अल्पौषधञ्च पित्तस्य वमनं नावमौषधम् । अनुबन्धि बलं यस्य शान्तपित्तनरस्य च ॥ १,१४८.
For bile with little strength, emesis is not the best remedy; where strength is associated, and in those with pacified bile, it is appropriate.
कषायश्च हितस्तस्य मधुरा एव केवलम् । कफमारुतसंस्पृष्टमसाध्यमुपनामनम् ॥ १,१४८.
Astringent substances are beneficial for him, and only sweet ones; when phlegm and wind are involved, it is incurable and named accordingly.
असह्यं प्रतिलोमत्वादसाध्यादौषधस्य च । न हि संशोधनं किञ्चिदस्य च प्रतिलोमिनः ॥ १,१४८.
When intolerable and contrary in direction, and when medicine is ineffective, no purification is possible for that which is contrary in direction.
शोधनं प्रतिलोमञ्च रक्तपित्तेऽभिसर्जितम् । एवमेवोपशमनं संशोधनमिहेष्यते ॥ १,१४८.
Purification in the contrary direction is prescribed in blood-bile disorders; likewise, pacification and purification are to be sought here.
संसृष्टेषु हि दोषेषु सर्वथा छर्दनं हितम् । तत्र दोषोऽत्र गमनं शिवास्त्र इव लक्ष्यते ॥ १,१४८.
When faults are mixed together, expulsion in every way is beneficial; in that case, the fault of remaining is regarded here like a missile of Shiva.
उपद्रवाश्च विकृतिं फलतस्तेषु साधितम् ॥ १,१४८.
Complications also produce distortion, and their results are thus established.
श्रीगरुडमहापुराणम् १४९ धन्वन्तरिरुवाच । आशुकारी यतः कासः स एवातः प्रवक्ष्यते । पञ्च कासाः स्मृता वातपित्तश्लेष्मक्षतक्षयैः ॥ १,१४९.
Dhanvantari said: Since cough acts quickly, it will now be described; five types of cough are recognized—arising from wind, bile, phlegm, injury, and wasting.
क्षयायोपेक्षिताः सर्वे बलिनश्चोत्तरोत्तरम् । तेषां भविष्यतां रूपं कण्ठे कण्डूररोचकः ॥ १,१४९.
All those associated with wasting, when neglected, become increasingly strong; their symptoms appear as itching and loss of taste in the throat.
शुष्ककर्णास्यकण्ठत्वं तत्राधोविहितोऽनिलः । ऊर्ध्वं प्रवृत्तः प्राप्यो रस्तस्मिन्कण्ठे च संसृजन् ॥ १,१४९.
Dryness of the ears, mouth, and throat occurs there, caused by downward-moving wind; when it moves upward, it reaches and accumulates in the throat.
शिरास्रोतांसि संपूर्य ततोऽङ्गान्युत्क्षिपन्ति च । क्षिपन्निवाक्षिणी क्लिष्टस्वरः पार्श्वे च पीडयन् ॥ १,१४९.
Filling the veins and channels, it then lifts the limbs; as if throwing, it causes pain in the eyes, a strained voice, and presses on the side.
प्रवर्तते सवक्रेण भिन्नकांस्योपमध्वनिः । हृत्पार्श्वेरुशिरः शूलमोहक्षोभस्वरक्षयान् ॥ १,१४९.
It manifests with a crooked sound, resembling broken bronze; it brings pain in the heart, side, head, confusion, agitation, and loss of voice.
करोति शुष्ककासञ्च महावेगरुजास्वनम् । सोंगहर्षो कफं शुष्कं कृछ्रान्मुक्त्वाल्पतां व्रजेत् ॥ १,१४९.
It produces a dry cough, severe pain, and a harsh sound; with horripilation, it expels dry phlegm with difficulty, and then diminishes.
पित्तात्पीताक्षिकत्वं च तिक्तास्यत्वं ज्वरो भ्रमः । पित्तासृग्वमनं तृष्णा वैस्वर्यं धूमको मदः ॥ १,१४९.
From bile arise yellowing of the eyes, bitterness in the mouth, fever, dizziness, vomiting of bile and blood, thirst, hoarseness, a smoky feeling, and intoxication.
प्रततं कासवेगे च ज्योतिषामिव दर्शनम् । कफादुरोऽल्परुङ्मूर्धि हृदयं स्तिमिते गुरु ॥ १,१४९.
With persistent cough, vision appears as if seeing lights; from phlegm, there is little pain in the head, the heart feels heavy and dull.
कण्ठे प्रलेपमदजं पीनसच्छर्द्यरोचकाः । रोमहर्षो धनस्निग्धंश्लेष्मणाञ्च प्रवर्तनम् ॥ १,१४९.
There is coating in the throat, loss of appetite, nasal discharge, vomiting, and lack of taste; horripilation, thick and oily phlegm, and its increased production.
