Garuda Purana

युधिष्ठिरः समाश्वास्य स्त्रीजनं शोकसंकुलम् । स्नात्वा सन्तर्प्य देवांश्च पितॄनथ पितामहान् ॥ १,१४५.

Yudhishthira comforted the women overwhelmed by grief, bathed, and offered oblations to the gods, ancestors, and forefathers.

आश्वासितोऽथ भीष्मेण राज्यञ्चैवाकरोन्महत् । विष्णुमीजेऽश्वमेधेन विधिवद्दक्षिणावता ॥ १,१४५.

Then, reassured by Bhishma, he established a great kingdom and worshipped Vishnu with an Ashvamedha sacrifice, performed according to rule and with proper gifts.

राज्ये परीक्षितं स्थाप्य यादवानां विनाशनम् । श्रुत्वा तु मौसले राजा जप्त्वा नामसहस्रकम् ॥ १,१४५.

He installed Parikshit on the throne; hearing of the destruction of the Yadavas in the Mausala episode, the king recited the thousand names of Vishnu.

विष्णोः स्वर्गं जगामाथ भीमाद्यैर्भ्रातृभिर्युतः । वासुदेवः पुनर्बुद्धसंमोहाय सुरद्विषाम् ॥ १,१४५.

Then, accompanied by Bhima and his brothers, Yudhishthira went to Vishnu’s heaven; Vasudeva was born again to delude the enemies of the gods as Buddha.

कल्किर्विष्णुश्च भविता शंभलग्रामके पुनः । अश्वारूढोऽखिलांल्लोकांस्तदा भस्मीकरिष्यति ॥ १,१४५.

Vishnu will again become Kalki in the village of Shambhala, mounted on a horse, and will then reduce all the worlds to ashes.

देवादीनां रक्षणाय ह्यधर्महारणाय च । दुष्टानाञ्च वधार्थाय ह्यवतारं करोति च ॥ १,१४५.

For the protection of the gods and others, for the removal of unrighteousness, and for the destruction of the wicked, he takes incarnation.

यथा धन्वन्तरिर्वंशे जातः क्षीरोदमन्थने । देवादीनां जीवनाय ह्यायुर्वेदमुवाच ह ॥ १,१४५.

Just as Dhanvantari was born in the lineage during the churning of the milk ocean and taught Ayurveda for the life of the gods and others.

विश्वामित्रसुतायैव शुश्रुताय महात्मने । भारतांश्चावतारांश्च श्रुत्वा स्वर्गं व्रजेन्नरः ॥ १,१४५.

By hearing of Viśvāmitra's son, the great-souled Suśruta, and of the descents of the Bhāratas, a man attains heaven.

श्रीगरुडमहापुराणम् १४६ धन्वन्तरिरुवाच । सर्वरोगनिदानञ्च वक्ष्ये सुश्रुत तत्त्वतः । आत्रेयाद्यैर्मुनिवरैर्यथा पूर्वमुदीरितम् ॥ १,१४६.

Dhanvantari said: I shall explain in detail the causes of all diseases, O Suśruta, as previously declared by the sages beginning with Ātreya.

रोगः पाप्मा ज्वरो व्याधिर्विकारो दुष्ट आमयः । यक्ष्मातङ्कगदा बाधाः शब्दाः पर्यायवाचिनः ॥ १,१४६.

Disease, evil, fever, affliction, disorder, corrupted ailment, consumption, suffering, and pain—these are synonyms expressing the same idea.

निदानं पूर्वरूपाणि रूपाण्युपशयस्तथा । संप्राप्तिश्चैति विज्ञानं रोगाणां पञ्चधा स्मृतम् ॥ १,१४६.

The knowledge of diseases is considered fivefold: cause, prodromal signs, symptoms, alleviation, and progression.

निमित्तहेत्वायतनप्रत्ययोत्थानकारणैः । निदानमाहुः पर्यायैः प्राग्रूपं येन लक्ष्यते ॥ १,१४६.

The cause is described by synonyms such as sign, reason, locus, condition, and origin; the prodrome is that by which it is recognized beforehand.

उत्पित्सुरामयो दोषविशेषेणानधिष्ठितः । लिङ्गमव्यक्तमल्पत्वाद्व्याधीनां तद्यथायथम् ॥ १,१४६.

When a disease is about to arise, but is not yet established due to a specific disturbance of the humors, its signs are indistinct and slight, varying according to the disease.

तदेव व्यक्ततां यातं रूपमित्यभिधीयते । संस्थानां व्यञ्जनं लिङ्गं लक्षणं चिह्नमाकृतिः ॥ १,१४६.

When those same signs become manifest, it is called the symptom; form, indication, sign, mark, and appearance are its synonyms.

हेतुव्याधिविपर्यस्तविपर्यस्तार्थकारिणाम् । औषधान्नविहाराणामुपयोगं सुखावहम् ॥ १,१४६.

