AIAPGET Factors
– Eight forms of Mutrakrichchra are – Vataja, Pittaja, Kaphaja, Tridoshaja, Abhighataja, Shakrudja, Ashmarija and Sharkaraja.
– In Vataja Mutrakrichchra – there’s splitting ache, In Pittaja Mutrakrichchra – there’s burning sensation and in Kaphaja Mutrakrichchra – there’s heaviness of the scrotum, penis and urinary bladder.
– Signs of Abhighataja Mutrakrichchra are just like signs of Vata Basti (Mutraghata).
– Signs of Shakrut Vighataja (Pratighataja) Mutrakrichchra are – Adhmana, Sashula Mutra Pravritti and Mutrasanga.
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The 59th chapter of Uttaratantra of Sushruta Samhita is known as as Mūtrakṛchra Pratiședha. This chapter offers with Therapy of Dysuria.
अथातो मूत्रकृच्छ्रप्रतिषेधमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
We’ll now expound Mütrakṛcchra pratisedha- therapy of dysuria, strangury; as revealed by the venerable Dhañvañtari.
Bheda – sorts
वातेन पित्तेन कफेन सर्वैस्तथाऽभिघातैः शकृदश्मरीभ्याम् |
तथाऽपरः शर्करया सुकष्टो मूत्रोपघातः कथितोऽष्टमस्तु ||३||
Mūtropaghāta or Mütrakṛcchra is of eight sorts. They’re –
– one from every dosha – vataja, pittaja and kaphaja,
– one from all of the three doshas collectively – tridoshaja,
– one by abhighata – trauma,
– one by sakrt – faeces,
– one by asmari – urinary calculus and
– one by sarkara – urinary gravel
These circumstances are very troublesome to remedy.
Lakşana – medical options
अल्पमल्पं समुत्पीड्य मुष्कमेहनबस्तिभिः |
फलद्भिरिव कृच्छ्रेण वाताघातेन मेहति ||४||
हारिद्रमुष्णं रक्तं वा मुष्कमेहनबस्तिभिः |
अग्निना दह्यामानाभैः पित्तघातेन मेहति ||५||
स्निग्धं शुक्लमनुष्णं च मुष्कमेहनबस्तिभिः |
संहृष्टरोमा गुरुभिः श्लेष्माघातेन मेहति ||६||
दाहशीतरुजाविष्टो नानावर्णं महुर्मुहुः |
ताम्यमानस्तु कृच्छ्रेण सान्निपातेन मेहति ||७||
| Mutrakrcchra Kind | Signs |
| Vataja Mutrakrcchra | elimination of little portions of urine, typically,
presence of splitting ache within the scrotum, penis, urinary bladder and elimination of urine with issue |
| Pittaja Mutrakrcchra | elimination of yellow colored urine,
urine is scorching and pink, presence of burning sensation within the scrotum, penis and urinary bladder |
| Kaphaja Mutrakrcchra | the voided urine is unctuous and white in color,
urine shouldn’t be scorching (chilly), presence of horripilation and feeling of heaviness of the scrotum, penis and bladder |
| Sannipataja Mutrakrcchra | elimination of urine with issue,
urine of many colors is eradicated, typically presence of burning sensation or chilly, presence of ache and lack of consciousness |
मूत्रवाहिषु शल्येन क्षतेष्वभिहतेषु च |
स्रोतःसु मूत्राघातस्तु जायते भृशवेदनः ||८||
वातबस्तेस्तु तुल्यानि तस्य लिङ्गानि लक्षयेत् |
Abhighataja Mutrakrcchra –
Dysuria arises when the urinary passage is injured by overseas our bodies.
Its signs are –
– urination could be very painful,
– presence of different signs that are just like vatabasti (described within the earlier chapter)
शकृतस्तु प्रतीघाताद्वायुर्विगुणतां गतः ||९||
आध्मानं च सशूलं च मूत्रसङ्गं करोति हि |
अश्मरीहेतुकः पूर्वं मूत्राघात उदाहृतः ||१०||
Sakrt janya mutrakrcchra – When an individual retains faeces for lengthy intervals of time, vata would get aggravated.
