लालास्रावी स सुषिरो दन्तमांसप्रशातनः । स सन्निपाताज्ज्वरवान् सपूयरुधिरस्रुतिः ॥ २६ ॥
associated with too much of saliva and falling off of the gums, this disease is Sushira, the same caused by Sannipata (aggravation of all the doshas simultaneously) accompanied with fever, discharge of pus and blood
महासुषिर इत्युक्तो विशीर्णद्विजबन्धनः । दन्तान्ते कीलवच्छोफो हनुकर्णरुजाकरः ॥ २७ ॥
and causing loosening of the joint of the teeth is called as Mahasushira. Swelling resembling a nail at the end of the (row of) teeth causing pain in the lower jaw,
and ears and obstructing the food (during swallowing) is known as Adhimamsaka and is caused by Kapha. The gums if scratched (during brushing of the teeth) giving rise to profound swelling
in such a patient the doshas remaining inside, not coming out, create minute fissures, pus comes out of these often, the skin, muscles and bones get destroyed.