Charaka-Samhita — trans. Kaviraj Avinash Chandra Kaviratna

The wind also, exceedingly provoked by the same causes, gains strength and diffuses the bile. The bile, thus diffused, overtakes the ten ducts, and then the entire body. Entering the place between the skin and the flesh, it vitiates the phlegm, the blood, the skin, and the flesh, and causes diverse colours on the skin such as paleness, yellowness, greenness, &c. 9-i°

This disease is known by the name of ‘Pfindu’ (Chlorosis).

-Its premonitory indications are,—

Palpitation of the heart, dryness of the system, the absence of perspiration, and a sense of fatigue (without having undergone any exertion). 11

When this disease has been generated, the patient (to whatever cause his disease has been due, that is, whether it is born of excited wind, or excited^ bile, or excited phlegm, or all the three faults excited simultaneously,, or of having eaten burnt earth), manifests the follow¬ ing symtoms, viz., the appearance of a rumbling noise in his ears, the loss or weakness of the digestive fire, general weakness of the body, langour and cheerlessness, disgust for food, sense of fatigue without having undergone any labour, and delusions ; 12

‘£ula’ pains in all the limbs, fever, asthmatic breathing, heaviness

+ ‘Vidagdhe anne’ is connected with all the three acts following it ; that is, with indul¬ gence in sleep during the day, with physical exercise, and with sexual congress. Every one of these acts is forbidden when the food last taken has not been digested. Inharmonious¬ ness of the seasons implies the manifestation of the characteristics of spring in summer, or of summer in spring, &c.— T.

CHA RA KA - SA M HIT A .

p. 1455

of the body, disrelish for food, a sense of the body being pressed down, or loaded, or pounded, 13

Swollen eye-balls, greenness of complexion, decay of hair on the body, absence of lustre, wrathfulness of disposition, aversion to cold, sleepiness, expectoration of salivary secretions, taciturnity of speech, 14

A sense of the calves being struck with a club, pains in the waist, the thighs, and the feet, and a sense of lassitude when the patient walks or ascends a flight of stairs ;

These are the symptoms of this disease in general. I shall now describe what the symptoms are of the different varieties.

Through indulgence in food and practices that are capable of exciting the wind, the latter, becoming provoked, generates the disease called ‘Pandu’ (chlorosis) that is difficult of treatment (or cure). The body is overtaken by dryness, and the complexion be¬ comes reddish. 16

The other symptoms are a general langour of the limbs, fever, piercing pains all over the body, shivering, pains in the sides, head¬ ache, drying up of the stools, tastelessness of the mouth, dropsical swellings, suppression of urine, and loss of strength. *7

Of a person in whose constitution the bile is predominant, the bile becoming enhanced through such food and drink as have the virtue of provoking it, vitiates the blood and the other ‘dhatus,’ and generates the disease called ‘Pandu.’ lS

The patient becomes yellow, or green, of complexion ; afflicted with fever and burning of the skin, he is overtaken by vomiting, swoons, and thirst ; his stools and urine become yellow. *9

Such" a person perspires copiously. He feels a desire for all sorts of cool things. He takes no delight in food. He feels a pungent taste in his mouth. Things that are hot or sour do not agree with him. 20

While the food taken by him is in course of digestion, sour eructa¬ tions appear, as also burning of the skin, weakness, watery motions, fetid smell, and a vision of darkness, 21

CHARAKA-SAMHITA.

745 6

Phlegm, provoked by food and drink that excite it, causes, after the same manner,* Pandu characterised by phlegm.

The symptoms that present themselves are heaviness of the body, drowsiness, vomiting, a paleness of complexion, 22

Discharge of salivary secretions, horripilation, Iangour of the limbs, swoons, vertigo, a sense of fatigue, asthmatic breathing, cough, idleness (or inability for exertion), disgust for food, suppression of voice and speech ; 23

Paleness of the urine, of the eyes, and of the stools ; a desire for things that are pungent, or dry, or sour ; swellings, and the presence of a saline taste in the mouth.f

These are the symptoms that belong to ‘Pfindu’ characterised by (excited) phlegm. 24

OF a person who takes all kinds of food (that is, food capable of exciting every one of the faults), all the faults become vitiated and generate that variety of ‘Pandu’ which is regarded as born of all the faults.

It is exceedingly difficult of treatment and cure, and its symptoms are the united symptoms of the simple varieties of this disease, 25

Of one who is in the habit of eating earth, one or other of the ( three) faults becomes provoked.

Earth that is of an astringent taste provokes the wind ; saline earth provokes the bile ; and earth that is sweet provokes the phlegm. 26

The earth (that is eaten) provokes ‘Rasa’ and the other ‘Dhatus.’ In consequence of its being dry, it causes the food in the stomach to become dry. Being itself indigestible, it fills the ducts and thereby obstructs them. 27

* That is, by vitiating blood and the other ‘dhatus.’ — T.