THE GARUDA PURANA 31 страница

12. The Kapha causes diarrhoea, acid erectations, burning sensation, clamminess of the cardiac region, lethargy, saline taste in the mouth, horripilation and aphonia.

13. Cough and Vomiting the symptoms of a combination are very unbearable. The mucous expectorated is either bitter or sweet due to the prevalent Vayu or Pitta.

14. The defiled kapha vitiates the fat and other vital constituents of the body and generating a condition of parchedness causes even haemorrhage. As said before, it may obstruct the various ducts and vessels of the body resulting in general debility.

15. In Jaundice the navel, feet, face and the penis become thinner and thinner; the faeces are infested with germs, loose and mixed with blood and mucous matter.

16. A patient affected by jaundice continuing to eat pitta-generating foodstuffs is afflicted by Kamala (chlorois).

The pitta, coming of its seat in the abdominal cavity scorches up the blood and the flesh.

17. The colour of the urine, faeces, eyes, mouth and the face becomes yellow; the patient feels a burning sensation; indigestion sets in and the patient lies like a bloated toad weak in all his limbs and organs of sense.

18. The unabsorbed pitta of a jaundice patient gives rise to a kind of swelling and when these swellings are neglected, the dreadful ailment of Kumbha Kamala sets in.

19. The unassimilated Pitta produces greenness of complexion. The Vayu and Pitta in combination produce vertigo, thirst, desire for the company of women and slight rise in temperature.

20. Moreover, there may. be somnolence and impaired digestion. Sages call it Halimaka. A great lassitude is also observed. All these are the premonitory symptoms of this disease.

21-22. Sotha (oedema) has already been mentioned as a grave ailment. Hence, it is being explained. The defiled Vayu takes the contaminated blood, pitta and kapha to the external vessels and gets obstructed in its path generating a raised and compact swelling in the local flesh and skin. This is called & otha.

23-24. This ailment is divided into nine according to the causes — the three dosas separately, in combination of twos, all combined, due to attack and due to poison. It is divided into three in accordance with their shapes (1) large,

(2)

raised and pointed, ( 3) knotty. They may be congenital or acquired. If they spread all over the body they are necessarily generated by overlustfulness.

25. A common cause for all types of Sothas is the deranged morbid humour. They are found in persons emaciated due to sickness, overwork, fasting, etc. rapidly growing.

26. In the case of others the intake of foodstuffs in large quantities especially such as are heavy, too cold, saline, acid or alkaline, green vegetables and water or excessive sleep or wakefulness may cause Sotha.

27-28. The voluntary suppression of natural urges, eating dried flesh, indigestion, exhaustion, sexual intercourse, travelling by foot or in a jolting vehicle— all these aggravate these diseases: — dyspnea, cough, dysentery, piles, ascites, leucorrhoea, fever, tympanites, flatulence, vomiting, hiccough, erysipelas and jaundice.

29. The morbid humours lodged in the upper, middle or lower parts of the body generate Sotha (oedematous swelling) in their seat or in the urinary bladder.

30. Its premonitory symptoms are burning pain in the nerves and heaviness of limbs. In the Vataja type of swellings, they are found to be shifting in their character, rough, blackish or reddish in colour and have rough hair round their base.

31. The patient complains of breaking pain in the temples, bladder, entrails, etc. Due to the pain he is unable to sleep. The swelling grows rapidly and the whole body is painful.

32. The swelling is small during nights and grows large during the day. It is glossy. By pressure it may subside. If mustard is applied over the swelling a tingling sensation is experiejaced.

33. The pittaja type of swelling is black, red or yellow in colour; it produces £ o$a (emaciation); it does not subside quickly. Before the advent and in the middle, it gives a burning sensation all o^er the body.

34. Fever with thirst, burning sensation and perspiration, vertigo, pain, stupor, yearning for things, loose motion, foul smell and softness to the touch are characteristic symptoms.

35. In the kaphaja type the swelling gives an itching sensation, has yellow and gray hairs, is hardskinned, cold, firm, glossy, smooth and painful; it produces sleep, vomiting, sensation and indigestion.

36-37. A blow, a cut from any weapon or any hard thing, exposure to chill winds or sea breezes or the juice of Bhallataka 1 or Kapikacchu 2 fruits may produce a swelling with erysipelas. It is marked by extreme heat and exhibits symptoms common to Pittaja type. It is red in colour.

