The Compendium of Caraka 6.6: ṣaṣṭho 'adhyāyaḥ/

Now, therefore, we shall explain the treatment of urinary disorders.

Thus spoke the venerable Ātreya:

Free from delusion, pride, and lingering rancour, desireless, vast in knowledge and asceticism, / Punarvasu in due time spoke to Agniveśa of the urinary disorders along with their causes and symptoms, and their soothing:

Pleasure of sedentary living, pleasure of sleep, curds, broths of village, aquatic, and marsh animals, milk, / new grain and drinks, products of jaggery, and everything that produces kapha is a cause of urinary disorders.

Kapha, vitiating the fat, the flesh, and the body's moisture that has reached the bladder, / produces urinary disorders; and pitta, aggravated by hot things, vitiating those very same [dhatus], likewise [produces them].

When the humors are depleted, wind, drawing the tissues into the bladder, produces urinary disorders; / for a humor, having reached the bladder and vitiated the urine, generates the urinary disorders according to its own nature.

The ten arising from kapha are curable; the six born of pitta are manageable; the quartet from wind is incurable: / because of similarity of treatment, dissimilarity of treatment, and fatal nature respectively.

Kapha, along with pitta and wind, are the humors; fat, blood, semen, water, tallow, lymph, / marrow, chyle, ojas, and flesh are the vitiable tissues of those with urinary disorders; the urinary disorders are twenty in all.
Like water, or like sugarcane juice, thick, or thick and clear on top, / white, with semen, cold, or [passed] slowly, or like saliva, or accompanied by gravel:

one should know these ten urinary disorders born of kapha; resembling alkali, black, and blue, / turmeric-colored, madder-colored, and blood-like—these six urinary disorders they consider to be from pitta.

Accompanied by marrow, or with ojas, or with tallow, or with lymph, continually obstructed, / of four kinds one passes urine here from vāta when the remaining tissues are drawn down.
A urinary disorder takes on color, taste, touch, and smell according to its own humor; / gray-red, produced by vāta, accompanied by pain, it assumes the good qualities of marrow and so on, and is incurable.

Sweat, body odor, flaccidity of limbs, delight in the pleasure of bed, seat, and sleep, / coating of the heart, eyes, tongue, and ears, thickness of limbs, excessive growth of hair and nails,

fondness for cold, dryness of throat and palate, sweetness in the mouth, burning of hands and feet, / and ants running to the urine—this is the prodrome of impending urinary disorder.

Here one patient with urinary disorder is corpulent and strong, and another is emaciated and extremely weak; / there, nourishing therapy is to be done for the emaciated one, and purificatory therapy for the one with excess strength of humors.

For one who has been unctuated, various formulations taught in the Kalpasthāna are to be administered for cleansing waste. / Once waste is removed above and below, refreshing therapy alone should be given in urinary disorders.
From reducing therapy, the patient with urinary disorder might get abdominal lump, consumption, pain in the penis and bladder, and retention of urine; / therefore, after considering his digestive fire, replenishing therapies are to be performed.
For the patient with urinary disorder who is unfit for purification, pacifying treatment is to be employed: / churned drinks, decoctions, barley-powder linctuses, and light edibles are to be used for the pacification of urinary disorder.

With pleasant broths of gallinaceous and pecking birds native to arid lands, / he should eat dry barley-boiled rice, or parched barley paste, along with parched barley flour and roasted barley cakes.
Or he should take old Śāli rice with soups of mung beans and the like, or with bitter vegetables, / combined with dantī or iṅgudī oil, or combined with linseed or mustard oil, for urinary disorder.

His food may consist of wild grains with Ṣaṣṭika rice, but the patient with urinary disorder should make barley prominent. / One suffering from urinary disorder caused by kapha should eat various barley edibles mixed with honey.

Refreshing drinks of barley steeped overnight in a decoction of triphalā and combined with honey / should be drunk by the patient with urinary disorder along with sīdhu wine, strictly as an habitual measure to destroy the urinary disorder.

