Susruta Samhita - Mandhata Global

Chap. XI. NIDANA STHANAM. TJ
called Adhyarvudam, which should be likewise deemed
as incurable. A couple of contiguous Arvudam (^tumours)
cropping up simultaneously or one after another is called
Dviarvudam, which should be held as equally incurable
i^with one of the foregoing types). An Arvuda (^tumour)
of whatsoever type, never suppurates owing to the
exuberance of the deranged Kapham and fat as well
as in consequence of the immobility, condensation and
compactness of the deranged Doshas (Vayu, Pittam and
Kapham involved in the case, or out of a specific trait
of its own nature. 15-16.
Definition of Calaganda (Goitre;: -The
deranged and aggravated Va}'u in combination with the
deranged and augmented Kapham and fat of the loca-
lity affects the two tendons of tne neck (Manyas) and
gradually gives rise to a swelling about that part of the
neck characterised by the specific symptoms of the
deranged Doshas (Vayu or Kapham) and principles in-
volved in the case. The swelling is called Galganda
(Goitre). 17.
Symptoms of the Dosha-origined
Types : —The swelling or tumour in the Vataja goitre
is characterised by a pricking pain (in its inside) marked
by the appearance of blue or dark coloured veins S'ird)
on its surface. It assumes a \crmilion or tawny brown
hue. The goitre becomes united with the local fat
in course of time, and gains in size, giving rise to a
sense of burning in the throat, or is characterised by
the absence of any pain at all. A Vataja goitre is rough
to the touch, slow in its growth, and never or but rarely
suppurates. A sense of dryness in the throat and the
palate as well as a bad taste in the mouth likewise
marks this type. The swelling in the Kaphaja Type
assumes a large shape and becomes hard, firm, cold