೫. ಕೃಷ್ಣಗತರೋಗವಿಜ್ಞಾನೀಯಾಧ್ಯಾಯಃ

Devanagari IAST (Roman)Telugu Tamil Malayalam Kannada Gujarati Bengali Gurmukhi

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Adhikarana ೧ (೧-೨) · Śloka ೨

ಅಥಾತಃ ಕೃಷ್ಣಗತರೋಗವಿಜ್ಞಾನೀಯಮಧ್ಯಾಯಂ ವ್ಯಾಖ್ಯಾಸ್ಯಾಮಃ ||೧|| ಯಥೋವಾಚ ಭಗವಾನ್ ಧನ್ವನ್ತರಿಃ ||೨||

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अथातः कृष्णगतरोगविज्ञानीयमध्यायं व्याख्यास्यामः ||१|| यथोवाच भगवान् धन्वन्तरिः ||२||

Meaning of the śloka

Now we shall explain the chapter concerning knowledge of diseases situated in the dark region of the eye (Kṛṣṇagatarogavijñānīya), as taught by the revered Dhanvantari.

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ಶುಕ್ಲಗತರೋಗವಿಜ್ಞಾನೀಯಾನನ್ತರಂ ಪ್ರತ್ಯಾಸತ್ತ್ಯಾ ಕೃಷ್ಣಮಣ್ಡಲಗತಾ ರೋಗಾಃ ಪ್ರತಿಪಾದ್ಯಾ ಇತ್ಯಾತ ಆಹ- ಅಥಾತ ಇತ್ಯಾದಿ||೧-೨||

Meaning of the commentary

The commentary explains the chapter sequence: after describing diseases situated in the white region of the eye, the text next discusses diseases of the kṛṣṇamaṇḍala, the adjacent dark region.

Key terms

कृष्णगत रोग (kṛṣṇagata roga): Diseases described as situated in the dark region of the eye.
कृष्णमण्डल (kṛṣṇamaṇḍala): The dark ocular region discussed in this chapter.
प्रत्यासत्ति (pratyāsatti): Adjacency or close relationship, given as the reason for the chapter sequence.
धन्वन्तरि (Dhanvantari): The revered authority to whom the teaching is attributed.

Adhikarana ೨ (೩) · Śloka ೩

ಯತ್ ಸವ್ರಣಂ ಶುಕ್ರ(ಕ್ಲ)ಮಥಾವ್ರಣಂ ವಾ ಪಾಕಾತ್ಯಯಶ್ಚಾಪ್ಯಜಕಾ ತಥೈವ | ಚತ್ವಾರ ಏತೇಽಭಿಹಿತಾ ವಿಕಾರಾಃ ಕೃಷ್ಣಾಶ್ರಯಾಃ ಸಙ್ಗ್ರಹತಃ ಪುರಸ್ತಾತ್ ||೩||

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यत् सव्रणं शुक्र(क्ल)मथाव्रणं वा पाकात्ययश्चाप्यजका तथैव | चत्वार एतेऽभिहिता विकाराः कृष्णाश्रयाः सङ्ग्रहतः पुरस्तात् ||३||

Meaning of the śloka

The four disorders previously summarized as affecting the dark region are Savraṇa Śukla, Avraṇa Śukla, Pākātyaya, and Ajakā.

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ತಾನೇವ ಕೃಷ್ಣಗತರೋಗಾನ್ನಾಮಭಿಃ ಪ್ರಾಹ- ಯದಿತ್ಯಾದಿ| ಸಙ್ಖ್ಯೇಯನಿರ್ದೇಶಾದೇವ ಚತುಃಸಙ್ಖ್ಯಾಯಾಂ ಲಬ್ಧಾಯಾಂ ಚತುಃಸಙ್ಖ್ಯಾಕರಣಂ ತನ್ತ್ರಾನ್ತರೋದ್ದಿಷ್ಟಾತಿರಿಕ್ತಸಙ್ಖ್ಯಾನಿರಾಸಾರ್ಥಮ್| ಸಙ್ಗ್ರಹತಃ ಸಮ್ಯಗುಪಾದಾನತಃ||೩||

Meaning of the commentary

The commentary states that this verse names the diseases of the dark ocular region. Although listing the names already establishes that there are four, the explicit number four is included to exclude additional disorders enumerated in other treatises. Saṅgrahataḥ is explained as presenting them through proper or complete inclusion.

