Garuda Purana

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.

शुष्कं समस्तवर्णं वा मूत्रसादं वदन्तितम् । इति विस्तारतः प्रोक्ता रोगा मूत्रप्रवर्तिताः ॥ १,१५८.

When the urine is dry or of all colors, it is called urinary weakness; thus, diseases arising from urine have been described in detail.

श्रीगरुडमहापुराणम् १५९ धन्वन्वरिरुवाच । प्रमेहाणां निदानन्ते वक्ष्येऽहं शृणु सुश्रुत ! । प्रमेहा विंशतिस्तत्र श्लेष्मणो दश पित्ततः ॥ १,१५९.

Dhanvantari spoke: Now I will explain the causes of prameha; listen, Suśruta! There are twenty types of prameha: ten from phlegm, and from bile.

षट्चत्वारोऽनिलात्तेच मेदोमत्रकफावहाः । हारिद्रमेही कटुकं हरिद्रासन्निभं शकृत् ॥ १,१५९.

Four and six arise from wind, and those caused by fat, marrow, and phlegm. Haridramehī is pungent, resembling turmeric, and the feces are similar.

विस्त्रं माञ्जिष्ठमेहेच मञ्जिष्ठा सलिलोपमम् । विस्त्रमुष्णं सलवणं रक्ताभ रक्तमेहतः ॥ १,१५९.

Vistraṃ māñjiṣṭhameheca: Mañjiṣṭhā is like water; vistra is hot, salty, and reddish, and raktamehataḥ is urine with a blood-like hue.

वसामेही वसामिश्रं वसाभं मूत्रयेन्मुहुः । मज्जाभं मज्जमिश्रं वा मज्जमेही मुहुर्मुहुः ॥ १,१५९.

Vasāmehī passes urine mixed with fat, resembling fat, repeatedly; majjāmehī passes urine mixed with marrow, resembling marrow, again and again.

हस्ती मत्त इवाजस्त्रं मूत्रं वेगविवर्जितम् । सलसीकं विवद्धं च हस्तिमेही प्रमेहति ॥ १,१५९.

Hastī matta ivājastraṃ: The urine flows without force, thick and sticky, and the elephant-like prameha is so named.

मधुमेही मधुसमं जायते स किल द्विधा । क्रुद्धे धातुक्षयाद्वायौ दोषावृतपथे यदा ॥ १,१५९.

Madhumehī: The urine becomes like honey, and it is of two kinds, arising from the anger of the elements, depletion of tissues, or when wind obstructs the channels.

आवृतो दोषलिङ्गानि सोऽनिमित्तं प्रदर्शयेत् । क्षणात्क्षीणः क्षणात्पूर्णो भजते कृच्छ्रसाघ्यताम् ॥ १,१५९.

When obstructed, the signs of the doshas appear without cause; sometimes depleted, sometimes full, it becomes difficult and slow to cure.

कालेनोपेक्षितः सर्वोह्यायाति मधुमेहताम् । मधुरं यच्च मेहेषु प्रायो मध्विव मेहति ॥ १,१५९.

When neglected over time, all become madhumeha; among the pramehas, the urine is generally sweet, like honey.

सर्वे ते मधुमेहाख्या माधुर्याच्च तनोर्यतः । अविपाकोऽरुचिश्छर्दिर्निद्रा कासः सपीनसः ॥ १,१५९.

All these are called madhumeha because of the sweetness in the body; indigestion, loss of taste, vomiting, insomnia, cough, and nasal congestion arise.