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मज्जौजसा वा वसयाऽन्वितं वा लसीकया वा सततं विबद्धम्। चतुर्विधं मूत्रयतीह[१] वाताच्छेषेषु धातुष्वपकर्षितेषु ॥११॥
Four varieties of vatika meha have the following characteristic features: 1. The urine mixed with majja (majja meha) 2. The urine mixed with ojas (oja meha ) 3. The urine mixed with muscle fat (vasa meha) 4. The urine mixed with lympha (lasika meha) Diminution of other dhatus or tissue elements (besides those described above) is responsible for the causation of the above mentioned four varieties of vatika prameha.
english translation
वर्णं रसं स्पर्शमथापि गन्धं यथास्वदोषं भजते प्रमेहः। श्यावारुणो वातकृतः सशूलो मज्जादिसाद्गुण्यमुपैत्यसाध्यः ॥१२॥
[Criteria for diagnosis] Different types of prameha are characterized by the color, taste, touch and smell of the respective dosha. Vatika varieties of prameha are characterized by grayish or reddish coloration of the urine, pain and attributes of majja, etc. These types of vatika prameha are incurable.
english translation
स्वेदोऽङ्गगन्धः शिथिलाङ्गता च शय्यासनस्वप्नसुखे रतिश्च। हृन्नेत्रजिह्वाश्रवणोपदेहो घनाङ्गता केशनखातिवृद्धिः ॥१३॥
[Premonitory signs and symptoms] Sweating, body odor, flabbiness of the body, liking for constantly lying on the bed, sitting, sleeping and leading an easy life, a feeling as if the cardiac region is covered with extraneous material, exudation of excreta from eyes, tongue and ears, corpulence of the body, excessive growth of hair and nails,
english translation
शीतप्रियत्वं गलतालुशोषो माधुर्यमास्ये करपाददाहः। भविष्यतो मेहगदस्य रूपं मूत्रेऽभिधावन्ति पिपीलिकाश्च ॥१४॥
liking for cold things, dryness of throat and palate, sweet taste in the mouth, burning sensation in hands and legs and swarming of ants on the urine- these are the premonitory signs and symptoms of prameha.
english translation
स्थूलः प्रमेही बलवानिहैकः कृशस्तथैकः परिदुर्बलश्च। सम्बृंहणं तत्र कृशस्य कार्यं संशोधनं दोषबलाधिकस्य ॥१५॥
[Principles of management] Patients suffering from prameha are classified into two categories, viz. (1) those who are obese and strong, and (2) those who are emaciated and weak.
english translation