And he should eat parched flour, roasted cakes, [edibles] with jaggery, parched grains, and various other edibles / made from barley separately steeped in the decoctions prescribed for kapha-type urinary disorders.

Various foods prepared from barley that has been eaten by asses, horses, cattle, geese, and spotted deer / should be given, as well as foods made from bamboo seeds, or made from wheat following the procedure for barley.

Cleansing, vomiting, and fasting, applied at the proper time, conquer urinary disorders of kapha; / purgation, refreshing therapy, and pacifying measures conquer those arising from pitta.

The patient with urinary disorder should boil and drink a decoction of dāruharidrā, devadhāpa, triphalā, together with mustā; / or he should drink turmeric combined with honey together with the juice of āmalakī fruits.

1. Harītakī, kaṭphala, mustā, and lodhra; 2. pāṭhā, viḍaṅga, arjuna, and dhanvana; / 3. the two turmerics, tagara, and viḍaṅga; 4. kadamba, śāla, arjuna, and dīpyaka;

5. dāruharidrā, viḍaṅga, khadira, and dhava; 6. devadhāpa, kuṣṭha, aguru, and candana; / 7. dāruharidrā, agnimantha, triphalā, with pāṭhā; 8. pāṭhā, mūrvā, and likewise śvadaṃṣṭrā;

9. yavānī, uśīra, abhayā, and guḍūcī; 10. cavya, abhayā, citraka, and saptaparṇa: / these ten quarter-verse decoctions combined with honey are prescribed for those with kapha-type urinary disorder.

1. Uśīra, lodhra, añjana, and candana; 2. uśīra, mustā, āmalaka, and abhayā; / 3. paṭola, nimba, āmalaka, and amṛtā; 4. mustā, abhayā, padmaka, and vṛkṣaka;

5. lodhra, ambu, kālīyaka, and dhātakī; 6. nimba, arjuna, āmrāta, niśā, and utpala; / 7. śirīṣa, sarja, arjuna, and keśara; 8. priyaṅgu, padma, utpala, and kiṃśuka;

9. aśvattha, pāṭhā, asana, and vetasa; 10. kaṭaṅkaṭerī, utpala, and mustaka: / these ten quarter-verse decoctions combined with honey are prescribed in pitta-type urinary disorders.
The first two decoction formulations, however, are approved in all urinary disorders; indeed, all of them / may be used separately in preparing the churned drink, in steeping the barley, in meals, and in drinks.

Prepared oils and ghees should be administered in vāta-type urinary disorders; / their fat and kapha subside through decoction formulations, and their vāyu through unctuous substances.
One with kapha-pitta urinary disorder should lick with honey the powdered flowers of kampillaka, saptaparṇa, and śāla, / or of bibhītaka, rohitaka, kuṭaja, and kapittha.

Or he should drink at the proper time pastes of the same, equal to the size of an akṣa seed, with juice of āmalaka; / and when it is digested, the patient with urinary disorder should eat old grain with pleasant broths of meat native to arid lands.

Observing the secondary involvement of kapha or pitta caused by vāyu, the unction regimen is to be varied: / in kapha, oil should be prepared with its appropriate decoctions; in pitta, ghee prepared with decoctions that remove pitta.

With gokṣura, aśmantaka, somavalka, bhallātaka, together with ativiṣā, and with lodhra, / vacā, paṭola, arjuna, nimba, mustā, turmeric, padmaka, and dīpyaka,
and with mañjiṣṭhā, aguru, and candana—with all these together, he should cook oil in kapha-vāta / urinary disorders, ghee in pitta types, and a mixture [of both] when signs of all three are present.

Having boiled the three fruits, dāruharidrā, viśālā, and mustā, along with a paste of turmeric, / he should drink the decoction combined with honey in all fully developed urinary disorders.

