Garuda Purana

यथा स्वलिङ्गं संसर्गे ज्वरसंसर्गजोऽपि वा । शिरोर्तिमूर्छावमिदेहदाहकण्ठास्यशोषारुचिपर्वभेदाः । उन्निद्रता संभ्रमरोमहर्षा जृंभातिवाक्त्वं पवनात्सपित्तात् ॥ १,१४७.

Whether by its own symptoms or by contagion, fever arising from contact shows: headache, fainting, vomiting, burning of the body, dryness of throat and mouth, loss of taste, pain in the joints, insomnia, confusion, horripilation, yawning, and excessive speech—these come from wind and bile.

तापहान्यरुचिपर्वशिरोरुक्ष्ठीवनश्वसनकासविवर्णाः । शीतजाड्यतिमिरभ्रमितन्द्राश्लेष्मवातजनितज्वरलिङ्गम् ॥ १,१४७.

Loss of heat, loss of appetite, joint and head pain, spitting, labored breathing, cough, pallor, coldness, stiffness, darkness before the eyes, dizziness, drowsiness—these are the symptoms of fever caused by phlegm and wind.

शीतस्तम्भस्वेददाहाव्यवस्थास्तृष्णा कासः श्लेष्मपित्तप्रवृत्तिः । मोहस्तन्द्रालिप्ततिक्तास्यता च ज्ञेयं रूपं श्लेष्मपित्तज्वरस्य ॥ १,१४७.

Coldness, stiffness, sweating, burning, instability, thirst, cough, the activity of phlegm and bile, confusion, drowsiness, coating and bitterness of the mouth—these are known as the features of fever arising from phlegm and bile.

सर्वजो लक्षणैः सर्वैर्दाहोऽत्र च मुहुर्मुहुः । तदुच्छीतं महा निद्रा दिवा जागरणं निशि ॥ १,१४७.

The one who knows all, with all the signs, here experiences repeated burning; then there is intense sleep, wakefulness during the day, and sleeplessness at night.

सदा वा नैव वा निद्रा महास्वेदो हि नैव वा । गीतनर्तनहास्यादिः प्रकृतेहाप्रवर्तनम् ॥ १,१४७.

There may always be sleep, or none at all; there may be profuse sweating, or not; singing, dancing, laughter, and such activities cease from their natural course.

साश्रुणी कलुषे रक्ते भुग्ने लुलितपक्ष्मणी । अक्षिणी पिण्डिकापार्श्वशिरः पर्वास्थिरुग्भ्रमः ॥ १,१४७.

The eyes are tearful, impure, red, sunken, with trembling lashes; there is pain at the sides of the eyeballs, in the head, joints, and bones, and dizziness.

सस्वनौ सरुजौ कर्णौ महाशीतौ हि नैव वा । परिदग्धा खरा जिह्वा गुरुस्त्रस्ताङ्गसन्धिता ॥ १,१४७.

The ears are ringing and painful, or extremely cold, or not; the tongue is burnt, rough, heavy, and the joints of the limbs are weak and trembling.

ष्ठीवनं रक्तपित्तस्य लोठनं शिरसोऽतितृट् । कोष्ठानां श्यावरक्तानां मण्डलानां च दर्शनम् ॥ १,१४७.

There is spitting of blood and bile, rolling of the head, intense thirst; and the appearance of dark or red patches and circles on the body.

हृद्व्यथा मलंससर्गः प्रवृत्तिर्वाल्पशोऽति वा । स्निग्धास्यता बलभ्रंशः स्वरसादः प्रलापितः ॥ १,१४७.

There is pain in the heart, frequent excretion of waste, scanty or excessive discharges, oily mouth, loss of strength, hoarseness of voice, and delirious speech.

दोषपाकश्चिरं तन्द्रा प्रततं कण्ठकूजनम् । सन्निपातमभिन्यासं तं ब्रूयाच्च हतौजसम् ॥ १,१४७.

There is prolonged ripening of the humors, persistent drowsiness, constant croaking in the throat; when all the humors are disturbed together, it is said to destroy vitality.

वायुना कण्ठरुद्धेन पित्तमन्तः सुपीडितम् । व्यवायित्वाच्च सौख्याच्च बहिर्मर्गं प्रपद्यते । तेन हारिद्रनेत्रत्वं सन्निपातोद्भवेज्वरे ॥ १,१४७.

When the wind is obstructed in the throat and bile is greatly oppressed within, after intercourse or pleasure, it seeks an external path; thus, yellowing of the eyes arises in fever caused by the combined disturbance of humors.

दोषे विवृद्धे नष्टेऽग्नौ सर्वसंपूर्णलक्षणः । सान्निपातज्वरोऽसाध्यः कृच्छ्रसाध्यस्ततोऽन्यथा ॥ १,१४७.

When the humors are increased and the digestive fire is lost, and all the signs are present, the fever from combined humors is incurable; otherwise, it is difficult but curable.

अन्यत्र सन्निपातोत्थं यत्र पित्तं पृथक्स्थितम् । त्वचि कोष्ठे च वा दाहं विदधाति पुरोऽनु वा ॥ १,१४७.

Elsewhere, when fever arises from the combination of humors but bile is separately situated, it causes burning in the skin or abdomen, either before or after.

