Reference:
C.Chi.26, S.U.59, A.H.Ni.9, M.Ni.30, M.Ni.31.
Nirukti:
- Mootrakrichchhre Mootram Krichchhren`a Vahati | Chakraapaan`i
- Mootrasya Krichchhren`a Mahataa Duhkhena Pravrittih | M.Ni.31/1-2 Madhukos`ha
- Mootrakrichchhram Duhkhena Mootra Pravrittih | S.U.59/1-2
Mootrakrichchhra is a disease related to Mootravaha Srotas where Mootra is passed with trouble or pain.
Synonyms:
- Krichchhra M.Ni.30/3-8
- Mootropaghaata S.U.59/3 (Mootropaghaatah Mootrakrichchhra Eva – D`alhan`a)
Mootrakrichchhra is a diseases related to Mootravaha Srotas where there is painful micturation.
The formation of urine is not hampered but the evacuation of urine is hampered due to any obstruction in the Mootravaha Srotas.
Some scholars say that Mootraaghaata is nothing but Motrakrichchhra. (S.U. 59/1-2 D`alhan`a)
Types:
Vaagbhat`a has considered Mootrakrichchhra under Mootraaghaata. He has counted 20 Mootraaghaata
He has not counted Mootrakrichchhra differently. Thus he explains Mootraaghaata like this:
- Vaataja Mootrakrichchhra
- Pittaja Mootrakrichchhra
- Kaphaja Mootrakrichchhra
- Saannipaatika Mootrakrichchhra
- Vaataja As`hmaree
- Pittaja As`hmaree
- Kaphaja As`hmaree
- S`hukraas`hmaree
- Vaatabasti
- Vaataasht`heelaa
- Vaatakun`d`alikaa
- Mootraateeta
- Mootrajat`hara
- Mootrotsanga
- Mootragranthi
- Mootras`hukra
- Vid`vighaata
- Ushn`avaata
- MootraKshaya
- Mootrasaada
Mootrakrichchhra Types: Comparative Study
| Charaka Samhitaa | Sus`hruta Samhitaa | Vaagbhat`a | Maadhava Nidaana |
| Vaataja | Vaataja | Vaataja Mootrakrichchhra | Vaataja |
| Pittaja | Pittaja | Pittaja Mootrakrichchhra | Pittaja |
| Kaphaja | Kaphaja | Kaphaja Mootrakrichhhra | Kaphaja |
| Saannipaatika | Saannipaatika | Saannipaatika Mootrakrichchhra | Saannipaatika |
| Mootraas`hmareeja Mootrakrichchhra | As`hmareeja | Vaataja As`hmareeja | As`hmareeja (S`harkaraaja) |
| (Retas) Abhighaataja Mootrakrichchhra | Pureeshaja | Pittaja As`hmareeja | Pureeshaja |
| S`hukraja Mootrakrichchhra | Kaphaja As`hmareeja | S`hukraja | |
| Kshataja / Kshayaja / Raktaja | Abhighaataja | S`hukraas`hmareeja | S`halyaja |
| S`harkaraaja |
Types according to Charaka Samhitaa
- Vaataja
- Pittaja
- Kaphaja
- Saannipaatika
- Mootraas`hmareeja Mootrakrichchhra
Vaataja Mootraas`hmaree
Pittaja Mootraas`hmaree
Kaphaja Mootraas`hmaree
S`hukraja Mootraas`hmaree - (Retas) Abhighaataja Mootrakrichchhra
- S`hukraja Mootrakrichchhra
- Kshataja / Kshayaja / Raktaja
Types according to Sushruta Samhitaa
- Vaataja
- Pittaja
- Kaphaja
- Saannipaatika
- Abhighaataja
- Pureeshaja
- As`hmareeja
- S`harkaraaja
Types according to Maadhava Nidaana
- Vaataja
- Pittaja
- Kaphaja
- Saannipaatika
- S`halyaja
- Pureeshaja
- S`hukraja
- As`hmareeja (S`harkaraaja)
Sampraapti:
Dosha singly or simultaneously get aggravated due to their causative factors.
They harbor in to the Basti (Urinary Bladder)
These aggravated Dosha cause damage to the Mootravaha Maarga (Urinary Tract)
Ultimately, a person urinates with pain, which is called as Mootrakrichchhra.
Vaataja:
There is severe pain at the Vamkshan`a region, Basti, Med`hra. The amount of urine is less. This is Vaataja Mootrakrichchhra.