Key terms

सव्रण शुक्ल (savraṇa śukla): The named form of śukla associated with a wound or ulceration.
अव्रण शुक्ल (avraṇa śukla): The named form of śukla without a wound or ulceration.
पाकात्यय (pākātyaya): One of the four classical disorders said to affect the dark ocular region.
अजका (ajakā): One of the four named disorders of the dark ocular region.
सङ्ग्रहतः (saṅgrahataḥ): In summary or by complete inclusion, as glossed by the commentary.

Adhikarana ೩ (೪) · Śloka ೪

ನಿಮಗ್ನರೂಪಂ ಹಿ ಭವೇತ್ತು ಕೃಷ್ಣೇ ಸೂಚ್ಯೇವ ವಿದ್ಧಂ ಪ್ರತಿಭಾತಿ ಯದ್ವೈ | ಸ್ರಾವಂ ಸ್ರವೇದುಷ್ಣಮತೀವ ರುಕ್ ಚ ತತ್ ಸವ್ರಣಂ ಶುಕ್ರ(ಕ್ಲ)ಮುದಾಹರನ್ತಿ ||೪||

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निमग्नरूपं हि भवेत्तु कृष्णे सूच्येव विद्धं प्रतिभाति यद्वै | स्रावं स्रवेदुष्णमतीव रुक् च तत् सव्रणं शुक्र(क्ल)मुदाहरन्ति ||४||

Meaning of the śloka

A lesion in the dark region that appears sunken or embedded, looks as though it has been pierced by a needle, produces a distinctly warm discharge, and causes very severe pain is called Savraṇa Śukla.

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ತಾನೇವ ಲಕ್ಷಣೈರ್ನಿರ್ದಿಶನ್ನಾಹ- ನಿಮಗ್ನೇತ್ಯಾದಿ| ನಿಮಗ್ನರೂಪಮ್ ಅನ್ತಃಪ್ರವಿಷ್ಟರೂಪಮ್, ಈಷದ್ದೃಶ್ಯರೂಪಮಿತ್ಯರ್ಥಃ| ಸೂಚ್ಯೇವ ವಿದ್ಧಮಿತ್ಯನೇನ ವರ್ತುಲತ್ವಂ ದರ್ಶಿತಂ, ರಕ್ತಸ್ಯಾಗ್ನೇಯತ್ವಾದುಷ್ಣಾಶ್ರುತಾ ಅತ್ಯರ್ಥಂ ಚ ಪೀಡಾ ಭವತಿ| ಅವ್ರಣಶುಕ್ಲೇ ಮನ್ದರುಗಶ್ರುತಾ ವಕ್ಷ್ಯತೇ, ತಸ್ಮಾದಸ್ಮಿನ್ ಸಕ್ಷತೇ ಶುಕ್ರೇ ಕ್ಷತಯೋಗಾನ್ನೇತ್ರಸ್ಯ ಸುಕುಮಾರತ್ವಾಚ್ಚಾತೀವ ವೇದನಾ ಯುಕ್ತಾ| ಅತ್ರ ವಿದೇಹಃ- “ರಕ್ತರಾಜೀನಿಭಂ ಕೃಷ್ಣೇ ವಿದ್ರುಮಾಭಂ ಪ್ರಲಕ್ಷ್ಯತೇ| ಸೂಚ್ಯಗ್ರೇಣೈವ ತಚ್ಛುಕ್ರಮುಷ್ಣಾಶ್ರುಸ್ರಾವಿ ಸವ್ರಣಮ್”- ಇತಿ| ಸವ್ರಣಂ ಸಕ್ಷತಮಿತ್ಯರ್ಥಃ| ರಕ್ತಜಮಿದಮಸಾಧ್ಯಂ ಚ||೪||

