An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)
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The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.
regarded as involving the concerted action of the deranged Doshas (VAyu, Pittam and Kaphah). 5.
The Kaphaja Types :— Cases of Prameha, which are caused by an exuberance of the deranged Kapham, may be grouped under ten subheads such as, Udaka-meha, Iksliu-nieha, Siird-meka, Sikatd-meha, S'anai-meha, Lavana-meha, Pislita-tneha, Sdndra-meha, S'ukra-meha and PJiena-7ncJia. The ten aforesaid types are curable, inasmuch as the medicines which tend to remedy the deranged Kapham (Dosha), the cause of the disease, prove also remedial to the other principles of the body (flesh, marrow, blood, semen etc) deranged (Dushya) from the same causes. 6.
The Pittaja Types : —The types, which are brought about through an exuberance of the deranged Pittam, are named as Nila-rneJia, Haridrd-meha, Amlameha, KsJidra-meha, Ma?ijishthd-ineha, and S' onita-meha. Palliation is all that can be effected in these types, inasmuch as the medicines which tend to correct the deranged Pittam, which has brought on the disease, fail to exert similar virtues on the organic principles (Dushyas) deranged by it. 7.
The Vataja Types :— The types of Prameha which are produced by an aggravated condition of the bodily Vayu are divided into four subgroups, such as Sarpi-nieJia, Vasd-meJia^ Kshoudra-mcha and Hasti-7neha. These should be regarded as most incurable inasmuch as no kind of medicine can restore the fleet-coursing, deep diving [ie. invading the bones and the marrow) Vayu, which at the same time also augments the Pittam, to its normal state and thus advances (unchecked) in its work of disintegration. 8.
The deranged Kaphah, in conjunction with the (morbid) Pittam, Vayu and fat, gives rise to all Kaphaja
^h^P- VI. i^IDANA ST li AN AM.
4S types of Prameha. The deranged Pittam, in conjunction with the deranged Vayii, blood, fat and Kapham, produces the Pittaja ones ; while the deranged Vayu, in unison with the deranged Kapham, Pittam, fat, marrow and Vasa (myosin), engenders the types of Vataja Prameha. 9.
Symptoms Of Kaphaja IVIchas : -The
urine* of a person suffering from an attack of Udakameha becomes white and water-like and is passed without the least pain. In a case of Ikshnmeha the urine resembles the expressed juice of sugarcane. It has the colour of wine in a case of Surameha. The urine in a case of Sikatamsha is passed with pain and is found to leave a sediment of extremely fine and sand-like concretions (Si/catas). In a case of Sanaimeha the urine gushes out at intervals in jets and is charged with a slimy mucous (kaphah). The urine in a case of Lavauamelia becomes limpid (non-viscid) and acquires a saline taste. There is horripilation at the time of micturition in a case of Pishtameha (Chyluria), the urine resembling a stream of water, charged with a solution of pasted rice (Pishtam).
In a case of Sandra,meha, the urine becomes thick and turbid, while in a case of Sukrameha the urine resembles semen (or the urine is found to be charged with semen :— Madhaba). In a case of
* Tl e Sanskiit term Meha literally means to micturate. The verbal noun Mehanam signifies urination as well as the act of passing any morbid urethral fecretion. Hence the urine in most of these cases denotts the fact of its being charged wiih pus or any other morbid secretion of the urinary oigans such as Oj.ih (albumen), marrow, etc., which imparts thiir characteristic colours to the fluid, —a fact which determines the nomenclature of the disease and forms the keynote of its diagnosis in the Ayurveda. — Ed.
46 THE SUS[IRUTA SAMIIITA. [Chap. I.
Phenamelia the patient passes frothy urine in broken jets. lO.
Symptoms of Pittaja IVIchas:— Now wc
.shall describe the characteristic features of the types of Pramcha, which arc due to the action of the deran<^cd Pittam, The urine in a case of Nilameha becomes froth}', transparent and bluish. The urine in a case of Haridramaha becomes deep yellow like turmeric (Haridra) and is passed with a burning pain. The urine in a case of Amlameha acquires an acid taste and smell. The urine in a case of Ksharameha* resembles an alkaline solution filtered (through a piece of linen). The urine in a case of MaDJisthameha resembles the washing of the Manjisthd, while in a case of Raktameha, the urine is found to be of blood-colour or charged with blood - ]\I;idha\a). 1 1 .
Symptoms of Vataja-IVIehas :— Now we
shall describe the characteristics o{ the different types of Pramcha, which are due to an exuberance of the deranged VayLi- ^'i ^>- case of Saipimeha, the urine looks like a stream of clarified butter, while in one of Vasameha it resembles the washings of Vasa. In a case of Kshaudramelia, the urine looks like honey and acquires a sweet taste. In one of Hastimeha, the patient passes a copious quantity of urine, like an excited elephant, at a time, and in one unbroken stream, (the organ becoming steady immediately after the act of micturition). I3.
Supervening symptoms :— The fact of
the urine being assailed b)- a swarm of flies, lassitude, growth of flesh (obesity), catarrh, looseness of the limbs, a t Charaka has included it within Kshaudra Meha and Madhu Me a. -
* The urine acquires a distinct alkaline taste, smell, colour and touch. (Madhaba Nidanain).
Chap. VI.] NIDANA STHAXAM. 47
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