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Chapter 63 – Yoni Kanda Nidanam

The 63rd chapter of Madhava Nidana is Yoni Kanda nidanam which deals with Vaginal Tumours.

Aetiopathogenesis

दिवस्वप्नादतिक्रोधाद् व्यव्यामादतिमैथुनात् |
क्षताच्च नख – दन्ताध्यैर्वाताध्याः कुपिता यदा || १ ||
पूय – शोणितसङ्काशं निकुचाकृतिसन्निभम् |
जनयन्ति यदा योनौ नाम्ना कन्दः स योनिजः ||२ ||

divasvapnādatikrōdhād vyavyāmādatimaithunāt |
kṣatācca nakha – dantādhyairvātādhyāḥ kupitā yadā || 1 ||
pūya – śōṇitasaṅkāśaṁ nikucākr̥tisannibham |
janayanti yadā yōnau nāmnā kandaḥ sa yōnijaḥ ||2 ||

When the vata and other doshas get vitiated due to sleeping during day, frequent fits of anger, physical strain, excessive sexual intercourse, injury by nails, teeth and other foreign bodies. These factors produce tuberous swelling (kanda) with pus and blood in yoni (vaginal area) known as Yoni Kanda. These tuberous swelling (kanda) with pus and blood in yoni (vaginal area) known as Yoni Kanda. These tubers resemble the nikucha fruit in shape. 1-2

Clinical features of Different types of Yoni Kanda

Vatika Yoni kanda

रूक्षं विवर्णं स्फुटितं वातिकं तं विनिर्दिशेत् |

rūkṣaṁ vivarṇaṁ sphuṭitaṁ vātikaṁ taṁ vinirdiśēt |

The yonikanda should be identified as to be of Vata origin if the mass is rough, discoloured, and fissured;

Pittaja Yonikanda And Kapha Yonikanda 

दाह – राग – ज्वरयुतं विध्यात् पित्तात्मकं तु तम् ||३||
नीलपुष्पप्रतिकाशं कण्डूमन्तं कफात्मकम् |

dāha – rāga – jvarayutaṁ vidhyāt pittātmakaṁ tu tam ||3||
nīlapuṣpapratikāśaṁ kaṇḍūmantaṁ kaphātmakam |

If the disease manifests such symbols as burning sensation, along with fever and if the tubers are red in colour, the yonikanda should be known as to be pitta origin. If the tubers of yonikanda have itching sensation, are blue in colour and if they resemble the flower of linseed (atasi) it is known to be of kapha origin. 3

Sannipatika Yonikanda

सर्वलिङ्गसमायुक्तं सन्निपातात्मकं विदुः || ४ ||

sarvaliṅgasamāyuktaṁ sannipātātmakaṁ viduḥ || 4 ||

The sannipatika yonikanda is known to have the features of all the three types mentioned above due to presence of all the doshas in it. 4

इति श्रीमाधवकरविरचिते माधवनिदाने योनिकन्दनिदानं समाप्तम् || ६३ ||

iti śrīmādhavakaraviracitē mādhavanidānē yōnikandanidānaṁ samāptam || 63 ||

Thus concludes the chapter on Yoni Kanda