Signs embrace –
– flatulence,
– painful urination and
– obstruction to micturition
Asmari janya mutrakrcchra – Mutraghata or Mutrakrcchra brought on by asmari – urinary calculus has been described earlier in Nidana Sthana – chapter 3.
अश्मरी शर्करा चैव तुल्ये सम्भवलक्षणैः |
शर्कराया विशेषं तु शृणु कीर्तयतो मम ||११||
पच्यमानस्य पित्तेन भिद्यमानस्य वायुना |
श्लेषमणोऽवयवा भिन्नाः शर्करा इति सञ्ज्ञिताः ||१२||
हृत्पीडा वेपथुः शूलं कुक्षौ वह्निः सुदुर्बलः |
ताभिर्भवति मूर्च्छा च मूत्राघातश्च दारुणः ||१३||
मूत्रवेगनिरस्तासु तासु शाम्यति वेदना |
यावदन्या पुनर्नैति गुडिका स्रोतसो मुखम् ||१४||
शर्करासम्भवस्यैतन्मूत्राघातस्य लक्षणम् |१५|
By way of causes and signs, asmari – urinary calculus and sarkara – urinary gravel are related. Now, I’ll clarify particular signs of sarkara (dysuria brought on by gravel), and hearken to the identical.
Sarkara i.e. urinary gravel is fashioned when Asmari – calculus is cooked by pitta, damaged into items by vata and separated into components by kapha.
Under talked about signs are brought on by sarkara –
– ache within the area of the guts,
– shivering,
– stomach ache,
– weak spot of digestive fireplace,
– fainting and
– extreme dysuria
Ache subsides when the urge for urination is cleared and when the urinary passage shouldn’t be blocked by one other lump or gravel.
These are the signs of mutrakrcchra brought on by asmari and sarkara.
Cikitsa: Therapies
चिकित्सितमथैतेषामष्टानामपि वक्ष्यते ||१५||
Now, the therapy of those eight sorts of mutrakrcchra can be described.
अश्मरीं च समाश्रित्य यदुक्तं प्रसमीक्ष्य तत् |
यथादोषं प्रयुञ्जीत स्नेहादिमपि च क्रमम् ||१६||
Therapies of asmari like oleation and so forth. described beforehand in chikitsa sthana chapter 7 must also be administered in these illnesses. The remedies ought to be completed in keeping with the doshas.
Vataja mūtrakṛcchra cikitsă
श्वदंष्ट्राश्मभिदौ कुम्भीं हपुषां कण्टकारिकाम् |
बलां शतावरीं रास्नां वरुणं गिरिकर्णिकाम् ||१७||
तथा विदारिगन्धादिं संहृत्य त्रैवृतं पचेत् |
तैलं घृतं वा तत् पेयं तेन वाऽप्यनुवासनम् ||१८||
दद्यादुत्तरबस्तिं च वातकृच्छ्रोपशान्तये |१९|
Decoction of the beneath talked about components is ready –
– Svadamstra,
– Asmabheda,
– Kumbhi,
– Hapusa,
– Kantakarika,
– Bala,
– Satavari,
– Rasna,
– Varuna,
– Girikarnika and
– Different herbs of Vidarigandhadi Gana group
With this decoction and three sorts of fat i.e. oil, ghee and muscle fats collectively is processed in order to organize their Trivrt Sneha.
Alternatively, solely taila – oil or ghrta – ghee could also be cooked with this decoction and their sneha is ready.
That is used for ingesting, oil enema or urethral enema. This recipe cures dysuria brought on by vata.
श्वदंष्ट्रास्वरसे तैलं सगुडक्षीरनागरम् ||१९||
पक्त्वा तत् पूर्ववद्योज्यं तत्रानिलरुजापहम् |२०|
Oil is boiled and processed with contemporary juice of svadamstra, guda, ksira and nagara. This oil could also be used as indicated earlier. This cures dysuria brought on by vata.
