caturtho+adhyāyaḥ/
Ca.2.4.1 athātaḥ pramehanidānaṃ vyākhyāsyāmaḥ//
Ca.2.4.2 iti ha smāha bhagavānātreyaḥ//
Ca.2.4.3 tridoṣakopanimittā viṃśatiḥ pramehā bhavanti vikārāścāpare+aparisaṃkhyeyāḥ/
tatra yathā tridoṣaprakopaḥ pramehānabhinirvartayati tathā+anuvyākhyāsyāmaḥ//
Ca.2.4.4 iha khalu nidānadoṣadūṣyaviśeṣebhyo vikāravighātabhāvābhāvaprativiśeṣā bhavanti/
yadā hyete trayo nidānādiviśeṣāḥ parasparaṃ &nānubadhnantyathavā kālaprakarṣādabalīyāṃso+athavā+anubadhnanti na tadā vikārābhinirvṛttiḥ, cirādvā+apyabhinirvartante, tanavo vā bhavantyayathoktasarvaliṅgā vā; viparyaye viparītāḥ; iti sarvavikāravighātabhāvābhāvaprativiśeṣābhinirvṛttiheturbhavatyuktaḥ//
Ca.2.4.5 tatreme trayo nidānādiviśeṣāḥ śleṣmanimittānāṃ pramehāṇāmāśvabhinirvṛttikarā bhavanti; tadyathā---hāyanakayavakacīnakoddālakanaiṣadhetkaṭamukundakamahāvrīhipramodakasugandhakānāṃ navānāmativelamatipramāṇena copayogaḥ, tathā sarpiṣmatāṃ navahareśumāṣasūpyānāṃ, grāmyānūpaudakānāṃ ca māṃsānāṃ, śākatilapalalapiṣṭānnapāyasakṛśarāvilepīkṣuvikārāṇāṃ, kṣīranavamadyamandakadadhidravamadhurataruṇaprāyāṇāṃ copayogaḥ, mṛjāvyāyāmavarjanaṃ, svapnaśayanāsanaprasaṅgaḥ, yaśca kaścidvidhiranyo+api śleṣmamedomūtrasaṃjananaḥ, sa sarvo nidānaviśeṣaḥ//
Ca.2.4.6 bahudravaḥ śleṣmā doṣaviśeṣaḥ//
Ca.2.4.7 &bahvabaddhaṃ medo māṃsaṃ śarīrajakledaḥ śukraṃ śoṇitaṃ vasā majjā lasīkā rasaścaujaḥsaṃkhyāta iti dūṣyaviśeṣāḥ//
Ca.2.4.8 trayāṇāmeṣāṃ nidānādiviśeṣāṇāṃ sannipāte kṣipraṃ śleṣmā prakopamāpadyate, prāgatibhūyastvāt; sa prakupitaḥ kṣiprameva śarīre visṛptiṃ labhate, śarīraśaithilyāt; sa visarpañ śarīre medasaivādito miśrībhāvaṃ gacchati, medasaścaiva bahvabaddhatvānmedasaśca guṇaiḥ samānaguṇabhūyiṣṭhatvāt; sa medasā miśrībhavan dūṣayatyenat, vikṛtatvāt; sa vikṛto duṣṭena medasopahitaḥ śarīrakledamāṃsābhyāṃ saṃsargaṃ gacchati, kledamāṃsayoratipramāṇābhivṛddhatvāt; sa māṃse māṃsapradoṣāt pūtimāṃsapiḍakāḥ śarāvikākacchapikādyāḥ saṃjanayati, aprakṛtibhūtatvāt; śarīrakledaṃ punardūṣayan mūtratvena pariṇamayati, mūtravahānāṃ ca srotasāṃ &vaṅkṣaṇabastiprabhavāṇāṃ medaḥkledopahitāni gurūṇi mukhānyāsādya pratirudhyate; tataḥ pramehāṃsteṣāṃ sthairyamasādhyatāṃ vā janayati, prakṛtivikṛtibhūtatvāt//
Ca.2.4.9 śarīrakledastu śleṣmamedomiśraḥ praviśan mūtrāśayaṃ mūtratvamāpadyamānaḥ ślaiṣmikairebhirdaśabhirguṇairupasṛjyate vaiṣamyayuktaiḥ; tadyathā---śvetaśītamūrtapicchilācchasnigdhagurumadhurasāndraprasādamandaiḥ, tatra yena guṇenaikenānekena vā &bhūyastaramupasṛjyate tatsamākhyaṃ gauṇaṃ nāmaviśeṣaṃ prāpnoti//
Ca.2.4.10 te tu khalvime daśa pramehā nāmaviśeṣeṇa bhavanti; tadyathā---udakamehaśca, ikṣuvālikārasamehaśca, sāndramehaśca, sāndraprasādamehaśca, śuklamehaśca, śukramehaśca, śītamehaśca, sikatāmehaśca, śanairmehaśca, ālālamehaśceti//
Ca.2.4.11 te daśa pramehāḥ sādhyāḥ; samānaguṇamehaḥsthānakatvāt, kaphasya prādhānyāt, samakriyatvācca//
Ca.2.4.12 tatra ślokāḥ śleṣmapramehaviśeṣavijñānārthā bhavanti---//
Ca.2.4.23 ityete daśa pramehāḥ śleṣmaprakopanimittā vyākhyātā bhavanti//