According to Sus`hruta, there is relatively less urination.
Pittaja:
Pittaja Mootrakrichchhra is a condition where urination is yellow coloured, blood stained, painful and with burning sensation.
According to Sus`hruta, there is Haaridra coloured urination. Patient feels as if it is burnt by Agni.
Kaphaja:
There is शोथ, Gurutva (heaviness) in the Basti. The urination is with Pichchha (like the scum of boiled rice).
According to Sus`hruta, there is bristling of the hairs in Kaphaja Mootrakrichchhra.
Saannipaatika:
All the symptoms and signs get manifested in this Saannipaatika Mootrakrichchhra. This is more severe than other types.
According to Sus`hruta, there is burning sensation or cold sensation while urination. The urine becomes multicoloured. There is Tamahpraves`ha.
Mootraas`hmaree:
Vaayu dries out the S`hukra or Pitta or Kapha in the urine, which leads in to the stone or gravel formation like a bright yellow orpiment prepared from the bile of cattle (Gorochana).
In other texts four types of अश्मरि are described
- Vaataja
- Pittaja
- Kaphaja
- S`hukraja
Sus`hruta has explained the involvement of Kapha in all the types of अश्मरि.
The gravel formed resembles to the flower of Kadamba having three compartments (Triput`ee), when it is caused due to Vaata. It is smooth (S`hlakshn`a) when it is caused due to Pitta. It is Mridu when this gravel is formed due to Kapha.
This gravel obstructs the urinary tract (Mootramaarga) causing pain in the Basti, Sevanee and Mehana. The flow of the urine becomes shattered (Vis`heern`a). A person feels squeezing in the penis (Mridgaati). There is severe pain. A person urinates and evacuates stools frequently. This gravel may cause ulcer in the urinary tract. This may lead to the heamaturia. When this gravel gets passed then a person can urinate without pain.
Mootras`harkaraa:
When the gravel in the Urinary tract breaks out due to the Vaayu, then this gravelly mould passes out through urinary tract, this is called Mootras`harkaraa.
This Mootras`harkaraa is not considered as different entity; but it is included under Mootraas`hmaree only.
(Retas) Abhighaataja:
When the natural urges related to S`hukra are suppressed, then it causes Mootrakrichchhra.
There is pain in the Vamkshan`a, Basti, Med`hra. There is severe pain in the Vrishan`a.
This obstructed S`hukra causes obstruction in the flow of urine causing painful micturition. This is Retas Abhighaataja Mootrakrichchhra.
There is rigidity in the scrotum (An`d`a Stabdhataa)
This is Reto Abhighaataja Mootrakrichchhtra.
S`hukraja Mootrakrichchhra:
Dosha obstruct S`hukra in the Mootraas`haya (Basti) causing obstruction in the urination.
This manifests with the Mehana, Basti S`hoola. There is urination with the S`hukra. Basti and Vrishan`a become rigid (Stabdha), oedematous (S`hoona) and with severe pain (Bhris`ha Vedanaa)
Kshataja or Kshayaja (Raktaja) Mootrakrichchhra:
Due to S`hukra Kshaya or Kshata in the urinary tract, there is Vibaddhatva of Basti (obstructed). If urine gets retained for longer duration, then there is sever pain and there may be formation of अश्मरि. There is Basti Aadhmaana and Basti Gurutaa. When this urine gets passed out then there is Basti Laghutaa.
This Kshataja or Kshayaja Mootrakrichchhra is also called as Raktaja Mootrakrichchhra.
Chakrapaan`i says that Mootraaghaata explained in Sootrasthaana of Charaka Samhitaa are described in Chikitsaasthaana of Charaka Samhitaa as Mootrakrichchhra. Ch. Chi. 26.43-44 Chakrapaan`i
S`halyaja Mootrakrichchhra:
Due to any foreign body, the trauma is caused in the Mootravaha Srotas which causes severe Mootrakrichchhra. The symptoms are same as of Vaataja Mootrakrichchhra.
Pureeshaja Mootrakrichchhra:
Due to obstruction of stools, there is Vigun`atva of Vaayu. This causes Aadhmaana, Vaatas`hoola and Mootrasang. This retention of urine (Mootrasanga) is a causative factor of As`hmaree.
