A History of Indian Medical Literature v1.c24.87

v1.c24.87

Chapter seven (arśasām nidānam) deals with: the etymology of arśas (haemorrhoid) (7.1); the doṣas corrupt the skin, muscular tissue and fatty tissue, causing fleshy sprouts (māṃsāṅkura) to appear in the region of the apāna, which are called haemorrhoids (7. 2);¹⁴⁵ they are either congenital (sahotthāna) or produced after birth (janmottarotthāna),¹⁴⁶ dry (śuṣka) or exudative (srāvin) (7.3a–c);¹⁴⁷ the description of the ano-rectal region (guda) and its three folds (vali), valled pravāhiṇī, visarjanī and saṃvaraṇī (7. 3d–5);¹⁴⁸ the aetiology of congenital haemorrhoids, which are associated with all the doṣas and therefore incurable, as all diseases deriving from one’s parents (kulodbhava) (7.6–7);¹⁴⁹ the characteristics of congenital haemorrhoids (7.8);¹⁵⁰ the other type is of six varieties: brought about by one of the doṣas separately, two doṣas, all three doṣas, or blood (7.9ab);¹⁵¹ dry haemorrhoids are caused by vāta and kapha, exudative ones by blood and pitta (7.9cd);¹⁵² the general aetiology of haemorrhoids (7.10–15c);¹⁵³ the prodromes (7.15cd–20);¹⁵⁴ the pathogenesis (7.21–22);¹⁵⁵ the general symptoms (7. 23–28ab);¹⁵⁶ the appearance and symptoms of haemorrhoids caused by vāta (7.28cd–34ab),¹⁵⁷ pitta (7.34cd–37ab),¹⁵⁸ kapha (7.37cd–42ab),¹⁵⁹ all three doṣas (7.42cd),¹⁶⁰ and blood (7.43–45);¹⁶¹ the aetiology, pathogenesis and symptomatology of udāvarta, the major complication of haemorrhoids; this disorder may also arise in the absence of haemorrhoids (7.46–52);¹⁶² the degrees of curability of haemorrhoids (7.53–55);¹⁶³ growths resembling haemorrhoids which occur on the penis, etc., will be described later; growths of the same type may be present in the region of the navel (7.56);¹⁶⁴ the origin of warts (carmakīla); their appearance, etc., are dependent on the doṣa involved (7.57–58);¹⁶⁵ a physician should make an effort to cure haemorrhoids, since they may lead to the disease called baddhagudodara (7.59).¹⁶⁶