A History of Indian Medical Literature v1.c24.96

v1.c24.96

Chapter sixteen (vātaśoṇitanidāna) deals with: the aetiology, pathogenesis and some general features of the disease called ādhyaroga, khuḍa, vātabalāsa, or vātaśoṇita (16.1–5ab);⁴⁰³ the prodromes (16.5d–7ab);⁴⁰⁴ the general features (16.7cd–8ab);⁴⁰⁵ the symptoms of the uttāna and gambhīra types (16.8cd–11);⁴⁰⁶ the symptoms of vātaśoṇita with predominance of vāta, blood, pitta, kapha, two doṣas, and all three doṣas (16.12–16);⁴⁰⁷ degrees of curability (16.17);⁴⁰⁸ the general features of vāta when covered (āvṛta) by other bodily constituents (16.18);⁴⁰⁹ the causes of corruption of prāṇa and the disorders resulting from this condition (16.19–20);⁴¹⁰ the same with respect to udāna (16.21–22),⁴¹¹ vyāna (16.23–25ab),⁴¹² samāna (16.25cd–26),⁴¹³ and apāna (16.27–28);⁴¹⁴ the characteristic signs of vāta when it is sāma and nirāma (16.29–30); the symptoms appearing when vāta is covered by pitta (16.31cd–32ab),⁴¹⁵ kapha (16.32cd–33ab),⁴¹⁶ blood (16.33cd–34ab),⁴¹⁷ muscular tissue (16.34cd–35ab),⁴¹⁸ fatty tissue (16.35cd–36ab),⁴¹⁹ osseous tissue (16.36cd–37ab),⁴²⁰ bone marrow (16.37cd–38ab),⁴²¹ semen (16.38cd),⁴²² ingested food (16.39ab),⁴²³ urine⁴²⁴ or faeces⁴²⁵ (16.39cd–41ab), and all the tissues together (16.41cd–42ab); the symptoms appearing when prāṇa, udāna, etc., are covered by pitta (16.42cd–45) or kapha (16.46–49ab);⁴²⁶ these are the twenty-two kinds of covering (āvaraṇa) of vāta (16.49cd);⁴²⁷ prāṇa and the other kinds of vāta may cover each other; these coverings are twenty in number (16.50); the symptoms appearing when udāna is covered by prāṇa and prāṇa by udāna (16.51–52ab);⁴²⁸ the other types of āvaraṇa should be diagnosed by observing the signs indicating increase or decrease of the actions of the different kinds of vāta (16.52cd–53ab);429 all kinds of combinations of specific types of āvaraṇa may occur, in several gradations; all these syndromes should be diagnosed carefully (16.53cd–56ab);430 prāṇa is specifically connected with life and udāna with strength (16.56cd–57ab);431 unknown types of āvaraṇa, and those known which have persisted for more than a year, are either difficult to cure or incurable (16.57cd–58ab);432 the complications that occur when āvaraṇa is neglected (16.58cd–59).433