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Saturday, October 5, 2024

Garbhavakranti Adhyaya (Growth of the embryo)


The 1st chapter of Shareerasthanam of Ashtanga Hridayam is called as Garbhavakranti Adhyayah. This chapter offers with the reason of growth of the embryo.

The matters coated on this chapter embody –

  • Garbhotpatti – formation of the embryo
  • Progress of embryo composed of delicate components and soul,
  • Garbha lingotpatti karana (reason behind dedication of intercourse)
  • Trigger for manifestation of a number of embryos and irregular fetus
  • Rajodarsana – Menstruation
  • Advantages of mating and conceiving on the proper age
  • Vikrita sukra artava – abnormalities of semen (sperm) and menstrual blood (ovum)
  • Shukra artava shuddhikarana – strategies of purifying the contaminated semen and menstrual blood
  • Shuddha shukra-artava lakshanas – options of regular semen and menstrual blood
  • Preparation earlier than bodily union
  • Rutumati Laksana – options of the menstruating lady
  • Rtu kala – Interval appropriate for conception
  • Occurance of menstruation
  • Rtumati Carya – routine of menstruating lady
  • Rtukala – interval appropriate for conception, fertile interval
  • Garbhadana – ceremony involved with conception
  • Process earlier than mating
  • Mithuna – copulation
  • Sadhyo garbha linga – the indicators of conception
  • Pumsavana vidhi – strategies for begetting a male little one
  • Methodology of instilling the Pumsavana vidhi drops into the nostrils
  • Garbhinicarya – care of the pregnant lady
  • Forbidden issues for pregnant lady
  • Impact of dosha rising meals on the fetus
  • Treating ailments of pregnant lady
  • Embryo taking completely different shapes within the second month
  • Garbhini laksana – options of the pregnant lady
  • Dauhrda – longings of being pregnant
  • Garbha vrddhi krama – foetal growth
  • Fetal circulation and nourishment to fetus
  • Fetal growth from fourth to seventh months
  • Remedy of striae and different signs produced in pregnant lady
  • Purpose for instability of fetus within the eighth month of being pregnant
  • Useful food regimen and enemas within the eighth month of being pregnant
  • Time for supply of kid
  • Weight loss program throughout ninth month of being pregnant
  • Appropriate tampon and tub in being pregnant
  • Emphasis of use of fats from ninth month
  • Indicators of female and male little one within the womb
  • Indicators of eunach within the womb and twin being pregnant
  • Sutika grha – maternity residence / ward
  • Asanna prasava laksana – indicators of impending supply
  • Prasuti vidhi – administration of labour
  • Avak garbha lakshana – indicators of descent of fetus
  • Administration of labor ache and inspiring the girl in the direction of straightforward supply of kid
  • Garbhasanga – obstructed labour
  • Medicated oil for enema
  • Apara patana – supply of the placenta
  • Makkalla – post-partum ache
  • Nursing the brand new born little one
  • Sutikopacanara – care of the girl simply delivered
  • Measures for lady unfit for oleation
  • Measures for lady unfit for oleation
  • Emphasis on correct care of the girl after little one beginning
  • Restrictions for the girl within the put up partum part

Pledge by the creator (s)

अथातो गर्भावक्रान्ति शारीरं व्याख्यास्यामः।
इति ह स्माहुरात्रेयादयो महर्षयः।गध्यसूत्रे॥२॥
After having supplied prayers to the God, henceforth we’re going to clarify the chapter pertaining to the event of the embryo. Thus pledge Atreya and different sages.

Garbhotpatti – formation of the embryo

शुद्धे शुक्रार्तवे सत्त्वः स्वकर्मक्लेशचोदितः।
गर्भःसम्पद्यते युक्तिवशादग्निरिवारणौ॥१॥
Satva (Atma or soul) impelled by the afflictions of his personal previous actions, coming into into the (union of ) pure (unvitiated by the dosas), sukra (semen) and artava (menstrual blood- the feminine seed) provides rise to the formation of the embryo; in an orderly method, identical to the hearth from two items of wooden (rubbing collectively)

Progress of embryo composed of delicate components and soul, nourished by mom

बीजात्मकैर्महाभूतैः सूक्ष्मैः सत्त्वानुगैश्च सः।
मातुश्चाहाररसजैः क्रमात्कुक्षौ विवर्धते॥२॥
The embryo shaped from the causative and delicate mahabhutas (prthvi, ap, tejas, vayu and akasa i.e. earth, water, hearth, air and ether respectivley) adopted by (later related to) satva (soul) regularly grows within the womb of the mom, nourished by the essence of the meals of the mom

Simily to clarify ‘the invisibility of the soul coming into the womb’

तेजो यथाऽर्करश्मीनां स्फटिकेन तिरस्कृतम् ।
नेन्धनं दृश्यते गच्छत्सत्त्वो गर्भाशयं तथा ॥३॥
Simply as the warmth of the rays of the solar intercepted by the lens just isn’t seen getting on to the gasoline (blades of grass, items of wooden or paper and so forth. on which it’s focussed) stored beneath it, equally is the entry of satva (atman-soul) into the womb (just isn’t seen, however it may be recognized via the actions within the embryo)

Simily to clarify ‘the invisibility of the soul coming into the womb’

कारणानुविधायित्वात्कार्याणां तत्स्वभावता।
नानायोन्याकृतीःसत्त्वो धत्तेऽतो द्रुतलोहवत्॥४॥
The impact being just like the trigger, by nature, the satva (atman-soul) takes on completely different yoni (species, class of beginning) and akrti (shapes) identical to the melted steel.

Garbha lingotpatti karana (reason behind dedication of intercourse)

अत एव च शुक्रस्य बाहुल्याज्जायते पुमान्।
रक्तस्य स्त्री तयोः साम्ये क्लीबः
By the identical doctrine (of the impact being just like the trigger) a male little one shall be produced when sukra (semen) is extra, a feminine when rakta (menstrual blood) is extra and a eunch (little one neither positively male nor positively feminine however having options of each intercourse, in different phrases a hermaphrodite) when each are equal

Trigger for manifestation of a number of embryos

शुक्रार्तवे पुनः॥५॥
वायुना बहुशो भिन्ने यथास्वं बह्वपत्यता।
Shukra (semen) and artava (menstrual blood) getting divided into many components (after their union) by vata provides rise to a number of embryos.

