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→Dysuria caused by asmari (urinary calculus)
All the signs and symptoms described above are manifested as all the doṣha are aggravated which is the cause for ''sannipatika'' type of dysuria which is most difficult type of dysuria for cure. [35]
All the signs and symptoms described above are manifested as all the doṣha are aggravated which is the cause for ''sannipatika'' type of dysuria which is most difficult type of dysuria for cure. [35]
==== Dysuria caused by asmari (urinary calculus) ====
==== Dysuria caused by ''asmari'' (urinary calculus) ====
विशोषयेद्बस्तिगतंसशुक्रंमूत्रंसपित्तंपवनःकफंवा|
विशोषयेद्बस्तिगतंसशुक्रंमूत्रंसपित्तंपवनःकफंवा|
viśōṣayēdbastigataṁ saśukraṁ mūtraṁ sapittaṁ pavanaḥ kaphaṁ vā|
viśōṣayēdbastigataṁ saśukraṁ mūtraṁ sapittaṁ pavanaḥ kaphaṁ vā|
yadā tadā'śmaryupajāyatē tu kramēṇa pittēṣviva rōcanā gōḥ||36||
yadā tadā'śmaryupajāyatē tu kramēṇa pittēṣviva rōcanā gōḥ||36||
vishoShayedbastigataM sashukraM mUtraM sapittaM pavanaH kaphaM vA |
vishoShayedbastigataM sashukraM mUtraM sapittaM pavanaH kaphaM vA |
yadA tadA~ashmaryupajAyate tu krameNa pitteShviva rocanA goH ||36||
yadA tadA~ashmaryupajAyate tu krameNa pitteShviva rocanA goH ||36||
Pathogenesis:
When the aggravated vāta dries up semen and urine alongwith pitta and kapha which is located in urinary bladder the calculus is formed gradually like gall stone in cow. [36]
===== Pathogenesis =====
Signs and symptoms of urinary calculus:
When the aggravated vāta dries up semen and urine along with ''pitta'' and ''kapha'' which is located in urinary bladder the calculus is formed gradually like gall stone in cow. [36]
==== Signs and symptoms of urinary calculus ====
कदम्बपुष्पाकृतिरश्मतुल्याश्लक्ष्णात्रिपुट्यप्यथवाऽपिमृद्वी|
कदम्बपुष्पाकृतिरश्मतुल्याश्लक्ष्णात्रिपुट्यप्यथवाऽपिमृद्वी|
मूत्रस्यचेन्मार्गमुपैतिरुद्ध्वामूत्रंरुजंतस्यकरोतिबस्तौ||३७||
मूत्रस्यचेन्मार्गमुपैतिरुद्ध्वामूत्रंरुजंतस्यकरोतिबस्तौ||३७||
ससेवनीमेहनबस्तिशूलंविशीर्णधारंचकरोतिमूत्रम्|
ससेवनीमेहनबस्तिशूलंविशीर्णधारंचकरोतिमूत्रम्|
मृद्नातिमेढ्रंसतुवेदनार्तोमुहुःशकृन्मुञ्चतिमेहतेच||३८||
मृद्नातिमेढ्रंसतुवेदनार्तोमुहुःशकृन्मुञ्चतिमेहतेच||३८||
क्षोभात्क्षतेमूत्रयतीहसासृक्तस्याःसुखंमेहतिचव्यपायात्|३९|
क्षोभात्क्षतेमूत्रयतीहसासृक्तस्याःसुखंमेहतिचव्यपायात्|३९|
kadambapuṣpākr̥tiraśmatulyā ślakṣṇā tripuṭyapyathavā'pi mr̥dvī|
kadambapuṣpākr̥tiraśmatulyā ślakṣṇā tripuṭyapyathavā'pi mr̥dvī|
mūtrasya cēnmārgamupaiti ruddhvā mūtraṁ rujaṁ tasya karōti bastau||37||
mūtrasya cēnmārgamupaiti ruddhvā mūtraṁ rujaṁ tasya karōti bastau||37||
sasēvanīmēhanabastiśūlaṁ viśīrṇadhāraṁ ca karōti mūtram|
sasēvanīmēhanabastiśūlaṁ viśīrṇadhāraṁ ca karōti mūtram|
