The Sushruta Samhita — trans. Bhishagratna

The disease is the effect of vitiated blood and Pittam. 9 — 14.

Agni-Rohinif ;— Vesicles (Shphota) having the appearance of burns and cropping up about the waist

* The circular raised spots studded with vesicles are called Garddabhil. They are reddish and painful and produced by the action of Vayu and Pittam. Gayadasa reads it so.

t Dallana quotes from another Tantram that the morbific principles in men, aggravated through the action of the enraged and augmented Pittam and blood, give rise to vesicles (blisters) like red-hot charcoal by breaking open the flesh at the waist, attended with txtreme pain, high fever and an insufferable: burning sensation which,if not properly remedied, bring on dtath wiihin a fortnight, or ten days of their first appearance. These (vesicles) are called Vahni- Rohini. And again from another work he cites that a case of Vahm-Rohini due to the aciipn of the deranged

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(Kakshd) by bursting the local flesh, and which is attended with fever and a sensation as if a blazing fire is burning in the inside (of the affected part), are called Agni-Rohini. The disease is caused by the concerted action of the three deranged Doshas (Vayu, Pittam and Kapham). It is incurable and ends in the death of the patient either on the seventh*, tenth or fifteenth day (of its first appearance). 15.

Chippam : — The deranged Vdyu and Pittam vitiating the flesh of the finger-nails, give rise to a disease which is characterised by pain, burning and suppuration. The disease called Chippam, is also denominated Upanakha and Kshataroga. Kunakham : — The nails of fingers becoming rough, dry, black, and injured through the action of the Doshas enraged through the effect of a blow, are called Kunakha (bad nails). It is also called Kulinam. Anusayi : — A small swelling (on the surface of the body) which is of the same colour (as the surrounding skin), but is deep-seated, and suppurates in its deeper strata, is called Anusayi by the physicians. The disease is the effect of the deranged Kapham. Vida(rika( :— A round reddish swelling rising either on the auxiliary or inguinal regions in the shape of a gourd ( Viddrikandd) is known as Viddrika. The disease is due to the concerted action of the deranged Vayu, Pittam and Kapham and is characterised by symptoms peculiar to each of them. 16—19,

Kapham proves fatal within » fortnight, that due to the deranged Pittam, within ten days, and that due to the deranged Vayu, within a week.

16—19,

Kapham proves fatal within » fortnight, that due to the deranged Pittam, within ten days, and that due to the deranged Vayu, within a week.

* The patient dies on the seventh day in a case of disease marked by the dominant Vayu, on the tenth day in a case marked by the dominant Pittam and on the fifteenth day in a case of dominant deranged Kapham.

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^arkararbudam :— The deranged Vayu and Kapham having recourse to and affecting the flesh, veins (S'ira), ligaments (Snayu) and fat give rise to a sort of cyst (Granthi) which when it bursts exudes a copious secretion in its nature somewhat like honey, clarified butter or Vasa. The aforesaid V^yu, when aggravated through excessive secretion, dries and gathers the flesh up again in the shape of (a large number of) gravel-like concretions (Sarkara) known accordingly as Sarkardrbudam. A fetid secretion of varied colour is secreted from the veins (Sira) in these Granthis which are sometimes found to bleed suddenly. The three varieties of the skin disease called Psbinat (Eczema), Vicharchikai (Psoriasis) and Rakasat have already been discussed under the head of Kushtham (Chapter. V.). 20-21.

Padadarika :— The soles and feet of a person of extremely pedestrian habits become dry (and lose their natural serous moisture). The local Vayu thus aggravated gives rise to peculiar painful cracks (Dari in the affected parts) which are called Padadarika. Kadara : — The knotty (Granthi), a painful, hard growth raised at the middle or sunk at the sides, which exudes a secretion and resembles an Indian plum (Kola— in shape), and appearing at the soles (palms according to — Bhoja) of a person as an outcome of the vitiated condition of the local blood and fat produced by the deranged Doshas incidental to the pricking of a thorn etc. or of gravel is called a Kadara (corns). Alasa : — An affection, caused by contact of poisonous mire and appearing between the toes, which is characterised by pains, burningj« itching and exudation, is called Alasa. 22 — 25.

Indralupta:--The deranged Vayu and Pittam having recourse to the roots of the hairs bring about their

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^O THE SUSHRUtA SAMHITA. [Chap. XIll.

22 — 25.

Indralupta:--The deranged Vayu and Pittam having recourse to the roots of the hairs bring about their

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^O THE SUSHRUtA SAMHITA. [Chap. XIll.

gradual falling off, while the deranged blood and Kapham of the locality fill up those pores or holes, thus barring their fresh growth and recrudescence. The disease is called Indralupta,* Rujya or Khailitya (Alopecia). Dairunaka: — The disease in which the hairy parts of the body (roots of hairs) become hard, dry and characterised by an itching sensation is called Darunaka. The disease is due to the action of the deranged Kapham and Vdyu. Arunshikat : — Ulcers (A runshi) attended with mucopurulent discharges and furnished with a number of mouths or outlets and appearing on the scalps of men as the result of the action of local parasites and of the deranged blood and Kapham (of the locality) are called Arunshika. Palitam : — The heat and Pittam of the body having recourse to the region of the head owing to overwork, fatigue, and excessive grief or anger, tend to make the hair prematurely grey, and such silvering of the hair (before the natural period of senile decay) is called Palitam. Masuriksi (variola) : — The yellow or copper-coloured pustules or eruptions attended with pain, fever and burning and appearing all over the body, on (the skin of) the face and inside the cavity of the mouth, are called Masurikd. Yauvana-pidakat— (Mukhadushikai) :~The pimples like the thorns of a Salmali tree, which arefound on the face of young men through the deranged condition of the blood, Vdyu and Kapham, are called Yauvanapidaki or pimples of youth. Padmini-Kantaka : — The circular, greyish patches or rash-like eruptions

* Women are generally proof against this disease owing to their delicate constitution and to their being subjected to the monthly discharge of vitiated blood and at the same time to their undergoing no physical exercise, and hence there is little chance of the bodily Pittam being deranged and bringing on this disease.

Chap. XIII.] NIDANA STHANAM. 9I

Studded over with thorny papilla of the skin resembling the thorns on the stem of the lotus marked by itching are called Padmini-kantaka. The disease is due to the deranged condition of the Vdyu and Kapham. Yatumani (mole) : — The reddish, glossy, circular, and painless, congenital marks (Sahajam) or moles on the body not more elevated (than the surrounding skin) are called Yatumani. The disease is due to the deranged condition of the blood and Pittam. 26—33.