S`hukraja Mootrakrichchhra:
S`hukra vitiated due to Doshatraverse to the Mootra maarga. This causes painful micturation with the S`hukra. There is Basti, Mehana S`hoola. This is S`hukraja Mootrakrichchhra.
As`hmareeja Mootrakrichchhra:
अश्मरि and S`harkaraa both have same symptoms and signs.
When in a gravel which is Pachyamaana by Pitta and S`hoshyamaan`aa by Vaayu, also which is losing its bonds (Vimukta Kapha Sandhaana), turns in to the S`harkaraa.
There is Hrit Peed`aa, Vepathu, Kukshi S`hoola and Agni Daurbalya. When this gravel passes out, the pain gets specified.
Mootraaghaata
Reference:
C.Chi.9,S.U.58, A.H.Ni.9, M.Ni.31
Nirukti:
- Mootraaghaate Mootram S`hoshyate Pratihanyate Vaa | C.Chi.26/43-44 Chakrapaan`i
- Mootraaghaato Mootraavarodhah, Kechid Aaghaata S`habdena Dusht`im Aahuh, Na tu Avarodham | S.U.58/1
Mootraaghaata is a disease where Mootra is depleted or its formation is hampered.
Mootraaghaata Types: Comparative Study
| Charaka Samhitaa13 types according to Charaka | Sus`hruta Samhitaa12 types according to Sus`hruta | Vaagbhat`a12 types according to Vaagbhat`a | Maadhava Nidaana13 types according to Maadhava Nidaana | |
| 1 | Mootraukasaada | Mootraukasaada 2> Vaataja and Pittaja | Mootra Saada | Mootra Saada |
| 2 | Mootra Jat`hara | Mootra Jat`hara | Mootra Jat`hara | Mootra Jat`hara |
| 3 | Mootra Krichchhra | |||
| 4 | Mootrotsanga | Mootrotsanga | Mootrotsanga | Mootrotsanga |
| 5 | Mootra Samkshaya | Mootra Kshaya | Mootra Kshaya | Mootra Kshaya |
| 6 | Mootraateeta | Mootraateeta | Mootraateeta | Mootraateeta |
| 7 | Anilaasht`heelaa | Asht`heelaa (Vaataasht`heelaa > D`alhan`a) | Vaataasht`heelaa | Asht`heelaa |
| 8 | Vaata Basti | Vaata Basti | Vaata Basti | Vaata Basti |
| 9 | Ushn`amaaruta | Ushn`avaata | Ushn`avaata | Ushn`avaata |
| 10 | Vaatakun`d`alikaa | Vaatakun`dalikaa | Vaatakun`dalikaa | Vaatakun`dalikaa |
| 11 | Mootra granthi | Mootra granthi | Mootra granthi | Mootra granthi |
| 12 | Vid`ghaata | Vid`vighaata | Vid`vighaata | |
| 13 | Bastikun`d`ala | Bastikun`d`ala | ||
| 14 | Mootra S`hukra | Mootra S`hukra | Mootra S`hukra |
Mootrraukasaada:
When Pitta or Kapha or Both gets solidified in the Basti, due to Vaata; then there is Rakta, Peeta and Ghana (viscid) urination. There is burning micturation. The urine turns in to white colour and it becomes Saandra viscid. This may happen due to Vaata Kapha or Pitta Vaata or Tridosha. This may manifest with all the symptoms. This is called as Mootraukasaada.
This is Piittakrita Vikaara according to Sus`hruta. This Pitta gets dried in the Basti like Gorochana.
This also causes due to Kapha, where Kapha gets dried up in the Basti.
Vaagbhat`a and Maadhava Nidaana named it as Mootra Saada.
Mootrajat`hara
Due to suppression of natural urge of urine Vaayu gets aggravated (Vaatodaavarta). This distends the abdomen causing pain without any cause. There is Apakti (indigestion), Mootra Sanga, Vit` Sanga. This is Mootra Jat`hara.
According to Maadhava Nidaana and Sus`hruta, there is Apaana Prakopa, which inflates the abdomen.
Mootra Krichchhra
When Mootra Vega is present, and in this condition when sexual act is performed by a person; then the Retas lifted up by the Vaata gets secreted out before or after the urine, then it is called as Mootra Krichchhra.
Maadhava Nidaana, Vaagbhat`a and Sus`hruta has described it as Mootra S`hukra. In this Mootra resembles to Bhasmodaka.