Reason for formation of irregular fetus

वियोनिविकृताकारा जायन्ते विकृतैर्मलैः॥६॥
Embryo dissimilar to the yoni (species sort) or of irregular shapes- are produced by the irregular (vitiated) dosas

Rajodarsana – Menstruation

मासि मासि रजः स्त्रीणां रसजं स्रवति त्र्यहम्।
वत्सराद्द्वादशादूर्ध्वं याति पञ्चाशतः क्षयम्॥७॥
In girls, the rajas (menstrual blood) which is the product of rasa (the primary dhatu), flows out of the physique for 3 days, each month, after the age of twelve years and undergoes diminution by the age of fifty years

Advantages of mating on the proper age

पूर्णषोडशवर्षा स्त्री पूर्णविंशेन सङ्गता।
शुद्धे गर्भाशये मार्गे रक्ते शुक्रेऽनिले हृदि॥८॥
वीर्यवन्तं सुतं
The ladies, who has accomplished sixteen years of age, mating with a person who has accomplished twenty years, the uterus, the channels, the blood (menstrual), semen, vata and hrdaya (the thoughts, on this context) all being pure (unvitiated), provides beginning to a valiant son

Results of conceiving at a younger age

सूते ततो न्यूनाब्दयोः पुनः।
रोग्यल्पायुरधन्यो वा गर्भो भवति नैव वा॥९॥
Alternatively, if the age is much less, the offspring shall be both sick, of brief life span, of inauspicious nature or there could also be no formation of  fetus in any respect

Vikrita sukra artava – abnormalities of semen (sperm) and menstrual blood (ovum)

वातादिकुणपग्रन्थिपूयक्षीणमलाह्वयम्।

बीजासमर्थं रेतोऽस्रं स्वलिङ्गैर्दोषजं वदेत्॥१०॥

रक्तेन कुणपं श्लेष्मवाताभ्यां ग्रन्थिसन्निभम्।

पूयाभं रक्तपित्ताभ्यां क्षीणं मारुतपित्ततः॥११॥

कृच्छ्राण्य्एतान्यसाध्यं तु त्रिदोषं मूत्रविट्प्रभम्।

Rretas (semen) and asra (menstrual blood) recognized by the names resembling that vitiated by doshas, that having the scent of a useless physique, that shaped into balls (lots, pellets), that resembling pus, that decreased in amount, that resembling the waste (urine) and purisa (faces) in scent are incapable of manufacturing the embryo. These are thought of as dosaja (vitiated by the dosas) when particular options of every dosa are discovered; as kunapa (having cadaveric scent) when vitiated by rakta (blood); as granthi (pellet like) when vitiated by Slesma (kapha) and vata collectively; as puyabha (resembling pus) when vitiated by ratka (blood) and pitta collectively; as ksina (decreased) when vitiated by maruta (vata) and pitta collectively. All these are troublesome (to purify) that vitiated by all of the three dosas collectively, these having options of urine and faces are unattainable (to purify)

Shukra artava shuddhikarana – strategies of purifying the contaminated semen and menstrual blood

कुर्याद्वातादिभिर्दुष्टे स्वौषधं कुणपे पुनः॥१२॥

धातकीपुष्पखदिरदाडिमार्जुनसाधितम् ।

पाययेत्सर्पिरथवा विपक्वमसनादिभिः ॥ १३ ॥

पलाशभस्माश्मभिदा ग्रन्थ्याभे पूयरेतसि।

परूषकवटादिभ्यां क्षीणे शुक्रकरी क्रिया॥१४॥

स्निग्धं वान्तं विरिक्तं च निरूढमनुवासितम् ।

योजयेच्छुक्रदोषार्तं सम्यगुत्तरवस्तिभिः ॥ १४+१ ॥

संशुद्धो विट्प्रभे सर्पिर्हिङ्गुसेव्यादिसाधितम् ।

पिबेत् ग्रन्थ्यार्तवे पाठाव्योषवृक्षकजं जलम् ॥ १५ ॥

पेयं कुणपपूयास्रे चन्दनं वक्ष्यते तु यत् ।

गुह्यरोगे च तत्सर्वं कार्यं सोत्तरवस्तिकम् ॥ १६ ॥

These (semen and ovum) vitiated by vata and different doshas (two dosas) ought to be handled with acceptable medicine; that having cadaveric scent, by making the individual drink medicated ghee processed with, dhatakipuspa (flowers of Woodfordia fruticosa), khadira (Acacia catechu), dadima (Punica granatum) and arjuna (Terminalia arjuna) or with the medicine of asanadigana (vide chapter 15 of Sutrasthana). That semen which is pellet-like and semen combined with pus (ought to be administered medicated ghee) processed with ash of palasa (Butea monosperma) and asmabheda (Bergenia ligulata) in these having depletion of semen ghee processed with parushaka (Grewia asiatica) and vata (Ficus benghalensis) and so forth herbs ought to be administered. Semen having the options of feces, be given a drink of medicated ghee processed with hingu (Ferula asafoetida), sevya (Vetiveria zizanioides) and so forth after (administration of) purifactory therapies. Within the case of pellet like mentsrual blood, the girl ought to be administered to drink the decoction of patha (Cissampelos pareira), vyosa (combination of Piper longum, Piper nigrum and Zingiber officinale) and vrksaka (Holarrhena antidysenterica) in case of menstrual blood having cadaveric scent or pus, the decoction of candana (Santalum album) ought to be given to drink, and all of the therapies together with uttarabasti (vaginal douche) prescribed for venereal ailments to be described later (in chapter 34 of Uttarasthana)

Shuddha shukra-artava lakshanas – options of regular semen and menstrual blood

शुक्रं शुक्लं गुरु स्निग्धं मधुरं बहलं बहु ।

घृतमाक्षिकतैलाभं सद्गर्भाय आर्तवं पुनः ॥ १७ ॥

लाक्षारसशशास्राभं धौतं यच्च विरज्यते ।

Sukra (semen) which is white in color, heavy, unctuous, candy, thick, extra in amount, resembling both ghee, honey or oil (of semen) is appropriate for producing the embryo, the menstrual blood which resembles the juice of lac or the blood of a rabit, and when washed loses its colour i.e. doesn’t depart again the stain on the fabric (is appropriate for producing the embryo)

