Page:Sushruta Samhita Vol 1.djvu/263

Chap.XVII.] be no pain without the intervention of the deranged Vayu; and no suppuration can set in without the action of the deranged Pittam; nor pus, without the action of the deranged Kapham; it is evident that a suppurated swelling is marked by the combined and simultaneous action of the three deranged humours of the body.

According to certain authorities, the deranged Pittam gets the preponderance over the local Vayu and Kapham, and transforms the blood into pus out of its own preponderant energy.

The incision or opening of a swelling in its inflammatory or unsuppurated (lit. immature, unripe) stage is attended with the destruction of the local flesh, ligament, bone, vein, or joint, and is usually followed by excessive haemorrhage. The incidental wound becomes extremely painful. Many distressing symptoms begin to manifest themselves in succession and cavities are formed inside the wound which may lapse into a case of Kshata-Vidradhi (a type of ulcerated abscess).

On the other hand, a fully suppurated swelling, left unopened for a long time out of fear or ignorance by the attending physician, is attended with symptoms which are fraught with dreadful consequences. The accumulated pus, unable to find an outlet, is infiltrated and attacks the deeper tissues of the affected part, and forms large cavities or sinuses in their inside, thus converting