कफाद्गुरु स्निग्धमरुक् चितं मांसाङ्कुरैर्बृहत् । तत्त्यजेद्वत्सरातीतं सुमहत्सुपरिस्रुति ॥ २१ ॥
in that caused by Kapha the leg is heavy, unctuous, painless and studded with big sprouts of muscle fibres. That which is more than one year old, very big and exuding heavily should be rejected.
Shlipada affects the hands, nose, lips and ears also like the feet, some (authorities) say so; and it is especially common in extremely marshy regions.
Doshas aggravated invading the medas (fat) present in the throat, neck, region of collar bone, axilla and groin, give rise to growth of hard, unctuous, deep rooted, multiple, small tumors of the same color as of the skin resembling vārtāka – Solanum melongena, āmalaka – Emblica officinalis (in size),
some disappear and afresh the disease persists for long. This is known as Gandamala and Apachi and undergoes increase or decrease like the durva grass (Cynodon dactylon) (disappears in unsuitable climate and reappears in suitable climate).