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Susruta Samhita - Mandhata Global

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Chap. I.] CHIKITSA STHANAM. 24 [<br />

(of all forms of ulcer), while the .symptoms, which are<br />

exhibited in each case according to the virtue of the<br />

deranged Vayu, Pitta, etc, involved therein, are called the<br />

Specific ones. A Vrana is so named from its etymology<br />

(the term being derived from the root Vrana—to break)<br />

and signifies a cracked or broken condition ^of the skin<br />

and flesh of the afflicted part) of the body. 5.<br />

The Vataja- Ulcer :—The ulcer assumes a<br />

brown or vermilion colour and exudes a thin, slimy<br />

and cold secretion, largely attended with tension,<br />

throbbing and a sort of pricking and piercing pain (in<br />

its inside), which seems as if being expanded and<br />

extended. This type of ulcer does not extend much<br />

and is characterised by a complete destruction of the<br />

tissue (flesh). The Pittaja ulcer is rapid in its growth.<br />

It assumes a bluish yellow colour, exudes a hot secretion<br />

resembling the washings of Kims'uka flowers, and is<br />

attended with burning, suppuration and redness, being<br />

surrounded with eruptions of small yellow-coloured<br />

pustules. The Kaphaja ulcer is found to be extended<br />

and raised around its margin and is accompanied by an<br />

irresistible itching sensation. It is thick and compact<br />

(in its depth), covered with a large number of vessels<br />

and membranous tissues (Sira-snd.yu-jala), grey in<br />

colour, slightly painful, hard and heavy, and exudes a<br />

thick, cold, white and slimy secretion. The Raktaja<br />

ulcer (resulting from a vitiated condition of the blood)<br />

looks like a lump of red coral. It is often found<br />

to be surrounded by black vesicles and pustules and<br />

to smell like a strong alkali. It becomes painful and<br />

produces a sensation, as if fumes were escaping out<br />

(of it). Bleeding (is present) and the specific symp-<br />

toms of the Pittaja type are likewise found to<br />

supervene. 6—9.<br />

31

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