Mutra-Sukra And Ushna-Vata

A person visiting a woman in the presence of a strong urging towards urination and by voluntarily repressing the same is found to pass urine highly charged with semen which is sometimes seen to precede or follow the discharge of urine. The urine in this case resembles the washing or solution of ashes in colour. The disease is called Mutra-s'ukra (lit. semen-charged urine). The disease in which the Pitta of a person deranged by such factors as over-fatiguing physical exercise, exposure to the sun, or arduous pedestrian journey, gets into his bladder completely wrapped in the deranged Vayu of his body, and produces an intense burning sensation in his bladder, penis and the anus, setting up a painful flow of a dark yellow or blood-streaked urine or of blood alone through the urethra in its stead, is designated as Ushna-va'ta. 11-12.

Two Kinds Of Mutraukasada

A non-slimy and thick flow of yellow-coloured urine attended with a burning sensation, and leaving a sediment like powdered Rochana when dried, is called (Pittaja) Mutraukasa'da. The wise ascribe the origin of this disease to the action of the deranged Pitta. The type in which a pale sediment resembling the powders of conch-shell is deposited when the urine is dried and in which the flow is painful and the urine is slimy, thick and white, should be attributed to the action of the deranged Kapha. It is but another variety of the disease described immediately before. 13.

General Treatment

Medicinal decoctions, Kalkas, (medicated) Ghritas, (various kinds of) foods, lambatives, preparations of milk, alkalis, honey, Asavas, fomentation and Uttara-vasti should be employed according to their indications in coping with an attack of any of the aforesaid ailments. An intelligent physician shall resort, in these cases, to measures which are efficacious in cases of As'mari, or shall employ in their entirely the medicinal compounds which have been described as curative under the treatment of urinary Udavarta. 14.

A case of Mutra-krichchhra would be relieved by the use of pasted Eraru-seeds and Saindhava weighing an Aksha and taken with the fermented paddy-boilings. A person afflicted with Mutra-krichchhra should take wine (prepared from Pishta or pasted rice,) in combination with Souvarchala-salt, or he should take wine prepared from honey by biting meat at intervals, or take any wine made from treacle. In the alternative, a Karsha measure of Kumkuma should be kept saturated with honey and water during the night and this should be taken in the morning, whereby the patient would be relieved of the trouble (of Mutra-krichchhra). By taking the principal wine {viz., that prepared from Pishta or pasted rice) with salt, powdered Ela, Jiraka and Nagara and saturated with the acid juice of pomegranade one would get rid of Mutra-krichchhra. 15 - 16.

Half a Prastha measure of water with four times as much of milk together with the drugs of the Prithak-Parnyadi (Vidari-gandhadi) group and Gokshura-roots should be kept boiling till all the water is evaporated. A person suffering from an attack of Mutra-ghata due to the concerted action of deranged Vayu and Pitta should use this medicated milk, when cooled, with sugar and honey. The dung of an ass or of a horse should he squeezed through a piece of linen and a Kudava measure of this expressed liquid should be taken for the cure of an attack of painful urination. 17 - 18.

An Aksha measure of the compound made by pasting Musta, Abhaya, Deva-daru, Murva and Yashti-madhu, should be taken with the decoction of Draksha. Abhaya, Amalaka and Aksha (Vibhitaka) together weighing a Vadara measure should be taken with salt and water for getting relief in cases of painful urination. An Udumbara measure of Draksha should be kept saturated in water for the whole night and this cold infusion should be taken (in the morning) for getting relief in cases of painful urination. A Kudava measure of the expressed juice of Nidigdhika or the Kalka of the same should be taken with honey as a relief from the urinary complaints. 19.

By taking a Kudava measure of the expressed juice of Amalaka, a person suffering from uninary complaints would get rid of his troubles. In the alternative, the patient should drink a potion consisting of powdered small Ela, dissolved in the expressed juice of Amalaka (and mixed with honey), or he should take a paste of the tender roots of Tala (palm) with cold rice-washing. The expressed juice of Trapusha and white Katkataka should also be prescribed to be taken with milk in the morning. In the alternative a person should take a potion consisting of milk duly boiled with the drugs of the Madhura group saturated with clarified butler as the compound is possessed of excellent diuretic properties and tends to remove the seminal troubles (e. g., Mutra-s'ukra) as well. 20.

A compound consisting of Vala, S'vadamshtra, seeds of lotus (Krouncha)*, Tandula (i.e., seeds) of Kokilaksha †, roots of S'ata-parvan ‡, Devadaru, Chitraka and stone of Aksha, pasted together and dissolved in wine should be taken by a person. under the circumstances inasmuch as it removes the defects of urine and eliminates the gravels from the bladder. 21.

