The woman belonging to pitta constitution, who suppresses the urges of sneezing and belching during copulation, goes in for aggravation of Vata along with Pitta, which together vitiate the vagina,
which becomes swollen, intolerant to touch, painful, exuding blue and yellow blood, associated with feeling of heaviness of the urinary bladder and abdomen, diarrhoea, loss of taste/appetite,
pain in the waist, groin, pricking pain and fever. This disease is Paripluta. This having the features of increase of Vata and Kapha, exudes blood which is white and slimy,
this is Upapluta yoni. Vipluta is due to not washing the vagina (clearing again), gives rise to growth of worms (bacteria etc.) and itching, because of itching the woman desires copulation often.
अकालवाहनाद्वायुः श्लेष्मरक्तविमूर्छितः । कर्णिकां जनयेद्योनौ रजोमार्गनिरोधिनीम् ॥ ५० ॥
By premature initiation of the urges, Vata getting aggravated along with Kapha and blood produces Karnika (sprouts of muscles) of vagina, obstructing the channel of the menstrual blood.