Signs determined by types of precipitation

First, we will say the meaning of the terms “sediment” and “sludge” in the use of physicians does not correspond to their usual use, for physicians, when saying “sediment” or “sludge,” do not mean only that which settles, but mean everything that, in their own way, consistency is thicker than wateriness and separates from it, being in suspension or floating to the surface of the liquid.

We say urine sediment, which serves as a sign, is determined differently: by substance, quantity, quality, position of particles, place of deposition, time and state of their mixtures.

As for the signs determined by the substance of precipitation, it must be said that praiseworthy and natural precipitation indicates the natural digestion of food and the natural maturity of matter. A commendable and natural sediment is a white sediment, the particles of which are connected to each other, similar

each other and have the same size; It is also necessary that these particles have a round shape, be smooth, even, thin and resemble sediments of rose water.

Such sediment indicates the maturity of matter throughout the body, just as white, smooth and thick pus indicates the maturity of a tumor. However, the pus is thicker, and these sediments are thinner.

Sediment and sludge can be good indicators, even if they are uncolored and uneven. Earlier doctors believed that the evenness of sediment was the best evidence of maturity. And indeed, if the sediment is even, but not as white as said above, but red, then this is better than white, uneven sediment.

Most of the sediment is the color of urine; Apart from white, the best is the red precipitate, followed by yellow and then orange. The worst sediment is considered to be lentil-colored. The words of later doctors are not worthy of attention, because white color is sometimes not a sign of maturity, and uniformity occurs only with maturity.

Sometimes the white color of the sediment is due to the presence of a strongly mixed wind. Poor and uneven sediment is better than poor, even sediment. Bad sediment will be discussed below.

As for the good sediment that we talked about, it resembles liquid pus and liquid immature mucus. However, pus differs from sediment by its foul odor, and immature mucus by the density of its particles; the sediment differs from these two in its thinness and lightness. The presence of such a sediment in patients is more desirable than in healthy ones, because, of course, a patient has lingering bad juices in his body and vessels, and if these juices do not ripen, this means that they are spoiling. And in a healthy person, it is not necessary that there is always spoilage juice in his vessels, so most likely the presence of such sediment in the urine indicates excess, separated from undigested food, which then settles in mature or immature urine.

There is little sediment in the urine of thin, healthy people, especially in people who exercise and do hard work.

There is more of this sediment in the urine of sedentary and obese people. In addition, one should not expect the urine of thin and sick people to contain as much sediment as the urine of obese patients, because in thin people, for the most part, the disease is completely eradicated and their urine does not produce any sediment.

It often happens that the sediment in the urine of such patients does not settle to the bottom of the vessel, part of it floats to the surface and part remains suspended.

They say that all urine produces sediment, except very mature urine. This is not true, you just need to wait a little.

Most of the sediment is the color of urine; the best after white is red precipitate, and then yellow.

As for unnatural precipitation, there are those that resemble bran-like flakes, or lentil-shaped vetch, or simply have a flattened shape, and in their color they are similar to orpiment, or they are dark yellow. There are also those that look like meat or fat, or pus, snot, pieces of dough softened in water, coagulated blood, threads, coarse sand and ash.

The flocculent deposits appear as large red or white plates, and then this in most cases indicates that they are secreted from organs close to the urethra. White flocculent deposits indicate that they are secreted from a bladder that has ulcers or jarab or gangrene.

If the sediment in the urine has the red color of flesh, this means that the sediment is being excreted from the kidneys.

Some lamellar sediments are dull blackish in color or resemble fish scales; such precipitation is worse than all precipitation, as we will discuss below. Such sediments indicate plates torn off from the surface of the main organs.

The first two types of precipitation, that is, white and red, are mostly not harmful; on the contrary, they cleanse the bladder.

Some say that one patient was given Spanish flies to drink, after which white shells like eggshells were found in his urine, and when this sediment was dissolved in a colorless liquid, it dissolved and colored the liquid red. The patient subsequently recovered and continued to live.