Mootrotsanga
Due to vitiation of Mootravaha Srotas (Kha Vaigun`ya) and Vaata Aakshepa (Prakopa); there is no withholding of urine but it retains at the joint of the Man`i Sandhi.
This retained urine gets passed out afterwards with or without pain. There is heaviness (gurutaa) in the penis (Uchchheshagurus`hephas).
According to Sus`hruta, the urine gets retained in the Med`hra or Man`i. It may pass with Blood (Sarakta).
Mootra (Sam)Kshaya
It is manifested with symptoms of Vaata Prakopa. There is शोष (desiccation) of urine. This is Mootra Samkshaya.
According to Sus`hruta, Pitta and Vaata residing at Basti causes दाह, Vedanaa causing deception of Urine.
Mootraateeta
When the urine is retained for long time, then at the time of urination; it does not pass out easily. It passes slowly, called as Mootraateeta.
(Vaataa) Asht`heelaa
Aggravated Vaayu causes Basti Aadhmaana (inflated Basti) and obstruction of Guda (Guda Rodha). Ultimately, it results in the elevated and mobile (Chala) globular swelling called as Asht`heelaa. There is severe pain also. This Asht`heelaa causes obstruction of Pureeshavha and Mootravaha Srotas.
According to Vaagbhat`a and Sus`hruta, the Granthi is not Chala (it is stable). According to Maadhava Nidaana, Asht`heelaa is Chala.
Vaatabasti
In a person who suppresses natural urge of urine, Vaayu gets aggravated manifesting with Mootra Rodha, Arti (pain), Kan`d`oo called as VaataBasti.
According to Vaagbhat`a, in a person who suppresses the urge of urine, Vaayu obstructs the opening of the Basti (Basti Mukha). It manifests with Mootra Sanga, Rujaa, Kan`d`oo. There may be the displacement of the Basti and then it resembles to the Garbha. There is Rug, Daaha, Spandana, Udvesht`ana. The urine passes drop by drop; when it is manipulated, a stream of the urine gets passed.
This is Krichchhrasaadhya.
Another type of the VaataBasti is due to only Vaata Dosha and it is more difficult to treat. It is Dustaratara.
This Vaatabasti of Vaagbhat`a resembles to the BastiKun`d`ala of Charaka.
This is Krichchhrasaadhya according to Maadhava Nidaana.
Ushn`avaata
Due to heat, hot urine, which is Rakta and Peeta, is passed with pain. There is Basti, Upastha S`hoola and Daaha. According to Sus`hruta, there is Vaataavrita Pitta at the Basti. There is दाह in Basti, Med`hra, Guda.
Vaatakun`d`alikaa
Due to Gati Sanga (immobilization of Vaayu), it gets upward direction (उदावर्त). This Vaayu harbors in the Mootra Shtaana and Maarga which is whirling.
This Vaayu ultimately, obstructs Mootra manifesting with Stambha, Bhanga, Gaurava, Vesht`ana. There is severe pain, Mootra and Vit` Sanga. This is called as Vaata Kun`d`alikaa.
Mootra Granthi (Rakta Granthi)
At the mouth of Basti, there is formation of gland (Granthi), due to vitiation of Rakta by Vaata and Kapha. This obstructs the urine and painfully passed out.
There is a pain resembling to the अश्मरि. It is called as Rakta Granthi.
Vid`vighaata
Vid`yukto Vighaatah Vid`Vighaatah | C.Si.9/43
In a Rooksha and Durbala person, when Pureesha is carried in to the Mootravaha Srotas, then there is stool-smelled urination. This is called as Vid`vighaata.
BastiKun`d`ala
Due to the causative factors, Basti is turned up and remain there like Garbha. There is S`hoola, Spandana, Daaha. The urine is passed drop by drop. When the Basti is manipulated, it passes with stream of urine. There is pain also. This is Basti Kun`d`ala,
a serious and acute disease.When this Vaatakun`d`ala is caused by Vaata, then it is Asaadhya.
When there is association of Pitta, then it manifests with Daaha, S`hoola, Mootra Vivarn`ataa.
When there is association of Kapha, then it manifests with Gaurava, S`hopha, Snigdha, Ghana and Sita Mootrataa.
Asaadhya Criteria
- S`hleshma Ruddha Basti
- Kun`d`alikruta Basti
- Pittodeern`a Basti
Saadhya Criteria: Avibhraanta Bila Basti
Last updated on February 11th, 2021 at 10:46 am