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

tion. This dreadful disease is known as Niruddhagudam (stricture of the rectum) which is extremely difficult to cure. Ahiputana . — A sort of itch-like eruptions appearing about the anus of a child owing to a deposit of urine, perspiration, feces etc consequent on the neglect in cleansing that part. The eruptions which are the effects of the deranged blood and Kapham soon assume an Eczematous character and exude a purulent discharge on account of constant scratching. The Eczema (Vranaj soon spreads, and coalesces and proves very obstinate in the end. The disease is called Ahiputana. Vrishana-kachchu : — When the filthy matter, deposited in the scrotal integuments of a person who is negligent in washing the parts or in the habit of taking daily ablutions, is moistend by the local perspiration, it gives rise to an itching sensation in the skin of the scrotum, which is speedily turned into running Eczema by constant scratching of the parts. The disease is called Vrishana-kachchu and is due to the aggravated condition of the Kapham and blood. Guda-Bhransa : — A prolapse or falling out of the anus (due to the Vayu) in a weak and lean patient through straining, urging or flow of stool as in dysentery is called Guda-Bhrans'a or prolapsus ani. 42 — 45.

Thus ends the thirteenth Chapter of the Nidana Sthanam in the Sus'ruta Samhita which treats of the Nidanani of minor ailments.

CHAPTER XIV.

Now we shall discourse on the Nidanam of the disease known as SukadOSha. i.

Any of the eighteen different types of the disease may affect the genital (penis) of a man who foolishly resorts to the practice of getting it abnormally elongated and swollen by plastering it with Suka (a kind of irritating water insect) and not in the usual officinal way.

Classification : — Diseases, which result from such malpractices, are knonwn as, — Sarshapika, AshthiHka, Grathitam, Kumbhika, Alaji, Mriditam, Sammudhapidaka, Avamantha, Pushkarika, Spars'ahani, Uttam^, Satoponaka, Tvakapaka, Sonitarvudam, Mansarvudam, Mdnsapaka. Vidradhi and Tilakalak. 2.

IVIetrical Texts :— The tiny herpetic eruptions (Pidaka) which resemble the seeds of white mustard in shape and size, (and are found to crop up on the male organ of generation) on account of a deranged condition of the blood and Kapham, as the result of an injudicious application of Suka plasters are called Sarshapika by the wise. Eruptions of hard stone-like pimples, (Pidaka) irregular at their sides or edges and which are caused by the aggravation of the local Vayu by the use of a plaster of the poisonous Suka, are called Ashthilika. The knotty Granthis (nodules) on the penis owing to its being frequently stuffed with the bristles of a Suka insect are called Grathitam. This type is caused by the deranged action of the Kapham, A black wart resembling the stone or seed of a jambolin fruit in shape is called Kumbhika(. This type is due to the deranged condition of the blood and Pittam. 3 — 5.

Chap. XIV.] KIDANA STHANAM. 95

An Alaji (incidental to an injudicious application of Suka on the penis) exhibits symptoms, which are identical with those manifested by a case of Alaji in Prameha (Ch. vi). A wart (papilloma) attended with swelling of the part and caused by the aggravated Vayu on the hard and inflamed penis causing pressure (on the urethra) is called Mriditam. The pustule or eruption appearing on the penis on account of its being extremely pressed by the hand i^for the insertion of the hairs of the Suka) in its dorsum is called Sammudhapidaka. (^It is the outcome of the aggravated Vayu*). A large number of elongated pustules on the penis (incidental to an application of Suka to the partj which burst at the middle, causing pain and shivering, is called Avamantha (epithelioma*. 6 — lo.

The Pushkarika type of the disease is marked by the eruptions of small pimples around the principal one The type has its origin in the deranged condition of the blood and Pittam, and is so called from the part of the excrescenses being arranged in rings or circles like the petals of a lotus flower in shape. A complete anesthesia (of the affected organ) owing to the vitiated blood by the injudicious application of a Suka is called Spars'ahaklli- Pustules appearing on the penis through the vitiation of the local blood and Pittam by such constant applications are called Uttama. A suppuration of the prepuce under the circumstance is called Tvakapakh. There is fever with a burning sensation in the affected organ. The disease is due to the vitiated condition of the blood and Pittam. ii — 15.

The type of the disease in which the penis is marked by the eruption of black vesicles and is covered over with a large number of red pimples or pustules with