Preparation earlier than bodily union

शुद्धशुक्रार्तवं स्वस्थं संरक्तं मिथुनं मिथः ॥ १८ ॥

स्नेहैः पुंसवनैः स्निग्धं शुद्धं शीलितवस्तिकम् ।

नरं विशेषात्क्षीराज्यैर्मधुरौषधसंस्कृतैः ॥ १९ ॥

नारीं तैलेन माषैश्च पित्तलैः समुपाचरेत् ।

The person and lady who’re having pure sukra (semen) and artava (menstrual blood) respectively, who’re wholesome, who’re in love with one another, who’re subjected to oleation via administration of medicated fat which allow one to beget desired youngsters and purifactory therapies, who’re administered enemas by apply. The person particularly (nourished nicely) with using milk and ghee processed with medicine of candy style, The lady (nourished nicely) with using oil (of sesame / Sesamum indicum) , masa (black gram / Vigna mungo) and issues (medicine and so forth) which enhance pitta ought to (are prepared for) bear bodily union

Rutumati Laksana – options of the menstruating lady

क्षामप्रसन्नवदनां स्फुरच्छ्रोणिपयोधराम् ॥ २० ॥

स्रस्ताक्षिकुक्षिं पुंस्कामां विद्यादृतुमतीं स्त्रियम् ।

The lady whose face is rundown (barely emaciated) however nice (calm); has throbbing within the pelvis and breasts,eyes and stomach barely drooping down and who longs for a male (for firm and copulation)ought to be understood as a menstruating lady

Rtu kala – Interval appropriate for conception

पद्मं सङ्कोचमायाति दिनेऽतीते यथा तथा ॥ २१ ॥

ऋतावतीते योनिः सा शुक्रं नातः प्रतीच्छति ।

Simply because the lotus closes on the finish of the day, so additionally, the yoni (uterus, vaginal tract) after the rtu kala (the interval appropriate for conception); thereafter she won’t be receptive to sukra (semen)

Occurance of menstruation

मासेनोपचितं रक्तं धमनीभ्यामृतौ पुनः ॥ २२ ॥

ईषत्कृष्णं विगन्धं च वायुर्योनिमुखान्नुदेत् ।

The blood gathered (contained in the uterus) through the month, which is barely black and of bizarre scent, introduced into the dhamanis (arteries) through the rtu (menstrual interval), is expelled out by vayu (vata), via the orifice of the yoni (uterus and vaginal tract)

Rtumati Carya – routine of menstruating lady

ततः पुष्पेक्षणादेव कल्याणध्यायिनी त्र्यहम् ॥ २३ ॥

मृजालङ्काररहिता दर्भसंस्तरशायिनी ।

क्षैरेयं यावकं स्तोकं कोष्ठशोधनकर्षणम् ॥ २४ ॥

पर्णे शरावे हस्ते वा भुञ्जीत ब्रह्मचारिणी ।

From the second of look of the menstrual stream, for a interval of three days, the girl ought to harbour solely good ideas, avoids tub and decorations, sleeps on mattress of darbha grass, eat little amount of meals ready from milk and small barely; holding it (meals) both in a leaf, earthen plate or the palms, as a way to purify tha alimentary tract and to make herself skinny (barely emaciated). She also needs to observe celibacy (keep away from sexual actions)

Routine on the fourth day of menstruation

चतुर्थेऽह्नि ततः स्नाता शुक्लमाल्याम्बरा शुचिः॥२५॥

इच्छन्ती भर्तृसदृशं पुत्रं पश्येत्पुरः पतिम्।

On the fourth day, she ought to take tub, placed on white garlands and costume, ought to stay clear, and see her husband first, harboring the need for a son resembling her husband

Rtukala – interval appropriate for conception, fertile interval

ऋतुस्तु द्वादश निशाः पूर्वास्तिस्रोऽत्र निन्दिताः ॥ २६ ॥

एकादशी च युग्मासु स्यात्पुत्रोऽन्यासु कन्यका ।

Rutu (interval appropriate for conception) is twelve nights (day and night time); the primary three days of it are insuspicious, so additionally the eleventh day, copulation on even days results in beginning of a son and on different (odd) days to a daughter

Garbhadana – ceremony involved with conception

उपाध्यायोऽथ पुत्रीयं कुर्वीत विधिवद्विधिम् ॥ २७ ॥

नमस्कारपरायास्तु शूद्राया मन्त्रवर्जितम् ।

अवन्ध्य एवं संयोगः स्यादपत्यं च कामतः ॥ २८ ॥

The priest ought to carry out the ritual of begetting a son, in accordance with the prescribed process (for individuals of higher castes) and for sudras (individuals of decrease castes) by making them bow to Gods, with out uttering sacred hymns; by doing this ceremony and after copulation, the girl won’t stay sterile (the ritual won’t grow to be futile) and the couple will beget a son of their liking.

Garbhadana – ceremony involved with conception

सन्तो ह्याहुरपत्यार्थं दम्पत्योः सङ्गतिं रहः ।

दुरपत्यं कुलाङ्गारो गोत्रे जातं महत्यपि ॥ २९ ॥

Sensible males say, that as a way to beget a (good) offspring, the couple ought to take pleasure in copulation in solitude (in a secluded place, free from embrassment by others) a foul offspring, although of reputed pedigree, is like hearth to the household.

Visualizing noble individuals to beget desired good progeny

इच्छेतां यादृशं पुत्रं तद्रूपचरितांश्च तौ ।

चिन्तयेतां जनपदास्तदाचारपरिच्छदौ ॥ ३० ॥

Which-so-ever, the form of son (in color, look, conduct and so forth) the mother and father want, they need to at all times consider (horbor of their thoughts) the shape and accomplishments (well being, wealth, repute and so forth) of individuals who posses these (qualities) and conduct themselves accordingly

Process earlier than mating

कर्मान्ते च पुमान् सर्पिःक्षीरशाल्योदनाशितः ।

प्राग्दक्षिणेन पादेन शय्यां मौहूर्तिकाज्ञया ॥ ३१ ॥

आरोहेत् स्त्री तु वामेन तस्य दक्षिणपार्श्वतः ।

तैलमाषोत्तराहारा तत्र मन्त्रं प्रयोजयेत् ॥ ३२ ॥

आहिरसि आयुरसि सर्वतः प्रतिष्ठासि धाता त्वां दधातु विधाता त्वां दधातु ब्रह्मवर्चसा भवेति ॥

ब्रह्मा बृहस्पतिर्विष्णुः सोमः सूर्यस्तथाश्विनौ भगोऽथ मित्रावरुणौ वीरं ददतु मे सुतम् ॥ ३३ ॥

