Susruta Samhita - Mandhata Global

Chap. III.] NIDANA STHANAM. 2^
black colour like the stone of the Bhallataka fruit, or it
is coloured like honey. This type is called Pittaja
As'mari. 8.
The Vatas'mari :—The deranged Kapham
(mucus) inordinately saturated with the bodily Vayu,
acquires hardness and gains in dimensions, and these
l\-ing at the mouth of the bladder obstructs the passage
of the urine. The incarcerated fluid causes extreme
pain in the organ. The patient constantly under severe
pain gnashes his teeth or presses his umbilical region,
or rubs his penis, or fingers his rectum (Pd\-u) and
loudly screams. A burning sensation is experienced
in the penis, and urination, belching and defecation
become difficult and painful.* The concretions in this
type of As'mari are found to be of a dusk\- colour,
rough, uneven in shape, hard, facetted and nodular like
a Kadamva flower. This type is called Vdtds'mari. 9.
Infants are more susceptible to an attack of any of
the three preceding t>'pes of As'mari, inasmuch as they
are fond of day sleep or of food composed of both whole-
some and unwholesome ingredients, and arc in the habit
of eating before the digestion of a previous meal, or of
taking heavy, sweet, emollient and demulcent food. In
children the bladder is of diminished size and poor in
muscular structure. These facts contribute to the easy
possibility of the organ being grappled (with a surgical
instrument) and of the stone being extracted with
the greatest ease in cases of infantile As'mari. i-o.
The ^'ukras'mari :—Sukras'maris or seminal
concretions arc usually formed in adults owing to the
germination of semen in their organisms, A sudden or
abrupt stoppage of a sexual act, or excessive coition
tends to dislodge the semen from its natural receptacle
* Stool and urine can be voided only with the greatest str.-iining.