṃ vakṣyāmaḥ || || sthūlāni = sthūlāni sthūlamūlāni || saṃdhiṣv atidāruṇāni = kṛchrasādhyāni || sthūlā = vraṇā ||4|| karuṣi syuḥ kaṭhināny arūṃṣi || tvak = coṣabheda = svapa = nāṃgasādāḥ = tvakśabdaḥ kocabhedasvapnaiḥ saha pratyekaṃ saṃbadhyate || tena tvakśeṣaḥ tvaksaṃkocaḥ ||3|| tvak vidaraṇaṃ | tvaco 'cetanatvaṃ || aṃgaglāni 3|| | kuṣṭhe mahat = mahākuṣṭhe ||3|| pūrvayute bhavaṃti kṛṣṇāruṇaṃ yena bhavet śarīraṃ tad ekakuṣṭhaṃ pravadaṃty sādhyaṃ || syur yena kaṃḍūvyathanoṣacoṣās = coṣa ācūṣaṇam iva ||2|| taleṣu = hastapādataleṣu ||2|| taccarmadalaṃ vadaṃti ||2|| visarpavat = atrokta visarpākhye kuṣṭhasya vakṣyamāṇavisarpparogasya ciravisarppiṇaśīghravisappiṇakṛto bhedaḥ 1 sarpati sarvatothaḥ tvakraktamāṃsāny abhibhūya śīghraṃ || mūrchāvidāhārucitodapākān kṛtvā visarppaḥ sava bhaved vikāraḥ ||3|| śanaiḥ śarīre piḍikāḥ śravaṃtya sarpaṃti yās taṃ parisarppam āhuḥ || kaṃḍūnanvitaṃ śvetamapāyi = sidhmaṃ = vidyāt tanuṃ prāyasa = ||3|| prāyasaḥ śabdo 'pādānāt adhaḥ kāyepi kadācid bhavati | sidhmakuṣṭhaṃ dvividhaṃ | puṣpikāsidhmaṃ sidhmaṃ ca puṣpikāsidhmasya sukhasādhyatvāt suśrute pāṭhaḥ || sidhmasya mahopakramasādhyatvāt carakeṣu mahākuṣṭheṣu pāṭha ity adoṣaḥ ||4|| ūrddhvakārye ||4|| yacchrāvi vṛttaṃ ghanamugrakaṃḍū taṃ snigdhakṛṣṇaṃ kiṭipaṃ vadaṃti || rekhāḥ | = tāś ca sarukṣā bhavaṃti || ati atiśabdakaṃdvartirugbhyāṃ saṃbadhyate || rujāvedanā kharyupīḍā || kaṃdvarttirujaḥsarukṣām āvaṃti gātreṣu = gātreṣu pāṇipādeṣu ||5|| iyam eva vicarcikā pādāgatā yadā syāt tadā vicarcikā saṃjñāṃ vihāya vipādikāsaṃjñāṃ prāpnotītyarthaḥ ||6|| vicarcikāyāṃ ||5|| pāṣṇādārvodāruṇāsāvurukṣā coṣā kaṃḍū dāhayuktā vicarcī || pādodbhūtā copadhāryā vipādī saivarthakṣais tīvraruknaṃtakaṃḍūḥ|| kaṃḍūmatī dāharujopapannā vipādikā pādagateyam eva || sāśrāva = kaṃḍūparidāhavadbhiḥ sāśrāvakaṃḍūparidāhakai varttaṃte yāḥ piḍikās tās tathāvidhā ||6|| pāmāṇukāciḥ piṭikābhir uhyā = vaidyair jñeyā ||6|| ||6|| sphoṭaiḥ sadāhair iti saiva = saiva pāṇyoḥ sphijostīvradāhirupagatā kasthūr ucyate || kasthūḥ sphikpāṇipādaprabhavair nirupyāḥ || kaḍūnvitāyāṃ piḍikāḥ śarīre = sakale kāye ||7|| saṃśrāvahīnā rasakocyate sā ||||7|| aruḥ = aruḥ sthūlāruṣkaṃ || sasidhmaṃrakasāmahac ca yac caikakuṣṭhaṃ kapajāsyanyamūni || pāvāyoḥ prakopāt