Hingu dvirittara churna clears mutrodara (distension of abdomen due to urinary retention), anaha (simple distension due to indigestion or constipation), adhmana (distension with pain) of guda (anus) and medhra (phallum).
[Mutra krichchra (dysuria)] Indulgence in sexual intercourse by a person with active urge to micturate causes affliction of the dislodged shukra (seminal secretions) which flows either before or after the urine stream and this is called mutra krichchra.
खवैगुण्यानिलाक्षेपैः किञ्चिन्मूत्रं च तिष्ठति| मणिसन्धौ स्रवेत् पश्चात्तदरुग्वाऽथ चातिरुक्||३३||
[Mutrotsanga (residual urination)] Due to khavaigunya (structural deformity) in the mutravaha srotas, severe vata aggravation, some urine remains in the manisandhi (base of penis) and discharges sometime later either without pain or with severe pain.
मूत्रोत्सङ्गः स विच्छिन्नमुच्छेषगुरुशेफसः | वाताकृतिर्भवेद्वातान्मूत्रे शुष्यति सङ्क्षयः||३४||
Mutra passes in vichchinna (split form) and uchchesha (with some residual urine in the enlarged or engorged penis) from the guru shepha (enlarged penis due to accumulation of excess urine in the penis). This is mutrotsanga [Mutra samkshaya (suppression of urine formation)] Due to aggravation of vata, the urine gets decreased with manifestation of vatakriti (symptoms of aggravated vata). The condition is mutra kshaya.
चिरं धारयतो मूत्रं त्वरया न प्रवर्तते| मेहमानस्य मन्दं वा मूत्रातीतः स उच्यते||३५||
[Mutratita (delayed micturition)] In a person withholding for long, the urge to urinate, the urine does not flow instantly or flows with mild stream. This is called mutratita.