The seventeenth chapter of Uttara Sthanam of Ashtanga Hridayam is called as Karnaroga Vijnaniya. This chapter offers with the reason of ‘Knowledge of diseases of the ears’.
The subjects lined on this chapter embrace –
- Karnashoola – Vataja
- Pittaja Karnashoola
- Kaphaja Karnashoola
- Raktaja Karnashoola
- Sannipataja Karnashoola
- Karnanada
- Badhirya
- Pratinaha
- Kandu – Shopha
- Putikarnaka
- Krimikarnaka
- Karna Vidradhi, Shopha, Arshas, Arbuda
- Kuchikarnaka
- Karna Pippali
- Karna Vidarika
- Palishosha
- Tantrika
- Paripota
- Utpata
- Unmantha or Gallira
- Dukha Vardhana
- Lehyakhya Pitaka
Pledge by the creator(s)
अथात: कर्णरोगविज्ञानीयं व्याख्यास्याम: ।
इति ह स्माहुरात्रेयादयो महर्षय: ।
After having supplied prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of ‘Knowledge of diseases of the ears’.Thus, say (pledge) Atreya and different sages.
Karnashula: Vataja
प्रतिश्यायजलक्रीडाकर्णकण्डूयनैर्मरुत् ।
मिथ्यायोगेन शब्दस्य कुपितोऽन्यैश्च कोपनैः ॥ १ ॥
प्राप्य श्रोत्रसिराः कुर्याच्छूलं स्रोतसि वेगवत् ।
अर्धावभेदकं स्तम्भं शिशिरानभिनन्दनम् ॥ २ ॥
चिराच्च पाकं पक्वं तु लसीकामल्पशः स्रवेत् ।
श्रोत्रं शून्यमकस्माच्च स्यात्सञ्चारविचारवत् ॥ ३ ॥
Vata getting aggravated by nasal catarrh, water sports activities and by inserting sticks and so forth. into the ears, publicity to improper sound and such different aggravating causes; invades the veins (channels) of the ears and produces ache within the ears all of the sudden and with nice severity, related to a partial headache, stiffness of the top and non-desire for chilly; undergoes suppuration after a very long time, when ripe discharges little amount of lasika (skinny, watery fluid), seems both as empty (or full), typically closed, with out another obvious trigger.
Pittaja Karnashoola
शूलं पित्तात्सदाहोषाशीतेच्छाश्वयथुज्वरम् ।
आशुपाकं प्रपक्वं च सपीतलसिकास्रुति ॥ ४ ॥
सा लसीका स्पृशेद्यद्यत्तत्तत्पाकमुपैति च ।
By enhance of Pitta, there may be ache related to burning sensation, want for chilly issues, swelling, fever, fast suppuration, after suppurating, discharges yellowish skinny fluid; the locations which this fluid are available in contact with, will get ulcerated (suppurated).
Kaphaja Karnashoola
कफाच्छिरोहनुग्रीवागौरवं मन्दता रुजः ॥ ५ ॥
कण्डूः श्वयथुरुष्णेच्छा पाकाच्छ्वेतघनस्रुतिः ।
That brought on by Kapha, has emotions of heaviness of the top, decrease jaw and neck; delicate diploma of ache, itching, swelling, want for warm comforts and after suppuration, discharge of white thick liquid.
Raktaja Karnashoola
करोति श्रवणे शूलमभिघातादिदूषितम् ॥ ६ ॥
रक्तं पित्तसमानार्ति किञ्चिद्वाऽधिकलक्षणम् ।
Blood vitiated by harm and so forth. produces earache, which has the identical signs of that brought on by Pitta, however little extra in severity.
Sannipataja Karnashoola
शूलं समुदितैर्दोषैः सशोफज्वरतीव्ररुक् ॥ ७ ॥
पर्यायादुष्णशीतेच्छां जायते श्रुतिजाड्यवत् ।
पक्वं सितासितारक्तघनपूयप्रवाहि च ॥ ८ ॥
Earache produced by the mixture of all of the doshas is accompanied with swelling, fever, extreme ache, want for cold and hot comforts alternately, sluggishness of listening to happens; when ripe (after suppuration), copious portions of white, black and pink thick pus flows out.
