Indian Medicine (Medicin), translated by C. G. Kashikar c13.34

c13.34

If a firm, round or elongated tumour occurs on the joints of jaws, armpit, the collar-bone or the arm, or in the neck, or in the cervical region by the accumulation of fat and phlegm, around which other tumours of the size of a myrobalan or like eggs of fish are formed, it is called apaci ( Vedic apacit )¹ on account of the swelling (caya). These small tumours cause itching and little pain, discharge a liquid when they burst, disappear, then new ones are formed. If the disease has lasted for a number of years, it is scarcely curable ( Susruta ). Closely connected or identical with this is gandamālā " chain of glands " consisting of numerous small tumours ( ganda ) of the size of jujube or myrobalan that are formed in the armpit, on the shoulder, neck, cervical region or in the groins, cause little pain, ripen slowly, disappear, but always recur for a long time, and are incurable if there is cold, pain in the sides, cough, fever and vomiting ( MN, AS, AHr ). Evidently scrofulous tumours are meant by these.