In that caused by Vata, there is swelling in the penis, pain of various kinds, stiffness, cracks on skin of penis. It appears like the ripe fruit of Ficus racemosa, along with swelling and fever in that caused by Pitta;
श्लेष्मणा कठिनः स्निग्धः कण्डूमाञ्छीतलो गुरुः । शोणितेनासितस्फोटसम्भवोऽस्रस्रुतिर्ज्वरः ॥ ७ ॥
in that caused by Kapha, the penis appears hard, greasy, itching, cold and heavy; that due to blood, is prone to develop black colored vesicles, bleeding and fever.
That caused by all the doshas, has features of all the doshas, swelling even of the scrotum, severe pain, ripens (suppurates) quickly, putrefaction and appearance of worms are likely.
याप्यो रक्तोद्भवस्तेषां मृत्यवे सन्निपातजः । जायन्ते कुपितैर्दोषैर्गुह्यासृक्पिशिताश्रयैः ॥ ९ ॥
Among these, that born from blood is controllable but persist long, that from all the doshas together is going to kill the person. Mamsakilaka (projections of muscle) produced by the aggravated doshas, localized in the blood and muscle of the penis,
developing either inside or outside of penis, having itching and discharge of slimy blood. It occurs in the same way in the vagina, resembling an umbrella.