तत्र वातपित्तश्लेष्मनिमित्ता विसर्पास्त्रयः साध्या भवन्ति; अग्निकर्दमाख्यौ पुनरनुपसृष्टे मर्मणि अनुपगते वा सिरास्नायुमांसक्लेदे साधारणक्रियाभिरुभावेवाभ्यस्यमानौ प्रशान्तिमापद्येयाताम्, अनादरोपक्रान्तः पुनस्तयोरन्यतरो हन्याद्देहमाश्वेवाशीविषवत्; तथा ग्रन्थिविसर्पमजातोपद्रवमारभेत चिकित्सितुम्, उपद्रवोपद्रुतं त्वेनं परिहरेत्; सन्निपातजं तु सर्वधात्वनुसारित्वादाशुकारित्वाद्विरुद्धोपक्रमत्वाच्चासाध्यं विद्यात् ॥४२॥
[Prognosis of visarpa] Among all types of visarpa vatik, paittik and kaphaja these three are curable. Agni and kardam visarpa not spreading to vital organs and causing no suppuration of the vessels, ligaments and muscles can be pacified by the general treatment of visarpa. When managed with negligence both may cause death of patients like snake venom. Granthi visarpa should be treated before complications has arisen, otherwise should be rejected. Sannipataja visarpa should be taken as incurable because of it is spreading to all dhatu, very fulminant and refractory to treatment.
english translation