Causes of Diseases of Genital Organs in Ashtanga Hridyam

 Causes of Diseases of Genital Organs (Penis) 

Indulging in copulation suddenly (for the second time) immediately after retiring from the first, copulating with women having their menstrual tract (vaging) vitiated by the dosas, congested, contaminated and greatly narrowed, copulating with the other vagina (of animals); with the woman who is unwilling, who is forbidden, who has just delevered; touching (washing the penis in) dirty water, not washing it at all after copulation, applying strong acting pastes (of drugs etc.) on the penis desiring its increase in size ; (penis) getting injured (bruised) from assault by the fist, teeth, nails and application of paste of poisonous insects, suppression of the urges, long contect with very rough materials, hit or blow (by accident)-by these causes the dosas become aggravated, get localised in the genital organ (penis) and produce 23 diseases such as upadamsa etc. 1-4. 

Upadamsa

Upadamsa is of five kinds; one from each dosa seperately, one from blood and the fifth from all the dosas together. In that caused by maruta (vata), there is swelling, different kinds of pain in the penis, loss of movement and formation of blebs on the skin. caused by pitta, the penis appears like a ripe fruit of udumbara, associated with swelling and fever. In that caused by slesma (kapha), penis is hard, greasy, itching, cold and heavy; that due to blood, is prone to develop black coloured vesicles, bleeding and fever. In that That caused by all the dosas has features of all dosas, swelling even of the scrotum, severe pain, ripens (suppurates) quickly, putrefaction and appearance of warms likely. are Among these, that born from blood is controllable but persist long, that born from all the dosas together is going to kill the person. 5-9a. 

Medhrarsas-yonyarsas

Mamsakilaka (projections of muscle) produced by the aggravated dosas localised in the blood and muscle of the penis, developing either inside or outside, having ithching and discharge of slimy blood. It occurs in the same way in the vagina, resembling an umbrella. These are called as Arsas. When neglected medhrarsas causes loss of masculine potency and yonyarsas causes loss of menstruation. 9b-11a. 

Sarsapika 

Pitika (eruptions) developing either inside or outside the genitals (penis and vagina) caused by kapha and rakta (blood) resembling sarsapa (mustard seed) in size and shape and hard-is known as Sarsapika. 11b-12a. 

Avamantha

Pitikas (eruptions) caused by kapha and hold, more than one in number, elongated, trearing of in the middle, accompanied with pain and horripilations is Avamantha. 12b-13a. 

Kumbhika

Kumbhika (pitika-eruptions) is born from rakta (blood) and pitta, resembles the kernel (seed) of jambu fruit and develops rapidly. 13b. 

Alaji (pitika)

Alaji is similar to the alaji belonging to prameha Uttama. Uttama is pitika (eruptions) born from pitta and rakta (blood) resembling masa (black-gram) or mudga (green gram). 14a. 

Puskarika

Pitika (eruptions) surrounded by small eruptions like the puskara karnika (central bulb of the lotus flower) is known as Puskarika. 14b-15a. 

Samuyudha pitika

Pitika (eruptions) caused by hard rubbing of the penis by the hands (masturbation) is Samvyudha pitika.15b.

Mrdita

Mrdita is contusion of the penis caused by rubbing it with rough cloth etc. and caused by aggravation of vata. 16a. 

Asthilika

The penis becoming curved/distorted, hard and bent caused by vayu vata) is known as Asthilika. 16b.

Nivrtta-mani

Vata undergoing aggravation by hard rubbing etc. the fore-skin of the penis (prepuce) goes back associated with pain, burning sensation and sometimes suppuration, the skin becomes folded, knotted and hangs below the glans, having kapha, itching and hardness. This is known as Nivrtta. 17-18. 

Avapatika

The skin which does not heal properly, which is cracked is known as Avapatika. 19a. 

Niruddhamani

The skin vitiated by vata, adhereing to the peins obstructs the channel of urine (urethra) then the urine flows out slwoly and without cognisance, there is obstruction to the exposure of the glans. This disease is called Niruddhamani. 19b-20. 

Grathita

The penis appearing as though full of thorns-is known as Grathita and is of kapha origin. 21a. 

Sparasahani

Sparsahani is that which arises from blood vitiated by poisonous worms. 21b. 

Sataponaka

Penis developing small holes all over its surface caused by the aggravation of vata and sonita (blood) is known as Sataponaka. 22. 

Tvakpaka

The skin undergoing paka (suppuration ulceration) caused by pitta and asrk (blood) accompained with fever and burning senation is Tvakpaka. 23a. 

Mamsapaka

Mamsapaka is caused by all the dosas together having all the features and leads to the muscles falling off. 23b. 

Penis developing red and black vesciles and eruptions, having severe pain should be understood as Asrgarbuda. 24. 

Black moles developing on the penis, undergoes suppuration/ulceration) soon, caused by all the dosas together is known as Tilakalaka. 25b-26a. 

Raktarbuda-mansarbuda-vidradhi

Mamsarbuda has been described earlier (chapter 29.) so also vidradhi which arises from all the three dosas (chapter 11 of Nidanasthana). 25a. 

Sadhyasadhya– prognosis

Mamsarbuda, mamsapaka, vidradhi and tilakalka-these four diseases should be rejected, the remaining should be treated quickly. 25b-27a.