A History of Indian Medical Literature v1.c24.89

v1.c24.89

Chapter nine (mūtrāghātanidāna) deals with the following subjects: the urinary bladder (basti) and its head (bastiśiras), the penis, hips (kaṭī), testicles and ano-rectal region (pāyu) form an interconnected whole, located in the hollow of the gudāsthi (9.1);¹⁸⁷ the bladder, with its opening facing downwards, is filled from all sides by the subtle pores of the urine-carrying vessels;¹⁸⁸ the doṣas, getting entrance through these vessels, bring about the twenty kinds of mūtrāghāta (retention of urine)¹⁸⁹ and twenty kinds of prameha, which are difficult to cure (9.2–3); the symptoms of mūtraṛcchra due to vāta, pitta, kapha, and all the doṣas (9.4–5);¹⁹⁰ the pathogenesis of aśmarī (vesical calculi) (9.6–7c);¹⁹¹ the prodromes (9.7d–8);¹⁹² the general symptoms (9.9–10);¹⁹³ the symptoms of aśmarī due to vāta (9.11–12),¹⁹⁴ pitta (9.13),¹⁹⁵ and kapha¹⁹⁶ (9.14);¹⁹⁷ vesical calculi are more frequent in children and can easily be extracted in them (9.15);¹⁹⁸ the aetiology, pathogenesis and symptomatology of śukrāśmarī, a disorder found in adults (9.16–18c);¹⁹⁹ the nature and clinical features of śarkarā (gravel) (9.18d–19);²⁰⁰ the aetiology, pathogenesis and symptomatology of vātabasti (9.20–23ab),²⁰¹ vātaṣṭhilā (9.23cd–24),²⁰² vātakuṇḍalikā (9.25–26c),²⁰³ mūtrātīta (9.26d–27ab),²⁰⁴ mūtrajaṭhara (9.27cd–29a),²⁰⁵ mūtrotsaṅga (9.29–30),²⁰⁶ mūtragranthi (9.31),²⁰⁷ mūtraśukra (9.32–33ab),²⁰⁸ viḍvighāta (9.33cd–34),²⁰⁹ uṣṇavāta (9.35–36),²¹⁰ mūtrakṣaya (9.37),²¹¹ and mūtrasāda (9.38–39);²¹² thus, the diseases arising when the flow of urine is obstructed have been described; those with an overproduction of urine will be dealt with in the next chapter (9.40).