Sometimes the particles of flocculent sediments are much smaller in size than the particles of the two types mentioned, i.e., lamellar and shell-like, and have a relatively higher density. Moreover, if they are red in color, they are called vetch-like, and if they are not red in color, then they are called pityriasis-like. Red-colored vetches can represent burnt-out particles isolated from the liver, or burnt-out blood located in the liver, and sometimes such sediment comes from the kidneys. However, the particles of sediment secreted from the kidneys are more tightly bound, such as those of meat, and those two types of sediment are not similar to meat and disintegrate easily. If the sediment is very close in color to yellow, this means that it undoubtedly comes from the kidneys. And the one that comes from the liver has a brownish tint; but sometimes the one that comes from the kidneys will be similar to it.

As for the pityriasis sediment, it can form from jarab in the bladder, and sometimes from the melting of organs; this is recognized as follows: if the base of the male penis itches and the sediment of urine emits a fetid odor, then this indicates the origin of the sediment from the bladder, and especially if the emission of urine is preceded by pus and is accompanied by other signs of urine maturity. All this indicates that most of the blood vessels are healthy, and only the bladder is sick.

If the urine, when emitted, burns and leads to weakening of strength, but the urinary organs remain healthy and the sediment has a dull, blackish color, then this means that the sediment is caused by the melting of the juice.

Very often, sediments in the form of oatmeal and small flattened grains come from burnt blood and are red in color; quite often such sediments are obtained from the melting of organs and their abrasion, if the sediments are white in color; less commonly, such sediment can also occur from a bladder suffering from jarab. You can tell the difference yourself.

If the sediment has a black tint, this indicates that it is formed from burnt blood, especially in the spleen.

In acute diseases, all lamellar deposits, the formation of which is not caused by the bladder, kidneys and urethra, serve as a bad sign indicating death.

From these sediments you already know the properties of the meat-like sediment. You know that such deposits are often formed from the kidneys, and you also know when they are not formed from the kidneys. When the meat is healthy and there is no melting in the body, a meat-like sediment comes from the kidneys.

The maturity of urine indicates the health of the veins; and kidney diseases do not prevent the maturation of urine, because it matures above them, that is, even before entering the kidneys.

Fat-like sediments indicate the presence of melting lard, fat, and meat. If such a sediment resembles liquid gold, then its evidence will be more convincing.

The place of formation of such sediment is determined by the following indicators: a small or large amount of sediment, its mixed or scattered state; if the sediment is formed in large quantities and its particles are separated from each other, then the sediment comes from the melting of fat located around the kidneys. If it falls in small quantities and its particles are well mixed, then such sediment comes from a more distant place. If you notice white particles in your urine that look like pomegranate seeds, then know that they are formed from kidney fat.

As for the purulent sediment, if it turns out to be a commendable sediment, it indicates the presence of leakage from ulcers, especially in the urinary organs.

Precipitates that look like snot indicate the presence of immature thick juice, which can be found either throughout the body, or secreted only by the urinary organs. In addition, such sediment indicates the onset of a crisis of inflammation of the sciatic nerve and pain in the joint, which is recognized by the relief experienced after urination.

Sometimes it happens that the sediment softens and liquefies, which can make it seem like a praiseworthy sediment. Therefore, in case of diseases, one should not be content with the appearance of praiseworthy sediments until the time of maturity, while there are still no signs of sediment maturity.

Precipitates that resemble snot sometimes indicate excessive coldness in the nature of the kidneys.

The difference between a pus-like sediment and a sediment similar to immature mucus is that the pus-like sediment has a fetid odor and is preceded by signs of a tumor; in addition, its particles are easily connected and easily separated from each other. Some of these sediments mix very strongly with the liquid, and some separate from it. As for the sediment, which looks like immature mucus, it is a thick turbidity, the particles of which do not easily combine and are not easily separated.

Urine in which there is a large amount of snot-like sediment, when discharged profusely at the end of the disease with gout and joint pain, is a good sign.

As for thread-like sediments, they are formed from the hardening of moisture in the form of long particles under the influence of heat. They are sometimes white and sometimes red. This hardening occurs in the kidneys. They say that their length reaches several spans.

