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

* Additional Toxt Powders of Tugd-kshiri and sugar should be mixed together with honey and licked in an auspicious day according to the digesting capacity of the patient and a draught of milk should then be taken. By its use the patient would be able to conquer all seminal troubles if he observes a perfect continence. One whose semen has been wasted by sexual excesses would get instantaneous relief $ and a man who is possessed of vigour (Ojas) and strength would be refreshed and cheerful.

CHAPTER LIX.

Now we shall discourse on the chapter which deals with the (symptoms and) medical treatment of the defects of urine (Mutra-dosha-Pratishedha).* i.

Classification S — The disease known as Mutropaghfifta is divided into eight different types according as an attack is induced by the deranged action of the bodily Vâyu, Pitta and Kapha separately, or is due to the concerted action of all of them, or to the effects of an external blow or hurt (on the locality), or to the pressure of the feces incarcerated (in the intestine), — i.e. to the constipation of the bowels— or to the presence of any stone (Asmari in the bladder). The eighth is the one due to the presence of gravels (Sarkard in the bladder). This disease is one of the most painful and distressing ailments which assail the human body. 2.

Specific Symptoms:— A scanty flow of urine coming out in drops and producing an oppressive and bursting pain in the scrotum, penis and bladder, is the specific feature of the Viitija type of the disease. The Pittaja type is characterised by the emission of bloody or high-coloured (lit. dark yellow) and (very) warm urine which produces a burning sensation in the scrotum, bladder and penis being burnt by fire, as it were. A

* Dallana’s reading evidently is Mutra-krlchchbra (Strangury), for he says that the variant here in some Mss . is Mut^dosha. He says further that some do not read this chapter at all on the ground that the matter in this chapter is included in the chapters on As'mari, Mutraghita and Udkvarta, etc. But, according to him, it must oe read here for treatment’s sake as well as on the ground of its being separately treated in other authoritative works. Mâdhava, Chakra-pdni, Vrinda and other compilers have read this as Mutra-krichchhra in a separate chapter as here.

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370 THE SUSHRUTA SAMHITX. [Chap. LIX.

sense of weight or heaviness in the scrotum, penis and bladder, an appearance of goose-flesh (on the skin) and the emission of cold, white and glossy (oily) urine, are the features which mark the Kaphaja type. Burning sensation (in the urethra, etc.), shivering (of the body), frequent emission of urine of varied colours, painful micturition and loss of consciousness are the indications which point to the Srfnnipitika origin of the disease which is very hard to cure. 3-6.

The presence of any ulcer in or an injury to the urethra, by any external object gives rise to an extremely distressing stricture in the case of which the characteristic symptoms of Vâta-vasti manifest themselves. The suppression of the feces leads to the aggravation of the local Vdyu which, in its turn, produces a distension of the abdomen and a suppression of urine accompanied with cramps (in the bladder). 7-8.

Asmarija and €arkarc(ja Mutri-gMta (obstructed urination) due to the presence of As'mari (stone) has been already mentioned (in the Niddna Sthâna). Stones and gravels are of similar origin and exhibit similar symptoms. Now hear me describe the symptoms which are the distinguishing traits of a case ol Sarkara (gravel or urinary calculus in the bladder). Flakes or particles of deranged and condensed Kapha when baked (dried ?) by the action of the deranged and aggravated Pitta and severed in pieces by the deranged bodily V 4 yu, are called Sarkar4 (gravels) giving rise to such symptoms as cardiac troubles (pain in the heart, etc.), shivering, cramps in the loins, great diminution of the digestive fire, fainting fits and painful and obstructed urination. The pain, however, subsides with the subsidence of the desire for micturition (full evacuation of the bladder), the relief from the pain continuing until

Cta p. UX.]

UTTARA-fANTRA.

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the orifice of the organ (urethra) is not again obstructed by the presence of other calculii. These are the symptoms which characterise a case of Mutraghâtg. (obstructed urination)due to the presence of gravels in the bladder. 9.

General Treatment s— Now 1 shall describe the mode of medical treatment and active therapeutic agents to be employed in the eight cases of Mutrdghdta. Medical measures and remedies mentioned in connection with the treatment of As'mari (stone) should also* be employed in the present instance in due succession — commencing with the application of Sneha, etc. — with proper regard to the Dosha or Dhosas involved in each case. 10.