A vivid narrative based strictly on the provided verses: In the course of life, when a person consumes liquor, he may find himself overcome as if in a dream, unable to respond even when spoken to. The disturbances brought by bile manifest as burning sensations, fever, sweating, confusion, and constant dizziness. From phlegm arise vomiting, nausea, drowsiness, and a heaviness in the abdomen. Anyone who drinks liquor, aware of these signs and symptoms, faces them in every case. Suddenly, one may experience a fleeting pleasantness, or else destruction and dryness, but most severe of all is the suffering caused by wind. With such destruction, symptoms appear: spitting of phlegm, dryness of the throat, excessive sleepiness, intolerance to sound, and distraction of the mind—these are the pains wind brings within the body. Diseases of the heart and throat, confusion, breathlessness, thirst, and intermittent fever may afflict the drinker. Yet, one who abstains from liquor, who is self-controlled and acts with discernment, is freed from these ailments. Such a person is never troubled in body or mind by disorders. But for one whose food is impure, tainted by passion and delusion, three diseases arise. There is obstruction in the channels carrying fat, blood, and moisture, leading to intoxication, fainting, and loss of consciousness—each occurring with increasing strength. Here, intoxication arises from all the humors, as well as from blood, wine, and poisons; its manifestation is unstable and deceptive, owing to its boundless power. When intoxication is caused by wind, the body becomes dry, dark, and reddish. From bile, a person grows irritable, reddish-yellow in hue, and fond of quarrels. Intoxication from phlegm causes incoherent speech in dreams and absorption in meditation. When all humors are involved, there is stiffness of blood and corruption of the limbs. When bile is the first symptom, confusion about one’s own voice arises, along with trembling, excessive sleep, and great fatigue from all the humors. By observing the prominence of symptoms, one can recognize wind and the others in blood and so forth. When entering into red, blue, or black, one falls into darkness. Yet, consciousness returns quickly, but pain in the heart, trembling, dizziness, coughing, and a dusky or reddish complexion remain—these are the signs of fainting caused by wind. From bile, seeing blood or yellow in the sky, one falls into darkness and regains consciousness sweating, afflicted by burning and thirst. With phlegm, the sky appears cloud-like, broken, yellowish-blue, and the eyes are bloodshot and blue-tinged. Recovery from this state is slow, marked by much salivation from the heart and chest; limbs are heavy and dull, and the individual is bound by the king’s law. When all forms and all three humors act together, the person falls as if possessed, suddenly and motionless, without any repulsive movements. In intoxication and fainting caused by the humors, when their force is spent in the body, they subside on their own or through abstinence and medicines. Actions of speech, body, and mind are seized, whether by strong or weak forces; together with loss of consciousness, they collapse, leading to the destruction of life. Because of this, people become as if made of wood, resembling the dead; they die very quickly if treatment is not promptly administered. Just as in the deep ocean, filled with crocodiles and torrents of water, one should quickly rescue a person sinking into unconsciousness. Intoxication brings pride, anger, and pleasure, prompting a person to act in various ways; but under the influence of wine, proper and improper reasoning cannot be applied equally. Therefore, having considered strength, cough, place, vessel, natural constitution, or age, one should drink in accordance with one’s own capacity. By doing so, one drinks as if nectar. Then, Dhanvantari spoke to Suśruta, saying, “Now I will explain the causes of hemorrhoids—those which arise in the flesh of living beings as stakes. They are called ‘arśas’ because they obstruct the anal passage; the fault, having corrupted the skin, flesh, and fat, produces them in various forms. Hemorrhoids are produced by sprouting of flesh, drinking, and other causes. In summary, there are two kinds: those present from birth and those arising later. Dry, pointed, and unbroken, they are located in the anal region; among them, three are situated at one and a half finger-breadths, and the rest at half a finger-breadth. Of these, the one flowing since childhood is in the middle, discharging; when the outer covering is absent, it is found at the beginning of the anus, externally, at a finger’s breadth. With a measure of half a finger and with hair growing there, the cause in those arising together is the heating of the seed in childhood. The origin of hemorrhoids is from the seed, due to the cooking by mother and father; also from the anger of deities, and otherwise from the disturbance of all three doṣas. Thus, all diseases arising from the family are declared incurable, especially those congenital ones, which are dry and difficult to see. They are inward-facing, pale, and accompanied by severe complications. Those arising from the combination or accumulation of individual doṣas should be treated separately. The dry ones are due to vāta and śleṣman, while the moist ones are from pitta. The causes of doṣa aggravation have been previously stated in the section on wounds. When fire and waste accumulate excessively, then, due to delay, from excessive drinking, irritation, eating unwholesome or hard foods, and coughing, or from injury to the bladder, rectum, throat, lips, palate, and so on; from frequent contact with very cold water, and from continuous excessive straining. From holding back urine or stool, or from forcibly expelling them; from disgust, diarrhea, and also grahaṇī—this too is a complication. From pulling, uneven movements, and exertions by women; from the descent of an unripe embryo, and from the distress caused by the growth of the embryo. By such causes, or by others, the apāna wind becomes disturbed, producing waste; in the folds of the anus, in those with liquid stools, and in those with a full body, symptoms arise. Before that, there is diminished digestive fire, obstruction, pain in the seat of bones, cramping of the limbs, twisting, and dizziness. Dense swelling occurs in the eyes; there may be constipation or retention of stool; the wind, blocked ahead, generally moves below the navel.” Thus, the ancient sages described the consequences of intoxication and the origins and symptoms of hemorrhoids, urging discernment, moderation, and timely care for the body and mind.