38. Swelling due to poison is caused by poisonous insects and reptiles when they pass over the body or urinate there. Even when nonpoisonous insects and animals bite or scratch swelling may occur.

39-40. When one comes into contact with a cloth contaminated by faeces, urine, or semen or when one comes into contact with breeze coming from poisonous trees or when one grinds a poisonous medicine, a swelling may occur that is soft shifting, hanging loose and extremely painful and burning. A fresh swelling without disorders can be cured but not a chronic one.

1. Somccarpus anacardium.

2. Perhaps the same as S vayariiguptS — Mucuna pruriens.

CHAPTER ONE HUNDRED AND SIXTYTHREE.

Diseases.

Dhanvantari said:

1. O SuSruta, I shall explain the pathology ofVisarpa (Erysipelas — dry spreading itch), please listen. Visarpa may be caused by defiled morbid humours in the same way as swellings (Sotha). The humours are defiled either by the obstruction of the vessels or prevention of the outlet of excreta.

2-4. This is an external ailment. It may be caused by fright or overwork. These ailments are more and more difficult of cure in the order of enumeration. When the do? as are aggravated by the usual exciting factors especially those parchifying foodstuffs they come out from within due to excessive thirst, or irregular functions of the excretory system or the impairment of the digestive system or physical strength. This brings on an attack of dry spreading itch.

5. In the Vataja type the pain and disorders are the same as in Vataja fever. A throbbing sensation is experienced, an aching piercing pain and misery of utter exhaustion is felt It is attended with horripilation too.

6. In the pittaja type it spreads very rapidly; it is bright, red in colour and exhibits all symptoms of a Pittajvara (fever).

In the kaphaja type of dry itch, it is very irritating, glossy and exhibits the symptoms of kaphaja fever and its pain.

7. Erysipelas of the Sannipataja type exhibit all the symptoms. When neglected it flourishes with all sorts of eruptions.

8. Due to the combined action of Vayu and Pitta, there is fever vomiting, fainting, diarrhoea, thirst, vertigo, breaking pain in the joints, the gastric fire becomes defunct, nonrelish for food and tamaka Svasa — all these manifest themselves.

9. All the body appears to be covered with burning charcoal. Wherever the itch spreads it gives the burning sensation.

10. The place from where the itch has shifted appears black or blue like the burnt cinders or becomes red and grows with eruptions as in the case of a burn. It is very rapid.

1 1. Hence, it invades the vital principles since the Vayu is very powerful and produces pain all over the body, removes sensibility and sleep and makes him gasp for breath.

12. The patient has hiccough and does not get any permanent relief on the ground or bed or in seat, since he becomes insatiable.

13. Turning over sides lie endures a lot of pain, experiences stupor and delusion mentally and physically and enters a sleep from which it becomes difficult to wake him up.

This is called Agnivisarpa.

14-16. Vayu obstructed by Kapha, shatters it into pieces. It then vitiates the blood in the vessels in the skin, sinews and flesh of a sanguinous person. A knotty garland (series) of a number of erysipelatic eruptions elongated or round in shape is produced by it. This exudes blood and gives excruciating pain. Dyspnea, cough, dysentery, parchedness of the mouth, hiccough, vomiting, vertigo, fainting, pallor, epileptic fits, breaking pain in the limbs and impaired digestive function — all these accompany it. This is called Granthivisarpa caused by the derangement of Kapha and Vayu.

17-21. The derangement of Kapha and Pitta produce these — fever, numbness, somnolence, lassitude, headache, weakness and jerky movements of the limbs, delirium, repugnance for food, vertigo, epileptic fits, impaired gastric fire, breaking pain in the bones, thirst, dullness of the sense organs, undigested excreta and smearing of the ducts with slimy mucous. The itch usually starts from any part of the stomach and spreads. It does not pain much. It is surrounded by pustules deep, yellow, red or gray in colour. The main itch is glossy, black or blue in colour, dirty, heavy and has a swelling with hot grave suppurations. When it breaks, the fleshy portion is severed up making the sinews and nerves clearly visible.

It emits the foul smell of a dead body. This is called Kardama Visarpa (Miry Visarpa).

22-23. When a blow or cut affects the body the Vayu becomes aggravated and vitiates the blood and the Pitta. It then produces itches and eiuptions resembling the pulse Kulattha 1 (Horse gram). There is swelling, fever, pain and burning sensation. The blood is blackish-red in colour. The erysipelas caused by the dosas severally can be cured. That caused by the dosas in twos can be cured if disorders are not many.

