A History of Indian Medical Literature v1.c13.153.2

v1.c13.153.2

the twenty types of vraṇa are: suitable to surgical treatment (kṛtya) or unsuitable to it (akṛtya),652 vitiated (duṣṭa) or not vitiated (aduṣṭa), located in a marman (vital spot) or not located there, closed (saṃvṛta) or open, severe (dāruṇa) or mild, discharging (srāvin) or not discharging, containing toxic substances (saviṣa) or devoid of these, irregular (viṣamasthita) or regular, provided with pouches (utsaṅgin)653 or devoid of these, elevated (utsanna)654 or depressed (25.20–21);655 the threefold examination of vraṇa(s): by inspection (darśana), interrogation (of the patient) (praśna) and palpation (saṃsparśa) (25.22–23);656 the twelve types of vitiated (duṣṭa) vraṇa: white (śveta), provided with a narrow opening (avasannavartman),657 provided with a very wide opening (atisthūlavartman),658 very piñjara,659 dark-blue (nīla) or śyāva,660 covered with pustules (atipiḍaka), red (rakta), black (kṛṣṇa), excessively bad-smelling (atipūtikā), apparently healing outside, but non-healing and recurring inside (ropya),661 and bottle-necked (kumbhīmukha) (25.24–25ab);662 these pathological conditions (doṣa) are twenty-four in number when classified according to another method (25.25cd);663 the eight seats of vraṇa(s) are: the skin, vessels (sirā), muscular tissue, fatty tissue, bones, cords (snāyu), vital spots (marman), and the viscera (antarāśraya)664 (25.26);665 the eight kinds of smell of a vraṇa are: like that of ghee, oil, muscle-fat (vasā), pus (pūya) and blood, śyāva,666 sour, and fetid (pūtikā) (25.27);667 the discharges from wounds (vraṇasrāva) are of fourteen kinds: like serous fluid (lasīkā), water, pus or blood, yellow (hāridra), ruddy (aruṇa), piñjara,668 ochre-coloured (kaṣāya), dark-blue (nīla), yellowish green (harita), oleaginous (snigdha), dry (rūkṣa), white (sita), and dark (asita) in colour (25.28–29ab);669 the experts concerning vraṇa(s) (vraṇacintaka) acknowledge sixteen complications (upadrava): visarpa (erysipelas), pakṣaghāta (hemiplegia or hemiparesis), sirāstambha (occlusion of vessels), apatānaka,670 moha (mental confusion), unmāda (insanity), vraṇaruja (pain in the vraṇa), jvara (fever), tṛṣṇā (thirst), hanugraha (lockjaw), kāsa (cough), chardi (vomiting), atīsāra (diarrhoea), hikkā (hiccup), śvāsa (shortness of breath), and vepathu (trembling) (25.29cd–31ab);