An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)

non-relish for food, indigestion, expectoration of mucous, vomiting, excessive sleep, cough and laboured breathing (Svasa) are the supervening traits (Upadrava) of the Kapbaja Prameha. A piercing pain in the testes, a pricking (vcda) pain in the bladder, a shooting pain (Tuda) in the penis, a griping pain at the heart, acid eructations, fever, dysentery, a non-relish for food, vomiting, a sensation as if the entire body is emitting fumes, a burning sensation in the skin, thirst, epileptic fits, insomnia, jaundice (Pandu) and a )ellow colour of the stool and urine arc the supervening symptoms which mark the Pittaja types of Prameha. An oppressive feeling at the heart (Hridgraha), eager longings for foods of all tastes, insomnia, numbness of the body, fits of shivering, colic pain and constipation of the bowels are the supervening symptoms, which specifically mark the Vataja types. Thus we have described the nature of the twenty different types of Meha with their supervening evils as well. 13-16.

The ten different types of Pidaka (abscess, carbuncles, pimples, pustules etc.) arc found to crop up on the bodies of patients, suffering from Prameha, and abounding in fat and Vasa, and whose fundamental principles have been affected b\- the simultaneous derangement of the Vayu, Pittam and Kapham. They are named as Siravika, Sarshapika, Kachchapika, Jalini, Vinata, Putrini, Masurika, Alaji, Vidarikal and Vidradhika i/- lYletrical Texts :— An abscess which is raised at the margin and dipped in its centre, so as to resemble an Indian saucer in its shape is called Saravika. Pimples or pustules of the shape and size of white mustard seeds are called Sarshapika'. An abscess, resembling (the back of) a tortoise in shape and attended with a burning sensation, is called Kachchapika by the wise.

48 THE SDSHRUTA SAMHITA. [Chap. VI.

An abscess studded with slender vegetations of flesh and attended with an intolerable burning sensation is called Js^liiii. A large blue-coloured abscess (carbuncle) appearing on the back or the abdomen, and exuding a slimy secretion and attended with a deep-seated pain is called Vinata A thin and extensive abscess (studded withslender pustules — D.R.) is called Putrini. Pimples to the size of lentil seeds are called Masurika. A dreadful abscess which is of a red and white colour, studded over with blisters or exuding vesicles is called Alaji. A hard and round abscess as large as a (full-grown) gourd is called Vidsirika'. An abscess of the Vidradhi type is called Vidradhika (carbuncle) b)' the wise. An incidental abscess in a case of Prameha should be regarded as having its origin in the same morbific principle (Dosha) as that which has produced the disease (Prameha) 18-28.

Prognosis : — A Pidaka,or an abscess, appearing about the region of the heart, anus, head, shoulder, back or at any of the vital joints (Marma) of the body, and attended with other supervening symptoms producing extrom:; prostration [impaired digestion — D. R.] in the patient should be abandoned as incurable. In a case of Vataja mcha, the deranged Vayu presses all the fundamental principles out of the body through the urethra and rages rampant in the lower part of the body, united with the deranged fat, marrow and Vasa. llcncc a case of Vataja mcha, (or its accompanying abscess), is held as incurable. 29-30.

A person in whom the premonitory symptoms (Purvarupam of Prameha) have appeared and who passes a little larger quantity of urine than usual, should be considered as already afflicted with it. A person afflicted with all or half of the premonitory symptoms of the disease and passing a copious quantity of urine

Chap- VI. NIDANA STHANAM.

p. 49

should be considered as one suffering from an attack of Prameha. 31 — 32.

A Prameha patient afflicted with deep-seated abscesses and other distressing symptoms, which are usually found to supervene in the disease, should be pronounced as suffering from Madhumeha and adjudged incurable. A Madhumeha patient seeks a halting place while walking, wants a place to sit on while halting, lies down if he finds a sitting place, and sleeps if he lies down. ^^ — 34.