Nidāna of Mūtraghāta and Aśmarī: Doṣa-based Types, Signs, and Named Urinary Syndromes
मूत्रसङ्गं रुजं कण्डूं कदाचिच्च सुवामतः / प्रच्छाद्य बस्तिमुद्धृत्य गर्मान्तं स्थूलविप्लुताम्
mūtrasaṅgaṃ rujaṃ kaṇḍūṃ kadācicca suvāmataḥ / pracchādya bastimuddhṛtya garmāntaṃ sthūlaviplutām
เกิดการขัดปัสสาวะ ปวด และคัน—บางคราวทุกข์ร้อนอย่างยิ่ง. เมื่อบริเวณกระเพาะปัสสาวะถูกปิดกั้นและเหมือนถูกดึงยกขึ้น ในที่สุดจะลงเอยด้วยความร้อนแสบร้อนและอาการบวมพองตึง.
Lord Viṣṇu (in dialogue with Garuḍa)
Dosha: Vata
Concept: Symptomatology of urinary obstruction progressing to burning and swelling when the bladder region is blocked and drawn upward (udvṛtta/uddhṛta).
Vedantic Theme: Duhkha as a signal within embodied existence; knowledge of symptoms supports right action (pravṛtti) and restraint (nivṛtti) in habits.
Application: Recognize warning signs (saṅga, ruja, kaṇḍū, dāha, śotha); avoid self-neglect; consult qualified care before severe distension develops.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.158.20 (cause: pratiloma and vāyu at bladder-mouth); Garuda Purana 1.158.22 (drop-by-drop urine, burning, throbbing); Garuda Purana 1.158.23 (vāta-basti naming)
It lists urinary blockage (mūtra-saṅga), pain (rujā), itching (kaṇḍū), burning heat (garma), and swelling/distension (sthūla-vipluta) around the bladder.
It does not; the verse is symptom-focused medical instruction rather than an account of preta-yātrā or Yama’s realm.
Treat persistent burning urination, pain, itching, or retention as serious signs; avoid suppressing urges and seek appropriate care early.