Sushruta Samhita Nidanasthana Chapter 14 Sukadosa Nidanam (Diseases of the Penis)

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The 14th bankruptcy of Nidanasthana of Sushruta Samhita is known as as Sukasosa Nidanam Adhyaya. This bankruptcy offers with sicknesses of the Penis.

अथातः शूकदोषनिदानं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||

We will now expound the Suka Dosa Nidana- prognosis of sicknesses of the penis produced by means of Sukas (toxic bugs), as published by means of the venerable Dhanvantari.

Roga Nama- Names of sicknesses

लिङ्गवृद्धिमिच्छतामक्रमप्रवृत्तानां शूकदोषनिमित्ता दश चाष्टौ च व्याधयो जायन्ते |
तद्यथा सर्षपिका, अष्ठीलिका, ग्रथितं, कुम्भीका, अलजी, मृदितं, सम्मूढपिडका, अवमन्थः, पुष्करिका, स्पर्शहानिः, उत्तमा, शतपोनकः, त्वक्पाकः, शोणितार्बुदं, मांसार्बुदं, मांसपाकः, विद्रधिः, तिलकालकश्चेति ||३||

Below discussed are the eighteen varieties of sicknesses which can be produced by means of the in poor health results of the usage of Suka – thorny bugs dwelling in water which can be manifested in individuals who take pleasure in flawed actions whilst they’re desirous of accelerating the dimensions in their penis –

Sarsapika,
Asthilika,
Grathita,
Kumbhika,
Alaji,
Mrdita,
Sammudhapidaka,
Avamantha,
Puskarika,
Sparsahani,
Uttama,
Sataponaka,
Tvakkpaka,
Sonitarbuda,
Mamsaarbuda,
Mamsapaka,
Vidradhi and
Tilakala

Sarsapika

गौरसर्षपतुल्या तु शूकदुर्भग्नहेतुका |
पिडका कफरक्ताभ्यां ज्ञेया सर्षपिका बुधैः ||४||

Sarsapika Suka Roga –

Manifests within the type of pidaka – eruptions led to by means of flawed utilization of Sukas
Produced by means of Kapha and Rakta
Appearance – resembles Gaura Sarsapa – yellow mustard seeds in dimension and colour

Asthilika

कठिना विषमैरन्तैर्मारुतस्य प्रकोपतः |
शूकैस्तु विषसम्भुग्नैः पिडकाऽष्ठीलिका भवेत् [२] ||५||

Asthilika Suka Roga items with

Pidakas – eruptions – which can be exhausting, asymmetric inside of
Produced by means of aggravation of Vata
Caused by means of use of toxic Sukas

Grathita

शूकैर्यत् पूरितं शश्वद्ग्रथितं तत् कफोत्थितम् |६|

Grathita (tumor) develops by means of software of paste day-to-day and is produced by means of Kapha.

Grathita Suka Roga items with

A tumor like expansion which develops following the applying of paste of suka
Produced by means of annoyed kapha
Present within the type of a granthi – small tumor or cystic swelling

Kumbhika

कुम्भीका रक्तपित्तोत्था जाम्बवास्थिनिभाऽशुभा ||६||

Kumbhika Suka Roga items with

Produced by means of aggravation of Rakta and Pitta
Appearance – resembles the seed of Jambu fruit and is black in colour

Alaji

अलजीलक्षणैर्युक्तामलजीं च वितर्कयेत् |

Alaji Suka Roga items with

Severe swelling within the penis whether it is massaged or squeezed
Produced by means of aggravation of Vata
Appearance – very similar to Alaji described within the context of Prameha Pidaka of the similar title together with the indicators (Prameha Pidaka = diabetic eruption or carbuncle – as defined in bankruptcy 6)

6-7. Mrdita & Sammudha Pidaka

मृदितं पीडितं यत्तु संरब्धं वायुकोपतः ||७||
पाणिभ्यां भृशसम्मूढे सम्मूढपिडका भवेत् |८|

Mrdita Suka Roga items with –

Swelling of penis
Caused by means of aggravation of vata because of
Excessive massaging of penis

Samuddha Pidaka Suka Roga items with –

Swelling of penis when –
the penis or swelling of penis is squeezed by means of hand

