Susruta Samhita - Mandhata Global

('llAPTiHJ II.
Now wc sliall discourse on the Nidanam of
Ars'aS (Hiemorrhoids'. i.
ll.einorrhoids may be divided into six classes vi:: :—
(i) Vdtnjii (due to the action of the deranged Vayu\
(ii) Pittiijn (flue to the action of deranged Pittam), (iii)
Kaphaja (due to the action of deranged Kapham), (iv)
Raktaja (due to the action of the vitiated blood), (v)
Sannipdtaja (due to the concerted action of the deranged
Vayu, I'ittani and Kai)hami and (vi) Sahaja (congenital).
Pathology : —The deranged Vayu, Pittam, etc.
enraged by their specific aggravating causes, or by such
acts or conduct as partaking of food composed cjf in-
compatible substances, eating before the previous meal
has been digested, inordinate sexual intercourse, sitting on
the haunches, excessive riding, and the voluntary suppres-
sion of any natural urging of the body, cither severally
or in combination of two or three Doshas, or vitiating
the blood of a person, who observes no moderation in
food and drink &c., become dislodged from their natural
seats in the body [according to the law of Prasaranam
(expansion and change of place by a deranged organic
principle)] and arc carried down through the large
intestine (Pradhana Dhamani) into the descending colon
and getting lodged therein, give rise to growths of
polypi or fleshy condylomata, which are known as piles.
These growths chiefly appear in persons suffering from
impaired digestion (Agni), and gain in size through
friction with the wearing apparel, weeds, wood, lumps
of clay or stone, or by contact with cold water. 3.
The lower end of the large intestine, which passes
into the flexure of the rectum and measures four and