Lodhra, śaṭī, puṣkaramūla, cardamom, mūrvā, viḍaṅga, triphalā, yavānī, / cavya, priyaṅgu, areca nut, viśālā, kirātatikta, and kaṭurohiṇī,

bhārṅgī, nata, root of citraka and pippalī, with kuṣṭha, ativiṣā, and pāṭhā, / kaliṅgaka, keśara, indrasāhvā, nakha with patra, black pepper, and plava—

boiling one karṣa of each in a droṇa of water, straining it when one-fourth part of the water remains, / and adding half a part of honey to the decoction, it should be kept placed in a ghee vessel for a fortnight.

This madhvāsava quickly destroys kapha-pitta urinary disorders when used in a two-pala dose, / as well as anemia, piles, anorexia, disorder of the duodenum, kilāsa, and various kinds of kuṣṭha. Thus ends madhvāsava.
With that same decoction, there should be eight palas of dantī and four palas of bhallātaka; / the distinction is eight palas of sugar candy, and as much honey: these two are separate āsavas.

Or the patient with urinary disorder should drink heartwood water, kuśa grass water, honey water, or triphalā juice, / or clear sīdhu, or excellent, long-stored mādhvīka wine.

He should eat roasted meats of deer and birds, and various barley foods; / with purificatory treatments, ariṣṭas, decoctions, and linctuses, he should pacify urinary disorders arising from over-nutrition.

From regular consumption of parched barley and dry parched barley flour, urinary disorders do not occur, / nor white leprosy, difficult kapha-born kuṣṭha; likewise from the use of mung bean and āmalaka.

The formulations that were taught by me for diseases arising from over-nutrition and for the obese, / proven effective for desiccation, are also to be applied in urinary disorders born of kapha and pitta.

Through various exercises, vigorous dry rubs, baths, water-sprinklings, / and pastes made with sevyā, tvac, elā, aguru, candana, and the like, urinary disorders quickly cease to be. / Moisture, fat, and increased kapha are the causes of urinary disorder; having fully considered this, therefore, / the physician must first perform depleting therapies in urinary disorders born of kapha and pitta.

The procedure previously stated for vāta urinary disorders is prescribed for those in whom vāta is dominant; / for vāyu is provoked in urinary disorders in those excessively emaciated; regarding the incurable, there is no consideration.

Those etiological factors by which particular urinary disorders arise must not be indulged in in those urinary disorders; / just as non-indulgence in the etiological factor is prescribed, so must be the treatment of the arisen disease.

If one should pass turmeric-colored and blood-colored urine without the prodromal symptoms of urinary disorder, / one should not call that urinary disorder; for that is an aggravation of rakta and pitta.

Seeing a sweet, slimy, honey-like urinary disorder, there should be a twofold consideration: / when the doṣas are depleted, it may be vāta-natured, or it may arise from kapha due to over-nutrition.

Kapha and pitta urinary disorders with prodromal symptoms, and the urinary disorders caused by vāta in due order, / are not curable; those caused by pitta are palliable; but they are curable if fat is not corrupted.

One born a patient with urinary disorder, or [born] of a patient with honey-urine, is said to be incurable; for that is from a seed defect; / and whatever disorders are familial, those too they declare incurable.

The seven boils of patients with urinary disorder that were stated separately by me in the section on diseases / are to be treated by skilled surgeons with the knife, and with cleansing and healing measures.

Here are the verses:—

The cause, the doṣa, the dūṣya, and the manner of curability of urinary disorders; / the twofold patient with urinary disorder, the threefold medicine, and the fault of excessive depletion; / the primary preparations of barley food, the manthas that remove urinary disorders, and the decoctions; / formulations of oils, ghees, and linctuses, edibles, and proven excellent āsavas;

the varied regimen of exercise, baths, dry rubs, and fragrances; / this much has been instructed in therapeutics for the pacification of urinary disorders.

Thus ends the sixth chapter, named "The Treatment of Urinary Disorders," in the Cikitsitasthāna of the compendium composed by Agniveśa and redacted by Caraka. //6