with a non-relish for food are the symptoms which become manifest with the progress of the disease. The skin, finger nails, eyes, teeth, face, stool and urine of the patient also assume a white colour. lO.
The Raktaja Type:-Piles (haemorrhoids), having their origin in the vitiated condition of the blood resemble the sprouts of the Vata tree in shape and are of the colour of red coral, or the seeds (dark red) of Gunja berry. They exhibit all the symptoms, which are peculiar to the Pittaja type of this disease. Pressed hard by the constricted faeces in their passage through the anus, they suddenly give rise to a haemorrhage of vitiated (venous) blood, and symptoms characteristic of excessive bleeding are found to supervene. 11.
The Sannipata Type:-in a case of haemorrhoids due to the concerted action of the deranged Vayu, Pittam and Kapham, symptoms characteristic of each of these types manifest themselves in unison. 12.
The Congenital Type:—Congenital hemorrhoids (Sahaja Arsas) are usually ascribed to defects in the semen and ovum of one's parents and should be medicinally treated with an eye to the special deranged Doshas involved in the case. The polypi (in this type) are hardly visible and are rough and yellowish, with their faces turned inward. They are extremely painful. A person suffering from this type of piles gets thinner and thinner every day and eats but very little. Large veins (Sird) appear on the surface of the body. The patient becomes irritable, the semen decreases in quantity, making the procreation of a small number of children possible only by him. The voice becomes feeble, the digestion is impaired, and disorders affecting the head