mr̥dnāti mēḍhraṁ sa tu vēdanārtō muhuḥ śakr̥nmuñcati mēhatē ca||38||
mr̥dnāti mēḍhraṁ sa tu vēdanārtō muhuḥ śakr̥nmuñcati mēhatē ca||38||
kṣōbhāt kṣatē mūtrayatīha sāsr̥k tasyāḥ sukhaṁ mēhati ca vyapāyāt|39|
kṣōbhāt kṣatē mūtrayatīha sāsr̥k tasyāḥ sukhaṁ mēhati ca vyapāyāt|39|
kadambapuShpAkRutirashmatulyA shlakShNA tripuTyapyathavA~api mRudvI |
kadambapuShpAkRutirashmatulyA shlakShNA tripuTyapyathavA~api mRudvI |
mUtrasya cenmArgamupaiti ruddhvA mUtraM rujaM tasya karoti bastau ||37||
mUtrasya cenmArgamupaiti ruddhvA mUtraM rujaM tasya karoti bastau ||37||
sasevanImehanabastishUlaM vishIrNadhAraM ca karoti mUtram |
sasevanImehanabastishUlaM vishIrNadhAraM ca karoti mUtram |
mRudnAti meDhraM sa tu vedanArto muhuH shakRunmu~jcati mehate ca ||38||
mRudnAti meDhraM sa tu vedanArto muhuH shakRunmu~jcati mehate ca ||38||
kShobhAt kShate mUtrayatIha sAsRuk tasyAH sukhaM mehati ca vyapAyAt |39|
kShobhAt kShate mUtrayatIha sAsRuk tasyAH sukhaM mehati ca vyapAyAt |39|
When the calculus resembles kadamba flower, stony, smooth, prismatic (having three layers) or soft and when it comes in the urinary passage, it obstructs the flow of urine and results in pain in urinary bladder and perineum-sevani (suture below the pudendum and between two testicles), phallus and hypogastric region (region over urinary bladder). Urine is passed in divided streams and because of pain; the patient squeezes the phallus and frequently voids stool and urine. [35-38]
When the calculus resembles ''kadamba'' flower, stony, smooth, prismatic (having three layers) or soft and when it comes in the urinary passage, it obstructs the flow of urine and results in pain in urinary bladder and perineum-sevani (suture below the pudendum and between two testicles), phallus and hypogastric region (region over urinary bladder). Urine is passed in divided streams and because of pain; the patient squeezes the phallus and frequently voids stool and urine. [35-38]
If the passage or bladder is injured by calculus, then the urine is passed with blood (hematuria). When calculus shifts from the passage, the patient passes urine with ease. [39]
If the passage or bladder is injured by calculus, then the urine is passed with blood (hematuria). When calculus shifts from the passage, the patient passes urine with ease. [39]
Dysuria caused by sarkara (graveluria)/semen
==== Dysuria caused by ''sarkara'' (graveluria)/semen ====
एषाऽश्मरीमारुतभिन्नमूर्तिःस्याच्छर्करामूत्रपथात्क्षरन्ती||३९||
एषाऽश्मरीमारुतभिन्नमूर्तिःस्याच्छर्करामूत्रपथात्क्षरन्ती||३९||
(रेतोऽभिघाताभिहतस्यपुंसःप्रवर्ततेयस्यतुमूत्रकृच्छ्रम्|
(रेतोऽभिघाताभिहतस्यपुंसःप्रवर्ततेयस्यतुमूत्रकृच्छ्रम्|
