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

^lipadam (Elephantiasis) :- The disease in which the deranged Vayu, Pittam and Kapham, taking a downward course, are lodged in the thighs, knee-joints, legs and the inguinal regions and spread to the feet in course of time and gradually give rise to a swelling therein, is called Slipadam. There are three types of Slipada severally due to the actions of the deranged Vayu, Pittam and Kapham. 14— 15.

The symptoms of the different

Types: — The swollen parts assume a black colour in the Vataja type and are felt rough and uneven to the touch. A sort of spasmodic pain without any apparent reason is felt (at intervals in the seat of the disease), which largely begins to crack or burst. The Pittaja type is characterised by a little softness and yellowish hue (of the diseased localities) and often attended with fever, and a burning sensation. In the Kaphaja type the affected localities become white, glossy, slightly painful, heavy, contain large nodules (Granthis) and are studded over with crops of papillae. 16.

Prognosis : — A case of elephantiasis of a year's growth as well as the one which is characterised by excessive swelling (of the affected parts), exudation and vegetation of knotty excrescences resembling the summits of an ant-hill should be given up as incurable. 17.

Memorable Verses :— A preponderance of the deranged Kapham marks the three types of the disease, in as much as, the heaviness and largeness (of the swelling) can not be brought about by any other factor than Kapham. The disease is peculiar to countries

84 THE SUSHRUTA SAMHITA. tChap. XII.

in which large quantities of old rain-water remain stagnant during the greater part (lit.- all seasons) of the year making them damp and humid in all seasons. 18-91

The disease is usually found to be confined to the legs and hands of men but cases are on record in which it has extended to the ear, nose, lips and the regions of the eyes. (Penis — Madhaba-Nidjinam). 20.

Thus ends ihe twelfth Chapter of the Nidanastbanam in the Sus'ruta Samhila which treats of the Nidanam of scrotal tumours, hernia, Upadans'am and elephansiasis.

CHAPTER XIII.

Now we shall discourse on the Nidanam of Kshudrarogam (diseases which are known by the general name of minor ailments), i.

These diseases are generally divided into fortyfour distinct varieties or types such as ; — Ajagallika, Yavaprakshya, Andhdlaji, Vivrita, Kachchapika, Valmika, Indravriddha, Panasiki, Pashana-garddabha, Jala-garddabha, Kaksha, Vishphota, Agni-rohini, Chippam. Kunakha, Anus'aye, Vidarika, SarkaraArbudam, Pamd,, Vicharchika. Rakasa, Pd,dadarika, Kadara, Alasa, Indralupta, Darunaka, Arunshika, Palitam, Mas'urika, Yauvana-pidaka, Padmini-kantaka, Yatumani, Mas'aka, Charmakila,Tilakalaka, Nyachchya, Vyanga, Parivartika, Avapatika, Niruddha-prakas'a, Niruddha-guda, Ahiputanam, Vrishana-kachchu, and Guda-bhrans'a * 2,

Metrical Texts : -The species of pimples or eruptions which are shaped like the Mudga pulse and are glossy, knotty and painless is called Ajagallikai. They are of the same colour (as the surrounding skin) and their origin is usually ascribed to the action of the deranged Kapham and Vayu. The disease is peculiar to infants,-]- Yatvaiprakshya^ : — The eruptions

* Brahmadeva comprising Garddavika, h-vfUika, GandhapidikA and Tilakdlaka in the list reads it as consisting of thirty-four different species. Jejjata does not hold the four forms of disease commencing wiih Garddavika, etc. as included within the list. Gayadasa, finding them included in all the recensions reads 6'arfWo3A/-fa', etc. as included within the list of Kshudra Roga, and Pama etc. as included within the list of Kshudra Kushtham.

t They afflict certain infants — Dallana.

p. 86

which arc shaped like the barley-corns, extremely hard, thick at the middle, knotty and affect (lit — confined to) the flesh are called Yavaprakshya. They are due to the action of the deranged Vayu and Kapham. Andhjilaji : — The dense, raised, slender-topped eruptions which appear in circular patches and exude a slight pus are called Andhdlaji. They are due to the action of the deranged Vdyu and Kapham. Vivritai: — Pustules or eruptions, which are coloured like a ripe fig. fruit and are flat-topped and appear in circular patches with an intolerable burning sensation, are called Vivrita They are due to the action of the deranged Pittam. 3 6.