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Charak Samhita

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उत्सङ्ग्युत्सन्न एषां च व्रणान् विद्याद्विपर्ययात् । इति नानात्वभेदेन निरुक्ता [२] विंशतिर्व्रणाः ॥२१॥

discharging, non-discharging; poisonous, non-poisonous; unevenly located, evenly located; pouched, un-pouched; elevated, depressed – these are the twenty types of ulcers according to various distinguishing features.

english translation

दर्शनप्रश्नसंस्पर्शैः परीक्षा त्रिविधा स्मृता । वयोवर्णशरीराणामिन्द्रियाणां च दर्शनात् ॥२२॥

Three fold examination: Examination of ulcer can be performed by three methods e.g. by inspection, interrogation and palpation.

english translation

हेत्वर्तिसात्म्याग्निबलं परीक्ष्यं वचनाद्बुधैः । स्पर्शान्मार्दवशैत्ये च परीक्ष्ये सविपर्यये ॥२३॥

Age, complexion and color, body parts and sense organs are examined by inspection. Etiology, nature of pain, suitability and power of digestion should be known by patient’s statement. By palpation softness and coldness are known with their contraries.

english translation

श्वेतोऽवसन्नवर्त्माऽतिस्थूलवर्त्माऽतिपिञ्जरः [१] । नीलःश्यावोऽतिपिडको रक्तः कृष्णोऽतिपूतिकः ॥२४॥

Twelve types of ulcers: White, with depressed margins, very thick margins, much greyish (pinjara), blue, blackish,

english translation

रोप्यः कुम्भीमुखश्चेति प्रदुष्टा द्वादश व्रणाः । चतुर्विंशतिरुद्दिष्टा [२] दोषाः कल्पान्तरेण वै ॥२५॥

surrounded with numerous boils, red, black, very fetid odor, non- healing nature and bottle-necked (narrow opening) these are twelve types of defective (dushta) ulcers.

english translation