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विशोषयेद्बस्तिगतंसशुक्रंमूत्रंसपित्तंपवनःकफंवा। यदातदाऽश्मर्युपजायतेतुक्रमेणपित्तेष्विवरोचनागोः॥३६॥
[Dysuria caused by ashmari (urinary calculus): Pathogenesis] When the aggravated vata dries up semen and urine along with pitta and kapha which is located in urinary bladder the calculus is formed gradually like gallstone in cow.
english translation
कदम्बपुष्पाकृतिरश्मतुल्याश्लक्ष्णात्रिपुट्यप्यथवाऽपिमृद्वी। मूत्रस्यचेन्मार्गमुपैतिरुद्ध्वामूत्रंरुजंतस्यकरोतिबस्तौ॥३७॥
[Signs and symptoms of urinary calculus] 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
english translation
ससेवनीमेहनबस्तिशूलंविशीर्णधारंचकरोतिमूत्रम्। मृद्नातिमेढ्रंसतुवेदनार्तोमुहुःशकृन्मुञ्चतिमेहतेच॥३८॥
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.
english translation
क्षोभात्क्षतेमूत्रयतीहसासृक्तस्याःसुखंमेहतिचव्यपायात्। एषाऽश्मरीमारुतभिन्नमूर्तिःस्याच्छर्करामूत्रपथात्क्षरन्ती॥३९॥
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. [Dysuria caused by sharkara (graveluria)/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 sharkara.
english translation
(रेतोऽभिघाताभिहतस्यपुंसःप्रवर्ततेयस्यतुमूत्रकृच्छ्रम्। स्याद्वेदनावङ्क्षणबस्तिमेढ्रेतस्यातिशूलंवृषणातिवृत्ते॥४०॥
[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.
english translation