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शुक्रेणसंरुद्धगतिप्रवाहोमूत्रंसकृच्छ्रेणविमुञ्चतीह। तमण्डयोःस्तब्धमितिब्रुवन्तिरेतोऽभिघातात्प्रवदन्तिकृच्छ्रम्॥४१॥
Since the urinary flow is obstructed by semen, urine is passed with difficulty and there is stiffness of the testicles known as anda stabdham. The dysuria, thus, manifested is considered to be caused by seminal obstruction.
english translation
शुक्रंमलाश्चैवपृथक्पृथग्वामूत्राशयस्थाःप्रतिवारयन्ति। तद्व्याहतंमेहनबस्तिशूलंमूत्रंसशुक्रंकुरुतेविबद्धम्॥४२॥
[Dysuria caused by vitiated semen] Mala (aggravated tridosha) located in the urinary bladder obstructs the flow of semen individually because of this seminal obstruction there is pain in the phallus and urinary bladder along with obstruction to the voiding of urine and ejaculation of semen which leads to stiffness,
english translation
स्तब्धश्चशूनोभृशवेदनश्चतुद्येतबस्तिर्वृषणौचतस्य। क्षताभिघातात्क्षतजंक्षयाद्वाप्रकोपितंबस्तिगतंविबद्धम्॥४३॥
swelling, excessive pain and pricking pain in the urinary bladder and testicles. [Dysuria caused by kshata(trauma)] If the vitiated blood due to kshata (trauma) or kshaya (emaciation caused by excessive discharge of semen) when accumulated in urinary bladder,
english translation
तीव्रार्तिमूत्रेणसहाश्मरीत्वमायातितस्मिन्नतिसञ्चितेच। आध्माततांविन्दतिगौरवंचबस्तेर्लघुत्वंचविनिःसृतेऽस्मिन्॥४४॥
it causes obstruction and severe pain in the bladder. Vitiated blood when associate with urine forms the calculus, which causes the distention of abdomen and heaviness in the region of urinary bladder however the patient feels lightness when the calculus passes out. Thus, ends the diagnosis of dysuria (mootra krucchrara).
english translation
अभ्यञ्जनस्नेहनिरूहबस्तिस्नेहोपनाहोत्तरबस्तिसेकान्। स्थिरादिभिर्वातहरैश्चसिद्धान्दद्याद्रसांश्चानिलमूत्रकृच्छ्रे॥४५॥
[Treatment of vataja dsyuria] Massage, unctuous and non-unctuous medicated enema, unctuous poultice, uttarabasti (urethral douche) and sekam (affusion) as well as the diet of soup prepared with sthiradi (laghupanchamula drugs-salaparni, prishna parni,brahati,kantakari,and gokshura) and other vata- alleviating drugs to be administered.
english translation