The fifth chapter of Uttaratantra of Sushruta Samhita is called as Krsnagata Roga Vijnaniya Adhyaya. This chapter offers with Illnesses of the Cornea.

अथातः कृष्णगतरोगविज्ञानीयमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||

We’ll; now expound the chapter by title Krsnagata roga Vijnaniya information of ailments of the cornea; as mentioned by venerable Dhanvantari.

Roganama Sankhya – names and variety of ailments

यत् सव्रणं शुक्र(क्ल)मथाव्रणं वा पाकात्ययश्चाप्यजका तथैव |
चत्वार एतेऽभिहिता विकाराः कृष्णाश्रयाः सङ्ग्रहतः पुरस्तात् ||३||

Briefly, the 4 ailments arising within the Krsna Mandala (black portion of the attention) are –

1.   Savrana Sukra
2.   Avrana sukra
3.   Pakatyaya and

4.   Ajaka
   1. Savrana sukra

निमग्नरूपं हि भवेत्तु कृष्णे सूच्येव विद्धं प्रतिभाति यद्वै |
स्रावं स्रवेदुष्णमतीव रुक् च तत् सव्रणं शुक्र(क्ल)मुदाहरन्ति ||४||
दृष्टेः समीपे न भवेत्तु यच्च न चावगाढं न च संस्रवेद्धि |
अवेदनावन्न च युग्मशुक्रं तत्सिद्धिमाप्नोति कदाचिदेव ||५||
विच्छिन्नमध्यं पिशितावृतं वा चलं सिरासक्तमदृष्टिकृच्च |
द्वित्वग्गतं लोहितमन्ततश्च चिरोत्थितं चापि विवर्जनीयम् ||६||
उष्णाश्रुपातः पिडका च कृष्णे यस्मिन् भवेन्मुद्गनिभं च शुक्रम् |
तदप्यसाध्यं प्रवदन्ति केचिदन्यच्च यत्तित्तिरिपक्षतुल्यम् ||७||

Savrana Shukla (black of the attention with ulcer in it) presents with beneath talked about options –

–        Nimnagra rupam – the black portion of the attention i.e. cornea seems as if depressed and has gone deep into the attention

–        Suchyeva viddham – seems as if punctured by needles

–        Sravam sraved ushnam ativa – discharge of loads of heat fluids from the attention

–        Ruk cha – related to extreme ache

Prognosis –

1. Savrana Shukra will get cured typically when –

–        the vrana or ulcer is just not situated nearer to the Drishti i.e. pupil

–        the vrana is just not discharging fluids

–        the vrana is just not related to ache

–        and never having yugma shukra – double cornea i.e. one cornea showing as two

1. Savrana Shukra shall be thought of incurable and must be refused within the beneath talked about situations –

–        when the black of the attention seems to be break up on the centre

–        when the black of the attention seems as if coated by the muscle groups

–        when the black of the attention seems unsteady

–        when the black of the attention is surrounded by veins obstructing the imaginative and prescient

–        when the ulcer invades two layers

–        when the ulcer has purple colored edges

–        when the ulcer endured for lengthy period

1. Different opinions on prognosis

Under talked about are some extra indicators of unhealthy prognosis and therefore incurable in line with some authorities –

–        situation whereby there may be stream of heat teats

–        improvement of eruptions resembling mudga i.e. inexperienced gram on the black of the attention

–        black of the attention resembling the feather of tittiri hen i.e. very white in color

2. Avrana Sukra

सितं यदा भात्यसितप्रदेशे स्यन्दात्मकं नातिरुगश्रुयुक्तम् |
विहायसीवाच्छघनानुकारि [३] तदव्रणं साध्यतमं वदन्ति ||८||
गम्भीरजातं बहलं च शुक्रं चिरोत्थितं चापि वदन्ति कृच्छ्रम् |९|

Avrana Sukra (black of the attention, not having an ulcer on it) presents with the beneath talked about options –

–        Sitam yada bhavati asitam syandatmakam – a situation whereby the black of the attention i.e. cornea seems white in color because of the impact of different illness of the attention i.e. abisyanda – conjunctivitis

–        Nati ruk ashru yuktam – not related to a lot of ache and stream of tears

–        Vihayasiva achcha ghananukari – the whiteness on the black of the attention resembles the sky enveloped with clear clouds

Prognosis –

Sadhya – Avrana Sukra presenting with above mentioned options is claimed to be simply curable.

Krichra Sadhya – Avrana Sukra presenting with beneath talked about options is claimed to be curable with issue –

–        that which is situated deep inside i.e. situated within the second and third layers of the attention

–        that which is thick

–        that which has turn out to be continual i.e. persisting for a protracted period

3. Pakatyaya

सञ्च्छाद्यते श्वेतनिभेन सर्वं दोषेण यस्यासितमण्डलं तु ||९||
तमक्षिपाकात्ययमक्षिकोपसमुत्थितं तीव्ररुजं वदन्ति |

Pakatyaya presents with the beneath talked about options –

Samchadhyate shwetanibena sarvam – illness through which the black of the attention is totally coated by a white layer, attributable to doshas or is taken into account to be the dosha of the black of the attention i.e. cornea is named as Akshipakatyaya.

Akshi kopa samuttham – it’s induced because of aksi kopa or abhisyanda – conjunctivitis, irritation of eyes

Tivra rujam – it’s related to extreme ache

4. Ajakajata

अजापुरीषप्रतिमो रुजावान् सलोहितो लोहितपिच्छिलाश्रुः |
विदार्य कृष्णं प्रचयोऽभ्युपैति तं चाजकाजातमिति व्यवस्येत् ||१०||

Ajakajata presents with beneath talked about options –

–        ajapurisha pratimo – a situation of the black of the attention whereby a brand new cyst like development seems which resembles the goat excreta i.e. within the type of spherical pellets

–        rujavan – related to ache

–        salohito – related to redness

–        pichchila ashru srava – related to discharge of sticky / slimy and purple colored tears

–        vidarya krshnam – which splits the black of the attention

इति सुश्रुतसंहितायामुत्तरतन्त्रे कृष्णगतरोगविज्ञानीयो नाम पञ्चमोऽध्यायः ||५||

Thus ends the fifth chapter by title Krsnagata roga Vijnaniya in Uttara-sthana of Susruta samhita.