Susruta Samhita - Mandhata Global

Chap. IV.] NIDANA STHANAM. 33
pain, and burning, itching sensations etc. Such a pustule,
neglected at the outset, speedily suppurates, and the
incidental ulcer exudes secretions of diverse colours,
characterised by a kind of whirling pain, which
revolves about, in the direction of the involuted
indentures (within the grooves of the rectum) such as
are found within the body of a river or fresh water
mollusc. This is called Samvukavaitah. 6.
The Unmargi Type :— Particles of bones,
eaten with (cooked ) meat by an imprudent, greedy, glut-
tonous person, may be carried down with the hard and
constipated stool by the Apana Vayu (into the rectum),
thus scratching or abrading the margin of the anus, or
burrowing into the rectum in the event of their being
evacuated in improper directions through (transverse or
horizontal postures). The scratch or abrasion is soon
transformed into a fetid and putrid ulcer, infested with
worms and parasites, as a plot of miry ground
will soon swarm with a spontaneous germination of
similar parasites. These worms and parasites eat away
the sides of, or largely burrow into, the region of the
anus, and jets of urine, fecal matter, and flatus (V.'iyu^
are found to gush out of these holes. This type of
Bhagandaram is called Unmargi. 7.
Authoritative verses on the subject:
—A pustule, appearing about the region of the
anus and characterised by a slight pain and swelling,
and spontaneously subsiding, should be regarded as a
simple pustule, which is of a quite different nature
from a fistula in ano, which has contrary features ^i.e.,
invariably found to be attended with a violent pain
and swelling etc., and takes a long time to heal).
A Fistula-pustule crops up within a space of two
fingers' width of the Pdyu proper (distal end of the
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