An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)
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The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.
Raktaja— Arvuda :— The deranged Doshas (Vayu, Pittam and Kaphamo contracting, compressing
They resemble spawns of fish in shape and size and are due (o the action of the deranged Vayu, Pittam and Kapham. The appearance ol such glands in the upper part of the body should be ailribuied lo the action of the deranged and aggravated \^ayu. They are ixtrenicly hard lo cuie in as much as their growth (foruiation) involves the concmed aciion of the morbific principles (Doshas) of the body. — BhojaCharaka, who designates this disease as Gandamala, describes its location in regions about the jawbones alone,
* That they having recourse to the flesh, produce deep-s(attd vegetations (of flesh) is the reading adopted by Gayadasa and others.
76 THK SUSflRUTA SAMIIITA. [Chap. XI.
and drawing the vessels (^Sira) and blood (of the affected part^, raise a slightly suppurated and exuding tumour which is covered with small warts and fleshy tubercles and is called a Raktarvuda. This tumour is rapid in its growth and exudes a constant flow of (vitiated) blood. The complexion of the patient owing to depletive actions and other concomitant evils of haemorrhage becomes pale and yellow. The type should be considered incurable on account of its having its origin in the blood.* 12 — 13.
IVIanS^rvuda : — The flesh of any part of the body hurt by an external blow etc. (hurting it with a log of wood — DR.) and vitiated in consequence, gives rise to a sort of swelling (tumour) which is called Mdnsarvuda, which originates through the action of the deranged Vayu. It is glossy, painless, non-suppurating, hard as a stone, immobile, and of the same colour as the surrounding skin. Such a tumour appearing in a person addicted to meat diet becomes deep seated owing to the consequent vitiation of the bodily flesh and soon lapses into one of an incurable type. 14.
ProgTIOSiS : — Even of the aforesaid curable types (such as the Vataja, ctc.^ the following types of Arvudam (tumours) should be likewise regarded as incurable, those which appear in the cavity of a Srota channel or an artery , or any vulnerable joint of the body and are characterised by any sort of secretion and also immovable, should be deemed incurable. An ir\rvudam (tumour) cropping up on one existing from before is
* Although all types of Arvuda have their origin in the deranged flesh and blood, i)reponderant action of the deranged blood is ^'ound in Raktdarvuda, while a dominant action of the deranged flesh marks the Mdnsdrvuda type.
Chap. XI. NIDANA STHANAM. TJ
called Adhyarvudam, which should be likewise deemed as incurable. A couple of contiguous Arvudam (^tumours) cropping up simultaneously or one after another is called Dviarvudam, which should be held as equally incurable i^with one of the foregoing types). An Arvuda (^tumour) of whatsoever type, never suppurates owing to the exuberance of the deranged Kapham and fat as well as in consequence of the immobility, condensation and compactness of the deranged Doshas (Vayu, Pittam and Kapham involved in the case, or out of a specific trait of its own nature. 15-16.
Definition of Calaganda (Goitre;: -The
deranged and aggravated Va}'u in combination with the deranged and augmented Kapham and fat of the locality affects the two tendons of tne neck (Manyas) and gradually gives rise to a swelling about that part of the neck characterised by the specific symptoms of the deranged Doshas (Vayu or Kapham) and principles involved in the case. The swelling is called Galganda (Goitre). 17.
Symptoms of the Dosha-origined
Types : — The swelling or tumour in the Vataja goitre is characterised by a pricking pain (in its inside) marked by the appearance of blue or dark coloured veins S'ird) on its surface. It assumes a \crmilion or tawny brown hue. The goitre becomes united with the local fat in course of time, and gains in size, giving rise to a sense of burning in the throat, or is characterised by the absence of any pain at all. A Vataja goitre is rough to the touch, slow in its growth, and never or but rarely suppurates. A sense of dryness in the throat and the palate as well as a bad taste in the mouth likewise marks this type. The swelling in the Kaphaja Type assumes a large shape and becomes hard, firm, cold
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