गर्भेऽनिलात्सङ्कुचिता शष्कुली कुचिकर्णकः । एको नीरुगनेको वा गर्भे मांसाङ्कुरः स्थिरः ॥ १६ ॥
Vata constricts the shashkuli (pinna of the ears) inside and produces Kuchikarnaka. One or more painless, immovable sprouts of muscle resembling pippali (Piper longum) develop inside the ears
पिप्पली पिप्पलीमानः सन्निपाताद्विदारिका । सवर्णः सरुजः स्तब्धः श्वयथुः स उपेक्षितः ॥ १७ ॥
this disease is known as Karnapippali. Vidarika arising from the combination of all the doshas, is a swelling having the same color, painful and immovable;
कटुतैलनिभं पक्वः स्रवेत्कृच्छ्रेण रोहति । सङ्कोचयति रूढा च सा ध्रुवं कर्णशष्कुलीम् ॥ १८ ॥
when neglected it ripens (suppurates) and discharges a fluid resembling Katutaila (mustard oil); heels with difficulty and after healing definitely constricts the Karnashashkuli (pinna).
सिरास्थः कुरुते वायुः पालीशोषं तदाह्वयम् । कृशा दृढा च तन्त्रीवत्पाली वातेन तन्त्रिका ॥ १९ ॥
Vata localized in the sira (veins) produces emaciation/drying up, thinning of the lobe of the ears. This is known as Palishosha. The pinna (or ear lobe) becoming emaciated, static and resembling a wire is Tantrika, caused by Vata.
In children, the ear neglected for a long time (allowed to remain without puncturing) and punctured all of a sudden, gives rise to swelling in the pinna (ear lobe) accompanied with pain, light red in color and pulsating,