Ca.2.4.24 uṣṇāmlalavaṇakṣārakaṭukājīrṇabhojanopasevinastathā+atitīkṣṇātapāgnisaṃtāpaśramakrodhaviṣamāhāropasevinaśca tathāvidhaśarīrasyaiva &kṣipraṃ pittaṃ prakopamāpadyate, tattu prakupitaṃ tayaivānupūrvyā pramehānimān ṣaṭ kṣiprataramabhinirvartayati//
Ca.2.4.25 teṣāmapi tu khalu pittaguṇaviśeṣeṇaiva nāmaviśeṣā bhavanti; tadyathā---kṣāramehaśca, kālamehaśca, nīlamehaśca, lohitamehaśca, māñjiṣṭhamehaśca, hāridramehaśceti//
Ca.2.4.26 te ṣaḍbhireva kṣārāmlalavaṇakaṭukavisroṣṇaiḥ pittaguṇaiḥ pūrvavadyuktā bhavanti//
Ca.2.4.27 sarva eva te yāpyāḥ, saṃsṛṣṭadoṣamedaḥsthānatvādviruddhopakramatvācceti//
Ca.2.4.28 tatra ślokāḥ pittapramehaviśeṣavijñānārthā bhavanti---//
Ca.2.4.35 ityete ṣaṭ pramehāḥ pittaprakopanimittā vyākhyātā bhavanti//
Ca.2.4.36 kaṣāyakaṭutiktarūkṣalaghuśītavyavāyavyāyāmavamanavirecanāsthāpanaśirovirecanātiyogasaṃdhāraṇānaśanābhighātātapodvegaśokaśoṇitātiṣekajāgaraṇaviṣamaśarīranyāsānupasevamānasya tathāvidhaśarīrasyaiva kṣipraṃ vātaḥ prakopamāpadyate//
Ca.2.4.37 sa prakupitastathāvidhe śarīre visarpan yadā vasāmādāya mūtravahāni srotāṃsi pratipadyate tadā vasāmehamabhinirvartayati; yadā punarmajjānaṃ mūtrabastāvākarṣati tadā majjamehamabhinirvartayati; yadā tu lasīkāṃ mūtrāśaye+abhivahanmūtramanubandhaṃ cyotayati lasīkātibagutvādvikṣepaṇācca vāyoḥ &khalvasyātimūtrapravṛttisaṅgaṃ karoti, tadā sa matta iva gajaḥ kṣaratyajasraṃ mūtramavegaṃ, taṃ hastimehinamācakṣate; aujaḥ punarmadhurasvabhāvaṃ, tad yadā raukṣyādvāyuḥ kaṣāyatvenābhisaṃsṛjya mūtrāśaye+abhivahati tadā madhumehaṃ karoti//
Ca.2.4.38 imāṃścaturaḥ pramehān vātajānasādhyānācakṣate bhiṣajaḥ, mahātyayikatvādviruddhopakramatvācceti//
Ca.2.4.39 teṣāmapi pūrvavadguṇaviśeṣeṇa nāmaviśeṣā bhavanti; tadyathā---vasāmehaśca, majjamehaśca, hastimehaśca, madhumehaśceti//
Ca.2.4.40 tatra ślokā vātapramehaviśeṣavijñānārthā bhavanti---//
Ca.2.4.45 ityete catvāraḥ pramehā vātaprakopanimittā vyākhyātā bhavanti//
Ca.2.4.46 evaṃ tridoṣaprakopanimittā viṃśatiḥ pramehā vyākhyātā bhavanti//
Ca.2.4.47 trayastu khalu doṣāḥ prakupitāḥ pramehānabhinirvartayiṣyanta imāni pūrvarūpāṇi darśayanti; tadyathā---jaṭilībhāvaṃ keśeṣu, mādhuryamāsyasya, karapādayoḥ suptatādāhau, mukhatālukaṇṭhaśoṣaṃ, pipāsām, ālasyaṃ, malaṃ kāye, kāyacchidreṣūpadehaṃ, paridāhaṃ suptatāṃ cāṅgeṣu, ṣaṭpadapipīlikābhiśca śarīramūtrābhisaraṇaṃ, mūtre ca mūtradoṣān, visraṃ śarīragandhaṃ, nidrāṃ, tandrā ca sarvakālamiti//
Ca.2.4.48 upadravāstu khalu pramehiṇāṃ tṛṣṇātīsārajvaradāhadaurbalyārocakāvipākāḥ pūtimāṃsapiḍakālajīvidradhyādayaśca tatprasaṅgādbhavanti//
Ca.2.4.49 tatra sādhyān pramehān saṃśodhanopaśamanairyathārhamupapādayaṃścikitsediti//
Ca.2.4.50 bhavanti cātra--- gṛdhnumabhyavahāryeṣu snānacaṅkramaṇadviṣam/
pramehaḥ kṣipramabhyeti nīḍadrumamivāṇḍajaḥ//
Ca.2.4.51 mandotsāhamatisthūlamatisnigdhaṃ mahāśanam/
mṛtyuḥ prameharūpeṇa kṣipramādāya gacchati//
Ca.2.4.52 yastvāhāraṃ śarīrasya dhātusāmyakaraṃ naraḥ/
sevate vividhāścānyāśceṣṭāḥ sa sukhamaśnute//
Ca.2.4.53 tatra ślokāḥ---