Garuda Purana

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.

नित्यं मन्दज्वरो रूक्षः शीतकृच्छ्रेण गच्छति । स्तब्धाङ्गः श्लेष्मभूयिष्ठो भवेदङ्गबलाशकः ॥ १,१४७.

The mild fever is always dry and passes with difficulty in cold; the limbs become stiff, dominated by phlegm, and there is weakness of the limbs.

हरिद्राभेदवर्णाभस्तद्वल्लेपं प्रमेहति । स वै हारिद्रको नाम ज्वरभेदोऽन्तकः स्मृतः ॥ १,१४७.

With a turmeric-like color and similar coating in diabetes, this is called 'haridraka', a fatal type of fever.

कफवातौ समौ यत्र हीनपित्तस्य देहिनः । तीक्ष्णोऽथ वा दिवा मन्दो जायते रात्रिजो ज्वरः ॥ १,१४७.

Where phlegm and wind are both present and bile is deficient in the body, the fever is sharp by day or mild, but arises at night.

दिवाकरार्पितबले व्यायामाच्च विशोषिते । शरीरे नियतं वाताज्ज्वरः स्यात्पौर्वरात्रिकः ॥ १,१४७.

When the body's strength is given to the sun and exhausted by exertion, fever from wind surely arises in the early part of the night.

आमाशये यदात्मस्थे श्लेष्मपित्ते ह्यधः स्थिते । तदर्धं शीतलं देहे ह्यर्धं चोष्णं प्रजायते ॥ १,१४७.

When the self is in the stomach and phlegm and bile are situated below, half the body becomes cold and the other half hot.

काये पित्तं यदा न्यस्तं श्लेष्मा चान्ते व्यवस्थितः । उष्णत्वं तेन देहस्य शीतत्वं करपादयोः ॥ १,१४७.

When bile is placed in the body and phlegm is settled at the extremities, the body becomes hot, while the hands and feet are cold.

रसरक्ताश्रयः साध्यो मांस मेदोगतश्च यः । अस्थिमज्जागतः कृच्छ्रस्तैस्तैः स्वाङ्गैर्हतप्रभः ॥ १,१४७.

That which is situated in the fluids, blood, flesh, and fat, and that which is in the bone and marrow—when afflicted in these respective parts, the body loses its luster.

विसंज्ञो ज्रवेगार्तः सक्रोध इव वीक्षते । सदोषमुष्णञ्च सदा शकृन्मुञ्चति वेगवत् ॥ १,१४७.

He becomes unconscious, distressed by the urge to evacuate, and looks around as if angry; he constantly passes foul, hot stool with force.

देहो लघुर्व्यपगतक्लममोहतापः पाको मुखे करणसौष्ठवमव्यथत्वम् । स्वेदः क्षुवः प्रकृतियोगिमनोऽन्नलिप्सा कण्डूश्च मूर्ध्नि विगत्ज्वरलक्षणानि ॥ १,१४७.

The body is light, free from fatigue, delusion, and heat; digestion is in the mouth, the senses function well, there is no pain; sweating, sneezing, the mind united with its nature, desire for food, and itching on the head are signs of absence of fever.

श्रीगरुडमहापुराणम् १४८ धन्वन्तरिरुवाच । अथातो रक्तपित्तस्य निदानं प्रवदाम्यहम् । भृशोष्णतिक्तकट्वम्ललवणादिविदाहिभिः ॥ १,१४८.

Dhanvantari said: Now, therefore, I will explain the causes of blood-bile disorder—by consuming excessively hot, bitter, pungent, sour, salty, and burning substances.

कोद्रवोद्दालकैश्चान्यैस्तदुक्तैरति सेवितैः । कुपितं पैत्तिकैः पित्तं द्रवं रक्तञ्च मूर्छति ॥ १,१४८.

By eating kodrava, uddālaka, and other such foods repeatedly mentioned, and by excessive use of bile-provoking substances, bile becomes aggravated, turns fluid, and blood is disturbed.

तैर्मिथस्तुल्यरूपत्वमागम्य व्याप्नुवंस्तनुम् । पित्तरक्तस्य विकृतेः संसर्गाद्दषणादपि ॥ १,१४८.

When these combine and attain similarity in form, they spread throughout the body; the disorder of bile and blood arises from their mixture, even from a bite.

गन्धवर्णानुवृत्तेषु रक्तेन व्यपदिश्यते । प्रभवत्यसृजः स्थानात्प्लीहतो यकृतश्च सः ॥ १,१४८.

When blood displays the same smell and color as bile, it is identified as such; it arises from the sites of blood, from the spleen, and from the liver.

शिरोगुरुत्वमरुचिः शीतेच्छा धूमकोऽम्लकः । छर्धितश्छर्दिबै भत्स्यं कासः श्वासो भ्रमः क्लमः ॥ १,१४८.

Heaviness of the head, loss of taste, desire for cold, smoky or sour eructation, vomiting, aversion to food, cough, shortness of breath, dizziness, and fatigue occur.

लोहितो न हितो मत्स्यगन्धास्यात्वञ्च विज्वरे । रक्तहारिद्रहरितवर्णता नयनादिषु ॥ १,१४८.

The blood is not healthy, the mouth smells like fish, and in the absence of fever, there is redness, yellowish or greenish color in the eyes and other organs.

नीललोहित पीतानां वर्णानामविवेचनम् । स्वप्ने इन्मादधर्मित्वं भवत्यस्मिन्भविष्यति ॥ १,१४८.

There is inability to distinguish between blue, red, and yellow colors; in dreams, madness and unrighteousness will manifest in this condition.

उर्ध्वं नासाक्षिकर्णास्यैर्मेढ्रयोनिगुदैरधः । कुपितं रोमकूपैश्च समस्तैस्तत्प्रवर्तते ॥ १,१४८.

Upwards, it emerges from the nose, eyes, ears, and mouth; downwards, from the genitals and anus; and it also appears from the hair follicles—all these are its outlets when aggravated.

ऊर्ध्वं साध्यं कफाद्यस्मात्तद्विरेचनसाधितम् । बह्वौषधानि पित्तस्य विरेको हि वरौषधम् ॥ १,१४८.

When associated with phlegm, it is curable by purgation; many medicines are prescribed for bile, but purgation is the best remedy.

अनुबन्धी कफो यत्र तत्र तस्यापि शुद्धिकृत् । कषायाः स्वादवो यस्य विशुद्धौ श्लेष्मला हिताः ॥ १,१४८.

Where phlegm is also present, purification is beneficial; astringent and sweet tastes are suitable for cleansing phlegmatic disorders.

कटुतिक्तकषाया वा ये निसर्गात्कफावहाः । अधो याप्यञ्च नायुष्मांस्तत्प्रच्छर्दनसाधकम् ॥ १,१४८.

Those substances that are naturally pungent, bitter, or astringent, and remove phlegm, are suitable for downward-moving and chronic cases, and are treated by emesis.