Meaning of the commentary

The commentary explains nimagnarūpa as appearing to have entered inward and therefore being only slightly visible. The comparison with a needle puncture indicates a circular form. It attributes the warm tears or discharge and intense pain to rakta and explains that, unlike Avraṇa Śukla, which will be described as having mild pain and tearing, this wounded form causes extreme pain because injury is present in the delicate eye. Videha is quoted as describing a coral-like lesion in the dark region, resembling red streaks and a needle-tip puncture, with warm tearing. Savraṇa is glossed as 'with injury.' The commentary classifies it as raktaja and considers it incurable within its historical prognostic system.

Key terms

निमग्नरूप (nimagnarūpa): Appearing sunken or entered inward and consequently only slightly visible.
सूच्येव विद्ध (sūcyeva viddha): Appearing pierced by a needle; interpreted as indicating a circular lesion.
उष्णस्राव (uṣṇasrāva): A discharge or flow experienced as warm.
सव्रण शुक्ल (savraṇa śukla): The classical name for the injured or ulcerated form described here.
रक्तज (raktaja): Classified by the commentary as arising from rakta.

Adhikarana ೪ (೫) · Śloka ೫

ದೃಷ್ಟೇಃ ಸಮೀಪೇ ನ ಭವೇತ್ತು ಯಚ್ಚ ನ ಚಾವಗಾಢಂ ನ ಚ ಸಂಸ್ರವೇದ್ಧಿ | ಅವೇದನಾವನ್ನ ಚ ಯುಗ್ಮಶುಕ್ರಂ ತತ್ಸಿದ್ಧಿಮಾಪ್ನೋತಿ ಕದಾಚಿದೇವ ||೫||

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दृष्टेः समीपे न भवेत्तु यच्च न चावगाढं न च संस्रवेद्धि | अवेदनावन्न च युग्मशुक्रं तत्सिद्धिमाप्नोति कदाचिदेव ||५||

Meaning of the śloka

When the lesion is not close to dṛṣṭi, is not deeply seated, does not discharge excessively, has little pain, and is not a paired or double Śukla, it may occasionally be successfully treated.

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ಇದಾನೀಂ ತಸ್ಯೈವಾವಸ್ಥಾದ್ವಾರೇಣ ಕಾದಾಚಿಕ್ತಂ ಸಾಧ್ಯತ್ವಂ ದರ್ಶಯನ್ನಾಹ- ದೃಷ್ಟೇರಿತ್ಯಾದಿ| ಸಂಸ್ರವೇದ್ಧೀತ್ಯತ್ರ ಸಂಶಬ್ದೋಽತಿಶಯಾರ್ಥಃ| ಅವೇದನಾವತ್ ಮನ್ದವೇದನಮ್||೫||

Meaning of the commentary

The commentary says that this verse identifies circumstances in which that same disorder may sometimes be considered treatable. In saṃsravet, the prefix sam conveys excess or intensity, and avedanāvat is explained as having mild pain rather than being entirely painless.

Key terms

दृष्टेः समीपे (dṛṣṭeḥ samīpe): Near dṛṣṭi, a prognostically important ocular location whose precise anatomical scope requires contextual review.
अवगाढ (avagāḍha): Deeply entered or deeply seated.
संस्रवेत् (saṃsravet): To discharge profusely; the commentary reads the prefix sam as intensifying the flow.
अवेदनावत् (avedanāvat): Explained by the commentary as having mild pain.
युग्मशुक्ल (yugmaśukla): A paired or double form of Śukla; its precise clinical sense is not clarified in the supplied commentary.

