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अथातः प्रमेहचिकित्सितं व्याख्यास्यामः ॥१॥
Now we shall expound the chapter "Prameha Chikitsa" (Management of Urinary Diseases including diabetes).
english translation
इति ह स्माह भगवानात्रेयः ॥२॥
Thus said Lord Atreya.
english translation
निर्मोहमानानुशयो निराशः पुनर्वसुर्ज्ञानतपोविशालः। कालेऽग्निवेशाय सहेतुलिङ्गानुवाच मेहाञ्शमनं च तेषाम् ॥३॥
Punarvasu who is free from delusion, ego, hatred and attachment, and who has attained magnanimity because of his knowledge and penance, described the etiology, signs and symptoms, and treatment of meha (prameha) to Agnivesha at proper time (when query was asked).
english translation
आस्यासुखं स्वप्नसुखं दधीनि ग्राम्यौदकानूपरसाः पयांसि। नवान्नपानं गुडवैकृतं च प्रमेहहेतुः कफकृच्च सर्वम् ॥४॥
[Etiology of prameha] Over-indulgence in the pleasure of sedentary habits, excess sleep, curds, soup of the meat of domesticated and aquatic animals and animals inhabiting marshy land, milk and its preparations, freshly harvested food articles, freshly prepared drinks, preparations of jaggery and all kapha- aggravating factors are responsible for the causation of prameha.
english translation
मेदश्च मांसं च शरीरजं च क्लेदं कफो बस्तिगतं प्रदूष्य। करोति मेहान् समुदीर्णमुष्णैस्तानेव पित्तं परिदूष्य चापि ॥५॥
[Dushya (vitiated factors) and pathogeneis] Aggravated kapha vitiates medas, mamsa and kleda of the body located in basti (bladder and urinary system) and causes different types of kapha dominant meha. Similarly, pitta aggravated by hot things vitiates those elements and causes different types of pitta dominant meha.
english translation