The twenty second chapter of Uttaratantra of Sushruta Samhita is known as as Nasaroga Vijnaniya Adhyaya. This chapter offers with the Data of Illnesses of the Nostril.

अथातो नासागतरोगविज्ञानीयमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||

We’ll now expound the chapter by identify Nasagata roga Vijnaniya – information of ailments of the nostril; as revealed by the venerable Dhanvantari.

Roga Nama – Sankhya: Title and Variety of Illnesses

अपीनसः पूतिनस्यं नासापाकस्तथैव च |
तथा शोणितपित्तं च पूयशोणितमेव च ||३||
क्षवथुर्भ्रंशथुर्दीप्तो नासानाहः परिस्रवः |
नासाशोषेण सहिता दशैकाश्चेरिता गदाः ||४||
चत्वार्यर्शांसि चत्वारः शोफाः सप्तार्बुदानि च |
प्रतिश्यायाश्च ये पञ्च वक्ष्यन्ते सचिकित्सिताः |
एकत्रिंशन्मितास्ते तु नासारोगाः प्रकीर्तिताः ||५||

Right here on this context, the thirty one ailments of the nostril will probably be described together with their remedy. Beneath talked about are these thirty one nasal ailments –

–        Apinasa,

–        Putinasya,

–        Nasapaka,

–        Sonitapitta,

–        Puyasonita,

–        Ksavathu,

–        Bhramsathu,

–        Dipta,

–        Nasanaha,

–        Parisrava,

–        Nasasosa,

–        4 sorts of Arsas and Sopha,

–        Seven sorts of Arbuda and

–        5 sorts of Pratisyaya

Apinasa

आनह्यते यस्य विधूप्यते च प्रक्लिद्यते शुष्यति चापि नासा |
न वेत्ति यो गन्धरसांश्च जन्तुर्जुष्टं व्यवस्येत्तमपीनसेन ||६||
तं चानिलश्लेष्मभवं विकारं ब्रूयात् प्रतिश्यायसमानलिङ्गम् |७|

The one who is stricken by Apinasa born from vitiated vata and kapha will current with the under talked about signs –

–        Bloating of nostril,

–        Feeling of scorching fumes popping out of the bose,

–        Nostril may be very moist or dry,

–        The particular person is not going to acknowledge scent and style and

–        May have signs just like Pratisyaya

Putinasa

दोषैर्विदग्धैर्गलतालुमूले संवासितो यस्य समीरणस्तु ||७||
निरेति पूतिर्मुखनासिकाभ्यां तं पूतिनासं प्रवदन्ति रोगम् |

The doshas that are present process ripening would get localized on the base of the throat and palate. These doshas move out by means of the mouth and nostril accompanied with foul scent, being pressured by vata. This illness known as Putinasa.

Nasapaka

घ्राणाश्रितं पित्तमरूंषि कुर्याद्यस्मिन् विकारे बलवांश्च पाकः ||८||
तं नासिकापाकमिति व्यवस्येद्विक्लेदकोथावपि यत्र दृष्टौ |

Aggravated pitta will get localized within the nostril. Following this, many small boils (eruptions) are fashioned within the nostril. In them, extreme suppuration (paka) happens with extreme moistness and decaying. This situation needs to be understood as Nasapaka.

Raktapitta

चतुर्विधं द्विप्रभवं द्विमार्गं वक्ष्यामि भूयः खलु रक्तपित्तम् ||९||

Raktapitta illness produced by two origins and two routes i.e. pathways wherein the illness will get manifested shall be described later.

Puyarakta

दोषैर्विदग्धैरथवाऽपि जन्तोर्ललाटदेशेऽभिहतस्य तैस्तु |
नासा स्रवेत् पूयमसृग्विमिश्रं तं पूयरक्तं प्रवदन्ति रोगम् ||१०||

Puyarakta is a illness wherein pus blended blood flows out from the nostril. This occurs both attributable to doshas present process ripening or blow over the brow.

Ksavathu

घ्राणाश्रिते मर्मणि सम्प्रदुष्टे [१] यस्यानिलो नासिकया निरेति ||११||
कफानुयातो बहुशः सशब्दस्तं रोगमाहुः क्षवथुं विधिज्ञाः |१२|

The aggravated vata will get localized within the marma i.e. deadly spot within the nostril and later comes out of the nostril together with kapha. These doshas come out many occasions together with sound. Specialists name this illness Ksavathu.

