आब (न) द्धोदरता छर्दिः कर्णकेऽप्यनुकूजकम् । सामान्यलक्षणं कार्श्यं वमक स्तमको ज्वरः ॥ १,१५७.
There is abdominal distension, vomiting, and sometimes ringing in the ears; the general signs are emaciation, nausea, fainting, and fever.
मूर्छा शिरोरुविष्टम्भः श्वयथुः करपादयोः । तन्द्रानिलात्तालुशोषस्तिमिरं कर्णयोः स्वनः ॥ १,१५७.
There is fainting, heaviness in the head and thighs, swelling of the hands and feet, drowsiness from wind, dryness of the palate, darkness before the eyes, and ringing in the ears.
पार्श्वोरुवङ्क्षणग्रीवारुजा तीक्ष्णविषूचिका । रुग्णेषु वृद्धिः सर्वषु क्षुत्तृष्णापरिहर्त्रिका ॥ १,१५७.
There is pain in the sides, groin, and neck, severe colic, and in the sick, an increase of all symptoms, with hunger and thirst that cannot be relieved.
जीर्णेजीर्यति चाध्मानं भुक्ते स्वास्थ्यं समश्नुते । वाताद्धृद्रोगगुल्मार्शःप्लीहपाण्डुरशङ्किताः ॥ १,१५७.
When digested, there is flatulence; after eating, well-being is attained; due to wind, there is risk of heart disease, abdominal tumors, hemorrhoids, spleen disorders, and anemia.
चिराद्दुः खं द्रवं शुष्कं तुन्दारं शब्दफेनवत् । पुनः पुनः सृजेद्वर्चं पायुरुच्छ्वासकासवान् ॥ १,१५७.
After a long time, the stool is thin, liquid, dry, hard, noisy, and frothy; again and again, he passes stool, with difficulty in the anus, and suffers from breathlessness and cough.
पीतेन पीतनीलाभं पीताभं सृजति द्रवम् । पूत्यम्लोद्गारहृत्कण्ठदाहारुचितृडर्दितः ॥ १,१५७.
With yellow or yellowish-blue color, he passes liquid stool; there is putrid, sour belching, burning in the heart and throat, loss of appetite, thirst, and pain.
श्लेष्मणा पच्यते दुःखे मनश्छर्दिररोचकः । आस्योपदाहनिष्ठीवकासहृल्लासपीनसाः ॥ १,१५७.
Due to phlegm, digestion is painful, the mind is nauseated, there is vomiting, loss of appetite, sticky saliva, spitting, cough, palpitations, and nasal discharge.
हृदयं मन्यते स्त्यानमुदरं स्तिमितं गुरु । उद्गारो दुष्टमधुरः सदनं सप्रहर्षणम् ॥ १,१५७.
The heart feels stiff, the abdomen is numb and heavy, the belching is foul and sweet, there is weakness, and sometimes exhilaration.
सम्भिन्नश्लेष्मसंश्लिष्टगुरुचाम्लैः (वर्चः) प्रवर्तचम् । अकृशस्यापि दौर्बल्यं सर्वजे सर्वदर्शनम् ॥ १,१५७.
When the feces are mixed, sticky, heavy, or sour, even in one who is not emaciated, there is weakness, and all diseases and symptoms are seen.
विभागेऽङ्गस्य ये प्रोक्ता पिपासाद्यास्त्रयो मलाः । तेऽप्यस्य ग्रहणीदोषाः समन्तेष्वस्ति कारणम् ॥ १,१५७.
The three impurities—thirst and others—described in the division of the body, are also caused by disorders of the grahaṇī, and are present everywhere as their cause.
वातव्याध्यश्मरीकुष्ठमेहोदरभगन्दरम् । अर्शांसि ग्रहणीत्यष्टौ महारोगाः सुदुस्तराः ॥ १,१५७.
Diseases of wind, urinary stones, leprosy, diabetes, abdominal swelling, foul odor, hemorrhoids, and grahaṇī—these eight great diseases are extremely difficult to overcome.
श्रीगरुडमहापुराणम् १५८ धन्वन्तरिरुवाच । अथातो मूत्रघातस्य निदानं शृणु सुश्रुत । बस्तिबस्तिशिरोमेढ्रकटीवृषणपायु च ॥ १,१५८.
Dhanvantari said: Now, O Suśruta, listen to the causes of urinary retention. The bladder, the neck of the bladder, the penis, the loins, the testicles, and the anus—
एकसंवहनाः प्रोक्ता गुदास्थिविवराश्रयाः । अधोमुखोऽपि बस्तिर्हि मूत्रवाहिशिरामुखैः ॥ १,१५८.
Are said to be supported by single channels, situated in the cavities of the rectum and bones; even the bladder faces downward with the openings of the urinary veins.
पार्श्वेभ्यः पूर्यते श्लक्ष्णै (सूक्ष्मैः) स्यन्दमानैरनारतम् । तैस्तैरेव प्रविश्यैवन्दोषान्कुवन्ति विंशतिम् ॥ १,१५८.
From the sides, fine streams constantly fill it; entering through these, they produce twenty kinds of disorders.
