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Aį¹…guttara Nikāya 5.123 Numbered Discourses 5.123

13. Gilānavagga 13. Sick

Paṭhamaupaṭṭhākasutta A Carer (1st)

ā€œPaƱcahi, bhikkhave, dhammehi samannāgato gilāno dÅ«paį¹­į¹­hāko hoti. ā€œMendicants, a patient with five qualities is hard to care for.

Katamehi paƱcahi? What five?

AsappāyakārÄ« hoti, sappāye mattaṁ na jānāti, bhesajjaṁ nappaį¹­isevitā hoti, atthakāmassa gilānupaį¹­į¹­hākassa na yathābhÅ«taṁ ābādhaṁ āvikattā hoti abhikkamantaṁ vā abhikkamatÄ«ti paį¹­ikkamantaṁ vā paį¹­ikkamatÄ«ti į¹­hitaṁ vā į¹­hitoti, uppannānaṁ sārÄ«rikānaṁ vedanānaṁ dukkhānaṁ tibbānaṁ kharānaṁ kaį¹­ukānaṁ asātānaṁ amanāpānaṁ pāṇaharānaṁ anadhivāsakajātiko hoti. They do what is unsuitable. They don’t know moderation in what is suitable. They don’t take their medicine. Though their carer wants what’s best for them, they don’t accurately report their symptoms by saying when they’re getting worse, getting better, or staying the same. And they cannot endure physical pain—sharp, severe, acute, unpleasant, disagreeable, and life-threatening.

Imehi kho, bhikkhave, pañcahi dhammehi samannāgato gilāno dūpaṭṭhāko hoti. A patient with these five qualities is hard to care for.

Pañcahi, bhikkhave, dhammehi samannāgato gilāno sūpaṭṭhāko hoti. A patient with five qualities is easy to care for.

Katamehi paƱcahi? What five?

SappāyakārÄ« hoti, sappāye mattaṁ jānāti, bhesajjaṁ paį¹­isevitā hoti, atthakāmassa gilānupaį¹­į¹­hākassa yathābhÅ«taṁ ābādhaṁ āvikattā hoti abhikkamantaṁ vā abhikkamatÄ«ti paį¹­ikkamantaṁ vā paį¹­ikkamatÄ«ti į¹­hitaṁ vā į¹­hitoti, uppannānaṁ sārÄ«rikānaṁ vedanānaṁ dukkhānaṁ tibbānaṁ kharānaṁ kaį¹­ukānaṁ asātānaṁ amanāpānaṁ pāṇaharānaṁ adhivāsakajātiko hoti. They do what is suitable. They know moderation in what is suitable. They take their medicine. Because their carer wants what’s best for them, they accurately report their symptoms by saying when they’re getting worse, getting better, or staying the same. And they can endure physical pain—sharp, severe, acute, unpleasant, disagreeable, and life-threatening.

Imehi kho, bhikkhave, paƱcahi dhammehi samannāgato gilāno sÅ«paį¹­į¹­hāko hotÄ«ā€ti. A patient with these five qualities is easy to care for.ā€

Tatiyaṁ.
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