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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 [81]
 
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 [81]
   −
Sapta pidika (seven papules/pustules/carbuncles)  
+
==== ''Sapta pidika'' (seven papules/pustules/carbuncles) ====
 +
 
 
उपेक्षयाऽस्य जायन्ते  पिडकाः सप्त दारुणाः|  
 
उपेक्षयाऽस्य जायन्ते  पिडकाः सप्त दारुणाः|  
मांसलेष्ववकाशेषु मर्मस्वपि च सन्धिषु||८२||                                                                                   
+
मांसलेष्ववकाशेषु मर्मस्वपि च सन्धिषु||८२||  
 +
                                                                                    
 
शराविका कच्छपिका जालिनी सर्षपी तथा|  
 
शराविका कच्छपिका जालिनी सर्षपी तथा|  
 
अलजी विनताख्या च विद्रधी चेति सप्तमी||८३||  
 
अलजी विनताख्या च विद्रधी चेति सप्तमी||८३||  
 +
 
upēkṣayā'sya jāyantē  piḍakāḥ sapta dāruṇāḥ|  
 
upēkṣayā'sya jāyantē  piḍakāḥ sapta dāruṇāḥ|  
 
māṁsalēṣvavakāśēṣu marmasvapi ca sandhiṣu||82||  
 
māṁsalēṣvavakāśēṣu marmasvapi ca sandhiṣu||82||  
 +
 
śarāvikā kacchapikā jālinī sarṣapī tathā|  
 
śarāvikā kacchapikā jālinī sarṣapī tathā|  
 
alajī vinatākhyā ca vidradhī cēti saptamī||83||  
 
alajī vinatākhyā ca vidradhī cēti saptamī||83||  
 +
 
upekShayA~asya jAyante [2] piDakAH sapta dAruNAH|  
 
upekShayA~asya jAyante [2] piDakAH sapta dAruNAH|  
 
mAMsaleShvavakAsheShu marmasvapi ca sandhiShu||82||  
 
mAMsaleShvavakAsheShu marmasvapi ca sandhiShu||82||  
 +
 
sharAvikA kacchapikA jAlinI sarShapI tathA|  
 
sharAvikA kacchapikA jAlinI sarShapI tathA|  
 
alajI vinatAkhyA ca vidradhI ceti saptamI||83||  
 
alajI vinatAkhyA ca vidradhI ceti saptamI||83||  
   −
If the diabetic condition is neglected, seven types of pidika (pustules) are produced. These pidika occur in fleshy spaces, vital parts (marma) and joints. The names of these seven pidikā are sharavika, kacchapika, jalini, sarshapi, alaji, vinata and vidhradi (82-83)
+
If the diabetic condition is neglected, seven types of ''pidika'' (pustules) are produced. These ''pidika'' occur in fleshy spaces, vital parts (''marma'') and joints. The names of these seven ''pidikā'' are ''sharavika, kacchapika, jalini, sarshapi, alaji, vinata'' and ''vidhradi'' [82-83]
1. Sharavika:
+
 
 +
===== 1. ''Sharavika'' =====
 +
 
 
अन्तोन्नता मध्यनिम्ना श्यावा क्लेदरुगन्विता|  
 
अन्तोन्नता मध्यनिम्ना श्यावा क्लेदरुगन्विता|  
 
शराविका स्यात् पिडका शरावाकृतिसंस्थिता||८४||  
 
शराविका स्यात् पिडका शरावाकृतिसंस्थिता||८४||  
 +
 
antōnnatā madhyanimnā śyāvā klēdaruganvitā|  
 
antōnnatā madhyanimnā śyāvā klēdaruganvitā|  
 
śarāvikā syāt piḍakā śarāvākr̥tisaṁsthitā||84||  
 
śarāvikā syāt piḍakā śarāvākr̥tisaṁsthitā||84||  
 +
 
antonnatA madhyanimnA shyAvA kledaruganvitA|  
 
antonnatA madhyanimnA shyAvA kledaruganvitA|  
 
sharAvikA syAt piDakA sharAvAkRutisaMsthitA||84||  
 
sharAvikA syAt piDakA sharAvAkRutisaMsthitA||84||  
   −
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(84).  
+
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 [84]
2. Kacchapika:
+
   
 +
===== 2. ''Kacchapika'' =====
 +
 
 
अवगाढार्तिनिस्तोदा महावास्तुपरिग्रहा|  
 
अवगाढार्तिनिस्तोदा महावास्तुपरिग्रहा|  
 
श्लक्ष्णा कच्छपपृष्ठाभा पिडका कच्छपी मता||८५||  
 
श्लक्ष्णा कच्छपपृष्ठाभा पिडका कच्छपी मता||८५||  
 +
 
avagāḍhārtinistōdā mahāvāstuparigrahā|  
 
avagāḍhārtinistōdā mahāvāstuparigrahā|  
 
ślakṣṇā kacchapapr̥ṣṭhābhā piḍakā kacchapī matā||85||  
 
ślakṣṇā kacchapapr̥ṣṭhābhā piḍakā kacchapī matā||85||  
 +
 
avagADhArtinistodA mahAvAstuparigrahA|  
 
avagADhArtinistodA mahAvAstuparigrahA|  
 
shlakShNA kacchapapRuShThAbhA piDakA kacchapI matA||85||  
 
shlakShNA kacchapapRuShThAbhA piDakA kacchapI matA||85||  
   −
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 (85).
+
''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 [85]
3. Jalini:
+
 +
===== 3. ''Jalini'' =====
 +
 
