Prameha-Nidāna-Lakṣaṇa-Bheda: Etiology, Signs, Varieties, and Complications of Meha
मूत्रयेत्सिकतामेही सिकतारूपिणो मलान् / शीतमेही सुबहुशो मधुरं भृशशीतलम्
mūtrayetsikatāmehī sikatārūpiṇo malān / śītamehī subahuśo madhuraṃ bhṛśaśītalam
سِکتا-مہی پیشاب میں ریت/کنکری جیسے ذرّات کی صورت میں فضلات نکالتا ہے۔ شیّت-مہی بار بار پیشاب کرتا ہے—پیشاب شیریں اور نہایت ٹھنڈا ہوتا ہے۔
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Kapha
Concept: Differentiation of sikatā-meha (gravel/sandy wastes) and śīta-meha (very frequent, sweet, extremely cold urine).
Vedantic Theme: Right discernment (viveka) applied to embodied signs; the body as a vehicle requiring maintenance for higher aims.
Application: If urine contains gritty particles, suspect sikatā-meha; if urination is very frequent with sweet, very cold urine, suspect śīta-meha; seek evaluation, hydration/diet correction, and appropriate therapy.
Primary Rasa: shanta
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.159 (continued prameha subtypes; sikatā and śīta variants)
It gives diagnostic-style signs of two urinary disorders: sikatā-meha (gritty/sandy discharge) and śīta-meha (frequent urination with sweet, very cold urine).
In the Preta Kanda’s didactic flow, such symptom descriptions support the broader teaching that embodied suffering—including disease—can be viewed within a moral-causal (karma) framework while also being observable through physical signs.
Treat the verse as an early symptom-note: persistent frequent urination, sweetness/odor changes, or gritty discharge should prompt timely medical evaluation, along with disciplined living (diet, restraint, and ethical conduct) emphasized in dharma texts.