Susruta Samhita - Mandhata Global

504 THE SUSHRUTA SAMEIITA. pChap XXV.
originated through the concerted aciion of the deranged
Vayu and the KapVia. 6.
A swelling in an ear-lobe attended with pain,
burning and itching .sensations owing to its being (pulled
down and) lengthened, when found to suppurate (in the
end) is called the Duhkha-vardhana ; it* restricts itself
only to the skin (of the affected part .
7.
Small exiHing pustules resembling mustard-seeds
(in size) and attended with pain, burning and itch-
ing sensations, appear in the lobes of the ears owing to
the action of the vitiated blood, or the deranged Kapha,
or to the presence of parasites (in those localities).
The disease soon spreads itself (and assumes an erysi-
pelatious character). It is called the Parilehi from the
fact of its eating away the affected lobe with the entire
helix. 8.
General Treatment :- These dreadful dis-
eases (which invade the lobes of the ears' are highly
dangerous and tend to destroy and eat away the affected
appendages, if not properly attended to at the outset and
specially when the patient is addicted to unwholesome
food and drink and to an injudicious conduct of life.
Hence a physician should speedily remedy these
complaints with applications of medicated Sneha,
Sveda, etc., ointments, washes, plasters, poultices and
blood-letting.f This is the general treatment of those
diseases. 9.
* Madhava adds "an unsuccessful perforation (in the ear lobe)''
ij be an addi ioaal ca isa of this disease. Ha also r^ads "f^p^^"^
i e., "due to the concerted action of the three Doshas" in place of
"c^^^S^".
Madhava has Vagbhata's support in this. — Ed.
t In cases of the predominance of the Vaiyu. anointment, Anuva-
sana and poultices shoul 1 be resorted to, In cases of Pitta-predominance,
purgatives should be applied. Emetics should be applied in cases of
Kapha-predominance and lastly blood-letting, purgatives and washes,