24. Those itches caused by all the humours in combination, those affecting the vulnerable joints, those in which the sinews, nerves and flesh are shattered and those with pus emitting the foul smell of dead bodies are incurable.

CHAPTER ONE HUNDRED AND S1XTYFOUR.

Diseases.

Dhanvantari said:

1-3. Injudicious diet and conduct, sinful actions, ridiculing or killing good people, sinful fights, abductions, accumulated evils of the previous births — all these in combination aggravate the morbid principles Vayu, Pitta and Kapha.

They permeate the various ducts and vessels of the body and contaminate the skin, the fat, the blood and the flesh. After drying them up when the dosas come out they discolour the entire skin. Authorities call this Kustha ( cutaneous affections, leprosy etc. ).

4. When neglected at the outset these Ku§fhas spread all over the body and vitiate the fundamental principles and constituents of the organism external and internal.

5. The affected part gets contracted or covered with perspiration and clammy discharges. Minute terrible germs infest the region. The hair, the skin, the sinews, and the vessels of various secretions are infested by them.

6. The body of the patient appears to be covered with ashes. Kusjhas are of seven types being caused by the dosas severally and in twos or all combined together.

1. Dolichos biftonus.

7-10. Although all the do$as are present in every case the prevalent do$a is to be considered as the main cause. The Ku$fha Kapala is due to Vayu. Audumbara is due to Pitta and Masala is due to Kapha. Vicarcl and Rsyajihva are due to Vata and Pitta. Carmaikakus^ha (Prurigo) and Ki^ima (Keloid tumour), Sidhma, Alasa and Vip& dika are due to Vayu and Kapha: Dadru (Ring worm) and Satarus are due to Pitta and Kapha. Pun< Jarika, Visphota, Pama, Carmadala and Kakana are due to the combined action of all the three do$as.

The first three (i. e. Kapala, Audumbara andMan (Jala), Dadru,.

Kakana, Pundarika and Rsyajihva are the seven Mahaku§thas.

11-14. Some of the affected patches are soft and some are rough; in some cases there is perspiration, in some cases there is no perspiration; Pallor, burning and itching sensations, somnolence (loss of feeling), pricking pain, affection of the optic nerves, darkness of vision, excessive pain in the limbs, rapid appearance and permanent stay of the patches, roughness to the touch, aggravation when the slightest cause is present,, horripilation and dark black colour of the blood — all these are the preliminary symptoms of Kustha. The patches in the Kapala type of Kusfha resemble a black and reddish skull are attended with excruciating pain. They arc dry and rough, of irregular formation and are covered over with dirty hair.

This Ku$tha is highly dreadful.

15-17. The patch in the Audumbara type ofKu${ha has the colour of the Udumbara fruit (ficus Indica); it is circular in shape; it Exudes copious discharge of pus; it is attended with excessive pain and a burning sensation. The patches are not contiguous nor do they burst. Many germs are found in them. In the Mandalakusfha (Erythema) the patches are firm, thick, glossy, exuding white and red discharge congested and overlapping one another, raised, excessively irritating, of copious discharge and infested with parasites.

They are of glossy yellow colour.

18. The Vicarcika type of Ku$(ha is irritating, black in colour and covered with exuding postules. Rough to the touch they are red in the extremities and black within and slightly raised.

19. The Ku$tha known as R. $yajihva is infested with a number of germs. It resembles the tongue of the deer R? ya.

In the Carmakhya Ku& ha the patch is rough to the touch like the skin of an elephant.

20. In the Kifima type of Ku${ha the patch is dry and resembles the scales of a fish. It is hard and shining and has the colour of fire. It irritates.

21-22. A kind of patch rough within and glossy outside by rubbing which dust is scattered is smooth to the touch.

There is no perspiration. It resembles a flower without dewdrops. It is usually formed in thin layers at its upper ends.

It is characterised by itching sensation and red marks. This is called Vipadika and usually affects hands and feet.

23-24. In the type of Ku? tha called Dadru (ring worm)

the ulcer gives excruciating pain and itching sensation. The eruptions are red. They spread like the Durva grass tinged with a colour like that of an Atasi flower (linseed). It has an elevated ring-like groove. It produces itching sensation. Its roots are thick. It is characterised by burning sensation. It emits blood and is full of wounds.