स्याद्वेदनावङ्क्षणबस्तिमेढ्रेतस्यातिशूलंवृषणातिवृत्ते||४०||
स्याद्वेदनावङ्क्षणबस्तिमेढ्रेतस्यातिशूलंवृषणातिवृत्ते||४०||
शुक्रेणसंरुद्धगतिप्रवाहोमूत्रंसकृच्छ्रेणविमुञ्चतीह|
शुक्रेणसंरुद्धगतिप्रवाहोमूत्रंसकृच्छ्रेणविमुञ्चतीह|
तमण्डयोःस्तब्धमितिब्रुवन्तिरेतोऽभिघातात्प्रवदन्तिकृच्छ्रम्||४१||
तमण्डयोःस्तब्धमितिब्रुवन्तिरेतोऽभिघातात्प्रवदन्तिकृच्छ्रम्||४१||
ēṣā'śmarī mārutabhinnamūrtiḥ syāccharkarā mūtrapathāt kṣarantī||39||
ēṣā'śmarī mārutabhinnamūrtiḥ syāccharkarā mūtrapathāt kṣarantī||39||
(rētō'bhighātābhihatasya puṁsaḥ pravartatē yasya tu mūtrakr̥cchram|
(rētō'bhighātābhihatasya puṁsaḥ pravartatē yasya tu mūtrakr̥cchram|
syādvēdanā vaṅkṣaṇabastimēḍhrē tasyātiśūlaṁ vr̥ṣaṇātivr̥ttē||40||
syādvēdanā vaṅkṣaṇabastimēḍhrē tasyātiśūlaṁ vr̥ṣaṇātivr̥ttē||40||
śukrēṇa saṁruddhagatipravāhō mūtraṁ sa kr̥cchrēṇa vimuñcatīha|
śukrēṇa saṁruddhagatipravāhō mūtraṁ sa kr̥cchrēṇa vimuñcatīha|
tamaṇḍayōḥ stabdhamiti bruvanti rētō'bhighātāt pravadanti kr̥cchram ||41||
tamaṇḍayōḥ stabdhamiti bruvanti rētō'bhighātāt pravadanti kr̥cchram ||41||
eShA~ashmarI mArutabhinnamUrtiH syAccharkarA mUtrapathAt kSharantI ||39||
eShA~ashmarI mArutabhinnamUrtiH syAccharkarA mUtrapathAt kSharantI ||39||
(reto~abhighAtAbhihatasya puMsaH pravartate yasya tu mUtrakRucchram |
(reto~abhighAtAbhihatasya puMsaH pravartate yasya tu mUtrakRucchram |
syAdvedanA va~gkShaNabastimeDhre tasyAtishUlaM vRuShaNAtivRutte ||40||
syAdvedanA va~gkShaNabastimeDhre tasyAtishUlaM vRuShaNAtivRutte ||40||
shukreNa saMruddhagatipravAho mUtraM sa kRucchreNa vimu~jcatIha |
shukreNa saMruddhagatipravAho mUtraM sa kRucchreNa vimu~jcatIha |
tamaNDayoH stabdhamiti bruvanti reto~abhighAtAt pravadanti kRucchram||41||
tamaNDayoH stabdhamiti bruvanti reto~abhighAtAt pravadanti kRucchram||41||
Dysuria caused by sarkara (graveluria):
When the calculus is broken into smaller particles due to vāta aggravation, then such particles which comes out of the urinary passage along with urine is called as sarkara.[39]
===== Dysuria caused by ''sarkara'' (graveluria) =====
Blocked discharge of semen/dysuria caused by semen:
When the calculus is broken into smaller particles due to ''vata'' aggravation, then such particles which comes out of the urinary passage along with urine is called as ''sarkara''.[39]
===== Blocked discharge of semen/dysuria caused by semen =====
If the dysuria caused in a person is due to the obstruction of semen or injury of semen tract, then the patient suffers from pain in the groin, urinary bladder, and phallus. His testicles become swollen and intensely painful. [40]
