A History of Indian Medical Literature v1.c24.94

v1.c24.94

Chapter fourteen (kuṣṭhaśvitrakṛminidāna) deals with the following subjects: the aetiology, pathogenesis and general clinical features of kuṣṭha;³²¹ śvitra (depigmentation) differs in most respects from kuṣṭha and is for that reason a distinct disease (14.1–6ab); kuṣṭha is of seven kinds: due to one doṣa separately, combinations of two doṣas, and all three doṣas together; the three doṣas are actively involved in all types of kuṣṭha, but these are designated after the predominant one(s) (14.6cd–7ab);³²² kāpālakuṣṭha arises from vāta, udumbara from pitta; maṇḍala and vicarcī arise from kapha; ṛkṣa arises from vāta and pitta; carman, ekakuṣṭha, kiṭibha, sidhma, alasa and vipādikā arise from vāta and kapha; dadru, śatārus, puṇḍarīka, visphoṭa, pāmā and carmadala arise from kapha and pitta; kākaṇa arises from all the doṣas;³²³ kāpāla, udumbara, maṇḍala, dadru, kākaṇa, puṇḍarīka and ṛkṣajihva constitute the group of the mahākuṣṭhas (14.7cd–10);³²⁴ the prodromes (14.11–13ab);³²⁵ the characteristics of kāpālakuṣṭha (14.13cd–14),³²⁶ udumbara (14.15–16ab),³²⁷ maṇḍala (14.16cd–17),³²⁸ vicarcikā (14.18ab),³²⁹ ṛkṣajihva (14.18cd–19),³³⁰ carman,³³¹ ekākhya,³³² kiṭibha,³³³ sidhma,³³⁴ alasaka,³³⁵ vipādikā³³⁶ (14.20–23), dadru (14.24),³³⁷ śatārus (14.25),³³⁸ puṇḍarīka,³³⁹ visphoṭa,³⁴⁰ pāmā,³⁴¹ carmadala,³⁴² and kākaṇa (14.26–30);³⁴³ the signs of the doṣas in cases of kuṣṭha are those described in the doṣabhedīya chapter³⁴⁴ (14.31a–c);³⁴⁵ degrees of curability (14.31d–33ab);³⁴⁶ the symptoms of kuṣṭha located in the skin, blood, muscles, fatty tissue, bones, marrow, and semen (14.33cd–36);³⁴⁷ śvitra, also known as kilāsa and dāruṇa, has the same origin as kuṣṭha, but is not exudative (parisrāvin); it arises from and resides in three dhātus (14.37);³⁴⁸ the symptoms caused by vāta, pitta and kapha, and the signs indicating its residence in blood, muscles and fatty tissue; these varieties are more difficult to cure in the mentioned order (14.38–39);³⁴⁹ degrees of curability of śvitra (14.40–41ab);³⁵⁰ factors promoting the spread of contagious (saṃcārin) diseases, especially those affecting eyes and skin (14.41cd–42ab);³⁵¹ parasites (kṛmi) are of two kinds: external (bāhya) and internal (ābhyantara); they are of four kinds according to their origin (from particular substances): external waste products (bahirmala), phlegm, blood, and faeces; as to their names, they are twenty in number (14.42cd–43c);³⁵² the external parasites arise due to uncleanliness; their sizes, shapes, colours, seats; their names: yūkā and likṣā; the symptoms they produce (14.43d–45ab);³⁵³ the causes for the appearance of internal parasites are the same as those of kuṣṭha; special causes for the appearance of parasites which originate from phlegm and faeces (14.45cd–46);³⁵⁴ the parasites originating from phlegm are present in the āmāśaya; their outward appearances; they are seven in number; their names are: antrāda, udarāveṣṭa, hṛdayāda, mahākuha, kuru, darbhakusuma, and sugandha; the symptoms they produce (14.47–50);³⁵⁵ the parasites originating from blood reside in the blood-carrying sirās; their outward characteristics; their number is six; their names are: keśāda, lomavidhvamsa, lomadvīpa, udumbara, and mātar; the symptoms they produce are like those of kuṣṭha (14.51–52);³⁵⁶ the parasites arising from faecal matter reside in the pakvāśaya; their outward characteristics; their number is five; their names are: kakeruka, makeruka, sausurāda, sulūna, and leliha; the symptoms they produce (14.53–56).³⁵⁷