Susruta Samhita - Mandhata Global

Chap. II.] NIDANA STIIAXAM. 21
with a non-i'clish for food are the s\-mptom.s which be-
come manifest with the progress of the disease. The
skin, finger nails, eyes, teeth, face, stool and urine of the
patient also assume a white colour. lO.
The Raktaja Type : -Piles (haemorrhoids),
having their origin in the vitiated condition of the blood
resemble the sprouts of the Vata tree in shape and are
of the colour of red coral, or the seeds (dark red)
of Gunja berry. They exhibit all the symptoms,
which are peculiar to the Pittaja t}-pe of this disease.
Pressed hard by the constricted fyeces in their
passage through the anus, they suddenly give rise to a
haemorrhage of vitiated (venous) blood, and symptoms
characteristic of excessive bleeding are found to
supervene, ii.
The Sannipata Type: -In a case of
haemorrhoids due to the concerted action of the
deranged Vayu, Pittam and Kapham, s>'mptoms
characteristic of each of these types manifest themselves
in unison. 12.
The Congenital Type :—Congenital hysmor-
rhoids (Saliaja Ars'as) arc usually ascribed to defects in
the semen and ovum of one's parents and should be
medicinally treated with an eye to the special deranged
Doshas involved in the case. The polypi (in this type)
are hardly visible and are rough and yellowish, with their
faces turned inward. They are extreme!}' painful. A
person suffering from this type of piles gets thinner and
thinner cveiy day and eats but very little. Large veins
(Sira) appear on the surface of the body. The patient
becomes irritable, the semen decreases in quantity,
making the procreation of a small number of children
possible only by him. The voice becomes feeble, the
digestion is impaired, and disorders affecting the head