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.
palate^ is called M^nsa-kachchhapa. The disease is slow in its growth or development and is due to the deranged Kapham. Arvuda : — A swelling shaped like the petal of the lotus lih' and appearing in the region of the soft palate as an outcome of the aggravated condition of the local blood is called Arvudam. The swelling is identical with the Raktarvuda described before. Macsa-Sangliata :~ A vegetation of morbid flesh at the edge or extremit}' of the soft palate through the action of the deranged Kapham is called Mansa-Sanghata. It is painless. Talu-pnpputa : — A painless permanent swelling to the shape of the Kola fruit (plum") caused by the deranged fat and Kapham at the region of the soft palate is called Talu-pupputa. Talu-sosha :— The disease of the soft palate in which the patient feels a sort of parched sensation with dyspncea and a severe piercing pain in the affected part is called Talu-sosha, which has its origin in the aggravated condition of the bodily Vayu acting in concert with the deranged Pitlam. Talu-paka — The disease in which the deranged Pittam sets up a very severe suppurative process in the soft palate is called Talu-paka. 39-47The diseases of the throat and larynx : — The diseases peculiar to the throat and the larynx are seventeen in number and are known as the five types of Rohini, Kantha-Saluka, Adhijihva, Valaya. Valasa, Eka-vrinda, Vrinda, Sataghni, Gilayu, Gala-vidradhi, Galaugha, Svaraghna, Mansatana, and Vidari. 48.
General features of Rohinis :— The
aggravated Vayu, Pittam, Kapham, either severall}' or ni combination, or blood may affect the mucous of the throat and give rise to vegetations of fleshy papillae.
I08 THE SUSIIRUTA SAMHITA. [Chap. XVI.
which gradually obstruct the channel of the throat and bring on death. The disease is called Rohini (Diphtheria"). 49.
The Vataja Rohini: -A vegetation of extremely painful fleshy Ankuras (nodules), crops up all over the tongue which tend to obstruct the passage of the throat and are usually accompanied by other distressing symptoms characteristic of the deranged Vayu. PittajaRohini : — The Ankuras (nodules) in the present type are marked by speedy growth and suppuration, and are accompanied by a burning sensation and high fever, Kaphaja Rohini : —The Ankuras (nodules) become heavy, hard and characterised by slow suppuration gradually obstructing the passage of the throat. 50-52.
The Sannjpatika Type :— Suppuration
takes place in the deeper strata of the membrane accompanied by all the dangerous symptoms peculiar to I the three aforesaid types of the disease. It is rarely amenable to treatment Riktaji Typ8 : -Symptoms characteristic of the Pittaja type of the disease are present and the fleshy outgrowth formed in the throat, is found to be covered with small vesicles. This type is incurable.* 53~54
Kantha-^'alukam : —The disease in which a hard rough nodular growth (Granthi) in the shape of a plum-stone crops up in the throat, which seems as if it has been stuffed with the bristle of a S'uka insect or been pricked by thorns is called Kantha-Salukam. The disease is due to the action of the deranged Kapham. It is amenable to surgical treatment only. Adhijiliva : — ■ A small swelling like the tip of the tongue caused by the
* The reading Sadhya (curable) which is to be met with in the several printed editions of Madhab's Nidanam in lieu of the reading Asadhya (incurable) is not to our mind correct.
Chap. XVI.] NIDANA STHANAM. I09
deranged blood and Kapham over the root of the tongue is called Adhijihva, which should be given up as soon as suppuration sets in. Valaya :- A circular or ring-shaped raised swelling obstructing or closing up the upper end of the oesophagus (structure of oesophagus) is called Valaya. It cannot be cured and hence should be given up. It is due to the deranged action of the Kapham in the locality. Valsisa : —The disease in which the unusually aggravated Vayu and Kapham give rise to a swelling in the throat, which is extremely painful and causes a difficulty of respiration, ultimately producing symptoms of complete asphyxia is called Valasa by learned physicians and is vcr\' difficult to cure. 55 — 58.
Eka-vrinda and Vrinda*:— The disease in
which a circular, raised, heavy and slightly soft swelling appears in the throat attended with itching, a slightly burning sensation and a slight suppuration is called Eka-vrinda. The disease is due to the effect of vitiated blood and Kapham. The disease in which a round elevated swelling attended with high fever and a slightly burning sensation is formed in the throat through the aggravated condition of the blood and Pittam is called Vrinda. A piercing pain in the swelling points to its Vataja origin. 59 — 60.
^ataghni : — The disease in which, through the concerted action of the deranged Vayu, Pittam and Kapham, a hard throat obstructing Varti fjagged membrane; edged like a Sataghni-f and densely beset with fleshy excrescences is formed along the inner lining of
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