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सपूर्वरूपाः कफपित्तमेहाः क्रमेण ये वातकृताश्च मेहाः। साध्या न ते, पित्तकृतास्तु याप्याः, साध्यास्तु मेदो यदि न प्रदुष्टम् ॥५६॥
[Prognosis] Kapha dominant and pitta dominant types of prameha, if preceded by their premonitory signs and symptoms, are incurable. Similarly, vatika prameha, where vata is aggravated right from the beginning is incurable. Pitta dominant types of prameha are generally palliable. But they are curable if medas (adipose tissue) is not vitiated.
english translation
जातः प्रमेही मधुमेहिनो वा न साध्य उक्तः स हि बीजदोषात्। ये चापि केचित् कुलजा विकारा भवन्ति तांश्च प्रवदन्त्यसाध्यान् ॥५७॥
[In-curability of hereditary diseases] Patients who suffer from prameha since birth (congenital) and those who are borne of prameha parents (hereditary) are not curable because of the morbidity in their bija (genes). Similarly, other hereditary (kulaja/familial) ailments are considered as incurable.
english translation
प्रमेहिणां याः पिडका मयोक्ता रोगाधिकारे पृथगेव सप्त। ताः शल्यविद्भिः कुशलैश्चिकित्स्याः शस्त्रेण संशोधनरोपणैश्च ॥५८॥
[Treatment of prameha pidaka] Seven types of prameha pidaka of patients suffering from prameha described in the quadrate on diseases (rogadhikara) are to be treated by expert surgeons with the help of shastras (surgical operations), samshodhana (cleansing) and ropana (healing therapies).
english translation
तत्र श्लोकाः- हेतुर्दोषो दूष्यं मेहानां साध्यतानुरूपश्च। मेही द्विविधस्त्रिविधं[१] भिषग्जितमतिक्षपणदोषः ॥५९॥
[Summary] The causes, dosha, dushya, curability, characteristics of urine in prameha, two types of patients, three modes of treatment, disadvantages of excess depletion therapy, various food items of yava, mantha,
english translation
आद्या यवान्नविकृतिर्मन्था मेहापहाः कषायाश्च। तैलघृतलेहयोगा भक्ष्याः प्रवरासवाः सिद्धाः ॥६०॥
various decoctions used in treatment of prameha, medicated oils, ghee preparations, linctuses, diet articles, fermented preparations like asava,
english translation