25-26. It gives a burning sensation and is generally caused by all the humours in combination. The surrounding zone is red or tawny coloured. It gives an itching sensation and excruciating pain. The pustules are white or red and the patch appears like leaves of lotus covered with drops of water. This Ku$tha is called Pundarlka.

27. In the type of Ku$tha called Pama the ulcers exude discharges and give itching sensation and excruciating pain.

They have a dusky or reddish hue and are very rough. Generally they appear in elbows and buttocks.

28. An excruciating pain and burning sensation characterise the Ku${has Carmadala and Kakana where the eruptions can be touched but emit blood when scratched.

29. The Kakaga type is at first red but turns into black, resembling the washings of Triphala. All ulcers in all types of ku§tha become black due to their own respective reasons.

30. The different types of kugtha must be understood through their symptoms and actions. That which is caused by all thedoas shall be abandoned (as incurable).

31. The Kusfha that affects the bones, marrows and semen is incurable, that which affects the fat Yapya (treated by palliatives) and that which affects our bones or flesh can be cured.

32. The Kustha produced by Kapha and Vayu in combination is not very difficult to cure. So also is the case of a kustha that has affected only the skin and does not secrete any discharge. When the kustha has affected only the skin, discoloration and roughness in the skin is observed.

33-34. Perspiration, heat and swelling, eruptions in hands and feet and in the joints, extreme pressure as if the fat is being crushed on account of the dosas — all these symptoms characterise the kustha attacking the blood and flesh. The ability of the patient to feel sensations is impaired slightly.

Voice becomes sunk and hollow, eyesight is affected, fat and marrow in the bones are destroyed.

35. When the germs affect the semen the patient transmits the disease to his wife and children. All these ailments with the characteristic symptoms affect even animals.

36. Svitra (Leucoderma) and the dreadful disease Kilasa have the same exciting factors as Kustha. They are not of the bleeding type. All the three dhatus are affected by them.

All the dosas cause them.

37-38. Svitra caused by Vayu is rough and red, that of pittaja type is copper-coloured and shaped like lotus leaves.

It gives a burning sensation and the hair in the affected part fall off. The kaphaja type of Svitra is thick and white and gives an itching sensation. It gradually affects the blood, flesh and fat. Both these are incurable.

39. ASvitra with plenty of hair not turned white, not contiguous and of recent origin, can be cured, if it is not caused by scalds or burns. Other types are to be abandoned as incurable.

40. A Kilasa (Psoriasis) in the private parts, lips or on the palms, even of recent origin has to be avoided as incurable by persons wishing for success.

41 All diseases are transmitted from person to person by touching, taking food together, sexual intercourse, sharing the same bed or seat or by using the same clothes, garlands, unguents, etc.

CHAPTER ONE HUNDRED AND SIXTYFIVE.

Diseases.

Dhanuantari said:

1. Krmis (bodily germs) are of two types: the external and the internal. The external ones are of four types being caused by 1) faecal matter 2) mucous matter 3) blood and 4) other discharges of waste matter.

2. The external parasites born of the waste matter are enumerated as twenty in number. They are of the shape and colour of gingelly seeds and take refuge in hair or garments.

3. Though they are very minute they have many feet.

Two principal classes of these named Yukas (lice) and Liksas (nits or ticks) bring about Kotha (Urticaria) and Karujuganda (itches in the neck).

4-6. The internal parasites cause kustha. The external ones are caused by deranged kapha by the intake of sweet rice, jaggery, milk, curds, fish and newly harvested grains.

From the abdomen they spread all over the body. Some are potshaped and some are like earthworms. Some are like the germinating seeds of grains, some slender and long, some are like specks, some are white and some are copper coloured.

They are seven with seven names.

7-8. They are Antradas (gnawers of entrails), Udaravesjas (permeating the abdomen) Hrdayadas (eating the heart), Mahagudas (rectal mousters) Cyurus (falling off), Darbhakusumas (like darbha flowers) and Sugandhas (sweet smelling).

They cause disquietude, water discharge from mouth, indigestion, nonrelish for food, epilepsy, vomiting, fever, tympanites, emaciation, sneezing and Catarrh.

9. There are some parasites in the blood and the blood vessels. They have no feet. They are copper coloured and circular in shape. Some of them are so minute that they can not be seen by the naked eye.

