Garuda Purana

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.

भूमौ स्थितं जलैः सिक्तं कालं नैव प्रतीक्षते । अङ्कुराय यथा बीजं दोषबीजं भवेत्तथा ॥ १,१४७.

A seed placed in the earth and moistened with water does not wait for time to sprout; so too, the seed of disorder acts likewise.

वेगं कृत्वाविषं यद्वदाशये नयते बलम् । कुप्यत्याप्तबलं भूयः कालदोषविषन्तथा ॥ १,१४७.

Just as poison, having gained momentum, brings its force into the body, so too, the disorder and poison, empowered by time, become agitated.

एवं ज्वराः प्रवर्तन्ते विषमाः सततादयः । उत्क्लेशो गौरवं दैन्यं भङ्गोऽङ्गानां विजृम्भणम् ॥ १,१४७.

Thus fevers arise, irregular and persistent, causing agitation, heaviness, dejection, collapse of limbs, and stretching.

अरोचको वमिः श्वासः सर्वस्मिन्रसगे ज्वरे । रक्तनिष्ठीवनं तृष्णा रूक्षोष्णं पीडकोद्यमः ॥ १,१४७.

Loss of appetite, vomiting, breathlessness occur in every type of fever; spitting blood, thirst, dryness, heat, and painful effort.

दाहरागभ्रममदप्रलापो रक्तसंश्रिते । तृड्ग्लानिः स्पृष्टवर्चस्कमन्तर्दाहो भ्रमस्तमः ॥ १,१४७.

Burning, redness, confusion, delirium, and babbling in those with blood involvement; thirst, fatigue, altered complexion, internal burning, dizziness, and darkness.

दौर्गन्ध्यं गात्रविक्षेपो मांसस्थे मेदसि स्थिते । स्वेदोऽतितृष्णा वमनं दौर्गन्ध्यं वा सहिष्णुता ॥ १,१४७.

Foul smell, twitching of limbs, when the disorder is in the flesh or fat; sweating, excessive thirst, vomiting, foul odor, or endurance.

प्रलापो ग्लानिररुचिरस्थिगे त्वस्थिभेदनम् । दोषप्रवृत्तिरुद्बोधः श्वासांगक्षेपकूजनम् ॥ १,१४७.

Delirium, fatigue, loss of appetite, pain in the bones and their splitting; activation of disorder, awakening, breathlessness, spasms, and groaning.

अन्तर्दाहो बहिः शैत्यं श्वासो हिक्का हि मज्जमे । तमसो दर्शनं मर्मच्छेदनं स्तब्धमेढ्रता ॥ १,१४७.

Internal burning, external coldness, breathlessness, hiccups in the marrow; darkness of vision, cutting pain in vital spots, stiffness of the genitals.

शुक्रप्रवृत्तौ मृत्युस्तु जायते शुक्रसंश्रये । उत्तरोत्तरदुः साध्याः पञ्चान्ये तु विपर्यये ॥ १,१४७.

When the disorder reaches the semen, death arises in those with semen involvement; the five that follow are increasingly difficult to cure in reverse order.

प्रलिम्पन्निव गात्राणि श्लेष्मणा गौरवेण च । मन्दज्वरप्रलापस्तु सशीतः स्यात्प्रलेपकः ॥ १,१४७.

As if smeared over the limbs, heaviness from phlegm; in mild fever, delirium occurs with coldness and a covering sensation.