Karnanada
शब्दवाहिसिरासंस्थे शृणोति पवने मुहुः ।
नादानकस्माद्विविधान् कर्णनादं वदन्ति तम् ॥ ९ ॥
When Vata will get localized within the sira (channels) which convey sound, the particular person typically hears completely different sorts of sound with none purpose. That is mentioned to be Karna Nada.
Badhirya
श्लेष्मणाऽनुगतो वायुर्नादो वा समुपेक्षितः ।
उच्चैः कृच्छ्राच्छ्रुतिं कुर्याद्बधिरत्वं क्रमेण च ॥ १० ॥
Vata related to Kapha and getting elevated or by neglecting Karnanada offers rise to listening to of loud sounds solely with problem and to deafness steadily.
Pratinaha
वातेन शोषितः श्लेष्मा श्रोतो लिम्पेत्ततो भवेत् ।
रुग्गौरवं पिधानं च स प्रतीनाहसंज्ञितः ॥ ११ ॥
Kapha desiccated by Vata, will get coated to the inside of the ears, resulting in ache, feeling of heaviness and closure of the ears. This illness is named Pratinaha.
Kandu: Shopha
कण्डूशोफौ कफाच्छ्रोत्रे स्थिरौ तत्संज्ञया स्मृतौ ।
Itching and swelling are brought on by Kapha within the ears. These persist for a while, identified by the identical title.
Putikarnaka
कफो विदग्धः पित्तेन सरुजं नीरुजं त्वपि ॥ १२ ॥
घनपूतिबहुक्लेदं कुरुते पूतिकर्णकम् ।
Kapha getting improperly cooked by Pitta, results in discharge of thick, foul smelling, copious fluid accompanied with ache or with out ache. That is Putikarnaka.
Krimikarnaka
वातादिदूषितं श्रोत्रं मांसासृक्क्लेदजा रुजम् ॥ १३ ॥
खादन्तो जन्तवः कुर्युस्तीव्रां स कृमिकर्णकः ।
Worms (micro organism) born within the muscle tissues, blood and fluids of the ears vitiated by Vata and different doshas eat away the earsand trigger ache. That is Krimikarnaka.
Karna Vidradhi, Shopha, Arshas, Arbuda
श्रोत्रकण्डूयनाज्जाते क्षते स्यात्पूर्वलक्षणः ॥ १४ ॥
विद्रधिः पूर्ववच्चान्यः शोफोऽर्शोऽर्बुदमीरितम् ।
तेषु रुक् पूतिकर्णत्वं बधिरत्वं च बाधते ॥ १५ ॥
Karna Vidradhi arises because of the ulcer brought on by scratching the ears (with sticks and so forth. inserted into it) having the prodromal signs as described beforehand (chapter 11 of Nidana Stana). Different ear issues are Shopha, Arsha and Arbuda. In these, ache, foul scent and deafness bother the particular person.
Kuchikarnaka
गर्भेऽनिलात्सङ्कुचिता शष्कुली कुचिकर्णकः ।
Vata constricts the shashkuli (pinna of the ears) inside and produces Kuchikarnaka.
Karna Pippali
एको नीरुगनेको वा गर्भे मांसाङ्कुरः स्थिरः ॥ १६ ॥
पिप्पली पिप्पलीमानः
A number of painless, immovable sprouts of muscle resembling pippali (Piper longum) develop contained in the ears, this illness is named Karnapippali.
Karna Vidarika
सन्निपाताद्विदारिका ।
सवर्णः सरुजः स्तब्धः श्वयथुः स उपेक्षितः ॥ १७ ॥
कटुतैलनिभं पक्वः स्रवेत्कृच्छ्रेण रोहति ।
सङ्कोचयति रूढा च सा ध्रुवं कर्णशष्कुलीम् ॥ १८ ॥
Vidarika arising from the mixture of all of the doshas, is a swelling having the identical colour, painful and immovable; when uncared for it ripens (suppurates) and discharges a fluid resembling Katutaila (mustard oil); heels with problem and after therapeutic positively constricts the Karnashashkuli (pinna).
