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प्रमेहा विंशतिस्तत्र श्लेष्मतो दश पित्ततः । षट् चत्वारोऽनिलात्तेषां मेदोमूत्रकफावहम् ॥ १ ॥
Prameha Sankhya (kinds of diabetes) : Prameha (polyuria, diabetes) are twenty, out of which ten are born from Slesma (Kapha), six types are due to Pitta and four from Anila (Vata). Nidana (causes): Foods, drinks and activities which generally produce increase of Medas (fat), Mutra(urine) and Kapha are the chief causes,
english translation
अन्नपानक्रियाजातं यत्प्रायस्तत्प्रवर्तकम् । स्वाद्वम्ललवणस्निग्धगुरुपिच्छिलशीतलम् ॥ २ ॥
such as, foods which are sweet, sour, salt, unctuous difficult to digest, sticky and cold;
english translation
नवधान्यसुरानूपमांसेक्षुगुडगोरसम् । एकस्थानासनरतिः शयनं विधिवर्जितम् ॥ ३ ॥
fresh grains, wine, meat of animals of marshy regions, sugarcane juice, molasses and milk; (habit of) always sitting at a place sleeping without adopting its proper procedure.
english translation
बस्तिमाश्रित्य कुरुते प्रमेहान् दूषितः कफः । दूषयित्वा वपुःक्लेदस्वेदमेदोरसामिषम् ॥ ४ ॥
Kaphaja Prameha Samprapti (pathogenesis) : Vitiated Kapha gets localized in urinary bladder vitiates the water element in the body (vitiates) sweat, fat, plasma and muscle to produce Kaphaja Prameha.
english translation
पित्तं रक्तमपि क्षीणे कफादौ मूत्रसंश्रयम् । धातून् बस्तिमुपानीय तत्क्षयेऽपि च मारुतः ॥ ५ ॥
Pittaja and Vataja Prameha Samprapti (pathogenesis) : Kapha and its related Dhatus are decreased Imbalanced Pitta vitiates Rakta Dhatu and Kleda (moisture part) of the body, sweat, fat, plasma and musclegets lodged in residence of urine (urinary bladder) to cause Prameha of Pitta origin. Even Vata also causes Prameha,even Vata also causes Prameha, by dragging the Dhatus (watery tissues) into the bladder when they are depleted.
english translation