प्रमेह पिडका

Reference:
C.Su.17, S.Ni.6, A.H.Ni.10

Prameha Pid`akaa – Sampraapti S.Ni.6/14
When there is excess amount of Vasaa and Medas in the body, the three Dosha cause प्रमेह पिडका with respect to the specific Dhaatu.
These are 10 in number.
These Pid`akaa generally happens to be in lower body (Adhah Kaaya) as Dosha and Dooshya has a tendency to traverse to lower side of the body. Sushruta said that due to weakness of channels (Rasaayanee Daurbalya) Dosha in प्रमेह do not travel to upper side of the body. Su. Chi. 12 (Prameheen`aam Na Urdhvam Uttisht`hanti Doshah)
       These Pid`akaa can happen without manifestation of प्रमेह. But it is necessary that there should be vitiation of Medas to have Pid`akaa. Unless and until they occupy substantial Dhaatu they do not manifest themselves. A.H.Ni.10/36

The names of these प्रमेह पिडका S.Ni.6/14

1. S`haraavikaa
2. Sarshapikaa
3. Kachchhapikaa
4. Jaalinee
5. Vinataa
6. Putrin`Ee
7. मसूरिका
8. Alajee
9. Vidaarikaa
10. Vidradhikaa

In Prameha Pid`akaa Vasaa and Medas in involved primarily. S.Ni.6/14

       प्रमेह पिडका are generally seen on anal region (Guda), heart region (Hridaya), head (S`hiras), scapular region (Amsa), back region (Prisht`ha), vital spots on the body (मर्म).

       These are incurable in a person having impaired digestive fire activity (Durbalaagni). S.Ni.6/20

प्रमेह पिडका Types: Comparative Study

प्रमेह पिडका	Charaka	Sushruta	Vaagbhat`a
1	S`haraavikaa	S`haraavikaa	S`haraavikaa
2	Sarshapee	Sarshapikaa	Sarshapikaa
3	Kachchhapikaa	Kachchhapikaa	Kachchhapikaa
4	Jaalinee	Jaalinee	Jaalinee
5	Vinataa	Vinataa	Vinataa
6		Putrin`Ee	Putrin`Ee
7		मसूरिका	मसूरिका
8	Alajee	Alajee	Alajee
9	विद्रधि	Vidaarikaa	Vidaarikaa
10		Vidradhikaa	विद्रधि

       These 7 Pid`akaa are manifested when a patient neglects प्रमेह.
Site of प्रमेह पिडका –
       These Pid`akaa are seen at muscular area, मर्म spots, and at joints.

• S`haraavikaa it is like S`haraava.
• Kachchhapikaa it is like back of the tortoise.
• Jaalinee It has network of vessels on its surface.
• Vinataa It is seen on back or abdomen.
• Sarshapee it resembles to mustard seeds.
• Alajee it is very painful due to burning sensation like fire.

विद्रधि

Types –
Baahya -It originates from skin, Snaayu and Maamsa. It resembles to tendons and is extremely painful.
Aabhyantara –Dosha when enter interior of the body affecting Maamsa and Rakta (Asra), thereby causes deep seated abscess (Granthi), which is very painful.
This Aabhyantar (internal) विद्रधि may happen at heart (Hridaya), Kloma, Yakrit (Liver), Pleehaa (Spleen), Kukshi (Flanks), Vrikka (kidneys), Naabhi (Umbilicus), Vamkshan`a or Basti (Urinary Bladder).
Due to vitiation of Blood (Rakta), the विद्रधि get suppurated quickly, due to this quick suppuration only, it is called as विद्रधि. (Tatah Sheeghra Vidaahitvaat Vidradhi Iti Abhidheeyate | C.Su.17/95)

विद्रधि again can be classified as –

• Vaatika
• Paittika
• S`hlaishmika
• Saannipaatika

       When this विद्रधि suppurates completely and get ruptured, then if विद्रधि is situated at upper side of the body, it discharges out through mouth. If विद्रधि is situated at lower side of the body, it discharges out through the anus. When the विद्रधि is at umbilicus, after ripening it discharges through both mouth and anus.
       Completely ripened विद्रधि at Hridaya, Naabhi and Basti and Saannipaatika Vidradhi are incurable. They lead to death.
       So as soon as a person affects from Vidradhi, one should immediately get treated by Snehana, Virechana therapy.
       The general rule to treat विद्रधि is like गुल्म.
       It is necessary that विद्रधि should be treated before the complications are manifested.
       Actually, Pid`akaa related to प्रमेह and those which are manifesting without प्रमेह have same line of treatment, as Dosha and Dooshya both are same in these types. D`alhan`a. Su. Chi. 12
       It has been described that Pid`akaa are manifested due to negligence to treat प्रमेह. But it is also possible that without प्रमेह, Pid`Kaa can be manifested. Unless and until these Pid`Kaa get substantial root in the Dhaatu they are not manifested.
       S`haraavikaa, Kachchaapikaa and Jaalinee are difficult to tolerate and very serious in nature. They occur in such patients where Medas and Kapha are in excess.
       Sarshapee, Alajee, Vinataa and विद्रधि are due to dominance of Pitta and are possible in a person having moderately vitiated Medas and Kapha. These are curable.

Asaadhya विद्रधि (Incurable condition) –
If Pid`akaa are manifested in a patient suffering from प्रमेह, at Marma Sthaana, Amsa, Guda (Anal region), Stana (Breasts), Sandhi (Joints), Paada (feet), then this patient does not survive.

Nivritta Prameha Lakshan`a (Signs and Symptoms of cured प्रमेह) – Su. Chi. 12.20
       Apichchhila and Anaavila Mootrapravritti non-stick and clear urination
       Vis`hada Mootrapravritti – shining, bright urination
       Tikta and Kat`u Mootrapravritti bitter and pungent taste of urine
These are the symptoms, which denote that a person is free from प्रमेह.

Last updated on February 12th, 2021 at 04:13 am