The 14th chapter of Nidanasthana of Sushruta Samhita is known as as Sukasosa Nidanam Adhyaya. This chapter offers with illnesses of the Penis.

अथातः शूकदोषनिदानं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||

We’ll now expound the Suka Dosa Nidana- prognosis of illnesses of the penis produced by Sukas (toxic bugs), as revealed by the venerable Dhanvantari.

Roga Nama- Names of illnesses

लिङ्गवृद्धिमिच्छतामक्रमप्रवृत्तानां शूकदोषनिमित्ता दश चाष्टौ च व्याधयो जायन्ते |
तद्यथा सर्षपिका, अष्ठीलिका, ग्रथितं, कुम्भीका, अलजी, मृदितं, सम्मूढपिडका, अवमन्थः, पुष्करिका, स्पर्शहानिः, उत्तमा, शतपोनकः, त्वक्पाकः, शोणितार्बुदं, मांसार्बुदं, मांसपाकः, विद्रधिः, तिलकालकश्चेति ||३||

Beneath talked about are the eighteen sorts of illnesses that are produced by the sick results of using Suka – thorny bugs residing in water that are manifested in individuals who bask in improper actions whereas they’re desirous of accelerating the dimensions of their penis –

  • Sarsapika,
  • Asthilika,
  • Grathita,
  • Kumbhika,
  • Alaji,
  • Mrdita,
  • Sammudhapidaka,
  • Avamantha,
  • Puskarika,
  • Sparsahani,
  • Uttama,
  • Sataponaka,
  • Tvakkpaka,
  • Sonitarbuda,
  • Mamsaarbuda,
  • Mamsapaka,
  • Vidradhi and
  • Tilakala
  1. Sarsapika

गौरसर्षपतुल्या तु शूकदुर्भग्नहेतुका |
पिडका कफरक्ताभ्यां ज्ञेया सर्षपिका बुधैः ||४||

Sarsapika Suka Roga –

  • Manifests within the type of pidaka – eruptions attributable to improper utilization of Sukas
  • Produced by Kapha and Rakta
  • Look – resembles Gaura Sarsapa – yellow mustard seeds in measurement and shade
  1. Asthilika

कठिना विषमैरन्तैर्मारुतस्य प्रकोपतः |
शूकैस्तु विषसम्भुग्नैः पिडकाऽष्ठीलिका भवेत् [२] ||५||

Asthilika Suka Roga presents with

  • Pidakas – eruptions – that are exhausting, uneven inside
  • Produced by aggravation of Vata
  • Attributable to use of toxic Sukas
  1. Grathita

शूकैर्यत् पूरितं शश्वद्ग्रथितं तत् कफोत्थितम् |६|

Grathita (tumor) develops by software of paste every day and is produced by Kapha.

Grathita Suka Roga presents with

  • A tumor like progress which develops following the applying of paste of suka
  • Produced by aggravated kapha
  • Current within the type of a granthi – small tumor or cystic swelling
  1. Kumbhika

कुम्भीका रक्तपित्तोत्था जाम्बवास्थिनिभाऽशुभा ||६||

Kumbhika Suka Roga presents with

  • Produced by aggravation of Rakta and Pitta
  • Look – resembles the seed of Jambu fruit and is black in shade
  1. Alaji

अलजीलक्षणैर्युक्तामलजीं च वितर्कयेत् |

Alaji Suka Roga presents with

  • Extreme swelling within the penis whether it is massaged or squeezed
  • Produced by aggravation of Vata
  • Look – much like Alaji described within the context of Prameha Pidaka of the identical title together with the signs (Prameha Pidaka = diabetic eruption or carbuncle – as defined in chapter 6)

6-7. Mrdita & Sammudha Pidaka

मृदितं पीडितं यत्तु संरब्धं वायुकोपतः ||७||
पाणिभ्यां भृशसम्मूढे सम्मूढपिडका भवेत् |८|

Mrdita Suka Roga presents with –

  • Swelling of penis
  • Attributable to aggravation of vata on account of
  • Extreme massaging of penis

Samuddha Pidaka Suka Roga presents with –

  • Swelling of penis when –
  • the penis or swelling of penis is squeezed by hand
  1. Avamantha

दीर्घा बह्व्यश्च पिडका दीर्यन्ते मध्यतस्तु याः ||८||
सोऽवमन्थः कफासृग्भ्यां वेदनारोमहर्षकृत् |९|

Avamanthaka Suka Roga presents with

  • Pidakas – eruptions – that are a number of and lengthy (elongated), tearing of penis in the course of penis, related to ache and horripilations
  • Produced by aggravation of kapha and Rakta
  • Look – eruption is elongated and are a number of
  1. Puskarika

