यस्य पित्तं प्रकुपितं शङ्खयोरवतिष्ठते| श्वयथुः शङ्खको नाम दारुणस्तस्य जायते ||२६||
[Shankhaka] When a vitiated pitta inhabits the temporal regions of the head, severe and fatal swellings known as shankhaka (saggital sinus thrombosis/ intracranial growth/ temporal arteritis) are caused.
[Karnamulika shotha (swelling at base of ears)] When the vitiated pitta is located at the base of ears, a severe, incurable and fatal swelling arises at the terminal stage of the fever.
[Pliha (splenomegaly)] When the vitiated vata inhabits and elevates the spleen, it causes a gradual prickly pain in the sides, causing pliha vriddhi i.e. splenomegaly.
[Vriddhi (scrotum enlargement)] When the vitiated vata moves from the groins to testicles causing swelling and pain, it causes vriddhi i.e. testicular swellings.