स मारुतस्य पित्तस्य कफस्य च मुहुर्मुहुः| दर्शयत्याकृतिं गत्वा क्षयमाप्यायते पुनः ||८१||
[Symptoms of avrita madhumeha] In this condition of madhumeha, the symptoms of vata, pitta and kapha are frequently manifested. The symptoms subside for some time, but again reappear later
उपेक्षयाऽस्य जायन्ते पिडकाः सप्त दारुणाः| मांसलेष्ववकाशेषु मर्मस्वपि च सन्धिषु ||८२||
[Sapta pidika (seven papules/pustules/carbuncles)] If the diabetic condition is neglected, seven types of pidika (pustules) are produced. These pidika occur in fleshy spaces,
[1. Sharavika] The edges of sharavika pidika are raised and middle part is depressed, and its colour is dusky-red. It is accompanied by slough (kleda) and pain. As its shape is like that of an earthen saucer (sharavika), hence its name
[2. Kacchapika] Kacchapika (carbuncle) is deeply and extensively infiltrated, with distress and pricking pain. It has a smooth surface like that of tortoise (Kacchapa), therefore, its name