The proper use of medicines, food, and regimen, which counteract or reverse the cause and disease, brings relief and comfort.

विद्यादुपशयं व्याधेः स हि सात्म्यमिति स्मृतः । विपरीतोऽनुपशयो व्याध्यसात्म्येतिसंज्ञितः ॥ १,१४६.

One should know that alleviation of disease is called suitability; the opposite, which aggravates the disease, is termed unsuitability.

यथा दुष्टेन दोषेण यथा चानुविसर्पता । निर्वृत्तिरामयस्यासौ संप्राप्तिरभिधीयते ॥ १,१४६.

The course of a disease is described as the process by which, through a corrupted humor or its spread, the disease comes to fruition.

संख्याविकल्पप्राधान्यबलकालविशेषतः । सा भिद्यते यथात्रैव वक्ष्यन्तेऽष्टौ ज्वरा इति ॥ १,१४६.

This progression is distinguished by number, variation, predominance, strength, time, and other specifics, as will be explained here, such as the eight types of fever.

दोषाणां समवेतानां विकल्पोशांशकल्पना । स्वातन्त्र्यपारतन्त्र्याभ्यां व्याधेः प्राधान्यमादिशेत् ॥ १,१४६.

The variation of the humors, their combinations, and the estimation of their parts, as well as independence or dependence, indicate the predominance of a disease.

हेत्वादिकार्त्स्न्यावयवैर्बलाबलविशेषषणम् । नक्तन्दिनार्धभुक्तांशैर्व्याधिकालो यथामलम् ॥ १,१४६.

The time of disease is determined by the completeness or partial presence of causes and other factors, by distinctions of strength and weakness, and by the portions of day, night, or after eating.

इति प्रोक्तो निदानार्थः स व्यासेनोपदेक्ष्यते । सर्वेषामेव रोगाणां निदानं कुपिता मलाः ॥ १,१४६.

Thus the meaning of cause has been explained; Vyāsa will further instruct on this. The cause of all diseases is the aggravation of the humors.

तत्प्रकोपस्य तु प्रोक्तं विविधाहितसेवनम् । अहितस्त्रिविधो योगस्त्रयाणां प्रागुदाहृतः ॥ १,१४६.

The various improper usages that provoke this aggravation have been described; the threefold improper conjunctions of the three (humors) were mentioned earlier.

तिक्तोषणकषायाम्लरूक्षाप्रमितयोजनैः । धावनोदीरणनिशाजागरात्युच्चभाषणैः ॥ १,१४६.

By the excessive use of bitter, pungent, astringent, sour, dry, or insufficient foods, by running, excitement, staying awake at night, or speaking too loudly,

क्रियाभियोगबीशोकचिन्ताव्यायाममैथुनैः । ग्रीष्माहोरात्रभुक्त्यन्ते प्रकुप्यति समीरणः ॥ १,१४६.

By overexertion in action, fear, grief, anxiety, exercise, or sexual activity, and by eating at the end of summer days and nights, wind (vāta) is aggravated.

पित्तं कट्वालतीक्ष्णोष्णकटुक्रोधविदाहिभिः । शरन्मध्याह्नरात्र्यर्धविदाहसमयेषु च ॥ १,१४६.

Bile (pitta) is aggravated by pungent, salty, sharp, hot, spicy foods, by anger, by burning sensations, and during autumn, midday, and midnight.

स्वाद्वम्ललवणस्निग्धगुर्वभिष्यन्दिशीतलैः । आस्यास्वप्नसुखाजीर्णदिवास्वप्नादिबृंहणैः ॥ १,१४६.

With foods that are sweet, sour, salty, unctuous, heavy, causing discharge, and cool; that bring pleasure to the mouth and sleep, are hard to digest, and that nourish when eaten during the day or before sleep—

प्रिच्छर्दनाद्ययोगेन भुक्तान्नस्याप्यजीर्णके । पूर्वाह्ने पूर्वरात्रे च श्लेष्मा वक्ष्यामि सङ्करान् ॥ १,१४६.

Through improper practices such as forced vomiting after eating, even when food is undigested, especially in the morning and early night, I will now describe the disorders of phlegm that arise.

मिश्रीभावात्समस्तानां सन्निपातस्तथा पुनः । संकीर्णाजीर्णविषमविरुद्धाद्यशनादिभिः ॥ १,१४६.

When all these are mixed together, there arises a combined disorder; likewise, from eating incompatible, poorly digested, irregular, or mutually antagonistic foods.

व्यापन्नमद्यपानीयशुष्कशाकाममूलकैः । पिण्याकमृत्यवसरपूतिशुष्ककृशमिषैः ॥ १,१४६.

By consuming spoiled wine, water, dried vegetables, roots, oil-cakes, rotten meat, putrid, dried, or emaciated fish—