Palishosha
सिरास्थः कुरुते वायुः पालीशोषं तदाह्वयम् ।
Vata localized within the sira (veins) produces emaciation/drying up, thinning of the lobe of the ears. This is named Palishosha.
Tantrika
कृशा दृढा च तन्त्रीवत्पाली वातेन तन्त्रिका ॥ १९ ॥
The pinna (or ear lobe) turning into emaciated, static and resembling a wire is Tantrika, brought on by Vata.
Paripota
सुकुमारे चिरोत्सर्गात्सहसैव प्रवर्धिते ।
कर्णे शोफः सरुक् पाल्यामरुणः परिपोटवान् ॥ २० ॥
परिपोटः स पवनात्
In youngsters, the ear uncared for for a very long time (allowed to stay with out puncturing) and punctured rapidly, offers rise to swelling within the pinna (ear lobe) accompanied with ache, gentle pink in colour and pulsating, this illness is named Paripota and brought on by Vata.
Utpata
उत्पातः पित्तशोणितात् ।
गुर्वाभरणभाराद्यैः श्यावो रुग्दाहपाकवान् ॥ २१ ॥
श्वयथुः स्फोटपिटिकारागोषाक्लेदसंयुतः ।
By the burden of heavy ornaments and so forth. (and different such causes) Pitta and Shonita (blood) getting vitiated, produce swelling of the pinna (or the lobe) which is black, painful, with burning sensation and ulceration, related to bursting eruptions, pink in colour, having burning sensation and assortment of fluid inside. This illness is named Utpata.
Unmantha or Gallira
पाल्यां शोफोऽनिलकफात्सर्वतो निर्व्यथः स्थिरः ॥२२॥
स्तब्धः सवर्णः कण्डूमान् उन्मन्थो गल्लिरश्च सः ।
Swelling of the pinna (or lobe) arising from Vata and Kapha, overlaying the complete pinna, nirvyathaḥ – painless, static, stiffness, of the identical colour and having itching. This is named Unmantha or Gallira.
Dukha Vardhana
दुर्विद्धे वर्धिते कर्णे सकण्डूदाहपाकरुक् ॥ २३ ॥
श्वयथुः सन्निपातोत्थः स नाम्ना दुःखवर्धनः ।
Puncturing of the ear, not correctly completed resulting in itching, burning sensation, ulceration, ache and swelling brought on by sannipata (mixture of all doshas), that is by title Duhkhavardhana.
Lehyakhya Pitaka
कफासृक्कृमिजाः सूक्ष्माः सकण्डूक्लेदवेदनाः ॥ २४ ॥
लेह्याख्याः पिटिकास्ता हि लिह्युः पालीमुपेक्षिताः
Small pitaka (eruptions) having itching, assortment of fluid and ache brought on by Kapha, blood and Krimi (micro organism); seem on the pinna (or lobe) and if uncared for eat away the pinna. That is Lehyakhya Pitaka.
Sadhyaasadhyata of Karnaroga
पिप्पली सर्वजं शूलं विदारी कुचिकर्णकः ॥ २५ ॥
एषामसाध्या याप्यैका तन्त्रिकान्यांस्तु साधयेत् ।
पञ्चविंशतिरित्युक्ताः कर्णरोगा विभागतः ॥ २६ ॥
Amongst these ailments of the ears, Pippali (pipplimana), – Sarvaja (Sannipata), Shula, Vidari, Kuchikrnaka are incurable; Tantrika is controllable however persists for lengthy and the others ought to be handled. Thus, had been described twenty-five ailments of the ears, suitably labeled.
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां षष्ठे उत्तरस्थाने कर्णरोगविज्ञानीयो नाम सप्तदशोऽध्याय: ॥१७॥
Thus, ends the chapter-KarnarogaVijnaniya- the seventeenth in Uttara Sthana or Astanga Hridaya Samhita composed by Srimad Vagbhata, son of sri Vaidyapati Simhagupta.