Sediments that look like pieces of dough softened in water indicate weakness in the stomach and intestines and poor digestion of food in them. Sometimes the cause of this sediment is the consumption of milk and cheese.

Sandy sediments always indicate the presence of stones, which may already be hardened, or are in the process of hardening or disintegrating. The red sediment comes from the kidneys, and the non-red sediment comes from the bladder.

The ash-like sediment of urine is mostly caused by the presence of mucus and pus in the body, which have changed their color and disintegrated as a result of retention and sometimes combustion.

As for sediments resembling clotted blood, they, if well mixed, indicate weakness, and if not so well mixed, indicate the presence of wounds and disruption of continuity in the urethra. In the case of complete absence of mixing, such sediment comes from the bladder and the male penis. We will talk about this in detail in the Book on Private Diseases, in the chapter on bloody urine.

If a red sediment, resembling clotted blood, is found in the urine of a person suffering from spleen disease, this means that his spleen is depleted. Know that when the bladder is diseased, a lot of blood is not released, because its blood vessels are narrow and few in number, moreover, they are hidden in the thickness of the bladder.

The amount of precipitation can be large or small, which indicates, respectively, a large or small number of causes that produce this precipitation. Sediment particle sizes can be fine or coarse, as we mentioned in connection with flocculent sediment.

As for the signs of sediment quality, they are observed by color, and black color is the worst sign of those mentioned by us. If, with a black precipitate, the liquid does not have a black color, then this is better.

Red sediment indicates the presence of blood and indigestion, and yellow sediment indicates excessive heat and the malignancy of the disease. As we said, white sediments are considered more praiseworthy, although among them there are also bad ones, reminiscent of snot, pus and foam. Such sediments are immature.

The green precipitate can also turn black.

As for the smell of precipitation, this was discussed above.

According to their location, sediments can be smooth or uneven. If commendable precipitation has an even and smooth arrangement, then this is better, and if such an arrangement has poor precipitation, then it is worse.

Uneven sedimentation indicates the presence of wind and weak digestion.

Moving on to the symptoms determined by the place where precipitation settles, it must be said that precipitation either floats to the surface, and then it is called a “cloud,” or it is in a suspended state, and then it is called “standing in the middle”; Such sediments are more mature, and they are better than the first ones.

Sediments that slope down with a fringe and tail are considered the best among those in suspension.

The sediments that settle to the bottom are well matured, and then they are considered praiseworthy. Of the bad precipitation, light precipitation is considered the best, such as the black precipitation that occurs during acute fevers.

If the juice is mucus and black bile, then a cloud-like sediment is better than one that settles to the bottom, because cloud-like sediment indicates its thinness, unless the reason for its floating is the presence of a very large amount of wind in it. This means that in the absence of wind, such precipitation is considered the best.

This is followed by sediment in suspension. The sediment that settles to the bottom is bad. The reason for its floating is the rising heat and wind.

Precipitates released from the liquid float to the surface of thick urine, especially when they themselves are light, and in liquid urine they settle to the bottom, especially when they themselves are heavy.

If at the beginning of the disease sediments appear suspended or floating on the surface, and then this process continues, then this indicates the onset of a crisis through the appearance of boils.

However, in thin people, floating or suspended praiseworthy sediments are a sign of healing of their illness, as we mentioned above.

If the floating and suspended fat-like sediment looks like a cobweb or the wrinkles of a shrinking leech, then this is a bad sign.

Poor-quality sediments often float to the surface, which is something to be wary of, but this only happens at the beginning of sediment maturation; then they turn into benign sediments, then become suspended and then settle. In this case, this is a good sign. If the ascent is followed by poor-quality sediment, then you need to be wary from the very beginning.

Regarding the signs determined by the length of sedimentation time, the following must be said: if sediment falls out quickly after the emission of urine, then this is a good sign and indicates the maturity of the urine. And if the sediment falls out slowly or does not fall out at all, then this accordingly indicates the immaturity of the urine.

As for the signs determined by the different states of mixed sediments, you will learn all this from what we mentioned about bloody urine.