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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
english translation
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,
english translation
शराविका कच्छपिका जालिनी सर्षपी तथा। अलजी विनताख्या च विद्रधी चेति सप्तमी ॥८३॥
vital parts (marma) and joints. The names of these seven pidikā are sharavika, kacchapika, jalini, sarshapi, alaji, vinata and vidhradi
english translation
अन्तोन्नता मध्यनिम्ना श्यावा क्लेदरुगन्विता। शराविका स्यात् पिडका शरावाकृतिसंस्थिता ॥८४॥
[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
english translation
अवगाढार्तिनिस्तोदा महावास्तुपरिग्रहा। श्लक्ष्णा कच्छपपृष्ठाभा पिडका कच्छपी मता ॥८५॥
[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
english translation