Susruta Samhita - Mandhata Global

Chap. I.] CHIKITSA STHANAM. 243
blood and produces a sensation, as if fumes were
escaping (out of its cavity). An ulcer due to the con-
certed action of the deranged Vdyu, Kapha and blood
(Va^ta-Sleslima-Raktaja type) is usually attended with
itching, throbbing and tingling sensations and thick, grey,
blood-streaked discharge. An ulcer associated with
the deranged Kapha, Pitta, and blood (Kapha-Pitta-
Raktaja type) is largely attended with redness, itching,
suppuration and burning sensation. It emits a thick,
greyish, bloody secretion. An ulcer marked by the
concerted action of the deranged Vayu, Pitta and
Kapha (Sa'nnipatika) is attended with diverse kinds
of pain, secretion, colour, &c., peculiar to each of
these types. An ulcer associated with the combined
action of the deranged Vayu, Pitta, Kapha and blood
(Vaita-Pitta-Kapha-Raktaja type) is attended with a
sensation, as if it were being burnt and lacerated. It is
largely accompanied by throbbing, itching sensation,
a sort of pricking and burning pain, with complete
anaesthesia in the locality; redness, suppuration, various
other kinds of colour, pain and secretion are its further
characteristics. 10— 20.
An ulcer (Vrana) which is of the same colour with the
back of the tongue, soft, glossy, smooth, painless, well-
shaped and marked by the absence of any kind of
secretion whatsoever, is called a clean ulcer (Saddha-
Vrana). 21.
Therapeutics :—The medical (and surgical)
treatment of a Vrana (ulcer) admits of being divided
into sixty * different factors, such as,— Apatarpana
(fasting or low diet), Alepa (plastering), Parisheka
(irrigating or spraying), Abhyanga (anointing), Sveda
* N. B- Authorities, however, differ in enumerating these factors,
although every one of them sticks to the total number of sixty.