वायुः सम्पीड्य सङ्कोच्य वक्रीकृत्य विशोष्य च । निःस्फुरं नीरुजं ग्रन्थिं कुरुते स सिराह्वयः ॥ ११ ॥
causing pain, constriction, distortion, drying up and gives rise to the formation of granthi which is non-pulsating and painless. This is known as Siragranthi.
अरूढे रूढमात्रे वा व्रणे सर्वरसाशिनः । सार्द्रे वा बन्धरहिते गात्रेऽश्माभिहतेऽथवा ॥१२॥
If the patient indulgent in foods of all tastes without any control, when the ulcer has not healed or healed just then, or if it (ulcer) is not bandaged, when still moist, or the body is hit by stones etc.,
then Vata dries up the vitiated blood which has not gone out, causes a granthi in the ulcer associated with burning sensation and itching. This is known as Vrana Granthi.
साध्या दोषास्रमेदोजा न तु स्थूलखराश्चलाः । मर्मकण्ठोदरस्थाश्च महत्तु ग्रन्थितोऽर्बुदम् ॥ १४ ॥
Those Granthi (tumors) arising from the doshas, rakta and medas are curable; those which are big, hard and moveable, those located on vital spots, throat and abdomen are not curable. Large granthis are called Arbuda (malignant tumors)
तल्लक्षणं च मेदोऽन्तैः षोढा दोषादिभिस्तु तत् । प्रायो मेदःकफाढ्यत्वात्स्थिरत्वाच्च न पच्यते ॥ १५ ॥
The (signs of) Arbuda are of six kinds, (three) caused by the doshas etc. and three ending with meda (rakta, mamsa and meda) because of predominance of medas (fat) and Kapha generally and due to deep rootedness, they do not ripen (suppurate).