प्रतिश्यायजलक्रीडाकर्णकण्डूयनैर्मरुत् । मिथ्यायोगेन शब्दस्य कुपितोऽन्यैश्च कोपनैः ॥ १ ॥
Vata getting aggravated by nasal catarrh, water sports, inserting sticks etc. into the ears, exposure to improper sound, and such other aggravating causes;
invades the veins (channels) of the ears and produces pain in the ears suddenly and with great severity, associated with a partial headache, stiffness of the head, and non-desire for cold;
undergoes suppuration after a long time, when ripe discharges a little quantity of lasika (thin, watery fluid), and appears either as empty (or full), sometimes closed, without any other apparent cause.
शूलं पित्तात्सदाहोषाशीतेच्छाश्वयथुज्वरम् । आशुपाकं प्रपक्वं च सपीतलसिकास्रुति ॥ ४ ॥
By increase of Pitta, there is pain associated with burning sensation, desire for cold things, swelling, fever, quick suppuration, after suppurating, discharges yellowish thin fluid;
सा लसीका स्पृशेद्यद्यत्तत्तत्पाकमुपैति च । कफाच्छिरोहनुग्रीवागौरवं मन्दता रुजः ॥ ५ ॥
the places which this fluid come in contact with, gets ulcerated (suppurated). That caused by Kapha, has feelings of heaviness of the head, lower jaw and neck;