After the top of the ceremony (ritual of begetting a male offspring) the person who has partaken meals consisting of ghee, milk and boiled rice, ought to climb on the mattress, retaining his proper foot first, and on the auspicious second; the girl ought to climb subsequent, retaining her left foot first, from the proper aspect (of her husband), after partaking meals consisting mainly of sil (of Sesame – Sesamum indicum) and masa (black gram – Vigna mungo). Then after the next holy hymn ought to be recited (by the husband) – “O Lord you’re the procurer, are the life, you might be current in every single place, could dhata (god who’s the giver) bestow (me good), could vidhata (god who writes our destiny) bestow the brahmavarcas (divine radiance), could Brahman, Brhaspati,Visnu, Soma, Surya, Asvin-twins, Bhaga, Mitra and Varuna grant me a valiant son”

Mithuna – copulation

सान्त्वयित्वा ततोऽन्योन्यं संविशेतां मुदान्वितौ ।

उत्ताना तन्मना योषित्तिष्ठेदङ्गैः सुसंस्थितैः ॥ ३४ ॥

तथा हि बीजं गृह्णाति दोषैः स्वस्थानमास्थितैः ।

Subsequent, the couple ought to interact themselves in copulation appeasing one another with love-play and retaining themselves cheerful the girl ought to lie in supine place, attentive (intent on receiving the male seed) and retaining the components of her physique (particularly the genitals) poised nicely (handy and appropriate place), in such a state, when the dosas are of their regular abodes, she will be able to obtain the male seed

Sadhyo garbha linga – the indicators of conception

लिङ्गं तु सद्योगर्भायायोन्या बीजस्य सङ्ग्रहः ॥ ३५ ॥

तृप्तिर्गुरुत्वं स्फुरणं शुक्रास्राननुबन्धनम् ।

हृदयस्पन्दनं तन्द्रा तृड्ग्लानीरोमहर्षणम् ॥ ३६ ॥

The indicators of conception are – implantation of the seed within the yoni (uterus and vaginal tract), a way of contentment, heaviness and throbbing (within the decrease stomach and vaginal tract), cessation of stream of semen and blood (menstrual), throbbing within the coronary heart, thirst, fatigue and horripilations

Pumsavana vidhi – strategies for begetting a male little one

अव्यक्तः प्रथमे मासि सप्ताहात्कललीभवेत् ।

गर्भः पुंसवनान्यत्र पूर्वं व्यक्तेः प्रयोजयेत् ॥ ३७ ॥
बली पुरुषकारो हि दैवमप्यतिवर्तते ।

Within the first month, through the first seven days, the embryo turns into a kalala (jelly mass) is unmanifest (undetermined in intercourse); therefore pumsavana (strategies to beget a male offspring) ought to be carried out earlier than manifestation (differentiation of intercourse), as a result of highly effective (potent) purusakara (actions of the current life) will even overcome Daiva (results of actions of earlier lives)

Pumsavana vidhi – strategies for begetting a male little one

पुष्ये पुरुषकं हैमं राजतं वाऽथवाऽऽयसम् ॥ ३८ ॥

कृत्वाऽग्निवर्णं निर्वाप्य क्षीरे तस्याञ्जलिं पिबेत् ।

An icon of man ready from both gold, silver, and even iron ought to be heated to purple color and immersed in milk; one anjali (about 75ml) of this milk ought to be consumed throughout pusya constellation

Pumsavana vidhi – strategies for begetting a male little one

गौरदण्डमपामार्गं जीवकर्षभसैर्यकान् ॥ ३९ ॥

पिबेत्पुष्ये जले पिष्टानेकद्वित्रिसमस्तशः ।

Gauradanda, apamarga (Achyranthes aspera), jivaka (Microstyllis wallichi), rsabhaka (Microstyllis musfera) and Sairyaka (Barloria prionitis), both individually or in combos of two, three or all collectively ought to be made into a pleasant paste with water and consumed throughout pusya constellation

Methodology of instilling the Pumsavana vidhi drops into the nostrils

क्षीरेण श्वेतबृहतीमूलं नासापुटे स्वयम् ॥ ४० ॥

पुत्रार्थं दक्षिणे सिञ्चेद्वामे दुहितृवाञ्छया ।

The lady, herself ought to instill drops of juice of roots of brhati bearing white flowers (Solanum xanthocarpum) made with milk, into her proper nostril if she needs a son and into the left nostril, if she needs a daughter

Methodology of instilling juice of Lakshmana and different herbs for Pumsavana vidhi

पयसा लक्ष्मणामूलं पुत्रोत्पादस्थितिप्रदम् ॥ ४१ ॥

नासयाऽऽस्येन वा पीतं वटशुङ्गाष्टकं तथा ।

ओषधीर्जीवनीयाश्च बाह्यान्तरुपयोजयेत् ॥ ४२ ॥

Juice of roots of Laksmana (Ipomoea marginata) ready with milk, instilled into the nostril or consumed by mouth, bestows male progeny and its security (retention) sprouts of vata, eight in quantity additionally act equally medicine of Jivaniya group (vide chapter 15 of Sutrasthana) ought to be used each externally and internally

Garbhinicharya – care of the pregnant lady

उपचारः प्रियहितैर्भर्त्रा भृत्यैश्च गर्भधृक् ।

नवनीतघृतक्षीरैः सदा चैनामुपाचरेत् ॥ ४३ ॥

 The lady, who has conceived ought to be taken care of affectionately by her husband and attendants, equipped with issues she likes and that are good for well being, when these are adopted the embryo turns into steady, she also needs to be at all times served (nourished) with extra of butter, ghee and milk

Forbidden issues for pregnant lady

अतिव्यवायमायासं भारं प्रावरणं गुरु ।

अकालजागरस्वप्नं कठिनोत्कटकासनम् ॥ ४४ ॥

शोकक्रोधभयोद्वेगवेगश्रद्धाविधारणम् ।

उपवासाध्वतीक्ष्णोष्णगुरुविष्टम्भिभोजनम् ॥ ४५ ॥

रक्तं निवसनं श्वभ्रकूपेक्षां मद्यमामिषम् ।

उत्तानशयनं यच्च स्त्रियो नेच्छन्ति तत्त्यजेत् ॥ ४६ ॥

तथा रक्तस्रुतिं शुद्धिं वस्तिमामासतोऽष्टमात् ।

एभिर्गर्भः स्रवेदामः कुक्षौ शुष्येन्म्रियेत वा ॥ ४७ ॥

The pregnant lady ought to keep away from extra of sexual actions, exertion carrying heavy hundreds, heavy coverings, retaining awake or sleeping at improper time, sitting on exhausting seats, and on heels; grief, anger, concern, feelings, suppression of urges of the physique and controlling of needs, fasting, lengthy distance stroll, intense, sizzling, heavy (exhausting for digestion) and constipating meals, sporting purple material, peeping into deep pits or wells, alcoholic drinks, consuming meat, mendacity with face upwards and any such acts which elder girls forbid. Equally, blood letting, purifactory therapies and enema therapies ought to be prevented until the eight month by these (actions), the embryo shall be both expelled untimely, dries up inside and even dies.

