The Sushruta Samhita — trans. Bhishagratna

2.

Metrical Texts :— The tiny herpetic eruptions (Pidaka) which resemble the seeds of white mustard in shape and size, (and are found to crop up on the male organ of generation) on account of a deranged condition of the blood and Kapham, as the result of an injudicious application of Suka plasters are called Sarshapikai by the wise. Eruptions of hard stone-like pimples, (Pidaka) irregular at their sides or edges and which are caused by the aggravation of the local Vayu by the use of a plaster of the poisonous Suka, are called Ashthilika'. The knotty Granthis (nodules) on the penis owing to its being frequently stuffed with the bristles of a Suka insect are called Grathitam. This type is caused by the deranged action of the Kapham. A black wart resembling the stone or seed of a jambolin fruit in shape is called Kumbhikai. This type is due to the deranged condition of the blood and Pittam. 3 — 5.

Chap. XIV.] NIJDANA STHANAM. 95

An Alaji (incidental to an injudicious application of Suka on the penis) exhibits symptoms, which are identical with those manifested by a case of Alaji in Prameha (Ch. vi). A wart (papilloma) attended with swelling of the part and caused by the aggravated Vayu on the hard and inflamed penis causing pressure (on the urethra) is called Mriditam. The pustule or eruption appearing on the penis on account of its being extremely pressed by the hand i^for the insertion of the hairs of the Suka) in its dorsum is called Sammudhapidaka^. (It is the outcome of the aggravated Vayu*). A large number of elongated pustules on the penis (incidental to an application of Suka to the part) which burst at the middle, causing pain and shivering, is called Avamantha (epithelioma ^ 6 — 10.

The Pushkarika type of the disease is marked by the eruptions of small pimples around the principal one The type has its origin in the deranged condition of the blood and Pittam, and is so called from the part of the excrescenses being arranged in rings or circles like the petals of a lotus flower in shape. A complete anesthesia (of the affected organ) owing to the vitiated blood by the injudicious application of a Suka is called Spars'ahaini. Pustules appearing on the penis through the vitiation of the local blood and Pittam by such constant applications are called Uttamsi. A suppuration of the prepuce under the circumstance is called Tvakapaikh. There is fever with a burning sensation in the affected organ. The disease is due to the vitiated condition of the blood and Pittam. 11-— 15.

A suppuration of the prepuce under the circumstance is called Tvakapaikh. There is fever with a burning sensation in the affected organ. The disease is due to the vitiated condition of the blood and Pittam. 11-— 15.

The type of the disease in which the penis is marked by the eruption of black vesicles and is covered over with a large number of red pimples or pustules with

According to Dallana it is due to the action of Vayu and blood.

g6 THE SUSHRUTA SAMHITA. tChap. XIV.

an excruciating pain in the ulcerated region of the organ IS called Sonitafcrvudam. The vegetation of a fleshytumour on the penis (incidental to a blow on the organ to alleviate the pain of inserting the hairs of the Suka insect into its body), is called MsinsaLrvudam. A suppuration as well as sloughing of the penis attended with different kinds of pain which severally mark the deranged Vayu, Pittam and Kapham is called Ma'nsapaHia. This type is caused by the concerted action of the deranged Vayu, Pittam and Kapham. 15-18.

The specific symptoms of a Tridoshaja Vidradhi as described before (Chap.ix.) mark the one which affects the penis (owing to an injudicious application of the highly poisonous irritant Suka to the organs) The disease is called Vidradhi. A process of general suppuration and sloughing of the organ marks the type which is produced by the application of a black Suka or one of a variegated coloured insect of the same species. The type is called Tilakailaka, and should be regarded as Tridoshaja one. 19-21.

ProgTIOSiS : — Of the above enumerated malignant diseases of the penis, those known as Mansarvuda, Mansapaka, Vidradhi and Tilakalak shoulda be deemed as incurable. 22.

Thus ends the fourteenth Chapter of the Nidana Sthanam in the Sus'ruta Samhita which treats of Nidanam of different types of S'ukadohsa.

CHAPTER XV.

Now we shall discourse on the Nidanam of Bhagf-^ na.m (fractures and dislocations etc. of bones), i

Various kinds of fracture may be caused from a variety of causes, such as by a fall, pressure, blow, violent jerking or by the bites of ferocious beasts etc. These cases may be grouped under the two main subdivisions such as. Sandhi-Muktam (dislocation) and Ka^nda-Bhagnam (fracture of a kanda). 2.

Cases of Sandhi-muktam (dislocation) may be divided into six different types, such as the Utplishtam, Visflishtanty Vivartitam, Adhak-Kshiptam, Ati-kshiptam and Tiryak-kshiptam. 3 .

General features of a dislocation :^

2.

Cases of Sandhi-muktam (dislocation) may be divided into six different types, such as the Utplishtam, Visflishtanty Vivartitam, Adhak-Kshiptam, Ati-kshiptam and Tiryak-kshiptam. 3 .

General features of a dislocation :^

Incapability of extension, flexion, movement, circumduction and rotation (immobility, considered in respect of the natural movements of the joint), of the dislocated limb, which becomes extremely painful and cannot bear the least touch. These are said to be the general symptoms of a dislocation. 4.

Diagnostic symptoms of a dislocation : — 'In case of a friction of a joint by two articular extremeties (Utplishtam) a swelling is found to appear on either side of the articulation attended with a variety of pain at night. A little swelling accompanied by a constant pain and disordered function of the dislocated joint, marks the case of simple-looseness (Vislishtam) of the articulation ; while pain and unevenness of the joint owing to the displacement of the connected bones distinguish a case of Vivartitam (lateral displacement). An excruciating pain, and looseness of the dislocatedp. 13p. 98 bone are the symptoms which characterise a case in which a dislodged bone is seen to drop or hang down from its joint (Adhah-kshiptam). In a case of abnormal projection (Ati-kshiptam), the dislocated bone is removed away from its joint which becomes extremely painful. A case of oblique dislocation (Tiryak-kshiptam) is marked by the projection or displacement of the bone on one side accompanied by a sort of intolerable pain. 5.

Different kinds of Ksinda Bhag-

nam : — Now we shall describe the Kanda-Bhagnam (fracture etc.). Fractures may be divided into twelve different kinds which are known as, Karkatakam, AsVakarnam,Churnitam,Pichchitam,Asthi-chchalitam,Kandabhagnam, Majjagatam, Atipdtitam, Vakram, Chchinnam, Pdtitam and Sphutitam. 6.

General symptoms of K^nda-bhag-