C.Chi.26, S.Chi.15, U.20, A.H.U.14, 17, M.Ni.57
Karn`a Roga are the diseases related to the Karn`a Srotas or the Karn`a S`hashkulee.
There are 28 types of Karn`a Roga in S`haalaakya Tantra. According to Chakrapaan`i, all the types explained in the S`haalaakya Tantra are ultimately fall under above said 4 types; therefore Charaka has mentioned only 4 types of Karn`a Roga.
Comparative study of कर्ण रोग types:
|No.||Charaka Samhitaa (4)||Sus`hruta Samhitaa (28)/ Maadhava Nidaana||Asht`aangahridaya(25)|
|1||Vaataja||Karn`a S`hoola||Karn`a S`hoola -5|
|2||Pittaja||Karn`a Pran`aada||Karn`a N`aada|
|3||Kaphaja||Karn`a Baadhirya||Karn`a Baadhirya|
|5||Karn`a Sraava||Karn`a Pippalee|
|6||Karn`a Kan`d`oo||Karn`a Kan`d`oo|
|7||Karn`a Varchas||Karn`a Vidaarikaa|
|8||Krimi Karn`a||Krimi Karn`a|
|9||Karn`a Pratinaaha||Karn`a Pratinaaha|
|10||Karn`a Vidradhi –21. Dosha Vidradhi2. Kshata Vidradhi||Karn`a विद्रधिPaalees`hosha|
|11||Karn`a Paaka||Karn`a Tantrikaa|
|12||Pooti Karn`a||Pooti Karn`a|
|13||Karn`a Ars`ha- 41. Vaataja2. Pittaja3. Kaphaja4. Saannipaatika||Karn`a अर्श|
|14||Karn`a Arbuda- 71. Vaataja2. Pittaja3. Kaphaja4. Raktaja5. Maamsaja6. Medoja7. Saannipaatika(S`haalaakya Tantra)||Karn`a अर्बुद|
|15||Karn`a S`hopha- 41. Vaataja2. Pittaja3. Kaphaja4. Saannipaatika||Karn`a S`hopha|
Vaayu which is Vimaargaga (Anyathaa Chara), causes S`hoola (pain) around ear.
This pain can be caused bythe Aavrita Vaayu by other Dosha like Kaphaavrita Vaayu, Pittaavrita Vaayu and Raktaavrita Vaayu. This is difficult to treat. It is Krichchhrasaadhya.
Karn`a Naada / Pran`aada:
Vimaargaga Vaayu (Vaayu traversing through the channels other than its normal way), when harboursin the S`habdavaahee Naad`ee, it causes different types of sounds, which is called as Karn`a Pran`aada.
When a condition where Vimaargaga Vaayu, harbourin to the S`habdavaha Siraa which is associated with Kapha; remains untreated then this manifests with the disease called as Baadhirya. This manifests with the Uchchhaih S`hruti (persons hear large sound).
In a person to whom S`hodhana Nasya is given and who is consuming cold stuffs; due to physical strain, depletion of Dhaatu (Kshaya), consumption of Rooksha and Kashaaya (dry and astringent) diet, Vaayu resides in the S`habdavaha Srotas causing Karn`a Kshved`a. As per Maadhava Nidaana, Vaayu associated with Pitta etc. causes sound like Ven`u Ghosha, which is Karn`a Kshved`a.
Karn`a Sraava (Samsraava):
Due to trauma on the head, sinking in to the water, suppuration of विद्रधि, there is secretion of Pooya which is called as Karn`a Samsraava.
In Karn`a Srotas, due to accumulation of Kapha (Kapha Prachita), there is manifestation of Kan`d`oo. Vaayu with Kapha is responsible for Karn`a Kan`d`oo according to Maadhava Nidaana.
Pitta and Teja dry out the Kapha in the Karn`a Srotas causing Karn`a Goothaka.
When Wax in the ear (Karn`a Mala), liquefies and traverse to the Ghraan`a Mukha then it manifests with Karn`a Pratinaaha and S`hirobhitaapa. There is Vaatas`hoshita S`hleshmaa, in the pathogenesis of Karn`a Pratinaaha.
There is formation of कृमि. This is Krimi Karn`aka. There is Rakta and Maamasa Dusht`i. This may be vitiated by Vaata, Pitta or Kapha.
Karn`a विद्रधि: It is of two types
- Kshataja: It is caused due to trauma on the ear.
- Doshaja: Due to Dosha Vriddhi.
