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Prameha Pid`akaa

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 Prameha Pid`akaa 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 DaurbalyaDosha in Prameha 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 Prameha. 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 Prameha Pid`akaa S.Ni.6/14

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

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

       Prameha Pid`akaa 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 (Marma).

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

Prameha Pid`akaa Types: Comparative Study

Prameha Pid`akaaCharakaSushrutaVaagbhat`a
6 Putrin`EePutrin`Ee
7 MasoorikaaMasoorikaa
10 VidradhikaaVidradhi

       These 7 Pid`akaa are manifested when a patient neglects Prameha.
Site of Prameha Pid`akaa 
       These Pid`akaa are seen at muscular area, Marma 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.


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) Vidradhi 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 Vidradhi get suppurated quickly, due to this quick suppuration only, it is called as Vidradhi. (Tatah Sheeghra Vidaahitvaat Vidradhi Iti Abhidheeyate | C.Su.17/95)

Vidradhi again can be classified as –

  • Vaatika
  • Paittika
  • S`hlaishmika
  • Saannipaatika

       When this Vidradhi suppurates completely and get ruptured, then if Vidradhi is situated at upper side of the body, it discharges out through mouth. If Vidradhi is situated at lower side of the body, it discharges out through the anus. When the Vidradhi is at umbilicus, after ripening it discharges through both mouth and anus.
       Completely ripened Vidradhi at HridayaNaabhi 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 Vidradhi is like Gulma.
       It is necessary that Vidradhi should be treated before the complications are manifested.
       Actually, Pid`akaa related to Prameha and those which are manifesting without Prameha 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 Prameha. But it is also possible that without PramehaPid`Kaa can be manifested. Unless and until these Pid`Kaa get substantial root in the Dhaatu they are not manifested.
       S`haraavikaaKachchaapikaa and Jaalinee are difficult to tolerate and very serious in nature. They occur in such patients where Medas and Kapha are in excess.
       SarshapeeAlajeeVinataa and Vidradhi are due to dominance of Pitta and are possible in a person having moderately vitiated Medas and Kapha. These are curable.

Asaadhya Vidradhi (Incurable condition
If Pid`akaa are manifested in a patient suffering from Prameha, at Marma SthaanaAmsaGuda (Anal region), Stana (Breasts), Sandhi (Joints), Paada (feet), then this patient does not survive.

Nivritta Prameha Lakshan`a (Signs and Symptoms of cured Prameha) – 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 Prameha.

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

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