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

Kachchapika :— A group of five or six hard, elevated, nodular eruptions (Granthis), arranged in the shape of a tortoise (which may appear on the surface of any part of the body), are called Kachchapikd. They are due to the action of the deranged Kapham and Vdyu. Valmika : — The knotty undurated eruptions (Granthis) which gradually appear on the soles, palms, joints, neck and on the regions above clavicles and resemble an ant-hill in shape, slowly gaining in size are called Valmika Ulcers attended with pricking pain, burning, itching sensations and exuding mucopurulent discharges appear around the aforesaid eruptions (Granthis). The disease is due to the action of the deranged Kapham, Pittam and Vaiyu. 7 — 8.

I ndravr idd h2t :— Pimples or eruptions ^Pidaka) arising (on the surface of the body), arranged in the same circular array as marks the distribution of the seed (sacks) in a lotus flower are called Indravriddhai by the physicians. The disease is caused by the action of the deranged Vdyu and Pittam. Panasika :— Eruptions (Pidaka) of a sort of extremely painful pustules all over the back or the ears which resemble the

Chap. XIII.] NIDANA STHANAM. 8^

Kumuda bulb in shape, are called Panasika. They are due to the action of the deranged Kapham and Vayu. Pashana-Garddabha :— A slightly painful and non-shifting hard swelling, which appears on the joint of the jawbones, (Hanu-sandhi; is called PashanaGarddabha. The disease is the effect of the deranged Kapham and Vayu. Jala-Garddabha : — A thin and superficial swelling, which like erysipelas is of a shifting or progressive character and is further attended with fever and a burning sensation and which is but rarely found to suppurate, is called Jala-Garddabha.* The disease results from the deranged Pittam. Kaksha ■ — The disease characterised by the eruptions of black and painful vesicles ;^ShphotaJ on the back, sides, and on the region about the arm-pits, is called Kakshd. The disease is likewise attributed to the action of the aggravated Pittam. Vishphotaka — The disease in which eruptions of burnlike vesicles (Shphota) crop up on the whole surface of the body, or on that of any particular locality, attended with fever, is called Vishphotaka. The disease is the effect of vitiated blood and Pittam. 9 — 14.

Agni-Rohinif ;— Vesicles (Shphota) having the appearance of burns and cropping up about the waist

* The circular raised spots studded with vesicles are called Garddabha. They are reddish and painful and produced by ihe action of Vayu and Piitaui. Gayadasa reads it so.

+ Dallana quotes from another Tantram that the morbific principles in men, aggravated through the action of the enraged and augmented Pittam and blood, give rise to vesicles (blisters) like red-hot charcoal by breaking open the flesh at the waibt, attended with extreme pain, high fever and an insufferable burning sensation which, if not properly remedied, bring on diath within a fortnight, or ten days of their first appearance. These (vesicles) are called Vahni- Rohini. And again from another work he cites that a case oiVahni ■ Kohini due to the action of the deranged88 THE SUSHRUTA SAMHITA. [Chap. XIII.

(KakshA) by bursting the local flesh, and which is attended with fever and a sensation as if a blazing fire is burning in the inside (of the affected part), are called Agni-Rohini. The disease is caused by the concerted action of the three deranged Doshas .;Vdyu, Pittam and Kapham). It is incurable and ends in the death of the patient either on the seventh*, tenth or fifteenth day (of its first appearance . 15.