A History of Indian Medical Literature v3.c44.s1.t4.2

v3.c44.s1.t4.2

In general, the Bhiṣakcakracittotsava is much more dominated by the tridoṣa doctrine than the Mādhavanidāna. When compared with the latter, it shows many divergences. The chapter on fevers describes a large number of these which cannot be found in Mādhava's Rugviniścaya: one series of thirteen saṃnipāta fevers: saṃdhika, antaka, cittabhrama, rugdāhaka, śītāṅga, taṇḍrika, kaṇṭhakubja, karṇaka, bhugnanetra, raktaṣṭhīvin, pralāpin, jihvaka, and abhinyāsaka 226 (8–12); moreover, ajīrṇajvara (12), raktajvara (12), dṛṣṭijvara (13), vidjvara (13), khedajvara (13), dhātukṣayajvara (15), mahendrajvara (16), velājvara (16), ekāṅgajvara (17), and a second type of antakajvara (17). The following names are given to the mythical shapes of fever: bībhatsa-, triśīro-, kapila-, bhasmavikṣepaka-, tripāda-, piṅgākṣa-, mahodara-, and jvaladvigraha-jvara (24–26). The chapter on arśas has no raktaja and sahaja types. The varieties of bhagandara differ from those in the Mādhavanidāna; a vāta, pitta, and saṃnipāta type are described. The chapter on ajīrṇa deals with three types only, by vāta, pitta and kapha, while the Mādhavanidāna has six types. The chapter on pāṇḍuroga refers to the variety brought by the ingestion of clay (mṛd), without describing its symptoms, and adds a type caused by betel nuts (pūgīphala). The chapter on kāmalā, kumbhakāmalā and halīmaka adds the symptoms of the disorder called pāṇakī. 227 The types of śoṣa caused by sexual excesses, etc., are omitted in the chapter on rājayakṣman. The chapter on kāsa has only doṣaja types; the kṣataja and kṣayaja types of Mādhava are absent. The chapter on hikkā adds varieties occurring in children and in the elderly. The chapter on śvāsa enumerates the symptoms of svābhāvika-, ati- and mahāśvāsa instead of those of the five types of Mādhava. Haṃsarāja distinguishes three doṣaja types of svarabheda and omits the other ones described by Mādhava. The same applies to arūci. The āgantuja and krimija types of chardi are absent. The eight varieties of tṛṣṇā differ in some respects from those described in the Mādhavanidāna; the āmaja and upasargaja types of Mādhava are replaced by those arising from fear (bhaya) and fatigue (śrāma). The chapter on mūrchā and allied conditions describes klama instead of taṇḍrā. The variety of unmāda caused by viṣa is absent.