Prameha is the first of the major diseases treated in chapter 11. The text gives its causes (too much heavy, liquid, unctuous and cold food, day sleep, lack of exertion), its prodromes, its pathogenesis (the doshas with fat reach the bladder and ripen there), its chief sign of copious turbid urine and its many forms, followed by its complications, incurable signs and treatment.
Names and synonyms
- Sanskrit
- प्रमेहमेह
- Hindi
- प्रमेहपेशाब के रोग
- English
- Pramehapramehaurinary disorderspolyuriametabolic urinary disorders
- Romanized
- prameha
What the text says
Each statement reports the source, with its chapter, page and verse. Traditional descriptions are not presented as proven medical facts.
Definition1
When, with the prodromes present, a person passes much urine, the disease is to be called prameha, and one who has it is called pramidha.
Classification2
Though it arises from the three doshas, prameha is said to be of many kinds because of the differences among the doshas and their primary or secondary roles, as one actor takes on many moods and natures.
Prameha patients are said to be of two kinds, thin and stout, whether by birth or from unwholesome diet.
Causes1
Eating too much heavy, liquid, unctuous and cold food, much sleep by day, lack of exertion and idleness are said to produce prameha.
Early signs1
Burning in the hands, feet and body, much thirst, a very unctuous and sticky body, great sweetness in the mouth and overeating are named as the prodromal signs.
Signs and symptoms4
Turbid urine flowing out in large amounts is called the chief sign of prameha.
The complications of kapha-type prameha are named as loss of appetite, indigestion, discharge of phlegm, pinasa (a nasal disease), lethargy, excessive sleep, flies settling on the patient and sliminess of the mouth.
The complications of pitta-type prameha are named as sores on the penis and scrotum, colic with pain in the bladder, burning, thirst, a sour taste in the mouth, fever, fainting, mada and pandu.
The complications of vata-type prameha are named as a gripping feeling in the heart, craving for sense objects, sleeplessness, tremor, severe colic, retention of stool, cough, hiccup, breathlessness and dryness of the mouth.
How it develops1
Aggravated kapha, pitta and vata, together with fat (medas), go to the bladder and, ripening there, produce prameha.
Treatment principle1
The physician should carefully determine the signs and form of the prameha produced by the three doshas according to which dosha is aggravated, and treat all prameha patients on that basis.
Prognosis3
All pramehas are said to be by their nature hard to overcome.
Patients whose turbid urine flows like fat, ghee or honey or like an elephant's rut fluid, who have the complications, boils on the anus, shoulders, heart, back, head, throat, abdomen or vital points, who dream of swimming in or drinking from rivers and seas, and whose bodies are wasted are said to die soon, and treating them is called futile.
A prameha patient is to be considered free of the disease when he passes urine that is clear, very bitter, dry, alkaline, slightly warm and not turbid, only now and then and in small amounts.
Where else is this mentioned?
Named 45 times on 22 pages. These are automatic name matches, so a few may refer to something else with the same name.
- Book page 47Chapter 4… ांद्य, अनाह, विशूचिका आदि रोगों को पैदा करते हैं, बस्ति को आश्रय करें प्रमेह मूत्रकृछ्र, मूत्राघात, अशमरी आदि को उत्पन्न करते हैं इत्यादि। तदनंतर …