तद्वद्वातकफे शीतं दाहादिर्दुस्तरस्तयोः । शीतादौ तत्र पित्तेन कफे स्यान्दितशोषिते ॥ १,१४७.

Likewise, in the case of wind and phlegm, there is coldness; burning and similar symptoms are hard to overcome when both are involved. In the beginning of coldness, bile is present; with phlegm, there is oozing and dryness.

पित्ते शान्तेऽथ वै मूर्छा मदस्तृष्णा च जायते । दाहादौ पुनरन्तेषु तन्द्रालस्ये वमिः क्रमात् ॥ १,१४७.

When bile is pacified, then fainting, intoxication, and thirst arise; but at the onset of burning, and in the others, there is drowsiness, lethargy, and vomiting in order.

आगन्तुरभिगाताभिषङ्गशापाभिचारतः । चतुर्धा तु कृतः स्वेदो दाहाद्यैरभिघातजः ॥ १,१४७.

Fever is fourfold, arising from external injury, contact, curses, or sorcery; fever from injury is marked by burning and similar symptoms.

श्रमाच्च तस्मिन्पवनः प्रायो रक्तं प्रदूषयन् । सव्यथाशोकवैवर्ण्यं सरुजं कुरुते ज्वरम् ॥ १,१४७.

From exertion, wind commonly vitiates the blood there, causing pain, grief, discoloration, and fever with pain.

ग्रहावेशौषधिविषक्रोधभीशोककामजः ॥ १,१४७.

Fever arises from possession by spirits, medicines, poison, anger, fear, grief, or desire.

अभिषङ्गग्रहोऽप्यस्मिन्नकस्माद्वासरोदने । ओषधीगन्धजे मूर्छा शिरोरुग्वमथुः क्षयः ॥ १,१४७.

In this, sudden possession or contact may occur, or from the smell of medicines; fainting, headache, vomiting, and wasting arise from the scent of herbs.

विषान्मूर्छातिसारश्च श्यावता दाहकृद्भ्रमः । क्रोधात्कम्पः शिरोरुक्च प्रलापो भयशोकजे ॥ १,१४७.

From poison come fainting, diarrhea, darkening, burning, and dizziness; from anger, trembling and headache; from fear and grief, delirium.

कामाद्भ्रमोऽरुचिर्दाहो ह्रीनिद्राधीधृतिक्षयाः । ग्रहादौ सन्निपातस्य रूपादौ मरुतस्तयोः ॥ १,१४७.

From desire arise dizziness, loss of appetite, burning, shame, sleep, intellect, and memory; in possession and similar cases, the symptoms of combined humors and, at the beginning, of wind and the others.

कोपात्कोपेऽपि पित्तस्य यौ तु शापाभिचारजौ । सन्निपातज्वरौ घोरौ तावसह्यतमौ मतौ ॥ १,१४७.

Of the fevers arising from anger or even from excessive anger of bile, those caused by curses and black magic, the two severe fevers of deranged humors are considered the most unbearable.

तन्त्रा भिचारिकैर्मन्त्रैर्दूयमानञ्च तप्यते । पूर्वञ्चैतस्ततो देहस्ततो विस्फोटदिग्भ्रमैः ॥ १,१४७.

Afflicted by spells and incantations of sorcery, the body is tormented; at first, this affects the body, and then eruptions and disorientation follow.

सदाहमूर्छाग्रस्तस्य प्रत्यहं वर्धते ज्वरः । इति ज्वरोऽष्टधा दृष्टः समासाद्द्विबिधस्तु सः ॥ १,१४७.

For one always seized by burning and fainting, the fever increases daily; thus, fever is seen in eight forms, but in summary, it is of two kinds.

शारीरो मानसः सौम्यस्तीक्ष्णोंन्तर्बहिराश्रयः । प्राकृतो वैकृतः साध्योऽसाध्यः सामो निरामकः ॥ १,१४७.

It is bodily or mental, gentle or intense, internal or external in origin; natural or unnatural, curable or incurable, simple or without complications.

पूर्वं शरिरे शरीरे तापो मनसि मानसे । पवनैर्योगवाहित्वाच्छीतं श्लेष्मयुते भवेत् ॥ १,१४७.

At first, heat arises in the body in bodily fever, and in the mind in mental fever; due to the influence of wind, coldness occurs when phlegm is present.

दाहः पित्तयुते मिश्रं मिश्रेऽन्तः संश्रये पुनः । ज्वरेऽधिकं विकाराः स्युरन्तः क्षोभो मलग्रहः ॥ १,१४७.

Burning occurs when bile is involved; when mixed, it again takes refuge internally; in fever, greater disorders arise, with internal agitation and retention of wastes.

बहिरेव बहिर्वेगे तापोऽपि च स साधितः । वर्षाशरद्वसन्तेषु वाताद्यैः प्रकृतः क्रमात् ॥ १,१४७.

When the force is external, the heat is also external and thus established; in the rainy, autumn, and spring seasons, fever arises from wind and other humors in due order.

वैकृतोऽन्यः स दुः साध्यः प्रायश्च प्राकृतोऽनिलात् । वर्षासु मारुतो दुष्टः पित्तश्लेष्मान्वितं ज्वरम् ॥ १,१४७.

The unnatural type is different and difficult to cure, while the natural one mostly arises from wind; in the rains, disturbed wind causes fever associated with bile and phlegm.