Sushruta Samhita

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तत्रातिसंवृतोऽतिविवृतोऽतिकठिनोऽतिमृदुरुत्सन्नोऽवसन्नोऽतिशीतोऽत्युष्णः नगन्धात्यर्थदाहपाकरागवेदनावानिति पित्तेन, शेषाः कफेन; उन्मार्गी मुखात् मुखान्तरवान्, उत्सङ्गः कोटरः’ इति चक्रः; कृष्णरक्तपीतशुक्लादीनां वर्णानामन्यतमवर्णो भैरवः पूतिपूयमांससिरास्नायुप्रभृतिभिः पूर्णः पूतिपूयास्राव्युन्मार्ग्युत्सङ्ग्यमनोज्ञदर्शनगन्धोऽत्यर्थं वेदनावान् दाहपाकरागकण्डूशोफपिडकोपद्रुतोऽत्यर्थं दुष्टशोणितास्रावी दीर्घकालानुबन्धी चेति दुष्टव्रणलिङ्गानि | तस्य दोषोच्छ्रायेण षट्त्वं विभज्य यथास्वं प्रतीकारे प्रयतेत ||७||

sanskrit

The characteristics of malignant ulcers include various severe conditions: Atisaṁvṛto (Excessively covered): Excessively covered or hidden ulcers. Ativivṛto (Excessively exposed): Ulcers that are excessively exposed or open. Atikaṭhino (Excessively hard): Ulcers that are excessively hard to the touch. Atimṛdu (Excessively soft): Ulcers that are excessively soft. Utsanno (Swollen): Ulcers that are excessively swollen. Avasanno (Depressed): Ulcers that are depressed or sunken. Aṭiśīto (Excessively cold): Ulcers that are excessively cold. Aṭiṣṇa (Excessively hot): Ulcers that are excessively hot. In addition to these, the ulcer may exhibit other signs such as excessive burning sensation, pungent smell, or severe pain associated with deranged Pitta. The rest of the ulcers are characterized by deranged Kapha. Malignant ulcers have the following features: Unmārga (Obstructed pathway): Blockage or abnormal pathway for secretion. Mukhat Mukhāntaravān (Visible through the mouth): Ulcers that are visible through the mouth. Utsanga (Swelling): Ulcers with significant swelling. Kōṭara (Cavity): Presence of a cavity. Kṛṣṇa-rakta-pīta-śuklādīnām (Various colors): Presence of colors like black, red, yellow, white, etc. The ulcer may also exhibit excessive secretion of putrid and fetid matter, along with severe pain, burning sensation, itching, swelling, and other symptoms. It may be accompanied by secondary infections, prolonged healing, or severe discharges. Treatment should be tailored based on the specific type of dosha (body humour) involved.

english translation

hindi translation

tatrAtisaMvRto'tivivRto'tikaThino'timRdurutsanno'vasanno'tizIto'tyuSNaH nagandhAtyarthadAhapAkarAgavedanAvAniti pittena, zeSAH kaphena; unmArgI mukhAt mukhAntaravAn, utsaGgaH koTaraH’ iti cakraH; kRSNaraktapItazuklAdInAM varNAnAmanyatamavarNo bhairavaH pUtipUyamAMsasirAsnAyuprabhRtibhiH pUrNaH pUtipUyAsrAvyunmArgyutsaGgyamanojJadarzanagandho'tyarthaM vedanAvAn dAhapAkarAgakaNDUzophapiDakopadruto'tyarthaM duSTazoNitAsrAvI dIrghakAlAnubandhI ceti duSTavraNaliGgAni | tasya doSocchrAyeNa SaTtvaM vibhajya yathAsvaM pratIkAre prayateta ||7||

hk transliteration