Adhikarana ೫ (೬-೭) · Śloka ೭

ವಿಚ್ಛಿನ್ನಮಧ್ಯಂ ಪಿಶಿತಾವೃತಂ ವಾ ಚಲಂ ಸಿರಾಸಕ್ತಮದೃಷ್ಟಿಕೃಚ್ಚ | ದ್ವಿತ್ವಗ್ಗತಂ ಲೋಹಿತಮನ್ತತಶ್ಚ ಚಿರೋತ್ಥಿತಂ ಚಾಪಿ ವಿವರ್ಜನೀಯಮ್ ||೬|| ಉಷ್ಣಾಶ್ರುಪಾತಃ ಪಿಡಕಾ ಚ ಕೃಷ್ಣೇ ಯಸ್ಮಿನ್ ಭವೇನ್ಮುದ್ಗನಿಭಂ ಚ ಶುಕ್ರಮ್ | ತದಪ್ಯಸಾಧ್ಯಂ ಪ್ರವದನ್ತಿ ಕೇಚಿದನ್ಯಚ್ಚ ಯತ್ತಿತ್ತಿರಿಪಕ್ಷತುಲ್ಯಮ್ ||೭||

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विच्छिन्नमध्यं पिशितावृतं वा चलं सिरासक्तमदृष्टिकृच्च | द्वित्वग्गतं लोहितमन्ततश्च चिरोत्थितं चापि विवर्जनीयम् ||६|| उष्णाश्रुपातः पिडका च कृष्णे यस्मिन् भवेन्मुद्गनिभं च शुक्रम् | तदप्यसाध्यं प्रवदन्ति केचिदन्यच्च यत्तित्तिरिपक्षतुल्यम् ||७||

Meaning of the śloka

A Śukra lesion should be avoided as unsuitable for treatment when its centre appears broken or hollow, when it is surrounded by fleshy tissue, when it seems mobile and attached to vessels, when it obstructs vision, when it has entered two layers, when its margins are red, or when it has persisted for a long time. A Śukra lesion associated with hot tears and a papule in the dark region, and resembling a mudga seed, is also declared incurable by some authorities; some likewise include a lesion resembling a partridge's wing.

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ತಸ್ಯೈವ ಕದಾಚಿತ್ಸಾಧ್ಯಸ್ಯ ಲಕ್ಷಣಂ ಪ್ರತಿಪಾದ್ಯಾಸಾಧ್ಯಸ್ಯ ಲಕ್ಷಣಂ ಪ್ರತಿಪಾದಯನ್ನಾಹ- ವಿಚ್ಛಿನ್ನೇತ್ಯಾದಿ| ವಿಚ್ಛಿನ್ನಮಧ್ಯಮಿತಿ ವಿದೀರ್ಣಮಾಂಸತ್ವಾನ್ಮಧ್ಯೇ ಸಚ್ಛಿದ್ರಮಿವ| ಪಕ್ಷಾನ್ತರಮಾಹ- ಪಿಶಿತಾವೃತಂ ವೇತಿ, ಆಚ್ಛಿನ್ನಮಧ್ಯಮೇವೋನ್ನತಮಾಂಸೇನ ವೇಷ್ಟಿತಂ ವಾ| ಚಲಂ ಸಿರಾಸಕ್ತಮಿತಿ ಯತಃ ಸಿರಾಸಕ್ತಮತ ಏವ ಚಲಂ, ಸಿರಾ ಹಿ ಸ್ವಭಾವತ ಏವ ಚಲಾಃ; ತದಾಶ್ರಿತಂ ಶುಕ್ರಮಪಿ ಚಲಮೇವ; ಅನ್ಯೇ ತು ಚಲಂ ಚಲದಿವ ನ ತು ಸಾಕ್ಷಾಚ್ಚಲಮೇವ| ಅದೃಷ್ಟಿಕೃತ್ ದರ್ಶನರೋಧಕೃತ್| ದ್ವಿತ್ವಾಗ್ಗತಂ ದ್ವಿಪಟಲಾಶ್ರಿತಮ್| ಲೋಹಿತಮನ್ತತಶ್ಚೇತಿ ಪ್ರಾನ್ತೇಷು ಲೋಹಿತಮಿತ್ಯರ್ಥಃ| ಇದಾನೀಂ ದ್ವಿಪಟಲಾಶ್ರಿತಸ್ಯ ಲಕ್ಷಣಂ ದರ್ಶಯನ್ನಾಹ- ಉಷ್ಣೇತ್ಯಾದಿ| ಕಸ್ಮಿಂಶ್ಚಿತ್ ಪುಸ್ತಕೇ ‘ಪಿಡಕಾ ಚ ಪೀತಾ’ ಇತಿ ಪಾಠಃ, ಸ ನ ಸಙ್ಗಚ್ಛತೇ | ತಥಾ ಚ ವಿದೇಹಃ- “ಚೋಷೋಷ್ಣಸ್ರಾವದಾಹಾಸ್ತು ಕೃಷ್ಣೇ ಚ ಪಿಡಿಕೋದ್ಗಮಃ| ವ್ಯಕ್ತಮುದ್ಗಫಲಾಕಾರಂ ಶುಕ್ರಂ ದ್ವಿತ್ವಗ್ಗತಂ ಭವೇತ್” ಇತಿ| ಏಕೀಯಮತಮಾಹ- ತದಿತ್ಯಾದಿ| ಯಚ್ಚಾನ್ಯಚ್ಛುಕ್ರಂ ತಿತ್ತಿರಿಪಕ್ಷತುಲ್ಯಂ ತದಪ್ಯಸಾಧ್ಯಂ ಕೇಚಿದ್ವದನ್ತೀತಿ ಸಮ್ಬನ್ಧಃ| ಏತತ್ ಪರಮತಮಪ್ಯಪ್ರತಿಷಿದ್ಧತ್ವಾದನುಮತಮೇವ||೬-೭||

