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.
आक्षिप्तमल्पमूत्रस्य वस्तौ नाभौ च वा मले । स्थित्वा प्लवेच्छनैः पश्चात्सरुजं वाथवारुजम् ॥ १,१५८.
When little urine is forcibly retained in the bladder or at the navel, it remains there, floating with desire to pass, and later is passed with or without pain.
मूत्रोत्सर्गं सविच्छिन्नं तच्छ्रेयो गुरुशेफसोः । अन्तर्वस्ति मुखे तृष्णा स्थिराल्पं सहसा भवेत् ॥ १,१५८.
The passage of urine is interrupted; this is better in those with large genitals; at the mouth of the inner bladder, there is thirst, and the flow is steady but scanty and sudden.
अश्मरीतुल्यरुग्ग्रन्थिर्मूत्रग्रन्थिः स उच्यते । मूत्रितस्य स्त्रियं यातो वायुना शुक्रमुद्धृतम् ॥ १,१५८.
A knot with pain like a stone is called a urinary knot; in one who has urinated or had intercourse with a woman, the wind draws up the semen.
स्थानाच्च्युतं मूत्रयतः प्राक्पश्चाद्वा प्रवर्तते । भस्मोदकप्रतीकाशं मूत्रशुक्रं तदुच्यते ॥ १,१५८.
When, having urinated, the semen is displaced from its place, it comes out before or after; this semen in the urine is said to resemble ash-water.
रूक्षदुर्बलयोर्वातेनोदावर्तं शकृद्यदा । मूत्रस्रोतोऽनुपर्येति संसृष्टं शकृता तदा ॥ १,१५८.
When wind acts upon the rough and weak, causing a reversal in the feces, and the urinary channel is obstructed, then the feces become mixed together.
मूत्रबिन्दुं तुल्यगन्धं स्याद्विघातं तमादिशेत् । पित्तव्यायामतीक्ष्णाम्लभोजनाध्मानकादिभिः ॥ १,१५८.
One should recognize obstruction when the urine drop has a similar odor, caused by bile, exertion, sharp and sour foods, bloating, and the like.
प्रवृद्धवायुना मूत्रे वस्तिस्थे चैव दाहकृत् । मूत्रं वर्तयते पूर्वं सरक्तं रक्तमेव वा ॥ १,१५८.
When wind increases, it produces burning in the bladder and urine, and the urine first appears bloody or entirely blood-colored.
उष्णं पुनः पुनः कृच्छ्रादुष्णवातं वदन्ति तम् । रूक्षस्य क्लान्तदेहस्य बस्तिस्थौ पित्तमारुतौ ॥ १,१५८.
Repeatedly, the urine is hot and difficult to pass; this is called hot wind, occurring when bile and wind reside in the bladder of a body exhausted and rough.
मूत्रक्षयं सरुग्दाहं जनयेतां तदाह्वयम् । पित्तं कफो द्वादपि वा संहन्येतेनिलेनचेत् ॥ १,१५८.
They cause depletion of urine and severe burning, which is called by that name; whether bile, phlegm, or both, they are overcome by wind.
कृच्छ्रान्मूत्रं तदा पीतं रक्तं श्वेतं घनं सृजेत् । सदाहं रोचनाशङ्खचूर्णवर्णं भवेच्च तत् ॥ १,१५८.
Then, with difficulty, the urine is passed yellow, red, white, or thick, always with burning, and its color resembles rocanā, conch, or powder.