charged with the Kapham, stuffs the sound-carrymg channels (Srota) of the ears. 68.
Karna Sulam:—The disease in which the deranged Vayu causing a piercing pain in the regions of the cheekbones, head, temples and neck, gives rise to a sort of aching pain in the tympanum, is called Karna-sulam (otitis). The local Vayu, deranged and saturated with the Kapham stuffing the nerves (Dhamani) which conduct of the sound of speech, produces complete (in some cases partial) loss of the power of speech — eg. Muka (dumbness , Minmina (nasal voice) and Gad-gada (indistinct speech). 69 — 70
A sort of pain, which (rising from the bowels or the urinary bladder and ranging downward) gives rise to a bursting sensation in the regions of the anus and the genitals, is called Tuni, whereas the one, rising upward from the preceding parts and extending up to the region of the intestines, is called Prati-tuni. A distension of the abdomen (Udara), attended with the incarceration of flatus (Vayu) and an intense pain and rumbling in its inside, is called Adhmanam (Tympanites). When it first affects the stomach (Amasaya) and is unattended with an oppressive feeling about the heart and pain at the sides' it is called Pratyadhmanam. The Vayu saturated with the deranged Kapham causes the preceding type of distemper. 71—74.
A knotty stone-like tumour (Granthi) of considerable density, whether fixed or mobile, and appearing below the umbilicus, and having an elevated shape which is always found to be extended in an upward direction, is called a Vatasthila, (which) as its name implies, is due to the action of the local deranged Vayu. The tumour, thus formed, obstructs the emission of flatus and impedes the evacuation of faeces. A tumour of similar shape,