Meaning of the commentary

Having described the occasionally treatable state, the commentary explains the signs of the untreatable state. Vicchinnamadhya means that torn tissue makes the centre look as though it has a hole; alternatively, the broken central area may be encircled by raised flesh. The lesion is called mobile because it is attached to vessels, which are naturally mobile, although other interpreters take this only to mean that it appears to move. Adṛṣṭikṛt means that it obstructs sight, dvitvaggata means that it occupies two layers, and lohitam antataḥ means red at the edges. The next verse describes the two-layer lesion through hot lacrimation, a papule in the dark region, and a Śukra lesion shaped like a mudga seed. One manuscript reads 'a yellow papule,' but the commentator rejects that reading as unsuitable. A quotation from Videha describes irritation, hot discharge, burning, emergence of a papule in the dark region, and a clearly mudga-shaped Śukra lesion as signs of involvement of two layers. Some authorities also regard a Śukra lesion resembling a partridge's wing as incurable; because this opinion is not contradicted, the commentator accepts it.

Key terms

विच्छिन्नमध्य (vicchinnamadhya): Having a broken or apparently hollow centre.
सिरासक्त (sirāsakta): Attached to vessels, offered as the reason for apparent mobility.
अदृष्टिकृत् (adṛṣṭikṛt): Obstructing vision.
द्वित्वग्गत (dvitvaggata): Situated in or involving two layers according to the commentary.
मुद्गनिभ (mudganibha): Resembling a mudga seed in form.
तित्तिरिपक्षतुल्य (tittiripakṣatulya): Compared in appearance to a partridge's wing.

Adhikarana ೬ (೮) · Śloka ೮

ಸಿತಂ ಯದಾ ಭಾತ್ಯಸಿತಪ್ರದೇಶೇ ಸ್ಯನ್ದಾತ್ಮಕಂ ನಾತಿರುಗಶ್ರುಯುಕ್ತಮ್ | ವಿಹಾಯಸೀವಾಚ್ಛಘನಾನುಕಾರಿ ತದವ್ರಣಂ ಸಾಧ್ಯತಮಂ ವದನ್ತಿ ||೮||

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सितं यदा भात्यसितप्रदेशे स्यन्दात्मकं नातिरुगश्रुयुक्तम् | विहायसीवाच्छघनानुकारि तदव्रणं साध्यतमं वदन्ति ||८||

Meaning of the śloka

When a white lesion appears in the dark region of the eye, has a flowing or exudative character, is not accompanied by excessive pain or lacrimation, and resembles a thin, clear patch of cloud in the sky, it is called Avraṇa Śukra and is said to be highly treatable within the text's system.

