Garuda Purana

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.

निरेति सह मूत्रेण प्रतिलोमे विपच्यते । मूत्रसंधारणं कुर्यात्क्रुद्धो बस्तेर्मुखे मरुत् ॥ १,१५८.

It is expelled together with urine, or, moving against the flow, it is digested; when wind is agitated at the mouth of the bladder, it causes retention of urine.

मूत्रसङ्गं रुजं कण्डूं कदाचिच्च सुवामतः । प्रच्छाद्य बस्तिमुद्धृत्य गर्मान्तं स्थूलविप्लुताम् ॥ १,१५८.

There is retention of urine, pain, itching, and sometimes swelling; covering the bladder, it rises up, large and displaced, to the region near the anus.

करोति तत्र रुग्दाहं स्पन्दनोद्वेष्टनानि च । बिन्दुशश्च प्रवर्तेत मूत्रं बस्तौ तु पीडिते ॥ १,१५८.

There, it causes pain, burning, throbbing, and twisting; when the bladder is pressed, urine is passed only drop by drop.

धारावरोधश्चाप्येष वातबस्तिरिति स्मृतः । दुस्तरो दुस्तरतरो द्वितीयः प्रबलोऽनिलः ॥ १,१५८.

This obstruction of the stream is known as 'wind in the bladder'; it is difficult to overcome, and the second, stronger wind is even more difficult.

शकृप्मार्गस्य बस्तेश्च वायुरन्तरमाश्रितः । अष्ठीलाभं घनं ग्रन्थिं करोत्यच (ब) लमुन्नतम् ॥ १,१५८.

When wind occupies the space between the rectum and the bladder, it produces a hard, knotty, and elevated mass like a pestle.

वाताष्ठीलेति सात्मानं विष्णूत्रानिल (ति) सर्गकृत् । विगुणः कुण्डलीभूतो बस्तौ तीव्रव्यथोनिलः ॥ १,१५८.

This is called 'wind-pestle'; it is produced by the wind of Vishnu's channel; being defective, coiled, and intense, the wind in the bladder causes severe pain.

आबध्य मूत्रं भ्रमति संस्तम्भोद्वेष्टगौरवम् । मूत्रमल्पाल्पमथवा विमुञ्चति सकृत्सकृत् ॥ १,१५८.

Binding up the urine, it moves about, causing stiffness, twisting, and heaviness; the urine is passed little by little, or only occasionally.

वातकुण्डलिकेत्येव मूत्रं तु विधृतेऽचिरम् । न निरेति निरुद्धं वा मूत्रातीतं तदल्परुक् ॥ १,१५८.

This is called 'wind-coil'; when the urine is retained for a short time, it does not come out, or is obstructed, and after urination, there is little pain.

विधारणात्प्रतिहतं वातादावर्तितं यदा । नाभेरधस्तादुदरं मूत्रमापूरयेत्तदा ॥ १,१५८.

When, due to retention, the wind is obstructed and whirls about, then the lower abdomen below the navel fills with urine.

कुर्यात्तीव्ररुगाध्मानमशक्तिं मलसंग्रहम् । तन्मूत्रं जाठरच्छिद्रवैगुण्येनानिलेन वा ॥ १,१५८.

It causes intense pain, distension, inability, and accumulation of waste; this urine is due to a defect in the opening of the stomach or by wind.