Just as a seed, when placed in the earth and moistened with water, does not wait for the proper season to sprout, so too does the seed of disorder within the body act without delay. Once sown, it does not wait for time, but takes root and grows. In the same way, poison, once it has gained momentum, exerts its force upon the body; so too do disorders and poisons, when empowered by time, become agitated and active. From this agitation, fevers arise—sometimes irregular, sometimes persistent—bringing with them restlessness, a sense of heaviness, dejection, collapse of the limbs, and involuntary stretching. In every type of fever, there is a loss of appetite, vomiting, and breathlessness; sufferers may spit blood, feel intense thirst, dryness, and heat, and struggle painfully even to exert themselves. When fever involves the blood, burning sensations, redness, confusion, delirium, and incoherent speech follow. The afflicted experience unquenchable thirst, fatigue, a changing complexion, internal burning, dizziness, and even periods of darkness before the eyes. If the disorder settles in the flesh or fat, a foul odor and twitching of the limbs may occur, along with sweating, excessive thirst, vomiting, and a persistent foul smell, though some may endure it. Delirium, fatigue, loss of appetite, and splitting pain in the bones are common, along with the activation of disorder, restlessness, breathlessness, spasms, and groaning. If the marrow is affected, there is internal burning, external coldness, breathlessness, and hiccups; darkness clouds the vision, there is sharp pain in vital spots, and stiffness of the genitals. When the disorder invades the semen, death is certain for those affected, and the five subsequent forms of fever become increasingly difficult to cure, each more so than the last. Heaviness, as if the limbs were smeared with something thick, arises from phlegm. In mild fevers, delirium is accompanied by coldness and a sensation as if the body is covered. This mild fever is always dry and passes with difficulty in cold conditions; the limbs grow stiff, dominated by phlegm, and weakness prevails. In cases of diabetes, a fever called "haridraka" appears, marked by a turmeric-like color and coating—a fatal sign. When both phlegm and wind are present with a deficiency of bile, fever is sharp by day or mild, but tends to arise at night. If the body’s strength has been spent in the heat of the sun and through exertion, fever from wind will certainly appear in the early night. When the self is in the stomach, and phlegm and bile are situated below, half the body becomes cold while the other half is hot. If bile is placed in the body and phlegm settles at the extremities, the body becomes hot, but the hands and feet remain cold. When disorder afflicts the fluids, blood, flesh, and fat, or when it settles in the bone and marrow, the body loses its natural luster. The sufferer may become unconscious, distressed by the urge to evacuate, looking about in anger, and constantly passing foul, hot stool with force. In the absence of fever, the body feels light, free from fatigue, delusion, and heat; digestion occurs in the mouth, the senses function properly, there is no pain, and signs such as sweating, sneezing, a natural mind, desire for food, and itching on the head are present. At this point, Dhanvantari spoke: “Now, I will explain the causes of blood-bile disorder. By consuming excessively hot, bitter, pungent, sour, salty, and burning substances, and by eating foods such as kodrava and uddālaka repeatedly, along with excessive use of bile-provoking substances, bile becomes aggravated, turns fluid, and disturbs the blood. When bile and blood combine and become similar in form, they spread throughout the body, and disorder arises from their mixture, sometimes even from a bite. When the blood takes on the same smell and color as bile, it is recognized as a blood-bile disorder, arising from the sites of blood, the spleen, and the liver. Heaviness of the head, loss of taste, desire for cold, smoky or sour belching, vomiting, aversion to food, cough, shortness of breath, dizziness, and fatigue are common symptoms. The blood is unhealthy, the mouth smells like fish, and even without fever, there is redness, a yellowish or greenish hue in the eyes and other organs. There is an inability to distinguish between blue, red, and yellow colors, and in dreams, madness and unrighteousness manifest. When aggravated, this disorder emerges upward from the nose, eyes, ears, and mouth, and downward from the genitals and anus; it may also appear from the hair follicles. If phlegm is also present, purgation is the recommended cure; though many medicines are prescribed for bile, purgation is the best remedy. Where phlegm is present, purification is beneficial, with astringent and sweet tastes being suitable for cleansing phlegmatic disorders. Substances that are naturally pungent, bitter, or astringent and remove phlegm are suitable for downward-moving and chronic cases, and are treated by emesis. For bile disorders with little strength, emesis is not ideal, but where there is strength or the bile is pacified, it is appropriate. Astringent and sweet substances are beneficial, but when phlegm and wind are involved together, the condition is incurable and so named. When the disorder is intolerable, moving in the wrong direction, and medicine is ineffective, purification is not possible. Still, purification in the contrary direction is prescribed in blood-bile disorders, and both pacification and purification should be sought. When faults are mixed together, expulsion in every way is beneficial; whatever remains is regarded as dangerous as a missile of Shiva. Complications also produce distortions, and their effects are thus established. Dhanvantari continued: “Since cough acts quickly, I will now describe its forms. There are five types of cough—arising from wind, bile, phlegm, injury, and wasting. All those associated with wasting, when neglected, become increasingly severe; their symptoms include itching and loss of taste in the throat. Dryness of the ears, mouth, and throat occurs, caused by downward-moving wind. When this wind moves upward, it accumulates in the throat, filling the veins and channels, lifting the limbs as if throwing them, causing pain in the eyes, a strained voice, and pressure on the side.” Thus, the workings of disorder in the body, their causes, symptoms, and remedies, were described with clarity and compassion, guiding all toward understanding and healing.