parisarppam ekaṃ śeṣāṇi = śeṣāṇi visarppakiṭipavicarccikāpāmā || carmadalāni ||8|| aṃtaraṃ bhedaḥ || || oṃ namo nārāyaṇāya || bhagavate vāsudevāya || pittaprabhavāṇi vidyāt ||8|| || kuṣṭhakilāsayor aṃtaraṃ || || tvaggatameva = kuṣṭhaṃ tvagraktamāṃsam adhiṣṭhāya tvaci darśayatyātmānaṃ | kilāsamapariśrāvi ca kilāsam = kilāsaṃ tu tvacam eva kevalāmadhitiṣṭhatītyarthaḥ || anye tu tvaggatam eva kilāsasaṃjñaṃ | tadevadhātvanupraveśāt ścitrasaṃjñam ity āhuḥ || tathā ca viśvāmitraḥ || tvaggataṃ tu vadaśrāvi kilāsaṃ tatparikīrttitaṃ || yadā tvacam atikramyata dhātūn avagāhate || hitvā kilāsasaṃjñaṃ tu ścitrasaṃjñāṃ labhet tadā ||1|| api śabdaḥ saṃbhāvanāyāṃ tena kilāsaṃ kuṣṭhavikṛtiriti saṃbhāvyate | anye tu kim api kilāsaṃ kuṣṭhavikalpo na bhavatītyapi śabdād āhuḥ ||4|| api kuṣṭhavikalpa eva tat trividhaṃ || vātena pittena ślemaṇeti || tad vātena maṃḍalam aruṇaṃ paruṣaṃ paridhvaṃsi = paridhvaṃsi rajoghṛṣṭaṃ vimuṃcatītyarthaḥ ||3|| ca || pittena padmapatrapratikāśaṃ saparidāhaṃ | śleṣma ṇā śvetaṃ bahulaṃ = bahulaṃ māṃsa---2 sthiraṃ snigdhaṃ kaṃḍūmac ca || teṣu = teṣu vātapittaśleṣma-kilāseṣu | 2|| saṃba = ---i-nnamaṃḍalam ity arthaḥ | 2|| ddhamaṃḍalam aṃtejātaṃ = aṃtejātaṃ tu oṣṭhapādapāṇiguhyajaṃ | 2| raktaromacāsādhyam agnidagdhaṃ ca = cakāreṇa pāṇipādagulphauhyauṣṭhajamanuktam api asādhyaṃ samuccinviṃti ||1|| | kuṣṭhe tu tvak saṃkocasvāpasvedāśāphabhedakauṇya = kauṇyaṃ naṣṭa karatā ||1|| || svaropaghātā vātena || pākāvadārāṇāṃgulipatanakarṇanāsābhaṃgākṣi rāgasatvopattayaḥ = kramīṇām utpattayaḥ 1| || pittena || kaṃḍūkarṇabhedaśophaśrāvagauravāṇi | śleṣmaṇā || tatrādibalapravṛttaṃ = utpattāveva tridoṣabalapravṛttatvāt oṃ ||2 pauṃḍarīkaṃ kākaṇakaṃ cāsādhyaṃ || tatrādibalapravṛttaṃ pauṃḍarīkaṃ kākaṇakaṃ cāsādhyaṃ || bhavaṃti cātra || yathā canaspatir = vṛkṣaḥ ||1 jātaḥ prāpya kālaprakarṣaṇaṃ = kālādhikyaṃ2 || aṃtarbhūmiṃ vigāheta mūlair = kṛtvāślo|||1|| vṛṣṭivivarddhitaiḥ ||1|| evaṃ lakṣaṇam utpannaṃ tvaci = atra tvak śabdena rasa uktaḥ rasādhāraṇatvāt || tena rasastha ity arthaḥ ||2||3|| kālaprakarṣataḥ || krameṇa dhātūn vyāpnoti narasyāpratikāriṇaḥ ||2 sparśahāniḥ śvedamatvam īṣat kaṃḍūś ca jāyate || vaivarṇyaṃ rukṣabhāvaś ca kuṣṭhe tvakṣu samanvite ||3|| tvaksvāpo romaharṣaś ca śvedasyābhipravarttanaṃ || kaṃḍūr vipūyakaś = vipūyako durgaṃdhatā ||4|| caiva kuṣṭhe śoṇitasaṃśrite 4|| bāhulyaṃ = sthūlamaṇḍalatā || vaktraśoṣaś ca karkaśyaṃ pihikodgamaḥ || todasphoṭa = sphoṭastvacaḥ sphuṭanaṃ || sthiratvaṃ = sthiratvaṃ kaṭhinamaṃḍalatā ||5|| || ca kuṣṭhe māṃsasamāśrite ||5 daurgaṃdhyam = upadeho malavṛddhiḥ ||6||7||8|| upadehaś ca pūyo 'pyakramayas tathā || gātrāṇāṃ bhedanaṃ cāpi kuṣṭhe bhedaḥ samāśrite ||6|| nāśābhaṃgo 'kṣirāgaś ca kṣateṣu kramisaṃbhavaḥ || bhavet svaropaghātaś ca asthimajjasamāśrite ||7|| koṇyaṃ gatikṣayo 'ṃgānāṃ saṃbhedaḥ kṣatasarpaṇaṃ | śukrasthānagate liṃgaṃ prāguktāni tathaiva ca8|| strīpuṃsayoḥ = yadā strīpuṃsayoḥ kuṣṭhinor bījam upahataṃ syāt tadā tayoḥ prajotpadyate || upataptamātrabījayoḥ punaḥ prajopatāpāyutopapadyate || kuṣṭhadoṣāt duṣṭaśoṇitaśukrayoḥ || yad apatyaṃ tayor jātaṃ jñeyaṃ tad api = tad aipīty apiśabdāt pūrvoktāny api rasādimajjāṃtargatāni liṃgāni bhavaṃti || kuṣṭhavat = kuṣṭhasahitam ity arthaḥ ||9|| ||9|| kuṣṭham ātmavataḥ = jiteṃdriyasya ||10|| sādhyaṃ tvakraktapiśitāśritaṃ || medogataṃ bhaved yāpyaṃ āsādhyam ata uttaraṃ ||10|| brahmastrījju = satpuruṣaḥ || navadhapara = svaharaṇādibhiḥ paradravyaṃ ||11|| || || karmabhiḥ pāparogasya prāhuḥ kuṣṭhasya saṃbhavaṃ 11 devadravya gurudravya paradārābhimarśanaiḥ || pāpmāpāpakṛtām etat kuṣṭham ity abhidhīyate 12|| mṛyate yadi kuṣṭhena punar jātepi = anugataṃ bhavatītyarthaḥ ||13|| gachati || nātaḥ kaṣṭataro rogo yathākuṣṭhaṃ prakīrttitaṃ ||13|| āhārācārayoḥ proktām āsthāya = āśritya ||14|| mahatīṃ kriyāṃ || auṣadhīnāṃ viśiṣṭānāṃ tapasaś ca niṣevaṇāt || ||14|| yastena mucyate jaṃtuḥ sapūjyāṃ gatim āpnuyāt = +kuṣṭhajanakasya karmaṇo 'kṣīṇatvāt ||+ kṣīṇapāpatvāt || || prasaṃgād = prasaṃgena kṛtāt | abhyāsakṛtāt | punaḥ punaḥ kṛtād ity arthaḥ || gātrasaṃśleṣān = idaṃ viśeṣaṇaṃ gātrasaṃsparśādibhiḥ sarvaiḥ saha pratyekaṃ saṃbadhyate ||15|| niśvāsāt sahabhojanāt ||15|| sahaśiyyā = sanāc ekaśiyyāsthiteḥ | cāpi vastramālyā = mālyaṃ puṣpaṃ ||16|| || nulepanāt || kuṣṭhaṃ jvaraś ca śophaś ca netrābhisyaṃda eva ca ||16|| aupasargrikarogāś = apasarggikā rogāḥ śītalīkādayaḥ ||1|| atiśayenānuṣaṃgiṇaṃ ||2|| ca pravarttaṃte = saṃkrāmaṃti ||1|| āviśaṃti ||1|| narāt naraṃ || ||

iti kuṣṭhanidānaṃ samāptaṃ paṃcamaṃ ||5|| ||