Impact of dosha rising meals on the fetus

वातलैश्च भवेद्गर्भः कुब्जान्धजडवामनः ।

पित्तलैः खलतिः पिङ्गः श्वित्री पाण्डुः कफात्मभिः ॥ ४८ ॥

By indulgence in meals which enhance vata, the offspring turns into both a hunchback, blind, lazy (inactive) or dwarf by meals which enhance pitta, it will likely be both bald head or brown eyed; by meals which enhance kapha, it will likely be both of white pores and skin in or of pandu (yellowish –white)

Treating ailments of pregnant lady

व्याधींश्चास्या मृदुसुखैरतीक्ष्णैरौषधैर्जयेत् ।

Her ailments ought to be handled with medicine (or therapies) that are comfortable, straightforward to eat and gentle (in motion)

Jelly mass of embryo taking completely different shapes within the second month

द्वितीये मासि कललाद्घनः पेश्यथवार्बुदम् ॥ ४९ ॥

पुंस्त्रीक्लीबाः क्रमात्तेभ्यः

Through the second month, from the kalala state (jelly mass) are produced the ghana (exhausting mass), pesi (muscle) and arbuda (ant-hill) to be born as a male, feminine or eunuch (hermaphrodite), respectively

Garbhini laksana – options of the pregnant lady

तत्र व्यक्तस्य लक्षणम् ।

क्षामता गरिमा कुक्षेर्मूर्छा छर्दिररोचकः ॥ ५० ॥

जृम्भा प्रसेकः सदनं रोमराज्याः प्रकाशनम् ।

अम्लेष्टता स्तनौ पीनौ सस्तन्यौ कृष्णचूचुकौ ॥ ५१ ॥

पादशोफो विदाहोऽन्ये श्रद्धाश्च विविधात्मिकाः ।

The options of the pregnant lady throughout this month are feeling of emaciation heaviness of the stomach fainting vomiting lack of style (or urge for food) extra of yawning and salivation debility look of strains of hair (particularly over the stomach) want for bitter issues enlargement of the breasts with little quantity of milk and black color of the nipples others (authorities) embody swelling of the ft, heart-burn and needs (longings) of various sorts

Dauhrda – longings of being pregnant

मातृजं ह्यस्य हृदयं मातुश्च हृदयेन तत् ॥ ५२ ॥

सम्बद्धं तेन गर्भिण्या नेष्टं श्रद्धाविमाननम् ।

देयमप्यहितं तस्यै हितोपहितमल्पकम् ॥ ५३ ॥

श्रद्धाविघाताद्गर्भस्य विकृतिश्च्युतिरेव वा ।

Since its (foetal) coronary heart is a maternal organ in origin, and is related with the center of the mom, the need (longing) of the pregnant lady shouldn’t be dishonoured (refused, denied); even when unsuitable (unhealthy) issues ought to be given to her combined with wholesome ones and in small amount; refusal of the longing could result in abnormalities within the fetus or its untimely expulsions.

Garbha vrddhi krama – foetal growth

व्यक्तीभवति मासेऽस्य तृतीये गात्रपञ्चकम् ॥ ५४ ॥

मूर्धा द्वे सक्थिनी बाहू सर्वसूक्ष्माङ्गजन्म च ।

सममेव हि मूर्धाद्यैर्ज्ञानं च सुखदुःखयोः ॥ ५५ ॥

Through the third month, the 5 components of the physique grow to be manifest, viz, the top, two legs, and two arms, and likewise all of the minor components concurrently with the top and so forth, the data of delight and ache additionally

Fetal circulation and nourishment to fetus

गर्भस्य नाभौ मातुश्च हृदि नाडी निबध्यते ।

यया स पुष्टिमाप्नोति केदार इव कुल्यया ॥ ५६ ॥

A tube connects the umbilicus of the fetus and the center of the mom from which it ( fetus) derives nourishment identical to a cornfield from the aqueduct.

Fetal growth from forth to seventh months

चतुर्थे व्यक्तताङ्गानां चेतनायाश्च पञ्चमे ।

षष्ठे स्नायुसिरारोमबलवर्णनखत्वचाम् ॥ ५७ ॥

सर्वैः सर्वाङ्गसम्पूर्णो भावैः पुष्यति सप्तमे ॥ ५८अब् ॥

Within the fourth mouth, all of the components grow to be manifest (clearly), and within the fifth month, the cetana (consciousness, life exercise) within the sixth, the tendons, veins, hair, power, colour, nails and pores and skin (grow to be manifest), within the seventh, it ( fetus) is developed in all it components and nicely nourished

Signs produced when the doshas pushed by the fetus will get lodged within the coronary heart of the mom

गर्भेणोत्पीडिता दोषास्तस्मिन् हृदयमाश्रिताः ॥ ५८च्द् ॥

कण्डूं विदाहं कुर्वन्ति गर्भिण्याः किक्किसानि च ॥ ५८एf ॥

The dosas, being pushed up by the  fetus and getting localised within the coronary heart (of the mom) produce itching, vidaha (burning sensation) and likewise kikkisa (striae gravidarum) within the pregnant lady

