A History of Indian Medical Literature v1.c24.91

v1.c24.91

Chapter eleven (vidradhivr̥ddhigulmanidāna) deals with the following subjects: the aetiology and pathogenesis of abscesses (vidradhi); ²³⁷ six types are distinguished: arising from one doṣa separately, all three doṣas, blood, and a trauma (kṣata) (11.1–3); ²³⁸ general features and locations of external (bāhya) and internal (āntara) abscesses (11.4–6a); ²³⁹ the characteristics of abscesses brought about by vāta, pitta, kapha, and all the doṣas collectively (11.6b–9ab); ²⁴⁰ the features already mentioned enable a physician to determine whether the abscess is of the internal or external type (11.9cd); the characteristics of an abscess caused by blood; ²⁴¹ this abscess is usually of the external variety, but it is internal in women (11.10); the characteristics of an abscess of traumatic origin (11.11–12ab); ²⁴² the complications; these depend on the site of the abscess (11.12cd–16ab); ²⁴³ the āma (unripe), pakva (ripe) and vidagdha (overripe) stages in the formation of abscesses are similar to the corresponding stages of śopha (11.16cd); ²⁴⁴ abscesses above the umbilical region drain their contents by way of the mouth, those below the navel by way of the anus (11.17a–c); ²⁴⁵ the doṣa(s) involved can be recognized by means of the exudate, in the same way as in ulcers (11.17d–18a); degrees of curability of abscesses (11.18–19ab); ²⁴⁶ abscesses of the breast in females (11.19cd–21ab); ²⁴⁷ the pathogenesis of vr̥ddhi (enlargement of the scrotum); its seven types: arising from each doṣa separately, blood, fatty tissue, urine, and the intestines; the last two are actually caused by vāta (11.21cd–23); ²⁴⁸ the symptoms of the first five types (11.24–26ab); ²⁴⁹ the causes and symptoms of vr̥ddhi brought about by urine (11.26cd–27); ²⁵⁰ the causes, pathogenesis and symptoms of vr̥ddhi brought about by the intestines; it resembles vr̥ddhi due to vāta and is incurable (11.28–31); ²⁵¹ the eight types of gulma: caused by one doṣa, a combination of two doṣas, all three doṣas, and a disorder (doṣa) of ārtava in women (11.32–33ab); ²⁵² the aetiology, pathogenesis and general appearance of gulma (11.33cd–38); ²⁵³ the aetiology, pathogenesis, appearance and symptomatology of gulma caused by vāta (11.39–44ab); ²⁵⁴ the symptoms of gulma caused by pitta (11.44cd–45), ²⁵⁵ kapha (11.46–47ab), ²⁵⁶ two doṣas, ²⁵⁷ and the three doṣas; the last type is incurable (11.47cd–49a); ²⁵⁸ the aetiology and symptomatology of raktagulma, which occurs in women only and resembles pregnancy in some respects (11.49–55); ²⁵⁹ the differences between gulma and vidradhi (11.56–57); ²⁶⁰ the differences between gulma located inside and outside the viscera (11.58–59); the characteristics of ānāha (11.60), ²⁶¹ aṣṭhilā²⁶² and pratyaṣṭhilā²⁶³ (11.61), tūnī and pratūnī (11.62); ²⁶⁴ the prodromes of gulma (11.63). ²⁶⁵