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ಇದಾನೀಂ ಸವ್ರಣಂ ಶುಕ್ರಂ ಪ್ರತಿಪಾದ್ಯಾವ್ರಣಂ ಪ್ರತಿಪಾದಯನ್ನಾಹ- ಸಿತಮಿತ್ಯಾದಿ| ಸ್ಯನ್ದಾತ್ಮಕಮ್ ಅಭಿಷ್ಯನ್ದಕಾರಣಂ ವಿಹಾಯಸೀವ ಆಕಾಶ ಇವ, ಅಚ್ಛಘನಾನುಕಾರಿ ಪ್ರತನುಮೇಘಖಣ್ಡಾನುಕಾರೀತ್ಯರ್ಥಃ| ರಕ್ತಜಮಿದಂ ಸಾಧ್ಯಂ ಚ||೮||

Meaning of the commentary

After discussing Savraṇa Śukra, the commentary introduces Avraṇa Śukra. It explains syandātmaka as a cause of abhiṣyanda and interprets the comparison with the sky as resemblance to a thin fragment of clear cloud. The condition is classified as raktaja and treatable within the text's historical framework.

Key terms

असितप्रदेश (asita-pradeśa): The dark region of the eye in which the white lesion is seen.
स्यन्दात्मक (syandātmaka): Having a flowing or exudative character; explained as causing abhiṣyanda.
अच्छघनानुकारि (acchaghanānukāri): Resembling a thin fragment of clear cloud.
अव्रण शुक्र (avraṇa śukra): The classical name for the non-ulcerative Śukra lesion described here.
रक्तज (raktaja): Classified by the commentary as arising from rakta.

Adhikarana ೭ (೯) · Śloka ೯

ಗಮ್ಭೀರಜಾತಂ ಬಹಲಂ ಚ ಶುಕ್ರಂ ಚಿರೋತ್ಥಿತಂ ಚಾಪಿ ವದನ್ತಿ ಕೃಚ್ಛ್ರಮ್ |೯|

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गम्भीरजातं बहलं च शुक्रं चिरोत्थितं चापि वदन्ति कृच्छ्रम् |९|

Meaning of the śloka

A Śukra lesion that arises deeply, is thick, or has persisted for a long time is said to be difficult to treat.

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ಅಸ್ಯೈವಾವ್ರಣಸ್ಯ ಶುಕ್ರಸ್ಯಾವಸ್ಥಾಭೇದೇನ ಕೃಚ್ಛ್ರತಾಂ ದರ್ಶಯನ್ನಾಹ- ಗಮ್ಭೀರೇತ್ಯಾದಿ| ಏವಮ್ಭೂತಮವ್ರಣಮಪಿ ಶುಕ್ರಂ ಕೃಚ್ಛ್ರಂ ವದನ್ತೀತಿ ಸಮ್ಬನ್ಧಃ| ಗಮ್ಭೀರಜಾತಂ ದ್ವಿಪಟಲಾಶ್ರಿತಮಿತ್ಯರ್ಥಃ| ಜೇಜ್ಜಟಾಚಾರ್ಯಸ್ತು ಸವ್ರಣಾವ್ರಣಶುಕ್ರಸ್ಯ ಲಕ್ಷಣಂ ಸಾಧ್ಯಾಸಾಧ್ಯತ್ವಂ ಚ ವಿಪರೀತಕ್ರಮೇಣ ಪಠತಿ, ಮಯಾ ತು ಪಞ್ಜಿಕಾಕಾರಾಭಿಪ್ರಾಯೇಣಾನೇನೈವ ಕ್ರಮೇಣ ಪಠಿತಮ್|೯|-

Meaning of the commentary

The commentary presents these as variations in the state of the same Avraṇa Śukra that make it difficult to treat. It explains gambhīrajāta as occupying two layers. Ācārya Jejjaṭa reads the descriptions and the treatable-versus-untreatable prognosis of Savraṇa and Avraṇa Śukra in the reverse order, whereas this commentator follows the order preferred by the authors of the pañjikā commentaries. The disagreement concerns textual sequence and must be preserved.

