CHAPTER LIII.
Now we shall discourse on the chapter which deals with the (symptoms and) medical treatment of hoarseness of voice (Svara-bheda-Pratishedha). 1.
Etiology:— The Váyu and the other Doshas are deranged and aggravated by such causes as extremely loud speaking, taking poison, reading at the top of the voice, external hurt or injury and exposure to cold; etc., *[1] and finding lodgment in the sound carrying channels, they affect the voice. The disease is called Svara-bheda (hoarseness of voice) and is classified into six different types. 2.
Specific Symptoms:— The Vátaja type imparts a black colour to the face, eyes, urine and stool and the voice acquires the sound of the rough and hoarse braying of an ass †[2] The face, eyes and the stool and urine of the patient are tinged yellow in a case of the Pittaja type and the voice sounds sunken as if proceeding from the throat with an internal burning sensation. In the Kaphaja type the patient constantly feels a sense of constriction in his throat with mucus and is only enabled to speak slowly and softly and that specially in the day. Symptoms specifically belonging to the three preceding Dosha-originated types, are simultaneously present in the type due to the concerted action of the three Doshas (Tri-Dhoshaja) together with indistinctness of speech and incapability
