Garuda Purana

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.

उपद्रवाः प्रजायन्ते मेहानां कफजन्मनाम् । बस्तिमेहनयोस्तोदोमुष्कावदरणं ज्वरः ॥ १,१५९.

Complications occur in pramehas born of phlegm: pain in the bladder and penis, scrotal swelling, and fever.

दाहस्तृष्णाम्लिका मूर्छा विड्भेदः पित्तजन्मनाम् । वातजानामुदावर्तः कम्पहृद्गहलोलताः ॥ १,१५९.

Burning, thirst, sourness, fainting, and diarrhea arise in those born of bile; in those born of wind, reversal, trembling, heart pain, and restlessness occur.

शूलमुन्निद्राता शोषः श्वासः कासञ्च जायते । शराविका कच्छपिका ज्वालिनी विनतालजी ॥ १,१५९.

From the rising of the trident (śūla), there arise dryness, breathlessness, and coughing; the conditions called śarāvikā, kacchapikā, jvālinī, and vinatālajī also manifest.

मसूरिका सर्षपिका पुत्रिणी सविदारिका । विद्रधिश्चेति पिडिकाः प्रमेहोपेक्षया दश ॥ १,१५९.

Masūrikā, sarṣapikā, putriṇī, and savidārikā, along with vidradhi—these ten types of eruptions (piḍikāḥ) occur as a result of neglecting prameha.

अन्नस्य कफसंश्लेषात्प्रायस्तत्र प्रवर्तनम् । स्वाद्वम्ललवणस्निग्धगुरुपिच्छिलशीतम् ॥ १,१५९.

Due to the admixture of kapha in food, there is generally the onset of these conditions; especially with sweet, sour, salty, unctuous, heavy, slimy, and cold foods.

नवं धान्यं सुरासूपमांसेक्षुगुडगोरसम् । एकस्थानासनवति शयनं विनिवर्तनम् ॥ १,१५९.

New grains, wine, soups, meat, sugarcane, jaggery, and milk products, as well as sitting in one place and lying down—these should be avoided.

बस्तिमाश्रित्य कुरुते प्रमेहाद्दूषितः कफः । दूषयित्वा वपुः क्लेदं स्वेदमेदोवसामिषम् ॥ १,१५९.

Kapha, corrupted by prameha, settles in the bladder; after corrupting the body, it affects moisture, sweat, fat, marrow, and flesh.

पित्तं रक्तमतिक्षीणे कफादौ मूत्रसंश्रयम् । धातुं बस्तिमुपानीय तत्क्षयेच्चैव मारुतः ॥ १,१५९.

When pitta and blood are greatly diminished, kapha first takes refuge in the urine; then, having reached the tissue in the bladder, when that is depleted, vāta arises.

साध्यासाध्यप्रतीत्याद्याः मेहास्तेनैव तद्भवाः । समे समकृता दोषे परमत्वात्तथापि च ॥ १,१५९.

Thus, the types of prameha are determined by their curability or incurability; even when the doṣas are equally involved, due to their predominance, distinctions remain.

सामान्य लक्षणन्तेषां प्रभूताविलमूत्रता । दोषदूष्या विशेषेऽपि तत्संयोगविशेषतः ॥ १,१५९.

Their general symptom is the excessive and turbid nature of the urine; even though the doṣas and affected tissues differ, the specific combinations produce variations.

मूत्रवर्णादिभेदेन भेदो मेहेषु कल्प्यते । अच्छं बहुसितं शीतं निर्गन्धमुदकोपमम् ॥ १,१५९.

The types of prameha are distinguished by differences in the color and other qualities of the urine: clear, very white, cold, odorless, and resembling water.

मेहत्युदकमेहेन किञ्चिदाविलपिच्छिलम् । इक्षो रसमिवात्यर्थं मधुरं चेक्षुमेहतः ॥ १,१५९.

In udakameha, the urine is watery, slightly turbid, and slimy; in ikṣumeha, it is exceedingly sweet, like the juice of sugarcane.

सान्द्री भवेत्पर्युषितं सान्द्रमेहेन मेहति । सुरामेही सुरातुल्यमुपर्यच्छमधोघनम् ॥ १,१५९.

In sāndrameha, the urine becomes thick and stale; in surāmeha, it is like wine—clear on top and dense below.

सहृष्टरोमा पिष्टेन पिष्टबद्बहुलं सितम् । शुक्राभं शुक्रमिश्रं वा शुक्रमेही प्रमेहति ॥ १,१५९.

In śukrameha, the person experiences hair standing on end; the urine is thick and white like flour, resembling semen or mixed with semen.

मूत्रयेत्सिकतामेही सिकतारूपिणो मलान् । शीतमेही सुबहुशो मधुरं भृशशीतलम् ॥ १,१५९.

In sikatāmeha, the urine contains sandy particles; in śītameha, it is abundant, sweet, and very cold.

शनैः शनैः शनैर्मेही मन्दं मन्दंप्रमेहति । लालातन्तुयुतं मूत्रं लालामेहेन पिच्छिलम् ॥ १,१५९.

In śanairmeha, urination occurs slowly and gradually; in lālāmeha, the urine is slimy and mixed with threads of saliva.

गन्धवर्णरसस्पर्शेः क्षारेण क्षारतोयवत् । नीलमेहन नीलाभं कालमेही मसीनिभम् ॥ १,१५९.

In kṣārameha, the urine resembles alkaline water in smell, color, taste, and touch; in nīlameha, it is blue, and in kālameha, it is black like ink.

सन्धिमर्मसु जायन्ते मांसलेषु च धामसु । अन्तोन्नता मध्यनिन्मा अक्लेदसुरुजान्विता ॥ १,१५९.

Eruptions appear at the joints, vital spots, and muscular channels; they are raised at the edges, sunken in the middle, dry, and painless.

शरावमानसंस्थाना पिडिका स्याच्छराविका । सदाहा कूर्मसंस्थाना ज्ञेया कच्छपिका बुधैः ॥ १,१५९.

The eruption called śarāvikā is shaped like a shallow dish; kacchapikā is always burning and, according to the wise, resembles a tortoise.

महती पिडिका नीला विनता नाम सा स्मृता । दहति त्वचमुत्थाने ज्वालिनी कष्टदायिनी ॥ १,१५९.

A large, blue eruption is known as vinatā; jvālinī arises on the skin with burning and causes severe pain.