युद्धाद्यैः साहसैस्तैस्तैः सेवितैरयथाबलम् । उपस्यन्तः क्षतो वायुः पित्तेनानुगतो बली ॥ १,१४९.
By engaging in various strenuous acts like battle, beyond one's strength, wind is afflicted, joined by bile, and becomes powerful.
कुपितः कुरुते कासं कफं तेन सशोणितम् । पीतं श्यावञ्च शुष्कञ्च ग्रथितं कुपितं बहु ॥ १,१४९.
When disturbed, it causes cough with phlegm mixed with blood, yellow, dark, dry, clotted, abundant, and aggravated.
ष्ठीवेत्कण्ठेन रुजता विभिन्नेनैव चोरसा । सूचीभिरिव तीक्ष्णाभिस्तुद्यमानेन शूलिना ॥ १,१४९.
He spits painfully from the throat, with the chest feeling split, as if pierced by sharp needles or struck by a spear.
दुः खस्पर्शेन शूलेन भेदपीडाहितापिना । पर्वभेदज्वरश्वासतृष्णावैस्वर्यकम्पवान् ॥ १,१४९.
With painful touch, piercing pain, splitting and oppressive suffering, there is breaking of the joints, fever, shortness of breath, thirst, hoarseness, and trembling.
पारावत इवोत्कूजन्पार्श्वशूली ततोऽस्य च । कफाद्यैर्वमनं पक्तिबलवर्णञ्च हीयते ॥ १,१४९.
He coos like a pigeon, has pain in the side, and due to phlegm and other causes, vomiting occurs, and strength, complexion, and digestion are diminished.
क्षीणस्य सासृङ्मूत्रत्वं श्वासपृष्टकटिग्रहः । षायुप्रधानाः कुपिता धावतो राजयक्ष्मणः ॥ १,१४९.
In the emaciated, there is blood in the urine, difficulty breathing, stiffness of the back and loins; when aggravated, these are the main symptoms of consumption.
कर्वन्ति यक्ष्मायतने कासं ष्ठीवत्कफं ततः । पूतिपूयोपमं वीतं मिश्रं हरितलोहितम् ॥ १,१४९.
In the seat of consumption, they produce cough and then phlegm with spitting; it is expelled, resembling putrid pus, mixed with yellow and red.
सुप्यते तुद्यत इव हृदयं पचतीव च । अकस्मादुष्णशीतेच्छा बह्वाशित्वं बलक्षयः ॥ १,१४९.
One sleeps as if being struck, the heart feels as if it is burning; suddenly there is a desire for heat or cold, excessive eating, and loss of strength.
स्निग्धप्रसन्नवक्रत्वं श्रीमद्दर्शननेत्रता । ततोऽस्य क्षयरूपाणि सर्वाण्याविर्भवन्ति च ॥ १,१४९.
The face becomes oily, clear, and curved, the eyes appear radiant and lustrous; then all the signs of wasting disease manifest in him.
इत्येष क्षयजः कास क्षीणानां देहनाशनः । याप्यौ वा बलिनां तद्वत्क्षतजोऽपि नवौ तु तौ ॥ १,१४९.
Thus, this cough arising from wasting destroys the bodies of the weakened; in the strong, the two forms—wasting and injury—are similarly present, but in them they are new.
सिध्येतामपि सामर्थ्यात्साध्यादौ च पृथक्क्रमः । मिश्रा याप्याश्च ये सर्वे जरसः स्थविरस्य च ॥ १,१४९.
Both may be cured by capability, but at the beginning of curable diseases, their progression is distinct; all the mixed and chronic types belong to old age and the elderly.
कासश्वासक्षयच्छर्दिस्वरसादादयो गदाः । भवन्त्युपेक्षया यस्मात्तस्मात्तास्त्वरया जयेत् ॥ १,१४९.
Cough, breathlessness, wasting, vomiting, hoarseness, and other diseases arise from neglect; therefore, one should conquer them quickly.
श्रीगरुडमहापुराणम् १५० धन्वन्तरिरुवाच । अथातः श्वासरोगस्य निदानं प्रवदाम्यहम् । कासवृद्ध्या भवेच्छ्वासः पूर्वैर्वा दोषकोपनैः ॥ १,१५०.
Dhanvantari said: Now, I shall explain the causes of breathlessness; it arises from the increase of cough or from the prior aggravation of the humors.
आमातिसारवमथुविषपाण्डुज्वरैरपि । रजोधूमानिलैर्मर्मघातादपि हिमाम्बुना ॥ १,१५०.
It also arises from indigestion, diarrhea, vomiting, poisoning, anemia, fever, dust, smoke, wind, injury to vital spots, or cold water.
क्षुद्रकस्तमकश्छिन्नो महानूर्ध्वश्च पञ्चमः । कफोपरुद्धगमनपवनो विष्वगास्थितः ॥ १,१५०.
There are five types: minor, darkness, broken, great, and upward; the wind, obstructed by phlegm, moves erratically and becomes established everywhere.