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विद्रधिश्चेति पिटिकाः प्रमेहोपेक्षया दश । सन्धिमर्मसु जायन्ते मांसलेषु च धामसु ॥ २६ ॥
/ ulcers caused due to negligence of prameha appearing on the joints, vital spots and muscular parts during the course of diabetes
english translation
अन्तोन्नता मध्यनिम्ना श्यावा क्लेदरुजान्विता । शरावमानसंस्थाना पिटिका स्याच्छराविका ॥ २७ ॥
Prameha Pitaka (diabetes ulcer / carbuncles) 1. Sharavika Prameha Pidaka : Saravika is Pitaka (carbuncles /ulcers), having elevated edges and depressed center, black in color, associated with exudation and pain, resembling a saucer in size and shape.
english translation
अवगाढार्तिनिस्तोदा महावस्तुपरिग्रहा । श्लक्ष्णा कच्छपपृष्ठाभा पिटिका कच्छपी मता ॥ २८ ॥
2. Kacchapika Prameha Pidaka : Kacchapika is Pitaka having severe (deep) pain, pricking pain, continuous or intermittent, extends over a large area, smooth and resembles the shell of a tortoise.
english translation
स्तब्धा सिराजालवती स्निग्धस्रावा महाशया । रुजानिस्तोदबहुला सूक्ष्मच्छिद्रा च जालिनी ॥ २९ ॥
3. Jalini Prameha Pidaka : Jalini is stable, stiff, has venous network, greasy (unctuous) exudates, has big cavity inside, with severe pain, severe pricking pain, has minute openings.
english translation
अवगाढरुजाक्लेदा पृष्ठे वा जठरेऽपि वा । महती पिटिका नीला विनता विनता स्मृता ॥ ३० ॥
4. Vinata Prameha Pidaka : Vinata is big sized eruption, developing either on the back or on the abdomen, blue in color having severe (deep) pain exudation and pointed downwards.
english translation