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The following signs and symptoms are manifested in bleeding hemorrhoids secondarily associated with ''kapha''. Stool is loose, white, yellow, unctuous, heavy and cold, the blood which exudes from the hemorrhoids is dense, pale yellow and slimy, the anus is smeared with slimy material and there is numbness in that region. [173-174]
 
The following signs and symptoms are manifested in bleeding hemorrhoids secondarily associated with ''kapha''. Stool is loose, white, yellow, unctuous, heavy and cold, the blood which exudes from the hemorrhoids is dense, pale yellow and slimy, the anus is smeared with slimy material and there is numbness in that region. [173-174]
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==== Line of treatment as per dosha ====
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==== Line of treatment as per ''dosha'' ====
    
स्निग्धशीतं हितं वाते रूक्षशीतं कफानुगे|
 
स्निग्धशीतं हितं वाते रूक्षशीतं कफानुगे|
 
चिकित्सितमिदं तस्मात् सम्प्रधार्य प्रयोजयेत्||१७५||
 
चिकित्सितमिदं तस्मात् सम्प्रधार्य प्रयोजयेत्||१७५||
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पित्तश्लेष्माधिकं मत्वा शोधनेनोपपादयेत्|
 
पित्तश्लेष्माधिकं मत्वा शोधनेनोपपादयेत्|
 
स्रवणं चाप्युपेक्षेत लङ्घनैर्वा समाचरेत्||१७६||
 
स्रवणं चाप्युपेक्षेत लङ्घनैर्वा समाचरेत्||१७६||
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snigdhaśītaṃ hitaṃ vāte rūkṣaśītaṃ kaphānuge|
 
snigdhaśītaṃ hitaṃ vāte rūkṣaśītaṃ kaphānuge|
 
cikitsitamidaṃ tasmāt sampradhārya prayojayet||175||
 
cikitsitamidaṃ tasmāt sampradhārya prayojayet||175||
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pittaśleṣmādhikaṃ matvā śodhanenopapādayet|
 
pittaśleṣmādhikaṃ matvā śodhanenopapādayet|
 
sravaṇaṃ cāpyupekṣeta laṅghanairvā samācaret||176||
 
sravaṇaṃ cāpyupekṣeta laṅghanairvā samācaret||176||
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snigdhashItaM hitaM vAte rUkShashItaM kaphAnuge|  
 
snigdhashItaM hitaM vAte rUkShashItaM kaphAnuge|  
 
cikitsitamidaM tasmAt sampradhArya prayojayet||175||  
 
cikitsitamidaM tasmAt sampradhArya prayojayet||175||  
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pittashleShmAdhikaM matvA shodhanenopapAdayet|  
 
pittashleShmAdhikaM matvA shodhanenopapAdayet|  
 
sravaNaM cApyupekSheta la~gghanairvA samAcaret||176||  
 
sravaNaM cApyupekSheta la~gghanairvA samAcaret||176||  
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Unctuous and cold things should be used if vitiation of vayu in bleeding hemorrhoids. In case of vitiation of kapha in bleeding hemorrhoids ununctuous and cold-things are useful. Therefore, therapies should be administered after considering these points .
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Unctuous and cold things should be used if vitiation of ''vayu'' in bleeding hemorrhoids. In case of vitiation of ''kapha'' in bleeding hemorrhoids ununctuous and cold-things are useful. Therefore, therapies should be administered after considering these points.
If there is predominance of pitta and kapha dosha, the patient should be administered shodhan (elimination) therapies. However, bleeding should not be stopped immediately anyone should wait for appropriate time. The patient can be given fasting therapy. [175-176]  
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If there is predominance of ''pitta'' and ''kapha dosha'', the patient should be administered ''shodhana'' (elimination) therapies.  
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However, bleeding should not be stopped immediately anyone should wait for appropriate time. The patient can be given fasting therapy. [175-176]
    
==== Complications of immediate hemostasis therapy ====
 
==== Complications of immediate hemostasis therapy ====

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