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Chap. XX. ]
UTTARA-TANTRAM.
107

peculiar sound in the ear) may be attributed to such causes, as to the use of any cold thing or exposure to cold after being treated with a head-purging remedy (errhines), or to the continuance of the deranged local Váyu in the sound-passage, aggravated by excessive labour, by any wasting process in the system or by taking articles of fare of astringent taste or of parching (Ruksha) property.*[1] 5-6.

Symptoms of Karna-Sráva and Karna-kandu: — Any discharge or secretion of pus from the ear caused by the deranged bodily Váyu stuffing the ear-cavity, owing to a blow on the head or a long immersion in water or a spontaneous suppuration (and bursting) of an abscess in the inner ear, is called Karna-sráva. The excessive itching sensation in the ear due to the aggravation of the local Kapha is called Karna-kandu. 7-8.

Symptoms of Karna-gutha and Karna-Prati-náha: — Any mucous accumulation in the ear dried and hardened by the heat of the local Pitta is called Karna-gutha; when the dried accumulation of the ear in cases of Karna-gutha becomes liquefied, (and comes out through) the cavity of the nose †[2] and produces head-disease ‡[3] it is called Karna-Prati-náha. 9-10.

  1. * The difference in the "Karna-náda" and "Kshveda" is that in the former the sound in the ear is produced by the deranged Váyu alone and is of various kinds, whereas, in the latter it is of a special kind, viz., that of a wind-pipe — the exciting cause being the deranged local Pitta, Kapha and blood. — Videha.
  2. † Some explain " " to mean the cavity of the nose and of the mouth.
  3. ‡ In place of " " (producer of head -disease) Mádhava in his Nidána reads " " producer of the head-disease known as Ardha-Vedhaka (see chapter XXV).