Changes

tatra, gaNDapiDakAlajyapacIcarmakIlAdhimAMsamaShakakuShThavya~ggAdayo vikArAbahirmArgajAshca visarpashvayathugulmArshovidradhyAdayaH shAkhAnusAriNo bhavanti rogAH;pakShavadhagrahApatAnakArditashoSharAjayakShmAsthisandhishUlagudabhraMshAdayaHshirohRudbastirogAdayashca madhyamamArgAnusAriNo bhavanti rogAH;jvarAtIsAracchardyalasakavisUcikAkAsashvAsahikkAnAhodaraplIhAdayo~antarmArgajAshcavisarpashvayathugulmArshovidradhyAdayaH koShThAnusAriNo bhavanti rogAH||49||  

tatra, gaNDapiDakAlajyapacIcarmakIlAdhimAMsamaShakakuShThavya~ggAdayo vikArAbahirmArgajAshca visarpashvayathugulmArshovidradhyAdayaH shAkhAnusAriNo bhavanti rogAH;pakShavadhagrahApatAnakArditashoSharAjayakShmAsthisandhishUlagudabhraMshAdayaHshirohRudbastirogAdayashca madhyamamArgAnusAriNo bhavanti rogAH;jvarAtIsAracchardyalasakavisUcikAkAsashvAsahikkAnAhodaraplIhAdayo~antarmArgajAshcavisarpashvayathugulmArshovidradhyAdayaH koShThAnusAriNo bhavanti rogAH||49||  

Diseases like ''ganda'' (goitre), pidaka (pustule), alaji (boil), apache (scrofula), charmakeela (skin warts), adhimamsa (muscular new growth), mashak (moles), kushtha (skin disorders), vyanga (blemishes), also the external variety of visarpa (skin disease/ swelling quickly spreads), shvayathu (edema), gulma (abdominal lumps), arshas (piles), and vidradhi (abscess) are the diseases of shakha (external route).  

Diseases like ''ganda'' (goiter), ''pidaka'' (pustule), ''alaji'' (boil), ''apache'' (scrofula), ''charmakeela'' (skin warts), ''adhimamsa'' (muscular new growth), ''mashak'' (moles), ''kushtha'' (skin disorders), ''vyanga'' (blemishes), also the external variety of ''visarpa'' (skin disease/ swelling quickly spreads), ''shvayathu'' (edema), ''gulma'' (abdominal lumps), ''arsha'' (piles), and ''vidradhi'' (abscess) are the diseases of ''shakha'' (external route).  

Pakshavadha (hemiplegia), graha (stiffness), apatanaka (convulsion disorder), ardita (facial palsy), sosha (cachexia), rajyakshma (tuberculosis), asthisandhishula (pain in bone joints) gudabhramsha (prolapsed rectum), and diseases of head, heart and urinary bladder are the diseases of middle pathway for disease manifestation.

''Pakshavadha'' (hemiplegia), ''graha'' (stiffness), ''apatanaka'' (convulsion disorder), ''ardita'' (facial palsy), ''sosha'' (cachexia), ''rajayakshma'' (tuberculosis), ''asthisandhishula'' (pain in bone joints), ''gudabhramsha'' (prolapsed rectum), and diseases of head, heart and urinary bladder are the diseases of middle pathway for disease manifestation.

Jwara (fever), atisara (diarrhoea), chhardi (vomiting), alasaka (sluggish intestines/ paralytic ileus), visuchika (cholera), kasa (cough), shwasa (dyspnoea), hikka (hiccups), anaha (obstructed flatulence), udara ( abdominal disorders), pliha roga (diseases of spleen), internal visarpa (skin disease/ swelling which quickly spreads), shvayathu (internal swelling), gulma (abdominal lumpss), arsha (internal piles), vidradhi (internal abscess) are the diseases of internal pathway for disease manifestation. [49]

''Jwara'' (fever), ''atisara'' (diarrhea), ''chhardi'' (vomiting), ''alasaka'' (sluggish intestines/ paralytic ileus), ''visuchika'' (cholera), ''kasa'' (cough), ''shwasa'' (dyspnoea), ''hikka'' (hiccups), ''anaha'' (obstructed flatulence), ''udara'' ( abdominal disorders), ''pliha roga'' (diseases of spleen), internal ''visarpa'' (skin disease/ swelling which quickly spreads), ''shvayathu'' (internal swelling), ''gulma'' (abdominal lumpss), ''arsha'' (internal piles), and ''vidradhi'' (internal abscess) are the diseases of internal pathway for disease manifestation. [49]

==== Three types of physician ====

==== Three types of physician ====