मूत्राघातः प्रमेहश्च कृच्छ्रान्मर्म समाश्रयेत् । बस्तिवङ्क्षणमेढ्रार्तियुक्तोल्पाल्पं मुहुर्मुहुः ॥ १,१५८.
Urinary retention and diabetes, both severe, affect the vital spots, causing pain in the bladder, groin, and penis, which is mild but frequent.
मूत्राण्यावातजे कृच्छ्रपीत्ते पीतं सदाहरुक् । रक्तं वा कफजो बस्तिमेढ्रगौरवशोथवान् ॥ १,१५८.
In the wind type, urine is scanty; in the bile type, it is yellow and always burning; in the phlegm type, it is bloody, with heaviness and swelling of the bladder and penis.
सपिच्छं सनिरुद्धं च सर्वैः सर्वात्मकं मलैः । यदा वायुर्मुखं बस्तेर्व्यावर्त्य पारिशोषयन् ॥ १,१५८.
The urine is slimy, obstructed, and affected by all impurities; when wind blocks the opening of the bladder and dries it out—
मूत्रं सपित्तं सकफं सशुक्रं वा तदा क्रमात् । संजायतेऽश्मरी घोरा पित्तं गोरिव रोचना ॥ १,१५८.
Then the urine, mixed with bile, phlegm, or semen, gradually forms a dreadful stone, yellow like cow's bile.
श्लेष्माश्रया च सर्वा स्यादथास्याः पूर्वलक्षणम् । बस्त्याध्मानं तदासन्नदेशोहि परितोऽतिरुक् ॥ १,१५८.
All these are based in phlegm; the early sign of this is swelling of the bladder and intense pain around the affected area.
बस्तौ च मूत्रसङ्गित्वं मूत्रकृच्छ्रं ज्वरोऽरुचिः । सामान्यलिङ्गं रुङ्नाभिसीवनीबस्तिमूर्धसु ॥ १,१५८.
There is retention of urine in the bladder, painful urination, fever, and loss of appetite; the common symptoms are pain in the navel, perineum, bladder, and head.
विस्तीर्णवा सं मूत्रं स्यात्तथा मार्गनिरोधने । बद्धं बद्ध्वा सुखं मेहेदच्छं गोमेदकोपमम् ॥ १,१५८.
The urine is copious when the passage is open; when blocked, it is passed with difficulty, clear like the gemstone gomedaka.
तत्संक्षोभाद्भवेत्सासृङ्मांसमध्वनि रुग्भवेत् । तत्र बाताभिसृत्यार्तोदन्तान् खादति वेपते ॥ १,१५८.
Due to agitation, there is pain with blood and flesh in the tract; there, afflicted by wind, the patient bites his teeth and trembles.
गृह्णाति मेहनं नाभिं पीडयत्यतिलक्षणम् । सानिलं मुञ्चति शकृन्मुहुर्मेहति बिन्दुशः ॥ १,१५८.
He grasps his penis and navel, suffering greatly; with wind, he passes stool, and urinates frequently, drop by drop.
श्यामरूक्षाश्मरी चास्य स्याच्चिता कण्टकैरिव । पित्तेन दह्यते बस्तिः पच्यमान इवोष्णवान् ॥ १,१५८.
His stone is dark and rough, sometimes sharp like thorns; with bile, the bladder burns as if being cooked by heat.
भल्लातकास्थिसंस्थाना रक्ता पीता सिताश्मरा । बस्तिर्निस्तुद्यत इव श्लेष्मणा शीतलो गुरुः ॥ १,१५८.
The stone is like the seed of bhallātaka, red, yellow, or white; the bladder, pressed by phlegm, is cold and heavy.
अश्मरी महती श्लक्ष्णा मधुवर्णाथ वा सिता । एता भवन्ति बालनां तेषामेव च भूयसाम् ॥ १,१५८.
A large, smooth stone, honey-colored or white, occurs in children, and especially among them in greater numbers.
आशयोपचयाल्पत्वाद्गहणाहरणे सुखी । सुक्राश्मरी तु महती जायते शुक्रधारणात् ॥ १,१५८.
Because of the smallness of the channel and the ease of grasping and expelling, a person is comfortable; but when semen is retained, a large stone (calculus) of semen is formed.
स्थानच्युतमभुक्तं वा अण्डयोरन्तरेऽनिलः । शोषयत्युपसंगृह्य शुक्रं तच्छुक्रमश्मरी ॥ १,१५८.
If the semen is displaced from its place or not expelled, wind enters between the two testicles, dries up the semen, and that dried semen becomes a stone (calculus).
बस्तिरुक्कृच्छ्रमूत्रत्वं शुक्ला श्वयथुकारिणी । तस्यामुत्पन्नमात्रायां शुष्कमेत्य विलीयते ॥ १,१५८.
This causes pain in the bladder, difficulty in urination, and swelling; as soon as it arises, it dries up and dissolves.
पीडिते ज्वरकासेऽस्मिन्नश्मर्येव च शर्करा । असौ वा वायुना भिन्ना सा त्वस्मिन्नमुलोमगे ॥ १,१५८.
When afflicted, there is fever and cough, and in this case, the stone is like gravel; or, broken by wind, it moves in the reverse direction.