Garuda Purana

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.

प्रायोऽनुयाति मर्यादां मोक्षाय च वधाय च । इत्यग्निवेशस्य मतं हारीतस्य पुनः स्मृतिः ॥ १,१४७.

Generally, the boundary is followed for both liberation and destruction; this is the opinion of Agnivesha, and again the tradition of Harita.

द्विगुणा सप्तमी या च नवम्येकादशी तथा । एषा त्रिदोषमर्यादा मोक्षाय च वधाय च ॥ १,१४७.

The seventh day, which is doubled, as well as the ninth and eleventh; this is the boundary of the three doshas, for both liberation and destruction.

शुद्ध्याशुद्ध्या ज्वरः कालं दीर्घमप्यत्र वर्तते । कृशानां व्याधियुक्तानां मिथ्याहारादिसेविनाम् ॥ १,१४७.

Due to purity or impurity, fever may persist for a long time here, especially in those who are emaciated, afflicted by disease, or who indulge in improper diet and similar habits.

अल्पोऽपि दोषो दुष्ट्यादेर्लब्ध्वान्यतमतो बलम् । स प्रत्यनीको विषमं यस्माद्वृद्धिक्षयान्वितः ॥ १,१४७.

Even a small defect, having gained strength from impurity or other causes, becomes antagonistic and irregular, because it is accompanied by increase and decrease.

सविक्षेपो ज्वरं कुर्याद्विषमक्षयवृद्धिभाक् । दोषः प्रवर्तते तेषां स्वे काले ज्वरयन्बली ॥ १,१४७.

With disturbance, it produces fever, having irregular increase and decrease; the dosha acts in them, fevering strongly at its own time.

निवर्तते पुनश्चैव प्रत्यनीकबलाबलः । क्षीणदोषो ज्वरः सूक्ष्मो रसादिष्वेव लीयते ॥ १,१४७.

It ceases again, with the strength or weakness of the antagonist; when the dosha is diminished, the subtle fever merges only into the fluids and so forth.

लीनत्वात्कार्श्यवैवर्ण्यजाड्यादीनां दधाति सः । आसन्नविकृतास्यत्वात्स्रोतसां रसवाहिनाम् ॥ १,१४७.

Because of merging, it causes emaciation, discoloration, dullness, and similar conditions; due to the proximity of altered mouths of the channels carrying fluids.

आशु सर्वस्य वपुषो व्याप्तिदोषो न जायते । सन्तः सततस्तेन विपरीतो विपर्ययात् ॥ १,१४७.

The defect does not quickly spread throughout the whole body; those who are virtuous are always thus, but the opposite occurs in the contrary case.

विषमो विषमारम्भः क्षपाकालेन सङ्गवान् । दोषो रक्ताश्रयः प्रायः करोति सन्ततं ज्वरम् ॥ १,१४७.

Irregular, with irregular onset, joined with the time of night; the dosha, residing in the blood, generally produces continuous fever.

अहोरात्रस्य सन्धौ स्यात्सकृदन्येद्युराश्रितः । तस्मिन्मांसवहा नाडी मेदोनाडी तृतीयके ॥ १,१४७.

At the junction of day and night, it occurs once, and on another day it is based; in that, the flesh-carrying channel, the fat channel, is in the third instance.

ग्राही पित्तानिलान्मूर्ध्नस्त्रिकस्य कफपित्ततः । सपृष्ठस्यानिलकफात्स चैकाहान्तरः स्मृतः ॥ १,१४७.

The grasping fever arises from bile and wind in the head, from phlegm and bile in the trika region; from wind and phlegm in the back, it is considered to occur after one day.

चतुर्थको मलैर्मेदोमज्जास्थ्यन्यतरे स्थितः । मज्जास्थ एव ह्यपरः प्रभावमनुदर्शयेत् ॥ १,१४७.

The fourth type, situated in the impurities, fat, marrow, or bone; another is only in the marrow and bone, showing its effect.

द्विधा कफोणिजङ्घाभ्यां स पूर्वं शिरसानिलात् । अस्थिमज्जोरुपगतश्चतुर्थकविपर्ययः ॥ १,१४७.

Phlegm is twofold, in the calves, first from wind in the head; when it reaches bone and marrow, it is the reverse of the fourth type.

त्रिधा त्र्यहं ज्वरयति दिनमेकन्तु मुञ्चति । बला बलेन दोषणामन्यचेष्टादिजन्मनाम् ॥ १,१४७.

Threefold, it causes fever for three days, but releases for one day; by the strength of the doshas, and the origin of other actions.

पक्रानामविपर्यासात्सप्तरात्रञ्च लङ्घयेत् । ज्वरः स्यान्मनसस्तद्वत्कर्मणश्च तदातदा ॥ १,१४७.

Due to the absence of reversal in the fevers, it fasts for seven nights; fever affects the mind similarly, and also actions, at that time and otherwise.

गम्भीरधातुचारित्वात्सन्निपातेन सम्भवात् । तुल्योच्छ्रयाच्च दोषाणां दुश्चिकित्स्यश्चतुर्थकः ॥ १,१४७.

Because of deep-seated behavior in the tissues, and arising from combination, and equal increase of the doshas, the fourth type is difficult to treat.

सूक्षामात्सूक्ष्मज्वरेष्वेषु दूरद्दूरतरेषु च । दोषो रक्तादिमार्गेषु शनैरल्पश्चिरेण यत् ॥ १,१४७.

From subtlety, in subtle fevers, and in those farther and farther away; the dosha, in the path of blood and so forth, slowly, slightly, over a long time.

याति देहञ्च नाशेषं सन्तापादीन्करोत्यतः । क्रमो यत्नेन विच्छिन्नः सतापो लक्ष्यते ज्वरः ॥ १,१४७.

It goes to the body and does not leave anything, causing burning and so forth; when the sequence is interrupted by effort, fever with burning is observed.

विषमो विषमारम्भः क्षपाकालानुसारवान् । यथोत्तरं मन्दगतिर्मन्दशक्तिर्यथायथम् ॥ १,१४७.

Uneven, with a difficult onset, following the course of the night; each successive stage is slower and weaker, as is appropriate.

कालेनाप्नोति सदृशान्स रसादींस्तथातथा । दोषो ज्वरयति क्रुद्धश्चिराच्चिरतरेण च ॥ १,१४७.

Over time, it acquires corresponding tastes and qualities; the disorder burns fiercely when provoked, sometimes after a long delay.