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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…

Ten kinds of boils said to occur in prameha patients, each named after its form; they arise from the three doshas and show their signs.

Although prameha arises from the three doshas, it takes many forms through the differences of the doshas and which of them is primary or secondary, just as one actor plays many moods and…

After purgation the prameha patient is given a niruha (decoction) enema prepared from niruhana drugs mixed with cow urine and sesame oil, and is then fed on the prescribed foods.

After the body is oiled with sesame, linseed and mustard oil, the prameha patient is given emesis with neem juice and a decoction of madanaphala, and purgation with purgative drugs.

The prameha patient should constantly practise exertion, such as riding elephants and horses, weapon practice with the staff and similar arms, and running.

When, with the prodromes present, a person begins to pass much urine, it is to be called prameha, and the patient is called pramidha. The commentary adds that if prameha is not treated…

Aggravated kapha, pitta and vata, together with fat (medas), reach the bladder and, ripening there, produce prameha; turbid urine then flows out in large amounts and often, which the…

When the prameha patient passes urine that is clear, very bitter, dry, alkaline, slightly warm and free of turbidity, only now and then and in small amounts, he is to be considered free of…

The physician who knows everything should carefully determine the signs and form of the prameha arising from the three doshas according to which dosha is aggravated, and then treat all…

To destroy prameha a person should constantly practise exertion: riding elephants and horses, practising all kinds of weapons such as the staff, running and similar activities that tire the…

Eating too much heavy, liquid, unctuous and cold food, sleeping much by day, avoiding exertion and idleness are said to produce prameha; it is to be diagnosed once its signs appear.

The prameha patient keeps to dry (ruksha) food and gives up alcohol, asava and arishta, milk, ghee, tamarind and other sour things, plenty of sweet food, curd, sugarcane and meat.

The prameha patient's body is first oiled with sesame, linseed and mustard oil; he is then made to vomit with neem juice and the decoction of madanaphala fruits, and purged with purgative…

After purification the prameha patient is fed on priyangu, wild kodo millet, rice flour, foxtail millet, wheat and barley, with astringent, bitter and pungent things, and with pigeon pea,…

The wound is cleansed with cleansing drugs, filled with a healing paste, covered with leaves and wrapped in fine cloth; the next day the bandage is opened, the pus pressed out, the wound…

For prameha boils, leeches are first applied over the boils to let blood, and then strong purgation is given; the text warns that the madhumeha patient is hard to purge.

Sub-heading that opens the section on prameha; its causes, prodromes, pathogenesis, signs, boils, complications, incurable signs and treatment follow under their own headings.

Burning in the hands, feet and body, much thirst, a very unctuous and sticky body, great sweetness in the mouth and overeating are the prodromal signs of prameha.

Prameha patients whose turbid urine flows like fat, ghee or honey or like the rut fluid of an elephant, who have the complications described, boils on the anus, shoulders, heart region,…

A poor prameha patient of low birth should dig wells, tanks and step-wells and always tend cows and buffaloes; he should eat once a day the food he gets by begging and drink water of the…

Sharavika, sarshapika, jalini, putrini, kacchapika, masurika, vidarika, vidradhika, alaji and vinata; they are treated with leeches and strong purgation, ripening applications, incision,…

A prameha patient should give up alcohol, asava and arishta, milk, ghee, tamarind and other sour things, plenty of sweet food, curd, sugarcane and meat, and keep to dry (ruksha) food.

It turns in time into madhumeha; the patient is then called madhumehi and develops prameha boils.