Indian Medicine (Medicin), translated by C. G. Kashikar c12.52

c12.52

No strict line of demarcation is drawn between mūtrakṛcchra and mūtraghāta, mūtranirodha, mūtrarodha, mūtrapratighāta. Thus out of the 13 mūtraghāta which Car, Su, MN and subsequent authors mention, vātakundalikā i. e. circular turnings of spasms of the urinary tract caused by deranged wind is characterized either by complete retention of urine or by intermittent, droplike and painful passing of urine. In mūtrātīta the patient first retains urine and then desires to urinate; however, he does not pass any urine or passes only once with little pain and in a small quantity. In mūtrasaṅga the excreted urine remains obstructed either in the bladder, urethra or glans, or is emptied only quite gradually with blood and with or without pains. Mūtragranthi, a round, small, hard, stonelike tumour which is suddenly formed on the neck of the bladder causes pains as in stone and retains the urine. It appears to be a form of stone. Asthilā " rounded growth " is perhaps related to hypertrophy, or inflammation of the prostate, a rounded, hard, fixed tumour which is formed by vāta between the anus and the bladder, with violent pains, flatulence and suppression of faeces, urine and wind. Particularly dangerous is bastikuṇḍala (inflammation of the bladder ?) wherein the bladder loosened from its original place is raised like an embryo and the patient trembles by violent pains, convulsions and heat, urinates only in drops, and that also by pressing. If the bladder is spherical and there is thirst and uraemia, the disease is incurable. The treatment for retention of urine is essentially the same as that for strangury. In general, nutritional and perspiring remedies should be given first, then oily purgative, then injections in the urethra (Car S. 9.32-47; Su 6.58; AS 3.9; 4.13; AHr 3.9; 4.11; MN 214-218; Vr 33; Bhāv 2.3.38-45; Vang 500-506).