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[[Sutra Sthana]] 18. Trishothiyadhyaya
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==([[Sutra Sthana]] Chapter 18, Chapter on Three Types of Swellings)==
[Chapter starting with three types of swellings]
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Abstract  
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=== Abstract ===
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The preceding chapter provided details on diseases of the vital organs with signs of swellings. This Trishothiyadhyaya of Roga chatushka (tetrad on diseases) describes various kinds of swellings/distension as well as causative factors for endogenous and exogenous swellings/distensions, their locations in the body and their modes of treatment. Further, the pathophysiology of various diseases along with their specific diagnostic criteria have been described in the chapter.  
 
The preceding chapter provided details on diseases of the vital organs with signs of swellings. This Trishothiyadhyaya of Roga chatushka (tetrad on diseases) describes various kinds of swellings/distension as well as causative factors for endogenous and exogenous swellings/distensions, their locations in the body and their modes of treatment. Further, the pathophysiology of various diseases along with their specific diagnostic criteria have been described in the chapter.  
Key words: Swellings, endogenous causes, exogenous causes, shotha, nija-agantuja, generalized edema, localized edema,
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Introduction:
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'''Keywords''': Swellings, endogenous causes, exogenous causes, shotha, nija-agantuja, generalized edema, localized edema
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=== Introduction ===
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In the previous chapter, diseases of vital organs like head, heart, and the urinary system, signs of dhatu kshaya (depletion of dhatu) and pidika (papules) with signs of swellings were described. This chapter deals with the etiology and symptomatology of endogenous and exogenous as well as local and generalized swellings and distensions. The name of the chapter denotes three types of swellings but later in the text, these swellings are classified into various types based upon several etiopathological factors and location. This chapter is important from the standpoint of diagnostics as it describes the main causes of all diseases that can be endogenous (innate origin) and exogenous (external agents). Some of the causative factors that can trigger non-infectious and infectious inflammations include traumatic injuries, contact with poisonous plants, animals, insect bites, animal bites, frost bite, and burns. The body’s reaction to invading micro-organisms, in terms of vitiation of dosha, can be observed and appropriate course of action can be planned.  
 
In the previous chapter, diseases of vital organs like head, heart, and the urinary system, signs of dhatu kshaya (depletion of dhatu) and pidika (papules) with signs of swellings were described. This chapter deals with the etiology and symptomatology of endogenous and exogenous as well as local and generalized swellings and distensions. The name of the chapter denotes three types of swellings but later in the text, these swellings are classified into various types based upon several etiopathological factors and location. This chapter is important from the standpoint of diagnostics as it describes the main causes of all diseases that can be endogenous (innate origin) and exogenous (external agents). Some of the causative factors that can trigger non-infectious and infectious inflammations include traumatic injuries, contact with poisonous plants, animals, insect bites, animal bites, frost bite, and burns. The body’s reaction to invading micro-organisms, in terms of vitiation of dosha, can be observed and appropriate course of action can be planned.  
 
Inflammation is an important pathology that includes tumor (swelling) as a cardinal sign. Further, classifications of shotha (swelling/distension) based on cause, predominance of dosha, and prognosis as per site of swelling are explained. Principles of identification of new diseases are also elucidated. The normal functions of dosha and their importance in disease conditions is emphasized. Thus, the chapter is fundamental in knowing disease.   
 
Inflammation is an important pathology that includes tumor (swelling) as a cardinal sign. Further, classifications of shotha (swelling/distension) based on cause, predominance of dosha, and prognosis as per site of swelling are explained. Principles of identification of new diseases are also elucidated. The normal functions of dosha and their importance in disease conditions is emphasized. Thus, the chapter is fundamental in knowing disease.   
Adhyaya (The chapter)
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===Sanskrit text, transliteration and english translation===
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अथातस्त्रिशोथीयमध्यायं व्याख्यास्यामः||१||  
 
अथातस्त्रिशोथीयमध्यायं व्याख्यास्यामः||१||  
 
इति ह स्माह भगवानात्रेयः||२||  
 
इति ह स्माह भगवानात्रेयः||२||  

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