- Book page 115Chapter 8… मयेत्॥36॥ भावार्थ : गुल्मरोगी, तिमिररोगी, रक्तपित्त, अर्दित, आक्षेपक, प्रमेह, बहुत पुराना पांडुरोग, बवासीर और क्षतोदर से पीडित व्यक्ति को एवं रूक् …
- Book page 122Chapter 8… रम, श्वास, कास, कुष्ठ, उदररोग, तृषा बवासीर, अल्पवयस्क, गर्भिणी, क्षय, प्रमेह, कृश, दुर्बलाग्नि, उन्माद इत्यादि से पीडित एवं प्रबल वातरोग से रहित उ …
- Book page 158Chapter 11… भगंदरं चाहुरशोषवेदिन:॥ 4॥ भावार्थ : सब विषय को जानने वाले (सर्वरा) प्रमेह, कुष्ठ, उदररोग, वातव्याधि, मूढगर्भ, बवासीर, अशमरी, भगंदर, इनको महारोग …
- Book page 159Chapter 11×12… पत्ति को रोकने के उपाय, आदियों के साथ निरूपण करेंगे। अथ प्रमेहाधिकार: प्रमेह निदान गुरुद्रवस्निग्धहिमातिभोजनं। दिवातिनिद्रालुतया श्रमालसं॥ न …
- Book page 160Chapter 11×3कल्याणकारके / महामयाधिकार: 160 प्रमेह का लक्षण स पूर्वरूपेषु बहूदकं यदा। स्रवेत्प्रमेहीति विनिर्दिशोन …
- Book page 162Chapter 11×4… तिनिद्रा रोगी के ऊपर मक्खी बैठना, मुख में लिवलिवाहट होना, इत्यादि कफज प्रमेह में उपद्रव होते हैं। पैत्तिक प्रमेह के उपद्रव समेद्मुष्क़ातवस्तितोदनं …
- Book page 163Chapter 11×3… हो, ऐसे प्रमेही रोगी जल्दी मर जाते हैं। उनकी चिकित्सा करना व्यर्थ है। प्रमेह चिकित्सा सदा त्रिादोषाकृतिलक्षणोक्षित - प्रमेहरूपाणयधिगम्य यत्नत:। भि …
- Book page 164Chapter 11×2… वहाँ अच्छी तरह संस्कृत होने के बाद निकालकर प्रमेही को सेवन करावें तो प्रमेह रोगदूर हो जाता है। निशादि क्वाथ निशां समुस्तात्रिफलां सुरेंधनम्। विपच …
- Book page 165Chapter 11×4… फला इनसे बनाये हुए कषाय में नागरमोथा का कल्क मिलाकर पिलाने से पैत्तिक प्रमेह दूर होता है। कपित्थादि क्वाथ कपिस्थबिल्वासनधावनीनिशा। हरीतकाक्षमलकार् …
- Book page 166Chapter 11… ्रमेहिण:॥ 43॥ भावार्थ : उपरोक्र प्रकार से आहार, विहार, औषध आदि द्वारा प्रमेह रोगी की चिकित्सा न की जावे, तो उसके शरीर के निचले भाग में नाना प्रकार …
- Book page 168Chapter 11… है। त्वचा के समतल व समान वर्ण होना यह रूढ (भरा हुआ) व्रण का लक्षण है प्रमेह विमुक्त लक्षण यदा प्रमेही विशदातितिक्तकं। सरूक्षसक्षरकदुष्णमूत्राकम्। …
Questions and answers
Which diseases does the Kalyanakarakam call the major diseases (mahamaya)?
Prameha, kushtha, udara, vatavyadhi, mudhagarbha, haemorrhoids, urinary stone and fistula-in-ano.
Detailed answer and sourcesWhat causes prameha according to the text, and what are its prodromal signs?
Too much heavy, liquid, unctuous and cold food, much day sleep, lack of exertion and idleness; the prodromes are burning in the hands, feet and body, thirst, an unctuous sticky body, sweetness in the mouth and overeating.
Detailed answer and sourcesWhat does the commentary say happens if prameha is not treated quickly?
It turns in time into madhumeha; the patient is then called madhumehi and develops prameha boils.
Detailed answer and sourcesBy what signs is a prameha patient known to be free of the disease, and when is he called incurable?
He is free when he passes urine that is clear, very bitter, dry, alkaline, slightly warm and not turbid, only now and then and in small amounts.
Detailed answer and sourcesAll references
Every page and verse of the source that this entry draws on.
- Chapter 11 · p. 159 · v. 6
- Chapter 11 · p. 159 · v. 7
- Chapter 11 · p. 159 · v. 8
- Chapter 11 · p. 159 · v. 9
- Chapter 11 · p. 160 · v. 10
- Chapter 11 · p. 162 · v. 22
- Chapter 11 · p. 162 · v. 23
- Chapter 11 · p. 162 · v. 24
- Chapter 11 · p. 163 · v. 25-27
- Chapter 11 · p. 163 · v. 28
- Chapter 11 · p. 163 · v. 29
- Chapter 11 · p. 169 · v. 56
Quick facts
- Content type
- Condition
- Categories
- MetabolicKidney and urinary
- Source pages with records
- 5
- Pages naming it
- 22
- Chapters
- Chapter 11
- Extraction tasks
- T08
- Record id
- condition_prameha