Changes

TrayAnAmesaM nidAnAdivisheShANAM sannipAte kShipraM shleShmA prakopamApadyate, prAgatibhUyastvAt; sa prakupitaH kShiprameva sharIre visRuptiM labhate, sharIrashaithilyAt;sa visarpa~j sharIre medasaivAdito mishrIbhAvaM gacchati, medasashcaiva bahvabaddhatvAnmedasashca guNaiH samAnaguNabhUyiShThatvAt;sa medasA mishrIbhavan dUShayatyenat, vikRutatvAt; sa vikRuto duShTena medasopahitaH sharIrakledamAMsAbhyAM saMsargaM gacchati, kledamAMsayoratipramANAbhivRuddhatvAt;  sa mAMse Ma MsapradoShAt pUtimA MsapiDakAH sharAvikAkacchapikAdyAH sa~jjanayati, aprakRutibhUtatvAt; sharIrakledaM punardUShayanmUtratvena pariNamayati,mUtravahAnAM ca srotasAM va~gkShaNabastiprabhavANAM medaHkledopahitAni gurUNi mukhAnyAsAdya pratirudhyate; tataH pramehAMsteShAM sthairyamasAdhyatAM vA janayati, prakRutivikRutibhUtatvAt ||8||

TrayAnAmesaM nidAnAdivisheShANAM sannipAte kShipraM shleShmA prakopamApadyate, prAgatibhUyastvAt; sa prakupitaH kShiprameva sharIre visRuptiM labhate, sharIrashaithilyAt;sa visarpa~j sharIre medasaivAdito mishrIbhAvaM gacchati, medasashcaiva bahvabaddhatvAnmedasashca guNaiH samAnaguNabhUyiShThatvAt;sa medasA mishrIbhavan dUShayatyenat, vikRutatvAt; sa vikRuto duShTena medasopahitaH sharIrakledamAMsAbhyAM saMsargaM gacchati, kledamAMsayoratipramANAbhivRuddhatvAt;  sa mAMse Ma MsapradoShAt pUtimA MsapiDakAH sharAvikAkacchapikAdyAH sa~jjanayati, aprakRutibhUtatvAt; sharIrakledaM punardUShayanmUtratvena pariNamayati,mUtravahAnAM ca srotasAM va~gkShaNabastiprabhavANAM medaHkledopahitAni gurUNi mukhAnyAsAdya pratirudhyate; tataH pramehAMsteShAM sthairyamasAdhyatAM vA janayati, prakRutivikRutibhUtatvAt ||8||

Etiological factors (especially kapha-dominant ones), doshas, and dushyas mentioned in the preceding verses can trigger the manifestation of kaphaja prameha. The aggravated kapha spreads all over the body quickly because of flaccid muscles and fatty tissues. The kapha blends quickly with the medas (fat) – primarily because the fats typically are excessive in quantity and viscous and soft in "favorable" body conditions but also because kapha and medas share identical qualities. As kapha itself is vitiated, it vitiates medas in the process. The vitiated kapha - meda then mixes with mamsa (muscle tissues) and kleda (moisture/body fluid), in as much as these two are supposed to have already exceeded their quantity.Vitiation of the muscle tissues provides a congenial atmosphere for the manifestation of putrified carbuncles (pidika) like sharavika and kacchapika in the muscle.The liquid dhatus in the body get further vitiated and transformed into mutra (urine). Vrikka (kidney) and basti (urinary bladder) are at the two ends of the channels carrying urine; the openings of these channels get affected by meda (fat) and kleda. The vitiated kapha obstructs the openings of these channels. This results in the manifestation of prameha which becomes chronic or incurable due to the affection of all qualities of kapha and simultaneous vitiation of homogenous and heterogenous dhatus. [8]

Etiological factors (especially ''kapha''-dominant ones), ''doshas'', and ''dushyas'' mentioned in the preceding verses can trigger the manifestation of ''kaphaja prameha''. The aggravated ''kapha'' spreads all over the body quickly because of flaccid muscles and fatty tissues. The ''kapha'' blends quickly with the ''medas'' (fat) – primarily because the fats typically are excessive in quantity and viscous and soft in "favorable" body conditions but also because ''kapha'' and ''medas'' share identical qualities. As ''kapha'' itself is vitiated, it vitiates ''medas'' in the process. The vitiated ''kapha - meda'' then mixes with ''mamsa'' (muscle tissues) and ''kleda'' (moisture/body fluid), in as much as these two are supposed to have already exceeded their quantity. Vitiation of the muscle tissues provides a congenial atmosphere for the manifestation of putrified carbuncles (''pidika'') like ''sharavika'' and ''kacchapika'' in the muscle. The liquid ''dhatus'' in the body get further vitiated and transformed into ''mutra'' (urine). ''Vrikka'' (kidney) and ''basti'' (urinary bladder) are at the two ends of the channels carrying urine; the openings of these channels get affected by ''meda'' (fat) and ''kleda''. The vitiated ''kapha'' obstructs the openings of these channels. This results in the manifestation of ''prameha'' which becomes chronic or incurable due to the affection of all qualities of ''kapha'' and simultaneous vitiation of homogenous and heterogenous ''dhatus''. [8]

==== Signs, types, and prognosis of kaphaja prameha ====

==== Signs, types, and prognosis of kaphaja prameha ====