A History of Indian Medical Literature v1.c24.93

v1.c24.93

Chapter thirteen (pāṇḍurogaśophavisarpanidāna) deals with: the aetiology and pathogenesis of pāṇḍuroga (13.1–4ab);284 its general features (13.4b–7ab);285 the five types: arising from each doṣa separately, all three doṣas, and the eating of earth (mṛttikādana) (13.7cd);286 the prodromes (13.8);287 the symptoms of pāṇḍuroga due to vāta (13.9–10ab),288 pitta (13.10cd–11c),289 kapha (13.11d–12c),290 and all three doṣas (13.12cd);291 the pathogenesis and symptomatology of pāṇḍuroga caused by the eating of earth (13.13–15ab);292 the aetiology, pathogenesis and symptomatology of kāmalā, which may also occur without pāṇḍuroga (13.15cd–17);293 neglect of kāmalā leads to the development of kumbhakāmalā, which is difficult to cure (13.18ab);294 the symptoms of the complication of pāṇḍuroga called loḍhara, halīmaka or alasa (13.18cd–20a);295 śopha is the chief complication of pāṇḍuroga (13.20b–d); the pathogenesis of śopha, which is a swelling localized in skin and muscles; it is also called utsedha and saṃhata (13.21–22ab);296 the nine types of śopha: caused by one doṣa separately, a combination of two doṣas, all three doṣas, a trauma (abhighāta), and poisons (13.22cd–23ab);297 śopha can also be classified as nija and āgantu, sarvāṅga (generalized) and ekāṅga (local), pṛthu, unnata and grathita (13.23cd–24ab);298 the aetiology of śopha;299 its various localizations300 (13.24cd–29); the prodromes (13.30ab);301 the symptoms of śopha due to vāta (13.30cd–32),302 pitta (13.33–34),303 kapha (13.35–37a),304 two doṣas, and all three doṣas (13.37b–d);305 the aetiology and symptomatology of śopha caused by a trauma (13.38–39)306 and poisons (13. 40–42ab);307 degrees of curability (13.42cd);308 the types of visarpa are the same as those of śopha, the type caused by poison excepted (13.43ab);309 its seats are external, internal, or both at the same time; the difficulties in curing this disorder increase in the mentioned order (13.43cd–44a);310 the pathogenesis of visarpa (13.44b–45c);311 the aetiological factors in external and internal visarpa (13.45d–47ab);312 the symptoms of visarpa caused by vāta, pitta, kapha (13.47cd–49ab);313 neglect leads to the formation of vesicles (sphoṭa), which may develop into ulcers (vraṇa) (13.49cd–50ab);314 the features of agnivisarpa, arising from vāta and pitta (13.50cd–56ab),315 granthivisarpa, arising from vāta and kapha (13.56cd–59),³¹⁶ and kardamavīsarpa, arising from kapha and pitta (13.60–64);³¹⁷ the symptoms of visarpa caused by all three doṣas (13.65ab)³¹⁸ and a trauma (13.65cd–66);³¹⁹ the degrees of curability (13.67–68).³²⁰