Remedy of striae and different signs produced in pregnant lady

नवनीतं हितं तत्र कोलाम्बुमधुरौषधैः ।

सिद्धमल्पपटुस्नेहं लघु स्वादु च भोजनम् ॥ ५९ ॥

चन्दनोशीरकल्केन लिम्पेदूरुस्तनोदरम् ।

श्रेष्ठया वैणहरिणशशशोणितयुक्तया ॥ ६० ॥

अश्वघ्नपत्रसिद्धेन तैलेनाभ्यज्य मर्दयेत् ।

पटोलनिम्बमञ्जिष्ठासुरसैः सेचयेत् पुनः ॥ ६१ ॥

दार्वीमधुकतोयेन मृजां च परिशीलयेत् ।

In that situation, ingestion of butter processed with juice of kola (Ziziphus jujube) and medicines of candy style is helpful; the meals ready with little amount of salt and fat, straightforward to digest and candy issues, thighs, breasts and stomach ought to be anointed with paste of chandana (Santalum album) and usira (Vetiveria zizanioides), or with the paste of srestha (triphala – fruits of Terminalia chebula, Terminalia bellirica and Emblica officinalis) ready with the blood of black antelope, fawn or rabbit. The physique ought to be anointed with the oil processed with leaves of asvaghna (karvira – Nerium indicum) after which massaged, adopted by pouring of decoction of Patola (Trichosanthes dioica), Nimba (Azadirachta indica), Manjistha (Rubia cordifolia) and Surasa (Ocimum sanctum). Then after given a shower in water processed with Darvi (Berberis aristata) and Madhuka (Madhuca longifolia)

Purpose for instability of fetus within the eighth month of being pregnant

ओजोऽष्टमे सञ्चरति मातापुत्रौ मुहुः क्रमात् ॥ ६२ ॥

तेन तौ म्लानमुदितौ तत्र जातो न जीवति ।

शिशुरोजोऽनवस्थानान्नारी संशयिता भवेत् ॥ ६३ ॥

Through the eight month, ojas travels between the mom and the kid alternatively; due to this, they grow to be fatigued or related respectively; and life born throughout this month, doesn’t survive, and lifetime of the girl can also be uncertain, due to the instability of Ojas within the little one

Useful food regimen and enemas within the eighth month of being pregnant

क्षीरपेया च पेयात्र सघृताऽन्वासनं घृतम् ।

मधुरैः साधितं शुद्ध्यै पुराणशकृतस्तथा ॥ ६४ ॥

शुष्कमूलककोलाम्लकषायेण प्रशस्यते ।

शताह्वाकल्कितो वस्तिः सतैलघृतसैन्धवः ॥ ६५ ॥

Through the month peya (skinny gruel) ready with milk and added with ghee ought to be partaken by the mom, anuvasana (lubricating enema) with the ghee processed with medicine of candy style is good likewise enema with the decoction of dry mulaka, kola amla, combined with paste of Satahva, oil, ghee and saindhava is good to take away the outdated feces

Time for supply of kid

तस्मिंस्त्वेकाहयातेऽपि कालः सूतेरतः परम् ।

वर्षाद्विकारकारी स्यात्कुक्षौ वातेन धारितः ॥ ६६ ॥

Something, after even in the future after this month, is the time for the beginning of the kid; if it ( fetus) is retained contained in the stomach for a 12 months by Vata results in abnormalities (issues for each the mom and the kid)

Weight loss program throughout ninth month of being pregnant

शस्तश्च नवमे मासि स्निग्धो मांसरसौदनः ।

बहुस्नेहा यवागूर्वा पूर्वोक्त चानुवासनम् ॥ ६७ ॥

Through the ninth month meals combined with fats (ghee) together with juice of meat is good or yavagu (thick gruel) combined with extra of fats and anuvasana (lubricating enema) talked about earlier

Appropriate tampon and tub in being pregnant

तत एव पिचुं चास्या योनौ नित्यं निधापयेत् ।

वातघ्नपत्रभङ्गाम्भः शीतं स्नानेऽन्वहं हितम् ॥ ६८ ॥

Then onwards a diaper (soaked in medicated ghee talked about earlier) ought to be stored in her vagina day by day water processed with leaves which mitigate vata after which cooled is fitted to tub often

Emphasis of use of fats from ninth month

निःस्नेहाङ्गी न नवमान्मासात्प्रभृति वासयेत् ।

From the ninth month onwards she ought to by no means stay wihout fats (anointhing the physique with medicated oil)

Indicators of female and male little one within the womb

प्राग्दक्षिणस्तनस्तन्या पूर्वं तत्पार्श्वचेष्टिनी ॥ ६९ ॥

पुन्नामदौर्हृदप्रश्नरता पुंस्वप्नदर्शिनी ।

उन्नते दक्षिणे कुक्षौ गर्भे च परिमण्डले ॥ ७० ॥

पुत्रं सूतेऽन्यथा कन्यां या चेच्छति नृसङ्गतिम् ।

नृत्यवादित्रगान्धर्वगन्धमाल्यप्रिया च या ॥ ७१ ॥

The lady who will get milk fist in her proper breast prefers that aspect (proper aspect) for all her actions who develops longings of issues of masculine identify (and character), and drastically curious about enquiring about them at all times who sees masculine objects in desires whose stomach is extra elevated on the proper aspect and seems to be spherical will give beginning to a male little one she who displays reverse options, who want the corporate of (or copulation) males, who’s keen on dance instrumental music vocal music perfumes and garlands will ship a feminine little one

Indicators of eunach within the womb and twin being pregnant

क्लीबं तत्सङ्करे तत्र मध्यं कुक्षेः समुन्नतम् ।

यमौ पार्श्वद्वयोन्नामात्कुक्षौ द्रोण्यामिव स्थिते ॥ ७२ ॥

With the combination of each the options she provides beginning to a enuch (hermophrodite) within the case her stomach is discovered extra elevated in its centre in case of dual  fetus, the stomach seems bulged in each its sides and depressed within the center, like a trough

Sutika grha – maternity residence / ward

प्राक् चैव नवमान्मासात् सा सूतिगृहमाश्रयेत् ।

देशे प्रशस्ते सम्भारैः सम्पन्नं साधकेऽहनि ॥ ७३ ॥

तत्रोदीक्षेत सा सूतिं सूतिकापरिवारिता ।

Eeven earlier to the ninth month, the girl ought to reside within the sutikagrha (maternity residence) located at an auspicious place, outfitted with all obligatory issues, coming into it on a day guaranteeing success; residing there she ought to anticipate supply, accompained with girls expert in supply (midwives)

