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Susruta Samhita - Mandhata Global

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^h^P- VI. i^IDANA ST liAN AM.<br />

types of Prameha. The deranged Pittam, in conjunc-<br />

tion with the deranged Vayii, blood, fat and Kapham,<br />

produces the Pittaja ones ; while the deranged Vayu, in<br />

unison with the deranged Kapham, Pittam, fat, marrow<br />

and Vasa (myosin), engenders the types of Vataja<br />

Prameha. 9.<br />

Symptoms Of Kaphaja IVIchas : -The<br />

urine* of a person suffering from an attack of Udaka-<br />

meha becomes white and water-like and is passed without<br />

the least pain. In a case of Ikshnmeha the urine<br />

resembles the expressed juice of sugarcane. It has the<br />

colour of wine in a case of Surameha. The urine in a<br />

case of Sikatamsha is passed with pain and is found<br />

to leave a sediment of extremely fine and sand-like<br />

concretions (Si/catas). In a case of Sanaimeha the<br />

urine gushes out at intervals in jets and is charged<br />

with a slimy mucous (kaphah). The urine in a case of<br />

Lavauamelia becomes limpid (non-viscid) and acquires<br />

a saline taste. There is horripilation at the time of<br />

micturition in a case of Pishtameha (Chyluria), the<br />

urine resembling a stream of water, charged with a<br />

solution of pasted rice (Pishtam).<br />

In a case of Sandra,meha, the urine becomes<br />

thick and turbid, while in a case of Sukrameha<br />

the urine resembles semen (or the urine is found to<br />

be charged with semen :—Madhaba). In a case of<br />

* Tl e Sanskiit term Meha literally means to micturate. The verbal<br />

noun Mehanam signifies urination as well as the act of passing any morbid<br />

urethral fecretion. Hence the urine in most of these cases denotts the<br />

fact of its being charged wiih pus or any other morbid secretion of the<br />

urinary oigans such as Oj.ih (albumen), marrow, etc., which imparts thiir<br />

characteristic colours to the fluid, —a fact which determines the nomen-<br />

clature of the disease and forms the keynote of its diagnosis in the<br />

Ayurveda. — Ed.<br />

4S

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