An English Translation of the Sushruta Samhita, Vol. III: Uttara-tantra — trans. Kaviraj Kunja Lal Bhishagratna (1916)

with the greatest difficulty is called Mntra-kshaya- A small round painful fixed Granthi suddenly occurring on the interior side (of the orifice) of the bladder and exhibiting by its characteristic pain, etc., all the symptoms of the presence of gravels (urinary calculii) in that organ, and which stands completely obstructing its orifice without letting out a single drop of urine, or admits only of its being dribbled out in scanty jets, is called Mutra-granthi. 5-10.

Mutra-Sukra and Ushna-vdta A

person visiting a woman in the presence of a strong urging towards urination and by voluntarily repressing the same is found to pass urine highly charged with semen which is sometimes seen to precede or follow the discharge of urine. The urine in this case resembles the washing or solution of ashes in colour. The disease is called Mutra-s'ukra (lit. semen-charged urine). The disease in which the Pitta of a person deranged by such factors as over-fatiguing physical exercise, exposure to the sun, or arduous pedestrian journey, gets into his bladder completely wrapped in the deranged Vdyu of his body, and produces an intense burning sensation in his bladder, penis and the anus, setting up a painful flow of a dark yellow or blood* streaked urine or of blood alone through the urethra in its stead, is designated as Ushna-vrfta. n-12.

Two kinds of Mutraukasdda s— A nonslimy and thick flow of yellow-coloured urine attended with a burning sensation, and leaving a sediment like powdered Rochand when dried, is called (Pittaja) Mutraukastfda. The wise ascribe the origin of this disease to the action of the deranged Pitta. The type in which a pale sediment resembling the powders of conch-shell is deposited when the urine is dried and

364 THE SUSHRUTA SAMHITX. [Chip. LVIH.

in which the flow is painful and the urine is si inly, thick and white, should be attributed to the action of the deranged Kapha. It is but another variety of the disease described immediately before. 13.

General Treatment Medicinal decoctions, Kalkas, (medicated) Ghritas, (various kinds of ) foods, lambatives, preparations of milk, alkalis, honey, Asava9, fomentation and Uttara-vasti should be employed according to their indications in coping with an attack of any of the aforesaid ailments. An intelligent physician shall resort, in these cases, to measures which are efficacious in cases of As'mari, or shall employ in their entirely the medicinal compounds which have been described as curative under the treatment of urinary Uddvarta. 14.

A case of Mutra-krichchhra would be relieved by the Use of pasted Ervdru- seeds and Saindhava weighing an Aksha and taken with the fermented paddy-boilings. A person afflicted with Mutra-krichchhra should take wine (prepared from Pishta or pasted rice) in combination with Souvarchala- salt, or he should take wine prepared from honey by biting meat at intervals, or take any wine made from treacle. In the alternative, a Karsha measure of Kumkutna should be kept saturated with honey and water during the night and this should be taken in the morning, whereby the patient would be relieved of the trouble (of Mutra-krichchhra). By taking the principal wine (viz., that prepared from Pishta or pasted rice) with salt, powdered Eld, Jiraka and Ndgara and saturated with the acid juice of pomegranade one would get rid of Mutra-krichchhra. 1 5 — 16.

Half a Prastha measure of water with four times as much of milk together with the drugs of the PrithakPAmyddi (VidAri-gandhadi) group and Gokskura-xooXs

Chap. LVIII.] UTTARA-TANTRA. 36$

should be kept boiling till all the water is evaporated. A person suffering from an attack of MutrA-ghAta due to the concerted action of deranged VAyu and Pitta should use this medicated milk, when cooled, with sugar and honey. The dung of an ass or of a horse should he squeezed through a piece of linen and a Kudava measure of this expressed liquid should be taken for the cure of an attack of painful urination. 17 — 18.

An Aksha measure of the compound made by pasting Musta> Abkayd, Deva-ddru , Mutvd and YashtimadhUy should be taken with the decoction of Drdkshd . Abkaydy Amalaka and Aksha (Vibhitaka) together weighing a Vadara measure should be taken with salt and water for getting relief in cases of painful urination. An Udumbara measure of Drdkshd should be kept saturated in water for the whole night and this cold infusion should be taken (in the morning) for getting relief in cases of painful urination. A Kudava measure of the expressed juice of Nidigdhikd or the Kalka of the same should be taken with honey as a relief from the urinary complaints. 19.

By taking a Kudava measure of the expressed juice of Amalaka y a person suffering from uninary complaints would get rid of his troubles. In the alternative, the patient should drink a potion consisting of powdered small Eldy dissolved in the expressed juice of Amalaka (and mixed with honey), or he should take a paste of the tender roots of Tdla (palm) with cold ricewashing. The expressed juice of Trapnsha and white Karkataka should also be prescribed to be taken with milk in the morning. In the alternative a person should take a potion consisting of milk duly boiled with the drugs of the Madlmra group saturated with clarified butter as the compound is possessed of excellent diuretic

p. 366