कफप्रधानाः कुर्वन्ति मेदोमांसास्रगा मलाः । वृत्तोन्नतं यं श्वयथुं स ग्रन्थिर्ग्रथनात्स्मृतः ॥ १ ॥
Malas (doshas) of which Kapha is the predominant one, invading the fat, muscle and blood produce a round, raised swelling (new growth) known as Granthi; because of its knotty (lumpy) nature.
दोषास्रमांसमेदोऽस्थिसिराव्रणभवा नव । ते तत्र वातादायामतोदभेदान्वितोऽसितः ॥ २ ॥
It is of nine kinds viz, arising from each dosha, blood, from muscle tissue, fat tissue, bone, vein, and from ulcer. That arising from Vata, is broad, has pricking pain and cutting types of pain, black in color,
स्थानात्स्थानान्तरगतिरकस्माद्धानिवृद्धिमान् । मृदुर्बस्तिरिवानद्धो विभिन्नोऽच्छं स्रवत्यसृक् ॥ ३ ॥
shifts from place to place, undergoes increase or decrease in size without any reason, soft, bulged like a leather bag and exudes clear thin blood when pricked.
पित्तात्सदाहः पीताभो रक्तो वा पच्यते द्रुतम् । भिन्नोऽस्रमुष्णं स्रवति श्लेष्मणा नीरुजो घनः ॥ ४ ॥
That arising from Pitta, has burning sensation, yellow or red in color, ripens (suppurates) quickly; exudes warm blood when pricked. That arising from Kapha, is painless, hard,
cold, of the same color of the skin, has itching; when ripens, exudes thick pus. When the doshas get aggravated in the blood, a granthi (tumor) develops containing worms,