Susruta Samhita - Mandhata Global

26 THE SUSHRUTA SAMIIITA. [Chap, III.
perineum, or about the penis, during micturition when
•Tavel is fcnmin;^ in the bladder. The urine is
stopped at intervals in its out-flow, or becomes charged
with blood, or flows out twisted and scattered like
spray, leaving a sediment of clear, sand}', red or yellow
particles of stone, which resembles a Gomedha gem in
colour. Moreover a pain is experienced in the bladder
at the time of running or jumping or in swimming, or
while ridin'4 n hnrsL'back, or after a long journey. 6.
The ^ICShmas'mari : — Stone or gravel, ori-
ginated through the action of the deranged Kapham,
saturated with an excessive quantity of that Dosha by
the constant ingestion of phlegm-generating (Sle.sh-
mala) substances, increases in size at the lower orifice of
the bladder and ultimately obstructs the passage of the
urine. The pressure and recoil of that incarcerated fluid
on the walls of the urinar)' badder gives rise to a kind of
crushing, bursting, pricking pain in that organ, which
becomes cold and heavy. A Kapha-origined stone or
gravel is white and glossy, attains to a large size, to
that of a hen's egg, and has the colour of the Madhuka
flower. This t\'pe is called S'lcshmas'mari. 7.
The Pittaja As'mari :— The Kapham
charged (dried) with the deranged Pittam becomes hard
(condensed) and large in the aforesaid way, and lying at
the mouth of the bladder obstructs the passage of the
urine. The bladder, on account of the flowing back of
the obstructed urine into its cavity, seems as if it has
been exposed to the heat of an adjacent fire, boiling
with the energy of an alkaline solution. A kind of
sucking, drawing and burning pain is experienced in the
organ. This type of As'mari is further marked by
symptoms which characterise Ushna-vata (stricture).
The concretion is found to be of a reddish, yellowish