Asanna prasava laksana – indicators of impending supply

अद्यश्वःप्रसवे ग्लानिः कुक्ष्यक्षिश्लथता क्लमः ॥ ७४ ॥

अधोगुरुत्वमरुचिः प्रसेको बहुमूत्रता ।

वेदनोरूदरकटीपृष्ठहृद्वस्तिवङ्क्षणे ॥ ७५ ॥

योनिभेदरुजातोदस्फुरणस्रवणानि च ।

आवीनामनु जन्मातस्ततो गर्भोदकस्रुतिः ॥ ७६ ॥

When the supply is because of happen in the present day or its subsequent day, (the girl delelops) fatigue, looseness of the stomach and eyes, exhaustion (with out bodily exercise), feeling of heaviness within the decrease components, lack of urge for food (or style), extra of salivation, elevated urination (frequency), ache / discomfort within the thighs, stomach, waist, again, (area of the) coronary heart, bladder and groins, ache within the vaginal tract resembling tearing, steady, pricking and pulsating and discharge of fluid, adopted by the onset of avi (labour pains) and discharge of fluid from the womb (present)

Prasuti vidhi – administration of labour

अथोपस्थितगर्भां तां कृतकौतुकमङ्गलाम् ।

हस्तस्थपुन्नामफलां स्वभ्यक्तोष्णाम्बुसेचिताम् ॥ ७७||

पाययेत्सघृता पेयां तनौ भूशयने स्थिताम् ।

आभुग्नसक्थिमुत्तानामभ्यक्ताङ्गीं पुनः पुनः ॥ ७८ ॥

अधो नाभेर्विमृद्नीयात्कारयेज्जृम्भचङ्क्रमम् ।

Subsequent , the woman-in-labour ought to be protected by efficiency of auspicious rites, made to carry a fruit bearing a masculine identify in her palms, anointed with oil and given tub in wam water; ought to be given a drink of peya (skinny gruel) combined with ghee. Then, she is made to lie on a mattress unfold on the ground, together with her legs folded (on the knee) and stored supine: her physique ought to be anointed with oil repeatedly, components beneath the umbilicus massaged and instructed to yawn and do brisk strolling

Avak garbha lakshana – indicators of descent of fetus

गर्भः प्रयात्यवागेवं तल्लिङ्गं हृद्विमोक्षतः ॥ ७९ ॥

आविश्य जठरं गर्भो वस्तेरुपरि तिष्ठति ।

By these, the  fetus makes a straightforward descent, its indicators are; getting indifferent from the (area of) coronary heart and occupying the stomach the fetus stays simply above the urinary bladder

Administration of labor ache and inspiring the girl in the direction of straightforward supply of kid

आव्योऽभित्वरयन्त्येनां खट्वामारोपयेत्ततः ॥ ८० ॥

अथ सम्पीडिते गर्भे योनिमस्याः प्रसारयेत् ।

मृदु पूर्व प्रवाहेत बाढम् आप्रसवाच्च सा ॥ ८१ ॥

हर्षयेत्तां मुहुः पुत्रजन्मशब्दजलानिलैः ।

प्रत्यायान्ति तथा प्राणाः सूतिक्लेशावसादिताः ॥ ८२ ॥

When the avi (labour ache) begins manifesting in fast succession, the girl ought to be made to lie on a cot, when the  fetus is being squeezed out, her vagina ought to be dilated (by software of oil) she ought to be requested to bear down mildly to start with and forcebly afterwards until supply; she ought to be made completely satisfied usually uttering phrases resembling “son is born”; by water (consuming, sprinkling and so forth) and air (fanning) by these her life (power) returns and she or he will get relieved of the exhaustion of supply

Garbhasanga – obstructed labour

धूपयेद्गर्भसङ्गे तु योनिं कृष्णाहिकञ्चुकैः ।

हिरण्यपुष्पीमूलं च पाणिपादेन धारयेत् ॥ ८३ ॥

सुवर्चलां विशल्यां वा जराय्वपतनेऽपि च ।

कार्यमेतत्तथोत्क्षिप्य बाह्वोरेनां विकम्पयेत् ॥ ८४ ॥

कटीमाकोटयेत्पार्ष्ण्या स्फिजौ गाढं निपीडयेत् ।

तालुकण्ठं स्पृशेद्वेण्या मूर्ध्नि दद्यात्स्नुहीपयः ॥ ८५ ॥

भूर्जलाङ्गलिकीतुम्बीसर्पत्वक्कुष्ठसर्षपैः ।

पृथग्द्वाभ्यां समस्तैर्वा योनिलेपनधूपनम् ॥ ८६ ॥

कुष्ठतालीशकल्कं वा सुरामण्डेन पाययेत् ।

यूषेण वा कुलत्थानां बाल्बजेनासवेन वा ॥ ८७ ॥

In case of obstruction of supply of the  fetus, the vagina ought to be fumigated through the use of the peel of a black snake, the basis of hiranyapuspi (Euphorbia thomsoniana) ought to be tied to the palms and ft or the roots of suvarcala (Gynandropsis pentaphylla) or visalya (Gloriosa very good); this can be carried out even in non-delivery of the jarayu (foetal masking / placenta) then she ought to be lifted up by the arms and shaken, her waist hit exhausting by (her personal) heels, buttocks squeezed exhausting (by others), palate and throat tickled with plait of hair, milky sap of snuhi (Euphorbia nerifolia) utilized over the scalp, paste of both anybody, two or all of Bhurja (Betula utilis), Langalika (Gloriosa very good), Tumbi (Lagenaria siceraria / Asteracantha longifolia), sarpatwak (snake peel), Kustha (Saussurea lappa) and Sarsapa (Brassica juncea) ought to be utilized to the vagina and fumigated; paste of Kustha (Saussurea lappa) and Talisa (Abies webbiana), together with suramanda (supernatant fluid of beer) or with yusa (soup) of Kulattha (Dolichos biflorus) or with asava of Balvaja (fermented infusion of Balva?) ought to be given to drink

Medicated oil for enema

शताह्वासर्षपाजाजीशिग्रुतीक्ष्णकचित्रकैः ।

सहिङ्गुकुष्ठमदनैर्मूत्रे क्षीरे च सार्षपम् ॥ ८८ ॥

तैलं सिद्धं हितं पायौ योन्यां वाऽप्यनुवासनम् ।

Medicated oil ready with (decoction and paste of) Satahva (Anethum sowa), Sarsapa (Brassica juncea), Ajaji (Cuminum cyminum), Sigru (Moringa oleifera), Tiksnaka (?), Citraka (Plumbago zeylanica), Hingu (Ferula asafetida), Kustha (Saussurea lappa)and Madana (Randia dumetorum) added with cows urine, milk and oil of Sarsapa (Brassica juncea) ought to be used for anuvasana (fats enema) via the rectum or vagina (douche)