There is suppuration of Karn`a due to Pitta Prakopa. There is Vikotha, Vikleda of ear.
Kapha in the Karn`a Srotas which is liquefied due to Pitta causespain or it may be painless, there is solid suppurated secretion, called as Pooti Karn`aka. As per Vaagbhat`a, due to Vidaghda Kapha caused by Pitta causes Ghana, Pooti and Kleda Sraava; which may be with or without pain; is called as Pootikarn`a.
Karn`a Ars`ha / S`hopha / Arbuda:
Ars`ha / S`hopha / अर्बुद; all these diseases when manifest on the ear then they are labelled after the name of the organ as Karn`a अर्श etc.
As per Vaagbhat`a, there is Rujaa, Pootikarn`atva and Badhiratva.
- Vaataja Karn`a Roga (Karn`a S`hoola)
Due to factors like Pratis`hyaaya, Jala Kreed`aa (sinking in the water), Karn`a Kan`d`ooyana (itching in the ear), Mithyaayoga of S`habda, Vaayu gets aggravated. It harboursin to the Shabda Vahee Siraa causing pain (S`hoola). There may be Ardhaavabhedaka, Stambha, intolerance to S`his`hiraabhinandanam (cold), Chiraat Paakam (later suppuration), Laseekaa Sraava, S`hrotra S`hoonyatva, Akasmaat Sanchaara Vichaara (Sthagitatva / Asthagitatva).
- Pittaja Karn`a Roga (Karn`a S`hoola)
There is typical Paittika S`hoola like दाह, Osha, S`heetechchha (demand for cold stuffs), शोथ, ज्वर, Aas`hupaaka (quick suppuration), then Peeta Laseekaa Sraava (yellow colouredsecretions). Where ever this Laseekaa gets touched, there occurs the suppuration.
- Kaphaja Karn`a Roga (Karn`a S`hoola)
There is S`hirograha, Greevaa Gaurava, Mandataa, Rujaa (pain). There is Kan`d`oo, S`hvayathu, Ooshn`echchhaa (demand for hot stuffs). There are solid thick secretions.
- Raktaja Karn`a Roga (Karn`a S`hoola)
There is pain in the ear. It may be vitiated due to trauma etc. It manifests with the symptoms same as Pittaja Karn`a Roga. Or there may be some more symptoms.
- Sannipaatika Karn`a Roga (Karn`a S`hoola)
This is caused due to all the three Dosha. This is Sannipaatika Karn`a Roga. It manifests with शोथ, ज्वर, Teevra Rujaa (severe pain). A person demands for cold or hot stuffs. There is S`hruti Jaad`ya. There is secretion of Sita, Asita Rakta. This is solid and flowing secretions.
In the foetallife itself, there is constriction of Karn`a S`hashkuli due to Vaata Prakopa.
There is muscular growth on the ear, Pinna, in the foetallife which is called as Karn`a Pippalee.
Due to Saannipaata, there is painful Oedema, which is stable. If it is not treated properly, then it secretes like Kat`u Taila. It heals very slowly. After healing it constricts the ear pinnacausing Karn`a Vidaarikaa.
Vaayu residing in the Siraa causes Paalee S`hosha.
Due to Vaata vitiation, the S`hashkuli becomes Kris`ha, Drid`ha, and like Tantree called as Tantrikaa.
Due to vitiated Vaayu, on the smooth Karn`a S`hashkulee, there is manifestation of S`hopha suddenly. There is pain. It becomes Arun`a in colour. This is called as Paripot`a as there is manifestation of Paripot`a.
This is called due to vitiated Pitta and S`hon`ita. Due to heavy ear ornaments, there is pain and दाह and Paaka. It manifests with शोथ, Pit`ikaa, Raaga, Ushaa and Kleda. This is called as Utpaata.
Gallira / Unmantha:
Due to vitiation of Vaata and Kapha, there is manifestation of painless S`hopha. S`hopha is stable, and with itching (Kan`d`Oo). It is called as Unmantha or Gallira.
If ear is not properly perforated, then there is Kan`d`oo, दाह, Paaka, Ruk. This is called as Duhkhavardhana.
Lehya / Parilehi:
There is formation of Pit`ikaa due to vitiated Kapha and Rakta. It happens also due to कृमि. There is Kan`d`oo, Kleda and Vedanaa.
While describing चिकित्सा, Sus`hruta in Chikitsaasthaana, has mentioned following Vyaadhi.
Last updated on March 2nd, 2021 at 11:15 am