Susruta Samhita - Mandhata Global

Chap. XI.] NIDANA STHANAM. 75
These knotty formations are characterised by itching
and a slight pain. Some of them spontaneous!}- burst
exuding secretions while others are observed to vanish
and re-appear (in succession). Such vanishings, re-
appearances, or fresh formations continue for a consider-
able time. The disease undoubtedly owes its origin to
the deranged fat and Kapham, and may only be made
amenable (to medicine) with the greatest difficulty
lasting for years at a time. lo.
ArVUda— (tumour etc.) :—The large vegetation
of flesh which appears at any part of the body, becomes
slightly painful, rounded, immovable and deep-seated,
and has its root sunk considerably deep in the affected
part, and which is due to the vitiation of the flesh
and blood by the deranged and aggravated Doshas
(Vayu, Pittam and Kapham) is called an Arvuda
(tumour) by the learned physicians*. The growth of
an Arvuda is often found to be slow, and it seldom
suppurates. The characteristic symptoms of an Arvuda
which owes its origin to the deranged condition of the
Vayu, Pittam, Kapham, flesh or fat, are respectively
identical with those, which mark the cases of Granthis,
brought about by the same deranged principles of the
body. 1 1
Raktaja—Arvuda :—The deranged Doshas
(Vayu, Pittam and Kaphamo contracting, compressing
They resemble spawns of fish in shape and size and are due (o the action
of the deranged Vayu, Pittam and Kapham. The appearance ol such
glands in the upper part of the body should be ailribuied lo the action
of the deranged and aggravated \^ayu. They are ixtrenicly hard lo cuie
in as much as their growth (foruiation) involves the concmed aciion
of the morbific principles (Doshas) of the body. Bhoja-
Charaka, who designates this disease as Gandamala, describes its
location in regions about the jawbones alone,
* That they having recourse to the flesh, produce deep-s(attd
vegetations (of flesh) is the reading adopted by Gayadasa and others.