Garuda Purana

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.

कुर्याच्च पित्तं शरदि तस्य चानुचरः कफः । तत्प्रकृत्या विसर्गाच्च तत्र नानशनाद्भयम् ॥ १,१४७.

In autumn, it produces bile, and phlegm follows it; due to the nature and release of these, there is no danger from eating various foods at that time.

कफो वसन्ते तमपि वातपित्तं भवेदनु । बलवत्स्वल्पदोषेषु ज्वरः साध्योऽनुपद्रवः ॥ १,१४७.

Phlegm predominates in spring, and then wind and bile may follow; when the disorder is mild, fever is curable and without complications.

सर्वथा विकृतिज्ञाने प्रागसाध्य उदाहृतः । ज्वरोपद्रवतीक्ष्णत्वं मन्दाग्निर्बहुमूत्रता ॥ १,१४७.

In all cases, when the disorder is recognized, it is said to be incurable beforehand; the severity of fever's complications includes weak digestion and excessive urination.

न प्रवृत्तिर्न विजीर्णा न क्षुत्सामज्वराकृतिः । ज्वरवेगोऽधिकस्तृष्णा प्रलापः श्वसनं भ्रमः ॥ १,१४७.

There is no appetite, no proper digestion, no hunger, and the fever has a characteristic appearance; the fever's intensity increases, with thirst, delirium, labored breathing, and dizziness.

मलप्रवृत्तिरुत्क्लेशः पच्यमानस्य लक्षणम् । जीर्णतामविपर्यासात्सप्तरात्रं च लङ्घनम् ॥ १,१४७.

The urge to pass waste and its disturbance are signs of the fever maturing; if there is no reversal, fasting for seven nights brings resolution.

ज्वरः पञ्चविधः प्रोक्तो मलकालबलाबलात् । प्रायशः सन्निपातेन भूयसामुपदिश्यते ॥ १,१४७.

Fever is said to be of five kinds, depending on waste, time, strength, and weakness; but most often, it is described as arising from the derangement of all three humors.

सन्ततः सततोऽन्येद्युस्तृतीयकचतुर्थकौ । धातुमूत्रशकृद्वाहिस्नोत सां व्यापिनो मलाः ॥ १,१४७.

Continuous, constant, every other day, third day, and fourth day fevers—these are carried by the humors, urine, and feces, and are widespread due to the wastes.

तापयन्तस्तनुं सर्वां तुल्यदृष्ट्यादिवर्धिताः । बलिनो गुरवस्तस्याविशेषेण रसाश्रिताः ॥ १,१४७.

They heat the entire body, increasing equally from the beginning; they are strong and heavy, residing in the vital fluids without distinction.

सततं निष्प्रतिद्वन्द्वाज्वरं कुर्युः सुदुः सहम् । मलं ज्वरोष्णधातून्वा स शीघ्रं क्षपयेत्ततः ॥ १,१४७.

Constant, without any opposition, such fever is extremely hard to endure; fever or heat, or the disturbed humors, quickly destroy the body.

सर्वाकारं रसादीनां शुद्ध्यासुद्ध्यापि वा क्रमात् । वातपित्तकफैः सप्तद शद्वादशवासरात् ॥ १,१४७.

In all forms, whether the vital fluids and others are pure or impure in due course, wind, bile, and phlegm cause fever in seven, six, or twelve days.