Page:Sushruta Samhita Vol 3.djvu/357

Chap. LII] the palate, changed voice, aversion to food, and dulness of the digestive fire are the symptoms which usher in an attack of cough, 5.

Specific Symptoms:— A person affected with a cough of the Vátaja type, complains of an aching pain in the region of his heart, in his temples, head, stomach and the sides and has dry and frequent coughs (unattended with mucous expectorations), with a pale face, a weak and hoarse voice and diminished strength and vigour (Ojas). A burning feeling in the region of the heart, fever, sense of dryness, and a bitter taste in the mouth, thirst, yellow and pungent expectoration, paleness of complexion and a burning sensation in the body, are the indications of the Pittaja type of Kása. A sticky sense in the mouth, a sense of physical lassitude, headache, aversion to food, a sense of heaviness in the body, itching, frequent fits of cough and thick mucous expectorations are the features which distinguish the Kaphaja type. 6—8. Symptoms of Kshataja Kása:— Ulceration in the Vakshas (chest ?) caused by loud reading, over-fatiguing physical exercise or carrying loads of excessive weight, or incidental to any blow or hurt dealt thereon, affects the locality and gives rise constant fits of cough accompained by blood-spitting. The disease is called Kshatja Kása or cough of ulcerated chest. 9.

Sexual excess, carrying heavy loads, excessive toils of journey, over-exertion in battle, forcible controlling of horses and elephants and such other fatiguing feats tend to produce parchedness of the system and ulcers in the Uras (chest) whereby the bodily Váyu is deranged and cough is produced. The patient is afflicted only with a sort of dry cough at the outset but begins to