तीक्ष्णोपयोगादतिजिघ्रतो वा भावान् कटूनर्कनिरीक्षणाद्वा ||१२||
सूत्रादिभिर्वा तरुणास्थिमर्मण्युद्घाटितेऽन्यः क्षवथुर्निरेति |

One other kind of Ksavathu referred to as Agantuja Ksavathu is brought on as a result of exterior components that are additionally its causes. They’re as under talked about –

–        Administration of herbs having penetrating properties,

–        Extreme indulgence in smelling pungent smells for lengthy durations or

–        By always seeing the solar for extended durations or

–        When issues like threads and so on are inserted into the nostril,

–        By displacement of cartilage and

–        Trauma to deadly spots

Bhramsathu

प्रभ्रश्यते नासिकयैव यश्च सान्द्रो विदग्धो लवणः कफस्तु ||१३||
प्राक् सञ्चितो मूर्धनि पित्ततप्तस्तं भ्रंशथुं व्याधिमुदाहरन्ति |

The warmth of pitta liquifies the kapha which had amassed within the head earlier. The kapha which is thus liquified flows out of the nostril in nice amount, typically. It’s a thick, half ripe and salty liquid. This illness known as Bhramsathu.

Dipta 

घ्राणे भृशं दाहसमन्विते तु विनिःसरेद्धूम इवेह वायुः ||१४||
नासा प्रदीप्तेव च यस्य जन्तोर्व्याधिं तु तं दीप्तमुदाहरन्ति |

A situation in which there’s a extreme burning sensation within the particular person’s nostril at all times, and air comes out of the nostril as scorching smoke and the particular person retains feeling as if his nostril is burning (from hearth) is described as Dipta Roga.

Nasapratinaha

कफावृतो वायुरुदानसञ्ज्ञो यदा स्वमार्गे विगुणः स्थितः स्यात् ||१५||
घ्राणं वृणोतीव तदा स रोगो नासाप्रतीनाह इति प्रदिष्टः |

Udana Vata getting aggravated in its personal passages accumulates within the nostril being enveloped by kapha. On this situation, the nostril would get blocked, particularly in the course of the nights. This illness known as NNasa Pratinaha.

Nasaparisrava

अजस्रमच्छं सलिलप्रकाशं यस्याविवर्णं स्रवतीह नासा ||१६||
रात्रौ विशेषेण हि तं विकारं नासापरिस्रावमिति व्यवस्येत् |

Nasaparisrava is a illness in which there’s steady move of clear, watery, colorless fluid from the nostril, particularly throughout nights.

Nasa Sosa

घ्राणाश्रिते श्लेष्मणि मारुतेन पित्तेन गाढं परिशोषिते च ||१७||
समुच्छ्वसित्यूर्ध्वमधश्च कृच्छ्राद्यस्तस्य नासापरिशोष उक्तः |

Nasa Parisosa is a situation wherein kapha current within the nostril will get dried up enormously by vata and pitta. The particular person would discover it tough to breathe upwards or downwards i.e. each expiration and inspiration would turn out to be tough.

Nasa Arsas and Sopha

दोषैस्त्रिभिस्तैः पृथगेकशश्च ब्रूयात्तथाऽर्शांसि तथैव शोफान् ||१८||
शालाक्यसिद्धान्तमवेक्ष्य चापि सर्वात्मकं सप्तममर्बुदं तु |

Nasa Arsas is of 4 varieties – three varieties attributable to every one of many doshas individually and one by mixture of all three doshas. Nasa Sopha can be of comparable 4 varieties (as in Nasa Arsas). In response to the ideas of Salakya, aside from the six arbudas defined within the Nidana (nidana sthana), there will probably be yet one more i.e. seventh kind of arbuda which is sarvatmaka i.e. attributable to simultaneous aggravation of all of the three doshas.

Pratiśyāya

रोग: प्रतिश्याय इहोपदिष्टः स वक्ष्यते पञ्चविधः पुरस्तात् ।।१९।। 

The 5 sorts of Pratisyayas talked about on this context (chapter) will probably be described later (in future chapter – chapter 24).

(नासास्त्रोतोगता रोगास्त्रिंशदेकच कीर्तिताः ।।
स्रोतः पथे यद्विपुलं कोशवच्चार्बुदं भवेत् ।।२०।। )
शोफास्तु शोफविज्ञाना नासास्त्रोतोव्यवस्थिताः ।।
निदानेऽशांसि निर्दिष्टान्येवं तानि विभावयेत् ।। २१ ।।

Thus, thirty one nasal ailments have been described herein. The Nasa Sopha and Nasa Arshas needs to be understood just like these described within the respective chapters of Sutra Sthana (chapter 17) and Nidana Sthana (chapter 2) sections.

इति श्रीसुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते शालाक्यतन्त्रे नासागतरोगविज्ञानीयो नाम द्वाविंशोऽध्यायः ||२२||

Thus ends the twenty second chapter by identify Näsāroga vijñānīya in Uttara sthana of Suśruta samhita.