 
स्तब्धा सिराजालवती स्निग्धास्रावा महाशया|  
 
स्तब्धा सिराजालवती स्निग्धास्रावा महाशया|  
 
रुजानिस्तोदबहुला सूक्ष्मच्छिद्रा च जालिनी||८६||  
 
रुजानिस्तोदबहुला सूक्ष्मच्छिद्रा च जालिनी||८६||  
 +
 
stabdhā sirājālavatī snigdhāsrāvā mahāśayā|  
 
stabdhā sirājālavatī snigdhāsrāvā mahāśayā|  
 
rujānistōdabahulā sūkṣmacchidrā ca jālinī||86||  
 
rujānistōdabahulā sūkṣmacchidrā ca jālinī||86||  
 +
 
stabdhA sirAjAlavatI snigdhAsrAvA mahAshayA|  
 
stabdhA sirAjAlavatI snigdhAsrAvA mahAshayA|  
 
rujAnistodabahulA sUkShmacchidrA ca jAlinI||86||  
 
rujAnistodabahulA sUkShmacchidrA ca jAlinI||86||  
Jalini pidika is extensive, hard, covered with a network of vessels with unctous discharge, having severe pricking type pain and having minute openings on the surface. It is called Jalini because it resembles a net or a web (86).
+
 
4. Sarshapi:
+
''Jalini pidika'' is extensive, hard, covered with a network of vessels with unctous discharge, having severe pricking type pain and having minute openings on the surface. It is called ''jalini'' because it resembles a net or a web [86]
 +
 
 +
===== 4. ''Sarshapi'' =====
 +
 
 
पिडका नातिमहती क्षिप्रपाका महारुजा|  
 
पिडका नातिमहती क्षिप्रपाका महारुजा|  
 
सर्षपी सर्षपाभाभिः पिडकाभिश्चिता भवेत्||८७||  
 
सर्षपी सर्षपाभाभिः पिडकाभिश्चिता भवेत्||८७||  
 +
 
piḍakā nātimahatī kṣiprapākā mahārujā|  
 
piḍakā nātimahatī kṣiprapākā mahārujā|  
 
sarṣapī sarṣapābhābhiḥ piḍakābhiścitā bhavēt||87||  
 
sarṣapī sarṣapābhābhiḥ piḍakābhiścitā bhavēt||87||  
 +
 
piDakA nAtimahatI kShiprapAkA mahArujA|  
 
piDakA nAtimahatI kShiprapAkA mahArujA|  
 
sarShapI sarShapAbhAbhiH piDakAbhishcitA bhavet||87||  
 
sarShapI sarShapAbhAbhiH piDakAbhishcitA bhavet||87||  
   −
Sarshapi pidika is not very big but very painful and suppurates quickly and is surrounded by mustard seed-like boils. (87).
+
''Sarshapi pidika'' is not very big but very painful and suppurates quickly and is surrounded by mustard seed-like boils [87]
5. Alaji:
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 +
===== 5. ''Alaji'' =====
 +
 
 
दहति त्वचमुत्थाने तृष्णामोहज्वरप्रदा|  
 
दहति त्वचमुत्थाने तृष्णामोहज्वरप्रदा|  
 
विसर्पत्यनिशं दुःखाद्दहत्यग्निरिवालजी||८८||  
 
विसर्पत्यनिशं दुःखाद्दहत्यग्निरिवालजी||८८||  
 +
 
dahati tvacamutthānē tr̥ṣṇāmōhajvarapradā|  
 
dahati tvacamutthānē tr̥ṣṇāmōhajvarapradā|  
 
visarpatyaniśaṁ duḥkhāddahatyagnirivālajī||88||  
 
visarpatyaniśaṁ duḥkhāddahatyagnirivālajī||88||  
 +
 
dahati tvacamutthAne tRuShNAmohajvarapradA|  
 
dahati tvacamutthAne tRuShNAmohajvarapradA|  
 
visarpatyanishaM duHkhAddahatyagnirivAlajI||88||  
 
visarpatyanishaM duHkhAddahatyagnirivAlajI||88||  
   −
Alaji pidika commences with a burning sensation in the skin accompanied by fever and thirst. It steadily spreads all over the body and causes severe distress with a fire-like burning sensation (88).
+
''Alaji pidika'' commences with a burning sensation in the skin accompanied by fever and thirst. It steadily spreads all over the body and causes severe distress with a fire-like burning sensation [88]
 +
 
 
6. Vinata:
 
6. Vinata:
 
अवगाढरुजाक्लेदा पृष्ठे वाऽप्युदरेऽपि वा|  
 
अवगाढरुजाक्लेदा पृष्ठे वाऽप्युदरेऽपि वा|