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Susruta Samhita - Mandhata Global

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CHAPTER XI.<br />

Now we shall discourse on the Nid^nam of Granthi<br />

(Glands etc.), Apachi (Scrofula etc.), Arvudi (Tumours)<br />

and Galaganda (Goitre), i.<br />

The deranged and unusually aggravated Vayu etc.<br />

(Pittam and Kapham), by vitiating the flesh, blood and<br />

fat mixed with the Kapham (of any part of the or-<br />

ganism), give rise to the formation of round, knotty,<br />

elevated swellings which are called Granthi (Glandular<br />

inflammation). 2.<br />

The Dosha-Origincd Types :—The swell-<br />

ing (Sopha) of the Vataja type seems as if it were<br />

drawn into and elevated or as if severed or pricked<br />

with a needle, cleft in two or drawn asunder or as if<br />

cut in two or pierced. The knotty growth assumes a<br />

black colour, and is rough and elongated like a bladder.<br />

On bursting a granthi of this type exudes clear bright<br />

red blood. The Pittaja Granthi is characterised by<br />

heat and an excessive burning sensation (in its inside).<br />

A pain, like that of being boiled by an alkali or by<br />

fire, is felt in the inside. The knotty formation assumes<br />

a red or yellowish colour and exudes a flow of extremely<br />

hot blood on bursting. The Kaphaja Granthi is slightly<br />

discoloured and cold to the touch. It is characterised<br />

by a slight pain and excessive itching, and feels hard<br />

and compact as a stone It is slow or tardy in its<br />

growth and exudes a secretion of thick white-coloured<br />

pus when it bursts. 3-5.<br />

The lYIedaJa Type :—The fat origined Gran-<br />

thi is large and glossy and gains or loses in size with<br />

the gain or loss of flesh by the patient. It is marked<br />

10

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