The ashes of burnt Patala wood, which are efficacious in relieving all sorts of urinary troubles, should be strained seven times in succession (after the manner of Kshara preparation) and taken with a small quantity of oil. In a similar way a paste of Nala, Ikshu, Darbha, As'ma-bheda and the seeds of Trapnsha and Ervaruka, should be duly washed in milk and filtered and taken in combination with clarified butter. Powders of Tvak, Ela and Tri-katu should be taken by the intelligent one in combination with the alkaline solution of the ashes of Patala, Yava-kshara, Paribhadra and Tila. Lamba-tives made of the powders of the above-mentioned drugs should be separately licked with treacle. 22 - 24.

Now I shall describe the measures which are beneficial in Mutra-dosha (urinary defects). Purgatives should be administered to a patient after the due application of Sneha and Sveda. Uttara-vastis should be injected after he has been duly purged. 25.

Sexual intercourse should be refrained from by a person afflicted with a discharge of blood from the Equal parts of Vala, stones of Kola-fruits, Yashti-madhu, S'vadamshtra (Gokshura), S'atavati, Mrinala (lotus-stem), Kas'eru, seeds of Ikshuraka, Sahasra-virya (Durba), Ams'umati (Sala-parni), Payasya (Vidari), Kala, S'rigalavinna(Pris'niparni), Ati-vala and the drugs of the Vrimhaniya (Kakolyadi) group should be duly boiled with four times of water of their combined weight and a Tula masure of treacle. When only a Drona measure of water would remain, it should be taken down and strained through a piece of linen. It should then be duly cooked with an Adhaka measure of clarified butter. The medicated Ghrita (thus prepared) with a Prastha measure of honey added to it (when cooled) should be kept in an earthen pitcher. By using this medicated Ghrita, one would be cured of all urinary troubles.* 29.

* Dallana explains Krounchasthi as bones of a Krouncha bird, but we are not inclined to accept this explanation.

† Some explain "Kokilakshaka-tandula" as meaning Kokilaksha and Tandula (rice) which meaning may also be accepted.

‡ "S'ata-parvan" may mean Durba-grabb or bamboo urethra owing to sexual excesses, and he should be treated with remedies which are constructive tonics (e. g. meat-soup, milk, clarified butter, * etc.). Uttara-vastis should be applied into the urethra, under the circumstances, with cock's lard and with oil, the process of applying which has already been elaborately described. (See Chikitsa, XXVII). 26-27.

Half a Patra measure of honey, one Patra measure of clarified butter churned from milk (Kshira-sarpis) † and equal parts of sugar, and powdered Draksha, Atmagupta-seed, Ikshuraka and Pippali, together weighing one half part i.e., half of half a Patra) should be thoroughly mixed by stirring the compound with a laddie. A Pani-tala (two Tolas) measure of this compound should be licked, followed by draughts of milk. By using this Ghrita, a man is relieved of all injurious principles of his body, and gets rid of distressing and dreadful urinary troubles which cannot otherwise be easily cured by any other remedy. It acts as an excellent blood-purifier, and, by using it, even a barren woman may get rid of her sterility and of all other vaginal and uterine complaints which usually obstruct or retard conception in females. 28.

*Dallana says that Kartika does not read this, in as much as this would increase the number originally mentioned, as also because this case has already been mentioned in Prameha. But according to Jejjata, this is mentioned here to make the case more clear.

† Dallana's reading here evidently is 'Kshira-sarpishah', but according to a variant the reading would be "Kshira-sarpish u" i.e., milk and clarified butter (taken together). The latter reading has the support of Chakrapani and Vrinda who, however, read these lines in a different way and prescribe the drugs in somewhat different proportions. The former reading 'Kshira-sarpishah' with the sixth case-ending is, however, more grammatical.

Thus ends the fifty-eighth chapter in the Uttara-Tantra of the Sus'ruta Samhita which deals with the (symptoms and) treatment of the suppression of urine (Mutraghata).

Additional Text

Powders of Tuga-kshiri and sugar should be mixed together with honey and licked in an auspicious day according to the digesting capacity of the patient and a draught of milk should then be taken. By its use the patient would be able to conquer all seminal troubles if he observes a perfect continence. One whose semen has been wasted by sexual excesses would get instantaneous relief; and a man who is possessed of vigour (Ojas) and strength would be refreshed and cheerful.