Page:Sushruta Samhita Vol 2.djvu/95

chap. V.] with burning vesicles, are called Kachchus and are found to be chiefly confined to the legs, hands and buttocks. A sort of dry and non-exuding pimples characterised by excessive itching and appearing all over the body, is called Rakasa (dry Erythema). 9-10.

The forms known as Sthularushka, Sidhma, Rakasa, Mahakushtham and Ekakushtham should be considered as offspring of the deranged Kapham. Parisarpa-kushtham alone is due to the action of the deranged Vayu, while the remaining types (of minor Kushtham) owe their origin to the action of the deranged Pittam. II.

Kilasam:—The disease known as Kilasam is but another form of Kushtham. It may be divided into three types according as it is brought about through the action of the deranged Vayu, Pittam or Kapham. The difference between Kilasam and Kushtham is that the former confines itself only to the Tvaka (the skin)and is marked by the absence of any secretion.* A case of Kilasam caused by the action of the deranged Vayu is circular, vermilion-coloured and rough to the touch. The affected part when rubbed peals off scales of morbid skin. A case of Kilasam, due to the action of the deranged Pittam, is marked by eruptions, resembling the petals of a lotus flower (in shape and colour), and are attended with an extremely burning sensation. In the type originated through the action of the deranged Kapham, the affected part (skin) assumes a glossy, white colour, becomes thick and is marked by an itching sensation. The form in which the eruptions or patches extend and become confluent, invading even the soles of the feet,