Signs of the unripe stage of swelling

When the doshas in a swelling are very strong, when the treatment used to calm it is wrong, or when no external or internal treatment is given, it does not subside but turns towards ripening, passing through unripe, burning and ripe stages. A swelling that is hard, slightly painful, unchanged, of the colour of healthy skin, slightly warm, small and cold is the unripe (ama) swelling. A footnote gives अधिकोऽपि as a variant reading.