Page:Sushruta Samhita Vol 2.djvu/99

 CHAPTER VI.

Now we shall discourse on the Nidanam of Prameha (diseases of the urinary tracts). I.

It may be prognosticated that an idle man, who indulges in day sleep, or follows sedentary pursuits or is in the habit of taking sweet liquids, or cold and fat-making or emollient food, will ere long fall an easy victim to this disease. 2.

Pathology:—The bodily principles of Vayu, Pittam and Kaphah of such a person get mixed with improperly formed chyle of the organism. Thus deranged, they carry down through the urinary ducts the deranged fat, etc.* of the body and find lodgment at the mouth (neck) of the bladder, whence they are emitted through the urethra†, causing diseases, known by the (generic) name of Prameha. 3

Premonitory symptoms:-A burning sensation in the palms of the hands and of the soles of the feet, a heaviness of the body, coldness or sliminess of the skin and limbs, sweetness and whiteness of the urine, somnolence, lassitude, thirst, a bad-smelling breath, a shortness of breath, slimy mucous deposit on the tongue, palate, pharyx and teeth, clotted hair and an inordinate growth of the finger and toe nails are the indications which mark the advent of the disease. 4.

General Characteristics:—A copious flow of cloudy or turbid urine characterises all the types of the disease, which, together with the abscesses and eruptions (Pidaka) which mark its sequel, should be