THE DIAGNOSIS OF UPADAMSA(PENILE AND VENEREAL DISEASES) NIDHANAM Injury produced by hands,scratches produced by nails and the teeth,non-cleansing(

of the geitalia),excessive sexual intercourse or (contact with ) a diseased vagina and various other misconducts produce fice types of upadamsa(conventionally upadamsa implies venereal diseases;here it includes various infective and neoplastic penile diseases also, for all practical purpose it means ulcers of the penis) in the penis. SADHYAASADHYATHA When there is sloughing off of the muscular tissues (of the penis)and when it has been eaten up(completely) by worms leaving behind the scrotum only, the condition should be discarded (from treatment as incurable)(?Fourniers gangrene). Sequelae in absence of treatment When an unwise and a sex crazy person does not seek treatment at the very onset of the disease,his penis,in due course of time,becomes wollen,infested by worms,inflamed and suppurted and ultimately falls off he may even die it. Penile warts or granulomas(suka doshas) When a wick like tissue,resembling a cocks crown,gradually grows inside the prepuce,the corona glandis or all over the glans,is painful and slimy it is difficult to cure.The condition is caused by all the three dosas and is called lingavarti some call it garsa.

venereal disease A venereal disease is any disease that can be transmitted through sexual contact. These ailments come in a number of forms. Many of them are dermatological in nature, primarily coming with dermatological conditions. A number of them resemble other skin ailments, such as herpes, which is roughly the same as the common chicken pox so many suffer from in their childhoods. Venereal diseases come in many forms, but they are all humiliating. Many do not wish to address them with their doctors, or other medical professionals for this reason Venereal diseases are caused by the spread of infection through sexual intercourse and other forms of fluid contact. Breastfed children and individuals that share unsterilized needles may also contract venereal diseases even without sexual contact. Discharge: Unusual discharge from penis or vagina is the most easily detectable symptom of venereal disease. Infectious genital discharge is usually thick and has an unpleasant odor. Genital discharge is common in most women. However, if there is a sudden change in the color or thickness of the discharge, then it must be considered a venereal disease symptom in women.

Pain:

Pain due to a venereal disease can be manifested in a number of ways. This may include pain while urinating or a constant pain or discomfort in the abdomen. In case the disease has taken a serious form then sexual intercourse also becomes painful.

Sores or Rashes on Skin: Although genitals is the most common place where skin breaks into rashes, this STD symptom in men and women can affect other parts of the body as well. Sometimes sores on the genitals come and go on their own. However, it is best to consult one's physicians at the first instance of such occurrence as complacency could lead to greater complications. Read more on STD symptoms in women.

Fever: Fever is something that occurs in a number of diseases and infections. Hence this should be treated as a sign of STD if only it occurs with any of the other venereal disease symptoms discussed earlier. Read more on signs that you have an STD. Acquired Immunodeficiency Syndrome (AIDS): HIV/AIDS is a relatively new STD that strikes terror in the hearts of people. It is due to the fact that it is fatal as no cure has still been found for it. It is not characterized by symptoms that are just located to the genitals or affect a few other organs, but HIV/AIDS weakens the immune system due to which an individual is left defenseless to a host of diseases. The initial symptoms are short spells of fever with sore throat. Glands in the neck,

groin and armpits swell. As the infection spreads, one frequently suffers from cough, chills, fever, fatigue and gradual weight loss. However, sexual means is not the only way of contracting AIDS. Use of infected needles or transfusion of infected blood can also cause AIDS.

Chlamydia: This is a very common venereal disease whose symptoms are visible only after the infection has reached an advanced stage. Both men and women experience pain while urinating and during sexual intercourse. Genital discharge is common. Although in men it is clear and watery, in women the discharge is white and thick. Some men may also suffer from pain in testicles on contracting chlamydia.

Genital Herpes: Also known as herpes genitalis, this STD is a highly contagious disease that is caused by the herpes simplex virus (HSV). It commonly affects the skin of genitals and rectum. However, the infection can also spread to throat. The initial symptoms of genital herpes is increased sensitivity or a burning and painful sensation in the skin. Within a week the skin in these places become red and small blisters filled with a clear liquid appear. In addition to these, women experience vaginal discharge and pain during urination. In case of lesions close to the head of the penis, men also have pain during urination. These symptoms may also be accompanied with fever and swelling of lymph nodes in the groin.

Gonorrhea:

Gonorrhea is caused by a bacteria. Although the infection begins in the genitals in women and urethra in men, it may also spread to other parts of the body through bloodstream. Effects on the reproductive system may give rise to problems related to fertility. Gonorrhea symptoms in women include vaginal discharge, irritation of the outer area of the vagina, bleeding between periods and abdominal pain. Men experience blood in urine, frequent urination, swelling of the glands in groin and the head of the penis turns red. Both men and women complain of a burning, stinging pain while urinating and yellowish genital discharge. Women may also have some blood in their discharge. Fournier's gangrene Fournier's gangrene is a serious, life-threatening infection of the male genital area. The infection usually starts in the skin of the genitals (penis or scrotum), the urethra, or the rectal area. There are several conditions that may lead to this infection. Frequently an injury or burn to the area occurred before the infection. Genital surgery, a sexually transmitted disease (STD), or a problem with the urethra also may precede this infection. Men with certain conditions are at higher risk for developing Fournier's gangrene. These conditions include:

Being older than age 50. Having diabetes. Having a suppressed immune system.

Symptoms include:

Swelling and redness. Tissue that looks deeply bruised but is actually dead (necrotic). Drainage of pus with a bad odor. Pain. Fever. Pain with urination. Difficulty passing urine.

The condition is caused by bacteria (germs) called Neisseria gonorrhoea. One may get this infection by having unprotected sex with a person who has gonorrhea. Sex is unprotected when a condom is not used THE DIAGNOSIS OF SUKA DOSA(PENILE DISEASES) This chapter describes eighteen types of penile diseases;these were considered to be due to an improper use of suka(recipes containing watermoss with poisonous insects or other locally irritating recipes)applied on the penis under the mistaken belief to increase its size(1). These could be the local manifestations of various venereal diseases,while others could be the many ulcerative,infective and neoplastic lesions of penis. Multiple urethral fistulae due to stricture urethra,as after gonococcal urethritis) comes under this.

Penile warts Penile warts are warts that appear on the penis. Warts are benign tumors of the epidermis. Penile warts are very contagious. If not treated, they can spread to other parts of the penis and to the partner. A wart is a small, benign (non-cancerous) growth on the skin. A person can have one or many warts. Penile warts are caused by the human papilloma virus (HPV).

The first outbreak of penile warts can occur up to 18 months after sexual transmission of the virus. Symptoms of Penile Warts The most common symptom is warts on the shaft or head of the penis. Other symptoms of penile warts are: pain, itching and burning penis.