Any of the eighteen different types of the disease may affect the genital (penis) of a man who foolishly resorts to the practice of getting it abnormally elongated and swollen by plastering it with Suka (a kind of irritating water insect) and not in the usual officinal way.
Diseases, which result from such malpractices, are knonwn as, - Sarshapiká, Ashthi-liká, Grathitam, Kumbhiká, Alaji, Mriditam, Sammudha-pidaká, Avamantha, Pushkariká, Sparsaháni, Uttamá, Satoponaka, Tvakapáka, Sonitárvudam, Mánsárvudam, Mánsapáka, Vidradhi and Tilakalak. 2.
The tiny herpetic eruptions (Pidaká) which resemble the seeds of white mustard in shape and size, (and are found to crop up on the male organ of generation) on account of a deranged condition of the blood and Kapham, as the result of an injudicious application of Suka plasters are called Sarshapiká by the wise. Eruptions of hard stone-like pimples, (Pidaká) irregular at their sides or edges and which are caused by the aggravation of the local Váyu by the use of a plaster of the poisonous Suka, are called Ashthiliká. The knotty Granthis (nodules) on the penis owing to its being frequently stuffed with the bristles of a Suka insect are called Grathitam. This type is caused by the deranged action of the Kapham. A black wart resembling the stone or seed of a jambolin fruit in shape is called Kumbhiká. This type is due to the deranged condition of the blood and Pittam. 3 - 5.
An Alaji (incidental to an injudicious application of Suka on the penis) exhibits symptoms, which are identical with those manifested by a case of Alaji in Prameha (Ch. vi). A wart (papilloma) attended with swelling of the part and caused by the aggravated Váyu on the hard and inflamed penis causing pressure (on the urethra) is called Mriditam. The pustule or eruption appearing on the penis on account of its being extremely pressed by the hand (for the insertion of the hairs of the Suka) in its dorsum is called Sammudha-pidaká. (It is the outcome of the aggravated Váyu *). A large number of elongated pustules on the penis (incidental to an application of Suka to the part) which burst at the middle, causing pain and shivering, is called Avamantha (epithelioma. 6 - 10.
The Pushkariká type of the disease is marked by the eruptions of small pimples around the principal one The type has its origin in the deranged condition of the blood and Pittam, and is so called from the part of the excrescenses being arranged in rings or circles like the petals of a lotus flower in shape. A complete anesthesia (of the affected organ) owing to the vitiated blood by the injudicious application of a Suka is called Sparsa-hani Pustules appearing on the penis through the vitiation of the local blood and Pittam by such constant applications are called Uttamá. A suppuration of the prepuce under the circumstance is called Tvakapákh. There is fever with a burning sensation in the affected organ. The disease is due to the vitiated condition of the blood and Pittam. 11 - 15.
The type of the disease in which the penis is marked by the eruption of black vesicles and is covered over with a large number of red pimples or pustules with an excruciating pain in the ulcerated region of the organ is called Sonitárvudam. The vegetation of a fleshy tumour on the penis (incidental to a blow on the organ to alleviate the pain of inserting the hairs of the Suka insect into its body), is called Mánsárvudam. A suppuration as well as sloughing of the penis attended with different kinds of pain which severally mark the deranged Váyu, Pittam and Kapham is called Mánsa-páka. This type is caused by the concerted action of the deranged Váyu, Pittam and Kapham. 15-18.
* According to Dallana it is due to the action of Váyu and blood.
The specific symptoms of a Tridoshaja Vidradhi as described before (Chap.ix.) mark the one which affects the penis (owing to an injudicious application of the highly poisonous irritant Suka to the organs) The disease is called Vidradhi. A process of general suppuration and sloughing of the organ marks the type which is produced by the application of a black Suka or one of a variegated coloured insect of the same species. The type is called Tilakálaka, and should be regarded as Tridoshaja one. 19-21.
Thus ends the fourteenth Chapter of the Nidána Sthánam in the Sus'ruta Samhitá which treats of Nidánam of different types of S'ukadohsa.