सिरास्थं शोणितं दोषः सङ्कोच्यान्तः प्रपीड्य च । पाचयेत तदानद्धं सास्रावं मांसपिण्डितम् ॥ १६ ॥
Doshas getting aggravated, vitiate the blood present inside the veins, causing contractions, pain and ripening, with obstruction and discharges (blood) produce a growth of (tumor) muscle
studded with sprouts of muscle, the tumor develops fast and discharges vitiated blood constantly in large quantities, this is Shonitarbuda (caused due to vitiation of blood tissue).
Among these (Arbudas) those arising from blood (Shonitarbuda) and muscle tissue (Mamsarbuda) should be refused, the remaining four should be treated. Doshas with the predominance of Kapha, getting aggravated invade the muscle and blood, commencing first in the groin
and gradually with time descend to the thigh and other parts of the lower body and the feet, making it largely swollen, slowly and steadily, this disease is called filariasis.
परिपोटयुतं कृष्णमनिमित्तरुजं खरम् । रूक्षं च वातात्पित्तात्तु पीतं दाहज्वरान्वितम् ॥ २० ॥
In that caused by Vata, the leg is having small cracks in the skin, black in color, pain develops without any reason and (skin) is rough and dry; in Pitta, it is yellow, accompanied with burning sensation and fever;