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Susruta Samhita - Mandhata Global

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Chap. XVI.] NIDANA STHANAM. I09<br />

deranged blood and Kapham over the root of the tongue<br />

is called Adhijihva, which should be given up as soon as<br />

suppuration sets in. Valaya :- A circular or ring-shaped<br />

raised swelling obstructing or closing up the upper end of<br />

the oesophagus (structure of oesophagus) is called Valaya.<br />

It cannot be cured and hence should be given up. It is<br />

due to the deranged action of the Kapham in the<br />

locality. Valsisa : —The disease in which the unusually<br />

aggravated Vayu and Kapham give rise to a swelling<br />

in the throat, which is extremely painful and causes a<br />

difficulty of respiration, ultimately producing symptoms<br />

of complete asphyxia is called Valasa by learned<br />

physicians and is vcr\' difficult to cure. 55— 58.<br />

Eka-vrinda and Vrinda*:— The disease in<br />

which a circular, raised, heavy and slightly soft swelling<br />

appears in the throat attended with itching, a slightly<br />

burning sensation and a slight suppuration is called<br />

Eka-vrinda. The disease is due to the effect of vitiated<br />

blood and Kapham. The disease in which a round<br />

elevated swelling attended with high fever and a slightly<br />

burning sensation is formed in the throat through the<br />

aggravated condition of the blood and Pittam is called<br />

Vrinda. A piercing pain in the swelling points to its<br />

Vataja origin. 59 — 60.<br />

^ataghni : —The disease in which, through the<br />

concerted action of the deranged Vayu, Pittam and<br />

Kapham, a hard throat obstructing Varti fjagged mem-<br />

brane; edged like a Sataghni-f and densely beset with<br />

fleshy excrescences is formed along the inner lining of<br />

* The diseases of the throat are 17 in number. Taking Vrinda as a<br />

separate disease they amount to 18 ; but Vrinda, affecting similar place<br />

and being similar in appearance with but a slight distinction of symptoms,<br />

is only a particular state of Ek£-vtinda, and not a separate disease.<br />

+ Salaghni is a kind of weapon used in ancient warfare.

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