Key terms

गम्भीरजात (gambhīrajāta): Arising deeply; glossed as occupying two layers.
बहल (bahala): Thick or dense in this description of Śukra.
चिरोत्थित (cirotthita): Long-standing or present for a prolonged period.
कृच्छ्र (kṛcchra): Difficult to treat within the text's prognostic classification.
अव्रण शुक्र (avraṇa śukra): The non-ulcerative Śukra lesion to which the commentary applies these features.

Adhikarana ೮ (೯) · Śloka ೧೦

ಸಞ್ಚ್ಛಾದ್ಯತೇ ಶ್ವೇತನಿಭೇನ ಸರ್ವಂ ದೋಷೇಣ ಯಸ್ಯಾಸಿತಮಣ್ಡಲಂ ತು ||೯|| ತಮಕ್ಷಿಪಾಕಾತ್ಯಯಮಕ್ಷಿಕೋಪಸಮುತ್ಥಿತಂ ತೀವ್ರರುಜಂ ವದನ್ತಿ |೧೦|

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सञ्च्छाद्यते श्वेतनिभेन सर्वं दोषेण यस्यासितमण्डलं तु ||९|| तमक्षिपाकात्ययमक्षिकोपसमुत्थितं तीव्ररुजं वदन्ति |१०|

Meaning of the śloka

When the entire dark region of the eye becomes covered by a whitish-looking disorder, accompanied by intense pain and arising from an aggravated condition of the eye, it is called Akṣipākātyaya.

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ಇದಾನೀಂ ಪಾಕಾತ್ಯಯಮಾಹ- ಸಞ್ಚ್ಛಾದ್ಯತ ಇತ್ಯಾದಿ| ಅಕ್ಷಿಕೋಪಾತ್ ಸಮುತ್ಥಿತಂ ಸ್ಯನ್ದಾದುತ್ಪನ್ನಮಿತ್ಯರ್ಥಃ| ಏಷ ತ್ರಿದೋಷಜೋಽಸಾಧ್ಯಶ್ಚ||೯||-

Meaning of the commentary

The commentary introduces Akṣipākātyaya and explains that ‘arising from disturbance of the eye’ means developing from syanda. It classifies the disorder as tridoṣaja and regards it as incurable within the text’s historical system.

Key terms

असितमण्डल (asita-maṇḍala): The dark region or circular dark area of the eye described in the passage.
श्वेतनिभ (śveta-nibha): Having a whitish appearance.
अक्षिपाकात्यय (akṣipākātyaya): The classical name for the intensely painful eye disorder described here.
स्यन्द (syanda): The antecedent eye disorder from which the commentary says this condition develops.
त्रिदोषज (tridoṣaja): Classified by the commentary as arising from all three doṣas.

Adhikarana ೯ (೧೦) · Śloka ೧೦

ಅಜಾಪುರೀಷಪ್ರತಿಮೋ ರುಜಾವಾನ್ ಸಲೋಹಿತೋ ಲೋಹಿತಪಿಚ್ಛಿಲಾಶ್ರುಃ | ವಿದಾರ್ಯ ಕೃಷ್ಣಂ ಪ್ರಚಯೋಽಭ್ಯುಪೈತಿ ತಂ ಚಾಜಕಾಜಾತಮಿತಿ ವ್ಯವಸ್ಯೇತ್ ||೧೦||

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अजापुरीषप्रतिमो रुजावान् सलोहितो लोहितपिच्छिलाश्रुः | विदार्य कृष्णं प्रचयोऽभ्युपैति तं चाजकाजातमिति व्यवस्येत् ||१०||

Meaning of the śloka

A painful accumulation resembling goat droppings, somewhat red and accompanied by red, sticky tears, which breaks through the dark region of the eye and enlarges, should be identified as Ajakājāta.

