the eleven distressing symptoms which are manifested simultaneously with the ushering in of the disease, and being the only instance in the science of therapeutics in which the treatment does not vary according to the variation of symptoms. This disease, Śosha, is more properly said to originate in the simultaneous aggravation of all the three Doshas, and it is the symptoms of the most predominant Dosha only that are manifested. 3.
Ætiology and general symptoms:— The process of any wasting disease in the system, repression of any physical urging or propulsion, over-fatiguing physical exercise and irregular diet are the causes which, by aggravating the bodily Doshas and propelling them all over the organism, give rise to the disease. The aggravated Doshas with Kapha as the most predominant factor having obstructed the lymphatic channels, or the semen of a person having been exhausted by sexual excesses consequently produce a loss of the other Doshas or the principal elements of the organism, thereby producing a cachectic condition of the body, and the following symptoms, viz., aversion to food, fever, asthma, cough, emission of blood, loss of voice, numbering six in all are found in cases of Rája-yakshmá. 4 — 6.
Specific Symptoms:— The symptoms which mark the action of the deranged bodily Váyu in the disease are loss of voice (hoarseness), aching pain (in the chest), contraction of the sides and stoop at the shoulders (Amśa), while those which are exhibited through the action of the deranged Pitta are fever, burning sensation, Atisára and expectoration of blood, and the features which indicate the action of the deranged Kapha in the disease are a sense of fullness in the head, aversion to food, cough and a sense of the
