As described in earlier chapters, these variants also manifest due to permutations and combinations of the six qualities of pitta,i.e., alkaline, sour, saline, pungent, hot and having smell like that of raw fish.
[Specific Features of Types of Pittaja Prameha] All these types of prameha are palliable (but not fully curable) because the loci of vitiated medas in the pathogenesis of this disease are closer to those of the affected doshas and the treatment of pitta and medas is in mutual contradiction.