Astanga Hrudaya

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यदा वायुर्मुखं बस्तेरावृत्य परिशोषयेत् । मूत्रं सपित्तं सकफं सशुक्रं वा तदा क्रमात् ॥ ६ ॥

Ashmari (urinary calculus): When the Vayu covers the mouth of the bladder and dries up the urine, then urine getting mixed with Pitta, Kapha or semen,

english translation

yadA vAyurmukhaM basterAvRtya parizoSayet । mUtraM sapittaM sakaphaM sazukraM vA tadA kramAt ॥ 6 ॥

hk transliteration by Sanscript

सञ्जायतेऽश्मरी घोरा पित्ताद्गोरिव रोचना । श्लेष्माश्रया च सर्वा स्यात् अथास्याः पूर्वलक्षणम् ॥ ७ ॥

gives rise to the formation of Ashmari (stone, calculi) just as Gorochana (ox gall) gets formed from Pitta (bile) in the ox; all of these are having Kapha as their receptacle (their mass). Its premonitory symptoms are distention of the bladder,

english translation

saJjAyate'zmarI ghorA pittAdgoriva rocanA । zleSmAzrayA ca sarvA syAt athAsyAH pUrvalakSaNam ॥ 7 ॥

hk transliteration by Sanscript

वस्त्याध्मानं तदासन्नदेशेषु परितोऽतिरुक् । मूत्रे च बस्तगन्धत्वं मूत्रकृच्छ्रं ज्वरोऽरुचिः ॥ ८ ॥

Purvarupa (premonitory symptoms) of Ashmari: severe pain in and around the sites of stone, urine emitting the smell of goat, difficulty for elimination of urine, fever loss of appetite.

english translation

vastyAdhmAnaM tadAsannadezeSu parito'tiruk । mUtre ca bastagandhatvaM mUtrakRcchraM jvaro'ruciH ॥ 8 ॥

hk transliteration by Sanscript

सामान्यलिङ्गं रुङ्नाभिसेवनीबस्तिमूर्धसु । विशीर्णधारं मूत्रं स्यात्तया मार्गनिरोधने ॥ ९ ॥

Rupa (Clinical features) of Ashmari: Its general symptoms are pain near the umbilicus, raphae, and head of the bladder; stream of urine interrupted when its path is obstructed (by the stone) and easy flow when its path is free;

english translation

sAmAnyaliGgaM ruGnAbhisevanIbastimUrdhasu । vizIrNadhAraM mUtraM syAttayA mArganirodhane ॥ 9 ॥

hk transliteration by Sanscript

तद्व्यपायात्सुखं मेहेदच्छं गोमेदकोपमम् । तत्सङ्क्षोभात्क्षते सास्रमायासाच्चातिरुग्भवेत् ॥ १० ॥

urine is clear, resembles Gomedaka gem (dolomite) in colour (yellow), when it (stone) causes a wound by friction / irritation, the urine will be mixed with blood, pain becomes more on exertion (straining to pass urine).

english translation

tadvyapAyAtsukhaM mehedacchaM gomedakopamam । tatsaGkSobhAtkSate sAsramAyAsAccAtirugbhavet ॥ 10 ॥

hk transliteration by Sanscript