Avamantha

दीर्घा बह्व्यश्च पिडका दीर्यन्ते मध्यतस्तु याः ||८||
सोऽवमन्थः कफासृग्भ्यां वेदनारोमहर्षकृत् |९|

Avamanthaka Suka Roga items with

Pidakas – eruptions – which can be a couple of and lengthy (elongated), tearing of penis in the course of penis, related to ache and horripilations
Produced by means of aggravation of kapha and Rakta
Appearance – eruption is elongated and are a couple of

Puskarika

पित्तशोणितसम्भूता पिडका पिडकाचिता ||९||
पद्मपुष्करसंस्थाना ज्ञेया पुष्करिकेति सा |१०|

Puskarika Suka Roga –

Manifests within the type of pidaka surrounded by means of small eruptions
Produced by means of annoyed pitta and Sonita – rakta
Appearance – resembles base of the petals of a lotus flower

Sparsahani

जनयेत् स्पर्शहानिं तु शोणितं शूकदूषितम् ||१०||

Sparsahani Suka Roga –

Manifests with lack of tactile / contact sensation
Produced by means of sonita – blood vitiated by means of suka

Uttama

मुद्गमाषोपमा रक्ता पिडका रक्तपित्तजा |
उत्तमैषा तु विज्ञेया शूकाजीर्णनिमित्तजा ||११||

Uttama Suka Roga –

Manifests within the type of pidaka – eruptions which can be very similar to mudga – inexperienced gram or masa – black gram in dimension, purple in colour
Caused by means of raw suka
Produced by means of annoyed rakta and pitta
Appearance – of the dimensions and colour of inexperienced gram and black gram respectively

Sataponaka

छिद्रैरणुमुखैर्वस्तु चितं यस्य समन्ततः |
वातशोणितजो व्याधिर्विज्ञेयः शतपोनकः ||१२||

Sataponaka Suka Roga –

Manifests with a couple of holes / pores shaped at the floor of the penis
Produced by means of annoyed vata and sonita – blood
Appearance – penis seems with many holes on its floor

Tvakpaka

पित्तरक्तकृतो ज्ञेयस्त्वक्पाको ज्वरदाहवान् |१३|

Twakpaka Suka Roga –

Manifests with suppuration or ulceration of the penis pores and skin
Associated with – fever and burning sensation
Produced by means of annoyed pitta and Rakta
Appearance – ulcer and pus at the pores and skin of penis

Sonitarbuda

कृष्णौः स्फोटैः सरक्तैश्च पिडकाभिश्च पीडितम् |
यस्य वस्तु रुजश्चोग्रा ज्ञेयं तच्छोणितार्बुदम् ||१३||

Sonitarbuda Suka Roga –

Manifests with black coloured vesicles at the penis at the side of reddish eruptions everywhere the surface
Associated with serious ache

Mamsarbuda

मांसदोषेण जानीयादर्बुदं मांससम्भवम् |१४|

Mamsarbuda Suka Roga –

Manifests within the type of large and difficult tumor
Caused because of the vitiation of the muscle

Mamsapaka

शीर्यन्ते यस्य मांसानि यत्र सर्वाश्च वेदनाः ||१४||
विद्यात्तं मांसपाकं तु सर्वदोषकृतं भिषक् |१५|

Mamsapaka Suka Roga –

Manifests with the falling off of the penis following suppuration of penis
Associated with a wide variety of pains
Produced by means of aggravation of all of the doshas

Vidradhi

विद्रधिं सन्निपातेन यथोक्तमभिनिर्दिशेत् ||१५||

Vidradhi Suka Roga –

Manifests within the type of abscess
Associated with the indicators of vidradhi – as described in bankruptcy 17
Produced by means of aggravation of all of the 3 doshas in combination

Tilakalaka

कृष्णानि चित्राण्यथवा शूकानि सविषाणि च |
पातितानि पचन्त्याशु मेढ्रं निरवशेषतः ||१६||
कालानि भूत्वा मांसानि शीर्यन्ते यस्य देहिनः |
सन्निपातसमुत्थानं तं विद्यात्तिलकालकम् ||१७||

Tilakalaka Suka Roga –

Manifests with blackish discoloration of the penis the muscle of which falls off sooner or later of time
Caused because of software of paste of sukas (bugs) which can be black or variegated in colour or toxic in nature
Produced by means of aggravation of all of the doshas in combination
Appearance – penis appears to be like blackish in colour