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तासु मेहवशाच्च स्याद्दोषोद्रेको यथायथम् । प्रमेहेण विनाप्येता जायन्ते दुष्टमेदसः । तावच्च नोपलक्ष्यन्ते यावद्वस्तुपरिग्रहः ॥ ३६ ॥
In these eruptions, the recognition of the aggravation of Doshas is similar to that of the various kinds of diabetes (prameha). These eruptions can occur even without the presence of Prameha, simply due to the vitiation of fat tissue; however, they are often not taken note of (or treated) until they manifest a distinct shape and get localized permanently at one place.
english translation
हारिद्रवर्णं रक्तं वा मेहप्राग्रूपवर्जितम् । यो मूत्रयेन्न तं मेहं रक्तपित्तं तु तद्विदुः ॥ ३७ ॥
Sapekshya Nidana (differential diagnosis) : If a person passes urine having the color either or turmeric, deep yellow) or of blood (red) without the appearance of premonitory symptoms of diabetes, he should not be understood as having Prameha (diabetes) but be taken as having Raktapitta (bleeding diseases).
english translation
स्वेदोऽङ्गगन्धः शिथिलत्वमङ्गे शय्यासनस्वप्नसुखाभिषङ्गः । हृन्नेत्रजिह्वाश्रवणोपदेहो घनाङ्गता केशनखातिवृद्धिः ॥ ३८ ॥
Prameha Purvarupa (premonitory symptoms of diabetes) : Excessive sweating, bad smell of the body, looseness / flaccidity of the body parts, desire for the comfort of the bed, seat and sleep: thickening of the heart, eyes, tongue and ears;
english translation
शीतप्रियत्वं गलतालुशोषो माधुर्यमास्ये करपाददाहः । भविष्यतो मेहगणस्य रूपं मूत्रेऽभिधावन्ति पिपीलिकाश्च ॥ ३९ ॥
stoutness of body, greater increase of (growth rate) hairs and nails, desire for cold, dryness of the throat and palate, sweet taste in the mouth burning sensation of the palms and soles; swarming of ants towards his urine are the premonitory symptoms of the groups of diabetes.
english translation
दृष्ट्वा प्रमेहं मधुरं सपिच्छं मधूपमं स्याद्विविधो विचारः । सम्पूरणाद्वा कफसम्भवः स्यात् क्षीणेषु दोषेष्वनिलात्मको वा ॥ ४० ॥
Prameha Sadhyasadhyata (prognosis of diabetes) : Finding diabetes, which urine being sweet, sticky, and resembling honey, the physician gets doubt on two points; whether it is born from Kapha caused by over nutrition or whether it is born from Anila (Vata) caused by decrease of the Doshas(under-nutrition).
english translation