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siva.sh/caraka-samhita/nidana-sthana/4/46

एवं त्रिदोषप्रकोपनिमित्ता विंशतिः प्रमेहा व्याख्याता भवन्ति ||४६||

Thus, the twenty anomalies of urinary secretion caused by the provocation of the three humors -have been described.

english translation

evaM tridoSaprakopanimittA viMzatiH pramehA vyAkhyAtA bhavanti ||46||

siva.sh/caraka-samhita/nidana-sthana/4/47

त्रयस्तुखलुदोषाःप्रकुपिताःप्रमेहानभिनिर्वर्तयिष्यन्तइमानि पूर्वरूपाणिदर्शयन्ति; तद्यथा- जटिलीभावंकेशेषु, माधुर्यमास्यस्य, करपादयोःसुप्ततादाहौ, मुखतालुकण्ठशोषं, पिपासाम्, आलस्यं, मलंकाये,कायच्छिद्रेषूपदेहं, परिदाहंसुप्ततांचाङ्गेषु, षट्पदपिपीलिकाभिश्चशरीरमूत्राभिसरणं, मूत्रेचमूत्रदोषान्, विस्रंशरीरगन्धं, निद्रां, तन्द्रांचसर्वकालमिति ||४७||

[General Prodromal Features of Prameha] The three vitiated doshas, while causing prameha, produce the following prodromal symptoms: 1. Matting of hair; 2. Sweet taste in the mouth; 3. Numbness and burning sensation in hands and feet; 4. Dryness in mouth, palate, and throat; 5. Thirst and laziness; 6. Increased amount of bodily waste excretion from the body sweat pores; 7. Adherence of bodily wastes to the orifices of the body (like ear, eyes, nose and body pores) 8. Burning sensation and numbness in various organs of the body; 9. Attraction of insects and ants to the body and urine; 10. Appearance of turbidity or other abnormalities in the urine; 11. Smell of raw flesh in the urine; and 12. Excessive sleep and continuous drowsiness.

english translation

trayastukhaludoSAHprakupitAHpramehAnabhinirvartayiSyantaimAni pUrvarUpANidarzayanti; tadyathA- jaTilIbhAvaMkezeSu, mAdhuryamAsyasya, karapAdayoHsuptatAdAhau, mukhatAlukaNThazoSaM, pipAsAm, AlasyaM, malaMkAye,kAyacchidreSUpadehaM, paridAhaMsuptatAMcAGgeSu, SaTpadapipIlikAbhizcazarIramUtrAbhisaraNaM, mUtrecamUtradoSAn, visraMzarIragandhaM, nidrAM, tandrAMcasarvakAlamiti ||47||

siva.sh/caraka-samhita/nidana-sthana/4/48

उपद्रवास्तुखलुप्रमेहिणांतृष्णातीसारज्वरदाहदौर्बल्यारोचकाविपाकाः पूतिमांसपिडकालजीविद्रध्यादयश्चतत्प्रसङ्गाद्भवन्ति ||४८||

[General Complications and Principles of Treatment] Complications associated with prameha are thirst, diarrhea, fever, burning sensation, weakness, anorexia, and indigestion. Carbuncles that putrify muscle tissues, like alaji and vidradhi, appear during the chronic stage of the disease.

english translation

upadravAstukhalupramehiNAMtRSNAtIsArajvaradAhadaurbalyArocakAvipAkAH pUtimAMsapiDakAlajIvidradhyAdayazcatatprasaGgAdbhavanti ||48||

siva.sh/caraka-samhita/nidana-sthana/4/49

तत्रसाध्यान्प्रमेहान्संशोधनोपशमनैर्यथार्हमुपपादयंश्चिकित्सेदिति ||४९||

Of all these variants, the curable types of prameha should be treated with the appropriate elimination and alleviation therapies on time.

english translation

tatrasAdhyAnpramehAnsaMzodhanopazamanairyathArhamupapAdayaMzcikitsediti ||49||

siva.sh/caraka-samhita/nidana-sthana/4/50

भवन्तिचात्र- गृध्नुमभ्यवहार्येषुस्नानचङ्क्रमणद्विषम्| प्रमेहःक्षिप्रमभ्येतिनीडद्रुममिवाण्डजः ||५०||

[Consequences of Prameha] Thus, it can be said: As the birds are attracted towards the trees where their nests are situated, similarly prameha is attracted to people who are gluttonous, who have an aversion to bathing, or who have an aversion to physical exercises.

english translation

bhavanticAtra- gRdhnumabhyavahAryeSusnAnacaGkramaNadviSam| pramehaHkSipramabhyetinIDadrumamivANDajaH ||50||