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ಅಜೇತ್ಯಾದಿ| ಅಜಾಪುರೀಷಪ್ರತಿಮ ಇತಿ ವಿಶುಷ್ಕಚ್ಛಗಲೀಪುರೀಷತುಲ್ಯಃ| ಸಲೋಹಿತ ಈಷಲ್ಲೋಹಿತಃ| ಲೋಹಿತಪಿಚ್ಛಿಲಾಶ್ರುರಿತಿ ಲೋಹಿತಂ ಪಿಚ್ಛಿಲಂ ಚಾಶ್ರು ಯಸ್ಯ ಸಃ| ಪ್ರಚಯಃ ಸಾಮರ್ಥ್ಯಾನ್ಮೇದಸಃ| ಏಷ ಶ್ಲೇಷ್ಮಜೋಽಸಾಧ್ಯಶ್ಚ||೧೦||

Meaning of the commentary

The commentary explains the comparison as resembling dried goat droppings. Salohita means slightly red, while lohita-picchila-aśru describes tears that are both red and sticky. It infers that the accumulating substance is medas. The condition is classified as śleṣmaja and regarded as incurable within the text’s historical system.

Key terms

अजापुरीषप्रतिम (ajā-purīṣa-pratima): Resembling dried goat droppings in appearance.
लोहितपिच्छिलाश्रु (lohita-picchila-aśru): Having tears described as red and sticky.
कृष्ण (kṛṣṇa): The dark region of the eye that the accumulation is said to break through.
प्रचय (pracaya): An accumulation or enlarging mass; inferred by the commentary to consist of medas.
अजकाजात (ajakājāta): The classical name assigned to the disorder described in this passage.
श्लेष्मज (śleṣmaja): Attributed by the commentary to śleṣman or kapha.

Adhikarana ಪುಷ್ಪಿಕಾ · Śloka ೫

ಇತಿ ಸುಶ್ರುತಸಂಹಿತಾಯಾಮುತ್ತರತನ್ತ್ರೇ ಕೃಷ್ಣಗತರೋಗವಿಜ್ಞಾನೀಯೋ ನಾಮ ಪಞ್ಚಮೋಽಧ್ಯಾಯಃ ||೫||

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इति सुश्रुतसंहितायामुत्तरतन्त्रे कृष्णगतरोगविज्ञानीयो नाम पञ्चमोऽध्यायः ||५||

Meaning of the śloka

Thus ends the fifth chapter of the Uttaratantra in the Suśruta Saṃhitā, entitled ‘Knowledge of Disorders Situated in the Dark Region of the Eye’ (Kṛṣṇagatarogavijñānīya).

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ಇತಿ ಶ್ರೀಡಲ್ಹ(ಹ್ಲ)ಣವಿರಚಿತಾಯಾಂ ನಿಬನ್ಧಸಙ್ಗ್ರಹಾಖ್ಯಾಯಾಂ ಸುಶ್ರುತವ್ಯಾಖ್ಯಾಯಾಮುತ್ತರತನ್ತ್ರಾನ್ತರ್ಗತೇ ಶಾಲಾಕ್ಯತನ್ತ್ರೇ ಪಞ್ಚಮೋಽಧ್ಯಾಯಃ||೫||

Meaning of the commentary

The commentary colophon states that the fifth chapter of the Śālākyatantra section within the Uttaratantra is complete in the Nibandhasaṅgraha, the commentary on Suśruta composed by Śrī Dalhaṇa. The supplied form ‘Dalha(hla)ṇa’ preserves an editorial variation in the commentator’s name.

Key terms

कृष्णगतरोगविज्ञानीय (kṛṣṇagata-roga-vijñānīya): The chapter title, concerning knowledge of disorders situated in the eye’s dark region.
उत्तरतन्त्र (uttaratantra): The division of the Suśruta Saṃhitā containing this chapter.
शालाक्यतन्त्र (śālākyatantra): The specialty section identified in the commentary colophon.
निबन्धसङ्ग्रह (nibandhasaṅgraha): The title of Dalhaṇa’s commentary on the Suśruta Saṃhitā.

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