Charaka-Samhita — trans. Kaviraj Avinash Chandra Kaviratna
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The translator’s English as printed (Avinash Chandra Kaviratna). The original-language text is not held; names are romanised as the translator printed them.
From this state of things, six, or one and ten, ailments spring. It is in consequence of the combination of these six, or of these one and ten, that phthisis is said to develop. 42
The one and ten ailments of a person afflicted with phthisis are 1. cough, 2. pains in the shoulders, 3. hoarseness of voice, 4. fever, 5. pains in the flanks, 6. headache, 7. vomiting of blood, 8-. ejectment of phlegm, 9. asthma, 10. loose motions, and 11. disgust for food.
Or, the six aliments of such a person are 1. cough, 2, fever, 3. pains in the flanks, 4. disease of the voice, 5. disease in respect of stools, and 6. disgust for food.* 43-44
One whose flesh and strength are wasted should not be taken up for treatment if he happens to be afflicted with all these symptoms or with only half their number, or with only three of them.
If, however, it is otherwise (that is, if there has been no loss of flesh and strength), one’s treatment should be taken up even if one happens to manifest all the symptoms. 45
The phlegm, or the blood, or the bile, that lies at the root of the organ of smell, proceeds towards the wind filling the head.f
From this is born the disease called ‘Pratigyaya’ which is dreadful and which wastes the body.
Its symptoms are headache, heaviness (of the head, or of the whole body), filling of the nose with impurities, fever, cough, vomiting of phlegm, hoarseness of voice, disgust for food, langour, and weak¬ ness of ail the organs of sense. Combined together, these produce the disease called phthisis. 46-4S
The person afflicted with phthisis, while coughing, spits out foodjuice that is slimy, copious in measure, endued with the smell of raw meat, green in colour, or white, or yellow, and mixed with phlegm.J 49 t The original is 'the wind of the head which has been filled with the wind’.— T. t What is stated here is this : the food one takes is first converted into ‘Rasa’ (foodjuice). Unable to pass into those ducts where it is capable of conversion into blood, owing
* ‘Swara-gada’ and ‘Varcha-gada’ are diseases in respect of voice and in respect of stools, i. hoarseness of voice and loose or watery motions. — T.
Cf-IA RA KA-SAMHITA .
p. 1541
Pain in the shoulders and sides, burning of the soles and palms* and fever extending over the whole body, together constitute the indication of one that is afflicted with phthisis. 5°
Through excitement of wind, of bile, of phlegm, and of blood, through the urging of cough, and through inflammation of the Schnei¬ derian membrane, hoarseness of voice sets in.
Through excitement of the wind, the voice becomes dry, weak,- and trembling.
Through excitement of the bile, the palate and the throat become dry, and hence the patient feels an aversion to speech.
Through excitement of phlegm, the voice becomes dull and obstructed, and resembles the cooing of the pigeon. 51-52
From obstruction of blood, the voice is speedily affected. It comes out with difficulty.
From the excessive urging of cough, the voice becomes plaintive.
From the inflammation of the Schneiderian membrane, the voice assumes those characteristics which arise from excited phlegm as also excited wind. S3
Of a person who is afflicted with phthisis, the pains in the sides become variable. Somerimes the sides become contracted, and some¬ times they become expanded.
The headache which he gets is severe and is accompanied by a sense of the head having become exceedingly heavy. 54
. If, of a person afflicted with phthisis, the body becomes exceed¬ ingly lean (or wasted) through inharmonious food and drink, then blood comes out of his throat, or phlegm which has been accumulated and which, separated from the lungs, has a tendency to come out. 55
In consequence of its passages being obstructed, the blood does not reach the flesh and other ingredients of the body (which are fed or nourished by it).
Or, remaining in the ‘amS£aya’ and separated therefrom, it comes to the throat, in consequence of its copious measure. 56
In consequence of the obstruction of wind and phlegm, one that is afflicted with phthisis breathes hard from the lungs.
to those ducts being obstructed, that ‘Rasa’ becomes slimy, &c.j and the person afflicted with’ phthisis spits it out along with phlegm. — T.
p. 1242
CHAR A KA - SAM HIT A.
The digestive fire being affected by the faults (wind, bile, and phlegm), the person afflicted with phthisis passes liquid stools mixed with mucus. 57
In consequence of all or some of the faults being located in the tongue or the chest, or of food and drink, or of mental objects awakening repugnance, disgust for food is generated in the person afflicted with phthisis.* 5§
According as the taste in the mouth is astringent, or bitter, or sweet, the physician should know that the disgust for food has been caused by (?xcitecF) wind, or bile, or phlegm respectively.
As regards disgust for food that arises from mental causes, that also should be learnt from a survey of the faults, j- 59
The vomiting that proceeds from disgust for food and drink, or from the urging of cough, or from the tendency for expulsion of the faults, or from fear, is a supervening symptom of other diseases (than phthisis). 60
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