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स्वेदोऽत्यर्थं न वा कार्ष्ण्यं स्पर्शाज्ञत्वं क्षतेऽतिरुक् । सन्धिशैथिल्यमालस्यं सदनं पिडकोद्गमः ॥१६॥
[Premonitory symptoms] There is excessive or absence of perspiration, blackishness of the body, poor or lack of tactile sensation, high intensity of pain on trauma,
english translation
जानुजङ्घोरुकट्यंसहस्तपादाङ्गसन्धिषु । निस्तोदः स्फुरणं भेदो गुरुत्वं सुप्तिरेव च ॥१७॥
laxity of joints, lassitude, malaise, appearance of boils, feeling of heaviness, numbness and itching in knee, thigh, waist, shoulder, hands, legs and other joints of the body,
english translation
कण्डूः सन्धिषु रुग्भूत्वा भूत्वा नश्यति चासकृत् । वैवर्ण्यं मण्डलोत्पत्तिर्वातासृक्पूर्वलक्षणम् ॥१८॥
appearance of pain in the joints and abatement (without treatment), discoloration of body, appearance of mandala (circular skin lesions) are the premonitory symptoms of vatashonita.
english translation
उत्तानमथ गम्भीरं द्विविधं तत् प्रचक्षते । त्वङ्मांसाश्रयमुत्तानं गम्भीरं त्वन्तराश्रयम् ॥१९॥
[Types of vatarakta] As this is said there are two types of vatashonita - uttana (superficial) and gambhira (deep). The uttana is located in twaka(skin) and mamsa dhatu (muscles) while the gambhira is located in the deep tissues.
english translation
कण्डूदाहरुगायामतोदस्फुरणकुञ्चनैः । अन्विता श्यावरक्ता त्वग्बाह्ये ताम्रा तथेष्यते ॥२०॥
[Clinical features of uttana vatarakta (superficial type)] Symptoms of uttana vatashonita are itching, burning sensation, pain, stretching sensation, piercing pain, fasciculation, feeling of constricting and the color of skin becomes blackish, red or coppery.
english translation