Susruta Samhita - Mandhata Global

64 NIDANA STHANAM [Chap. IX.
of the Vrikkas it brings about a contraction of the sides.
Appearing on the spleen, it produces symptoms of
difficult and obstructed respiration. Seated on the heart
it gives rise to an excruciating and piercing pain within
its cavity and a drawing pain (Graha) extending all over
the body (D. R.—cough). Seated in the Liver its
characteristic indications are thirst and difficult
breathing (D. R.— hic-cough) whereas a sort of unquen-
chable thirst is the symptom which marks its seat on
the Kloma. 16-17.
Prognosis : — An abscess appearing on any
vital part (Marma) of the organism, whether large
or small in size, suppurated or unsuppurated, should be
deemed' as extremely hard to cure. Discharge from an
abscess formed in the region of the organism above the
umbilicus and (spontaneously bursting), will flow out
through the mouth whereas similar secretions from down
the umbilical region of (the abdomen), naturally find
an outlet through the fissure of the anus. The case
•in which the secretions (pus etc.) find a down-
ward channel and outlet may end in recovery of the
patient, whereas the one in which the secretions take an
upward course invariably proves fatal. An incision
made by surgeon from the outside into an internal
abscess, other than the one situated on the heart, or on
the bladder or on the umbilicus may occasionally, prove
successful, but the one, seated on any of the preceding
vulnerable visceras (heart, bladder etc.) of the body and
surgically opened invariably ends in death. 18-19.
A woman, who has miscarried or has been even
safely delivered of a child at term, may be afflicted with
a dreadful abscess in the event of her taking injudicious
and unhwholcsome food after parturition. The
abscess in such a case, which is attended with extreme