Pittaja mutrakrcchra cikitsă
तृणोत्पलादिकाकोलीन्यग्रोधादिगणैः कृ(शृ)तम् ||२०||
पीतं घृतं पित्तकृच्छ्रं नाशयेत क्षीरमेव वा |
दद्यादुत्तरबस्तिं च पित्तकृच्छ्रोपशान्तये ||२१||
Decoction is ready with the herbs belonging to the beneath talked about teams –
– Trna Pancamula,
– Utpaladi Gana,
– Kakolyadi Gana and
– Nyagrodhadi Gana
Ghee is cooked with this decoction in order to organize medicated ghee. Alternatively milk could also be boiled with these herbs and medicated milk is ready.
When these recipes are consumed, they remedy dysuria. The identical could also be administered as urethral enema. It cures dysuria brought on by pitta.
एभिरेव कृतः स्नेहस्त्रिविधेष्वपि बस्तिषु |
हितं विरेचनं चेक्षुक्षीरद्राक्षारसैर्युतम् ||२२||
Oil or ghee ready with the identical herbs ought to be used for all three sorts of enema i.e. niruha (decoction), anuvasana (unctuous) and uttara (urethral) basti. Equally, purgative recipes too shall be given together with juice of sugarcane, milk or juice of draksha. These recipes are perfect for producing purgation.
Kaphaja mūtrakṛcchra cikitsă
सुरसोषकमुस्तादौ वरुणादौ च यत् कृतम् |
तैलं तथा यवाग्वादि कफाघाते प्रशस्यते ||२३||
Decoction ought to be ready with the beneath talked about teams of herbs –
– surasadi gana
– usakadi gana,
– mustadi gana and
– varunadi gana
Medicated oil is ready with this decoction.
This oil is helpful in therapy of dysuria brought on by kapha.
Yavagu and so forth. ready from these herbs can be helpful on this situation.
Sannipätaja kṛcchra cikitsā
यथादोषोच्छ्र्यं कुर्यादेतानेव च सर्वजे |
फल्गुवृश्चीरदर्भाश्मसारचूर्णं च वारिणा ||२४||
सुरेक्षुरसदर्भाम्बुपीतं कृच्छ्ररुजापहम् |२५|
The identical herbs shall be used suitably within the remedies of dysuria brought on by all of the three doshas collectively.
Powder of Phalgu, Vrschira, Darbha and Asmasara (Shilajatu) ought to be ready. This powder ought to be consumed blended with both water, beer, sugarcane juice or decoction of darbha. It cures the discomfort of dysuria brought on by all of the three doshas collectively.
Abhighataja kṛcchra cikitsa
तथाऽभिघातजे कुर्यात् सद्योव्रणचिकित्सितम् ||२५||
The remedies indicated for unintended wounds ought to be adopted in treating dysuria on account of harm.
Sakrija kṛcchra cikitsa
मूत्रकृच्छ्रे शकृज्जाते कार्या वातहरी क्रिया |
स्वेदावगाहावभ्यङ्गबस्तिचूर्णक्रियास्तथा ||२६||
Under talked about remedies mitigating vata shall be administered within the therapy of dysuria brought on by faeces –
– sudation,
– tub-bath,
– anointing or therapeutic massage with oils,
– enema and
– consuming powder of herbs meant to mitigate vata
Asmari- Sarkaraja kṛcchra cikitsa
ये त्वन्ये तु तथा कृच्छ्रे तयो प्रोक्तः क्रियाविधिः ||२७||
Therapies which have already been described in Chikitsa Sthana, Chapter 7 shall be administered in therapy of the opposite two sorts of dysuria i.e. these brought on on account of asmari and sarkara.
इति श्री सुश्रुतसंहितावामुत्तरतन्त्रान्तर्गत कायचिकित्सातन्त्रे मूत्रकृच्छ्रप्रतिषेधो नाम (एकविंशतितमोऽध्यायः, आदितः) एकोनषष्टितमोऽध्यायः।।५९।।
Thus ends the fifty ninth chapter by title Mütrakrechra pratişedha- in Uttara sthana of Susruta samhita.