पित्तशोणितसम्भूता पिडका पिडकाचिता ||९||
पद्मपुष्करसंस्थाना ज्ञेया पुष्करिकेति सा |१०|

Puskarika Suka Roga –

  • Manifests within the type of pidaka surrounded by small eruptions
  • Produced by aggravated pitta and Sonita – rakta
  • Look – resembles base of the petals of a lotus flower
  1. Sparsahani

जनयेत् स्पर्शहानिं तु शोणितं शूकदूषितम् ||१०||

Sparsahani Suka Roga –

  • Manifests with lack of tactile / contact sensation
  • Produced by sonita – blood vitiated by suka
  1. Uttama

मुद्गमाषोपमा रक्ता पिडका रक्तपित्तजा |
उत्तमैषा तु विज्ञेया शूकाजीर्णनिमित्तजा ||११||

Uttama Suka Roga –

  • Manifests within the type of pidaka – eruptions that are much like mudga – inexperienced gram or masa – black gram in measurement, pink in shade
  • Attributable to raw suka
  • Produced by aggravated rakta and pitta
  • Look – of the dimensions and shade of inexperienced gram and black gram respectively
  1. Sataponaka

छिद्रैरणुमुखैर्वस्तु चितं यस्य समन्ततः |
वातशोणितजो व्याधिर्विज्ञेयः शतपोनकः ||१२||

Sataponaka Suka Roga –

  • Manifests with a number of holes / pores shaped on the floor of the penis
  • Produced by aggravated vata and sonita – blood
  • Look – penis seems with many holes on its floor
  1. Tvakpaka

पित्तरक्तकृतो ज्ञेयस्त्वक्पाको ज्वरदाहवान् |१३|

Twakpaka Suka Roga –

  • Manifests with suppuration or ulceration of the penis pores and skin
  • Related to – fever and burning sensation
  • Produced by aggravated pitta and Rakta
  • Look – ulcer and pus on the pores and skin of penis
  1. Sonitarbuda

कृष्णौः स्फोटैः सरक्तैश्च पिडकाभिश्च पीडितम् |
यस्य वस्तु रुजश्चोग्रा ज्ञेयं तच्छोणितार्बुदम् ||१३||

Sonitarbuda Suka Roga –

  • Manifests with black coloured vesicles on the penis together with reddish eruptions all around the pores and skin
  • Related to extreme ache
  1. Mamsarbuda

मांसदोषेण जानीयादर्बुदं मांससम्भवम् |१४|

Mamsarbuda Suka Roga –

  • Manifests within the type of massive and exhausting tumor
  • Brought about as a result of vitiation of the muscle
  1. Mamsapaka

शीर्यन्ते यस्य मांसानि यत्र सर्वाश्च वेदनाः ||१४||
विद्यात्तं मांसपाकं तु सर्वदोषकृतं भिषक् |१५|

Mamsapaka Suka Roga –

  • Manifests with the falling off of the penis following suppuration of penis
  • Related to every kind of pains
  • Produced by aggravation of all of the doshas
  1. Vidradhi

विद्रधिं सन्निपातेन यथोक्तमभिनिर्दिशेत् ||१५||

Vidradhi Suka Roga –

  • Manifests within the type of abscess
  • Related to the signs of vidradhi – as described in chapter 17
  • Produced by aggravation of all of the three doshas collectively
  1. Tilakalaka

कृष्णानि चित्राण्यथवा शूकानि सविषाणि च |
पातितानि पचन्त्याशु मेढ्रं निरवशेषतः ||१६||
कालानि भूत्वा मांसानि शीर्यन्ते यस्य देहिनः |
सन्निपातसमुत्थानं तं विद्यात्तिलकालकम् ||१७||

Tilakalaka Suka Roga –

  • Manifests with blackish discoloration of the penis the muscle of which falls off in the end of time
  • Brought about on account of software of paste of sukas (bugs) that are black or variegated in shade or toxic in nature
  • Produced by aggravation of all of the doshas collectively
  • Look – penis seems to be blackish in shade

Prognosis

तत्र मांसार्बुदं यच्च मांसपाकश्च यः स्मृतः |
विद्रधिश्च न सिध्यन्ति ये च स्युस्तिलकालकाः ||१८||

Amongst these Sukarogas, the under talked about circumstances carry dangerous prognosis i.e. they can’t be cured –

  • Mamsarbuda,
  • Mamsapaka
  • Vidradhi and
  • Tilakalaka

 

इति सुश्रुतसंहितायां निदानस्थाने शूकदोषनिदानं नाम चतुर्दशोऽध्यायः ||१४||

Thus ends the Fourteenth chapter by title Sukadosa Nidana- In Nidana Sthana of Susrutha Samhita.