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chap. VI.]
NIDANA STHANAM
45

types of Prameha. The deranged Pittam, in conjunction with the deranged Vayu, blood, fat and Kapham, produces the Pittaja ones; while the deranged Vayu, in unison with the deranged Kapham, Pittam, fat, marrow and Vasa (myosin), engenders the types of Vataja Prameha. 9.

Symptoms of Kaphaja Mehas:-The urine*[1] of a person suffering from an attack of Udaka-meha becomes white and water-like and is passed without the least pain. In a case of Ikshumeha the urine resembles the expressed juice of sugarcane. It has the colour of wine in a case of Surameha. The urine in a case of Sikatameha is passed with pain and is found to leave a sediment of extremely fine and sand-like concretions {Sikatas). In a case of Sanaimeha the urine gushes out at intervals in jets and is charged with a slimy mucous (kaphah). The urine in a case of Lavanameha becomes limpid (non-viscid) and acquires a saline taste. There is horripilation at the time of micturition in a case of Pishtameha (Chyluria), the urine resembling a stream of water, charged with a solution of pasted rice (Pishtam).

In a case of Sandrameha, the urine becomes thick and turbid, while in a case of Sukrameha the urine resembles semen (or the urine is found to be charged with semen:—Madhaba). In a case of

  1. *The Sanskrit term Meha literally means to micturate. The verbal noun Mehanam signifies urination as well as the act of passing any morbid urethral secretion. Hence the urine in most of these cases denotes the fact of its being charged with pus or any other morbid secretion of the urinary organs such as Ojah (albumen), marrow, etc., which imparts their characteristic colours to the fluid, —a fact which determines the nomen-clature of the disease and forms the keynote of its diagnosis in the Ayurveda.— Ed.