10. They are Ke& das (eating the hair) Romavidhvamsas (destroyers of hair) Romadvipas (hair-islanded), Udumbaras, Aurasas and Mitfs and these produce Ku$fha quickly.

11-12. Some parasites grow in the abdomen originating from faeces. They take a downward course. But when they are fully grown they proceed towards the abdomen. Then they produce a foul faecal smell in the mouth, breath and eructations. They are like big circles, some small, some stout, tawny, yellow, white or black in colour.

13-14. They are five in number named Kakeruka, Makeruka, Sausurada, Sagula, and Leliha. They produce loose motions, acute pain, obstruction to excretion, emaciation, pallor, horripilation, impaired digestion and itching sensation in the anus by travelling in wrong directions.

CHAPTER ONE HUNDRED AND SIXTYS1X.

Diseases.

Dhanuantari said:

1-3. O Sugruta, I shall explain the pathology of Vatavyadhi (disease of the nervous system). If we are to speak of disorders the reason thereof is an obstruction to the natural flow {of the wind). The Vayu element in the body is actually the 'Vigvakarm& (the architect of the universe), Vigv& tma (the soul of the universe) Vigvarupa (having all forms), Prajapati (lord of the created beings) Sra? tr (creator) Dhatr (the originator) Vibhu (all pervading) Vi? pu, Sarhhartf (Annihilator)

Mftyu (Death) Antaka (Finisher). Hence one should endeavour to preserve it in equilibrium.

4. A correct knowledge of Prakfta (physiological) and Vaikrta (pathological) aspects with the diverse actions of the morbid principles in combination and severally must be had.

5. The vaikrta actions are of five types. They arc being mentioned along with their pathology and characteristic signs.

6. Vayu is aggravated by the defiling factors of the. seven fundamental elements of the system. Such things shall not be used by the patient too much. The Vayu obstructs the fourfold passages (ducts or vessels).

7-8. When these vessels are filled with the aggravated do$as the vitiated V& yu produces acute pain, tympanites, rumbling sound in the intestines, suppression of the stools, loss of voice, impaired sight, grip in the buttocks and the back and other similar grave disorders.

9. The Vatavyadhi originating from the abdomen gives rise to vomiting, dyspnea, cough, cholera, itching sensation and other ailments above the navel whose main characteristics will be some sort of obstruction.

10. The Vayu located in the ducts produces ill functioning of the sense organs, roughness of the skin, eruptions, acute pain, dyspnea and symptoms of poisoning with discoloration.

11. The Vayu located inside the entrails produces obstruction to evacuation, nonrelish for food leanness and vertigo knotty eruptions in the flesh and fat and roughness of the skin too are caused.

12. The body appears to be heavy and pains as if hit with the fist or a baton. The Vayu located in the bone produces severe pain in the thighs and bones.

13. The Vayu located in the marrow produces loss of firmness in the bones, loss of sleep and severe pain. A rapid emission of the semen and other disorders too are produced.

14. If the Vayu is located in the semen or in the womb (in women) involuntary emission of semen or miscarriage is produced. The Vayu located in the head produces scantness of faeces. The Vayu located in any place produces intumescence when aggravated, which cannot be cured.

15. If the Vayu is located in the joints, the abdomen to the touch feels like a leatherbag full of water and located atrophy is generated. If it is located in different limbs a piercing pain, a breaking ache, throbbing, etc. in the limbs are felt.

16. Numbness, convulsive jerky movements, somnolence, breaking and shaking of joints are observed. When the excited Vayu permeates the nerves it produces constant convulsive movements of the limbs. The ailment is called Aksepana (convulsion ).

17. The enraged Vayu when obstructed from below courses upwards and presses against the heart. It then generates pain in the head and the temples.

18. It may toss up the whole body and bend down his cheek bone. The victim then breathes hard closing both the eyes.

19-20. He may coo like a dove without any attachment to anything (unconscious). This ailment is called Apatantraka.

When the enraged Vayu moves on to the heart and the left nostril he may feel some slight relief and there may be relapse immediately. This and similar ailment caused by a violent flow cannot be cured easily.

21. When the body is severed by the wind the patient perspires and his body becomes rigid. When the body is stretched again the wind pervades the whole body.

22-23. The Vayu lodged inside the vital constituents of the body produces the obstruction to the locomotion of the eyes, yawning, loss of energy and pain in the teeth: excruciating pain in the sides, grips in the cheek, back and the head, external curvature of the body at the back and a sense of heaviness in the heart and the head.

