वातेन शोषितः श्लेष्मा श्रोतो लिम्पेत्ततो भवेत् । रुग्गौरवं पिधानं च स प्रतीनाहसंज्ञितः ॥ ११ ॥
Kapha desiccated by Vata, gets coated to the interior of the ears, leading to pain, feeling of heaviness and closure of the ears. This disease is known as Pratinaha.
Itching and swelling are caused by Kapha in the ears. These persist for some time, known by the same name. Kapha getting improperly cooked by Pitta, leads to discharge of thick, foul smelling,
copious fluid accompanied with pain or without pain. This is Putikarnaka. Worms (bacteria) born in the muscles, blood and fluids of the ears vitiated by Vata
खादन्तो जन्तवः कुर्युस्तीव्रां स कृमिकर्णकः । श्रोत्रकण्डूयनाज्जाते क्षते स्यात्पूर्वलक्षणः ॥ १४ ॥
other doshas eat away the earsand cause pain. This is Krimikarnaka. Karna Vidradhi arises as a result of the ulcer caused by scratching the ears (with sticks etc.
विद्रधिः पूर्ववच्चान्यः शोफोऽर्शोऽर्बुदमीरितम् । तेषु रुक् पूतिकर्णत्वं बधिरत्वं च बाधते ॥ १५ ॥
inserted into it) having the prodromal symptoms as described previously (chapter 11 of Nidana Stana). Other ear disorders are Shopha, Arsha and Arbuda. In these, pain, foul smell and deafness trouble the person.