Susruta Samhita - Mandhata Global

40 TUF. SUSIIRUTA SAMIIITA. [Chap. V,
the palms of the hands and the region of the anus, and in
which the local hairs assume a red colour should be
regarded as incurable. A case of Kilasham, which is
the outcome of a burn (cicatrix) should be likewise con-
sidered as incurable. 12.
A preponderance of the deranged Vayu in a case of
Kushtham (leprosy) is indicated by a contraction of the
skin, local ana."sthesia, a copious flow of perspiration,
swelling, and piercing or cutting pain in the affected part,
together with a deformity of the limbs and hoarseness.
Similarly, an excess of the deranged Pittam in a case of
Kushtham, should be presumed from the suppuration of
the affected part, from the breaking of the local skin,
from the falling off of the fingers, from the sinking of
the nose and ears, from the redness of the eyes and from
the germination of parasites in the incidental ulcer. An
excessive action of the deranged Kapham, in a case of
Kushtham, gives rise to itching, discolouring and swelling
of the affected part which becomes heavy and exudes
the characteristic secretion. The types, Pundarika and
KAkanam, which are due to the germinal defect of
the patient, are incurable, inasmuch as they involve
(according to Dallana) the concerted action of the
three simultaneously deranged Doshas from the very
outset. 1 3
.
Memorial verses :— As a tree, full grown in the
course of time, has driven its roots, which derive their
nourishment from the rain water, deeper and deeper
into the successive strata of the soil, so this disease
(Kushtham), first affecting and confining itself to the
upper layers of the skin, will invade the deeper tissues
and organs etc. of the patient, if unchecked until al-
most all the fundamental principles or elements Dhatus
are attacked by its virus in the course of time. 14.