The Nidanam of Aversion of food ||153||

1Dhanvantari said: -Now hear me, O Susruta, discourse on the Nidanam of Arocakam (Non-relish for food). The several morbific diatheses of Vayu, Pittam, and Kapharn, by finding lodgrnent in the tongue and the heart, given rise to three different forms of Arocakam.
2The fourth king owes its origin to their concerted action, while the fifth is usually brought about through a perturbed condition of the mind.
3The patient complains of an astringent taste in the mouth in the Vayu-origin, of a bitter taste in the Pittaja, and of a sweet taste in the Kaphaja type. In the type due to grief, fright, or anxiety, all things seem vapid arn;l tasteless.
4The vital Udanij Vayu flings up the morbific principles from the bottom qf the stomach and thus carried up into the cavity of the moµth, the give rise to water brash with a saline taste in the mouth, annihilate all desires food, and bring a host of other discomforts in their train.
5The patient suddenly feels a pain at the back and about the umbilicus, and the ingested food is thrown up in the side of his stomach, causing him to belch out a scanty frothy, and astringent chylous matter.
6In the Vayu-origined type of this disease there are loud eructation’s, and painful and violent vomiting’s after that, bringing cough, parchedness of the mouth, and hoarseness in their train.
7In the Pittaja type, the patient, vomits a kind of greenish, or yellowish, blood-streaked acid matter of a bitter and astringent taste, resembling alkaline water-thirst, fainting, and a burning sensation in the body being its further characteristics.
8In the type due to the action of the deranged Kapham, there is expectoration of thick glossy, yellowish, ropy mucous of a sweetish saline taste, attended with a copious salivation, and horripilation.
9Symptoms such as, swelling of the mouth, somnolence, cough, and rnwsea with a sweetish taste in the mouth, are found to supervene. In the type due to the concerted the action of all the three morbific principles of Vayu, Pittam and Kapham, the patient finds no pleasure even in the most, congenial topics, which, according to Vishnu ought to be discussed in a gentle absently.
10All sights and sounds are hateful to him. The disease is aggravated with the aggravation of nay of the abovesaid morbific principles in the body. The type due to the presence of worms in the intestines, or to, the ingestion of any stale or unwholesome food, manifests colic, shivering, and nusea, etc., as its specific indications.