Susruta Samhita - Mandhata Global

Chap. X.] NIDANA STHANAM. 69
The Nadi-Vrana :—The pus of an abscess or
swelling burrows into the affected part if a person
neglects it in its fully suppurated stage, dubious of its
being so conditioned, or not, or even neglects to open a
fully suppurated abscess. An abscess or swelling is
called a Gati Vrana owing to an excessive infiltration
of pus, and it is also called a Kadi-vrana owing to the
presence of a large number of recesses or cavities in
its inside There arc five different types of Nddi-vrana
(sinuses) such as the Vataja, Pittaja Kaphaja, Tridoshaja
and Sah'aja. 9—10.
The Vataja, Kaphaja and Pittaja
Types:—The Vataja Siiius is rough and shortmouthed,
characterised by an aching pain (in its inside)
It exudes a sort of frothy secretion which becomes
greater at night and is attended with an aching pain.
Thirst, lassitude, heat and a piercing pain(in the affected
locality) arc the usual accompaniments of the Pittaja
types. Fever is present from the beginning and the Sinus
exudes a large quantity of hot and yellow coloured
secretion which is more by day than by night. The
Kaphaja Sinus becomes hard and is characterised by
itching and a slight pain (numbed ?). It is found to
secrete a copious quantit>' of thick, shiny, white-coloured
pus which becomes greater at night, it -13.
Dvandaja and Tridoshaja Types : —
A case of Nadi-Vrana involving the concerted action
of any two of the deranged Doshas (Vayu, Pittam
and Kapham) and exhibiting symptoms peculiar to
both, is called a Dvandaja* one. There are three
• Gayadasa docs nol read the symploms of Dvi-doshaja {i.e., due
10 iwo morbific principles) types of sinus a g vtn in the text which
he has rejected as spurious