If the dysuria caused in a person is due to the obstruction of semen or injury of semen tract, then the patient suffers from pain in the groin, urinary bladder, and phallus. His testicles become swollen and intensely painful. [40]
Dysuria caused by vitiated semen:
Since the urinary flow is obstructed by semen, urine is passed with difficulty and there is stiffness of the testicles known as ''anda stabdham''. The dysuria, thus, manifested is considered to be caused by seminal obstruction. [41]
==== Dysuria caused by vitiated semen ====
शुक्रंमलाश्चैवपृथक्पृथग्वामूत्राशयस्थाःप्रतिवारयन्ति|
शुक्रंमलाश्चैवपृथक्पृथग्वामूत्राशयस्थाःप्रतिवारयन्ति|
तद्व्याहतंमेहनबस्तिशूलंमूत्रंसशुक्रंकुरुतेविबद्धम्||४२||
तद्व्याहतंमेहनबस्तिशूलंमूत्रंसशुक्रंकुरुतेविबद्धम्||४२||
स्तब्धश्चशूनोभृशवेदनश्चतुद्येतबस्तिर्वृषणौचतस्य|४३|
स्तब्धश्चशूनोभृशवेदनश्चतुद्येतबस्तिर्वृषणौचतस्य|४३|
śukraṁ malāścaiva pr̥thak pr̥thagvā mūtrāśayasthāḥ prativārayanti|
śukraṁ malāścaiva pr̥thak pr̥thagvā mūtrāśayasthāḥ prativārayanti|
tadvyāhataṁ mēhanabastiśūlaṁ mūtraṁ saśukraṁ kurutē vibaddham||42||
tadvyāhataṁ mēhanabastiśūlaṁ mūtraṁ saśukraṁ kurutē vibaddham||42||
stabdhaśca śūnō bhr̥śavēdanaśca tudyēta bastirvr̥ṣaṇau ca tasya|43|
stabdhaśca śūnō bhr̥śavēdanaśca tudyēta bastirvr̥ṣaṇau ca tasya|43|
shukraM malAshcaiva pRuthak pRuthagvA mUtrAshayasthAH prativArayanti |
shukraM malAshcaiva pRuthak pRuthagvA mUtrAshayasthAH prativArayanti |
tadvyAhataM mehanabastishUlaM mUtraM sashukraM kurute vibaddham ||42||
tadvyAhataM mehanabastishUlaM mUtraM sashukraM kurute vibaddham ||42||
stabdhashca shUno bhRushavedanashca tudyeta bastirvRuShaNau ca tasya |43|
stabdhashca shUno bhRushavedanashca tudyeta bastirvRuShaNau ca tasya |43|
Mala’s (aggravated tridoṣha) located in the urinary bladder obstructs the flow of semen individually because of this seminal obstruction there is pain in the phallus and urinary bladder along with obstruction to the voiding of urine and ejaculation of semen which leads to stiffness, swelling, excessive pain and pricking pain in the urinary bladder and testicles. [42-43]
''Mala’s'' (aggravated ''tridosha'') located in the urinary bladder obstructs the flow of semen individually because of this seminal obstruction there is pain in the phallus and urinary bladder along with obstruction to the voiding of urine and ejaculation of semen which leads to stiffness, swelling, excessive pain and pricking pain in the urinary bladder and testicles. [42-43]
Dysuria caused by kshata/trauma:
==== Dysuria caused by ''kshata''(trauma) ====
क्षताभिघातात्क्षतजंक्षयाद्वाप्रकोपितंबस्तिगतंविबद्धम्||४३||
क्षताभिघातात्क्षतजंक्षयाद्वाप्रकोपितंबस्तिगतंविबद्धम्||४३||
तीव्रार्तिमूत्रेणसहाश्मरीत्वमायातितस्मिन्नतिसञ्चितेच|
तीव्रार्तिमूत्रेणसहाश्मरीत्वमायातितस्मिन्नतिसञ्चितेच|