Apara patana – supply of the placenta

शतपुष्पावचाकुष्ठकणासर्षपकल्कितः ॥ ८९ ॥

निरूहः पातयत्याशु सस्नेहलवणोऽपराम् ।

तत्सङ्गे ह्यनिलो हेतुः सा निर्यात्याशु तज्जयात् ॥ ९० ॥

कुशला पाणिनाऽक्तेन हरेत्क्लुप्तनखेन वा ।

मुक्तगर्भापरां योनिं तैलेनाङ्गं च मर्दयेत् ॥ ९१ ॥

A decoction enema ready from Satapuspa (Anethum sowa), Vaca (Acorus calamus), Kustha (Saussurea lappa), kana (Piper longum) and Sarsapa – Brassica juncea (used for getting ready decoction and paste) combined with oil and salt (rock salt – saindhava) and administered (via the rectum) causes fast supply of the apara (placenta) vata is the trigger for its obstruction and by successful over it (vata) it (the placenta) comes out shortly consultants, may even take away it (placenta) by both palms (launched into the vagina) smeared with oil and with the nails pared (reduce shut) after the apara (placenta) has come out, the vagina and all the physique, ought to anointed with oil and massaged

Makkalla – post-partum ache

मक्कल्लाख्ये शिरोवस्तिकोष्ठशूले तु पाययेत् ।

सुचूर्णितं यवक्षारं घृतेनोष्णजलेन वा ॥ ९२ ॥

धान्याम्बु वा गुडव्योषत्रिजातकरजोऽन्वितम् ।

In case, the illness often known as makkala (characterised by) ache within the head, area of the urinary bladder and the stomach manifest, the girl ought to be administered (to eat) Yavaksara (alkali of entire plant of Hordeum vulgare), properly powdered, combined with ghee or heat water or bitter gruel ready from corns and combined with powder of guda (jaggery), Vyosa (mixed powder of Piper longum, Piper nigrum and Zingiber officinale) and Trijataka (mixed powder of Cinnamomum zeylanicum, Elettaria cardamomum and Cinnamomum tamala)

Nursing the brand new born little one

अथ बालोपचारेण बालं योषिदुपाचरेत् ॥ ९३ ॥

atha bālopacāreṇa bālaṃ yoṣidupācaret || 93 ||

The brand new born little one ought to then be nursed by girls, by adopting routine of child care (described in chapter 1 of Uttarasthana)

Sutikopacanara – care of the girl simply delivered

सूतिका क्षुद्वती तैलाद्घृताद्वा महतीं पिबेत् ।

पञ्चकोलकिनीं मात्रामनु चोष्णं गुडोदकम् ॥ ९४ ॥

वातघ्नौषधतोयं वा तथा वायुर्न कुप्यति ।

विशुध्यति च दुष्टास्रं द्वित्रिरात्रमयं क्रमः ॥ ९५ ॥

If the girl who has delivered feels hungry, she ought to be given oil or ghee containing the (powder of) Pancakola, within the most dose (as prescribed in oleation remedy) adopted by heat water wherein molasses is dissolved – or decoction of medicine which mitigate vata तोयं वा वातघ्न औषध – toyaṃ vā vātaghna auṣadha By these the vata doesn’t get aggravated and the unhealthy blood turns into purified. This routine ought to be continued for 2 or three days

Measures for lady unfit for oleation

स्नेहायोग्या तु निःस्नेहममुम् एव विधिं भजेत् ।

पीतवत्याश् च जठरं यमकाक्तं विवेष्टयेत् ॥ ९६ ॥

If the girl is unfit for oleation remedy, the identical routine (as described above) ought to be adopted with out using fat (oil or ghee) for consuming after she has consumed the drink, her stomach ought to be anointed with yamaka (combination of two fat, oil and ghee) and tied with a band of material

Measures for lady unfit for oleation

जीर्णे स्नाता पिबेत्पेयां पूर्वोक्तौषधसाधिताम् ।

त्र्यहादूर्ध्वं विदार्यादिवर्गक्वाथेन साधिता ॥ ९७ ॥

हिता यवागूः स्नेहाढ्या सात्म्यतः पयसाऽथवा ।

सप्तरात्रात्परं चास्यै क्रमशो बृंहणं हितम् ॥ ९८ ॥

द्वादशाहेऽनतिक्रान्ते पिशितं नोपयोजयेत् ।

After the digestion (of the oil consumed) she ought to take a shower and given a drink of peya (skinny gruel) processed with medicine talked about earlier from the third day onwards, yavagu (thick gruel) processed with decoction of medicine of Vidaryadi gana (vide character 15 of Sutrasthana) added with extra of fats (ghee) ought to be given as discovered appropriate; or yavagu ready from milk ought to be given regularly after seven days gradual introduction of bulk selling meals to her is good meat ought to no be used earlier to the lapse of twelve days.

Emphasis on correct care of the girl who has delivered the kid

यत्नेनोपचरेत्सूतां दुःसाध्यो हि तदामयः ॥ ९९ ॥

गर्भवृद्धिप्रसवरुक्क्लेदास्रस्रुतिपीडनैः ।

The lady who has delivered ought to be nursed very rigorously, for her ailments are troublesome to deal with due to the exhaustion brought on by development of the  fetus, its beginning, ache (of supply), discharge of fluid and blood (in massive portions)

Restrictions for the delivered lady to be adopted till the onset of subsequent menstrual cycle

एवं च मासादध्यर्धान्मुक्ताहारादियन्त्रणा ॥ १०० ॥

गतसूताभिधाना स्यात्पुनरार्तवदर्शनात् ॥ १००ऊअब् ॥

On this method, the girl ought to stay beneath management, with using meals and so forth. described up to now; for a interval of 1 and half months, or until she will get over being referred to as “the girl who has delivered” and until the looks of (subsequent) menstruation

इति श्रीवैध्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायाम् अष्टाङ्गहृदयसंहितायां द्वितीये शारीरस्थाने गर्भावक्रान्तिर्नाम प्रथमोऽध्यायः॥

Thus ends, the chapter referred to as Garbhavakranti, the primary in Sarira sthana of Asthana Hrdaya Samhitha composed by Srimad Vagbhata son of Sri Vaidyapati Simhagupta.



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