24. The chest is thrown up or the shoulders droop down.

There is discoloration in the teeth and face. There is no perspiration in the limbs.

25-26. The external curvature and rigidity of the cheekbone indicate that the man is a victim of Vatavyadhi. The morbid principles after permeating the, faeces urine and blood and being incited by the Vayu bend the whole body from head to foot. The victim standing with the pale body finds the wound and curvature increased.

27-28. In its impetuosity the patient does not get any relief due to the ailment of Aksepana (convolusion). Scraping the tongue, intake of hot food, and opening the mouth beyond measure enrages the Vayu located at the root of the cheekbone which makes the mandible rigid thus causing the mouth to be permanently gaping or firmly closed.

29. The above ailment is called Hanustambha ( rigidity of the mandible). Due to this the victim will find it very difficult to chaw or speak. The nerve carrying the faculty or force of speech becomes rigid and Vayu benumbs the tongue.

30-31. This is called Jihvastambha (Rigidity of the tongue). Due to this the patient becomes incompetent to eat, drink or speak. Carrying heavy loads on the head, boisterous laughter and loud talks, resting the head on uneven or rough pillows and chewing hard foodstuffs aggravates the Vayu lodged in the upper regions of the body.

32-34. Loud laughter and sudden glancing to the sides makes the face permanently distorted. Then the power of speech becomes lower and the eyes become numbed and motionless. Gnashing of the teeth, aphonia, impaired hearing, blurring of vision, loss of the power of smell, loss of memory, fright, dyspnea, Nisthiva (Ptyalism — frequent spitting) pricking pain in the sides, permanent closure of an eye, severe pain above the clavicle and hemiplegia are the disorders in the wake of Vatavyadhi.

35. This ailment is called Ardita (Facial Paralysis) by some and Ekanga (Hemiplegia) by others. The blood flowing in the Vessels, especially those that traverse the head are affected.

36-37. The nerves become rough and black and produce severe pain and a sort of hemicrania which is incurable. The Vayu affects a part of the body with all the nerves there. It is called Paksaghata (Partial paralysis). One half of the entire body becomes inoperative and insensible.

38. Some call this Ekangaroga by the name Kaksaruk.

If the Vayu affects the entire body there is obstruction and rigidity in all the limbs.

39. The Paksa ailment caused by deranged Vayu alone is curable though difficult. In conjunction with other morbid principleslt is incurable as it is aggravated and hence causes debility. '

40. The Vfiyu in combination with Kapha with its path obstructed by mucous secretions rigidities the limbs causing the ailment Danda Patanaka which is incurable.

41. The Vayu located at the root of the shoulder blades contracts all the veins in the locality and prevents the circulation of blood there. The Ailment of Avabahuka is caused.

42. The V& yu located in the fingers and palms affecting the sinews in the back arm renders the arms inoperative. This ailment is called ViSvicI.

43. When the Vayu located in the hips draws up the sinews in the thighs, the victim becomes lame due to the paralysis of both the thighs. The ailment is called Khaftja vata.

44. The victim begins to totter when he starts walking and goes like a lame man. The joints seem to be very loose.

The ailment is called Kalayakhafija.

45-48. When one takes too hot or too cold watery or dry heavy and emulsive foodstuffs injudiciously, when one indulges in extremely fatiguing physical labour immediately after the meal or after digestion or keeps awake till very late in the night, the fat with deranged Kapha gets accumulated and attacks the other principles too. The Kapha gets stuffed about the thigh bones and numbs the locality. The bones of the thighs become loose. The complexion assumes a dull tawny colour;

Fever, somnolence, non relish for food and lassitude are the disorders that arise. This is called Urustambha which some call Bahya vata.

49. A swelling in the middle of the knee caused by Vayu in combination with contaminated blood is called Kro$tuka£ r§a since it is like the head of a jackal. It is big and produces acute pain.

50. The Vayu located in the heels causes an ailment called Vataka^taka. After exhaustion when one takes a false step severe pain is felt in that locality.

51. Vayu located in the heels, toes, umbilicus and throat violently tosses the locality and grips at them. This ailment is called Grdhrasi (Sciatica).

52-53. When the foot becomes insensible and horripilation is present, the ailment is called Padaharsa. It is caused by the deranged Vayu and Kapha. Vayu in combination with Pitta and contaminated blood causes burning sensation especially when one walks. It is called Padadaha.

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