Garuda Purana

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.

प्राणोदकान्नवाहीनि दुष्टस्रोतांसि दूषयन् । उरः स्थः कुरुते श्वासमामाशयसमुद्भवम् ॥ १,१५०.

Corrupting the channels that carry breath, water, and food, the vitiated wind, residing in the chest, produces breathlessness arising from undigested food in the stomach.

प्राग्रूपं तस्य हृत्पार्श्वशूलं प्राणविलोमता । आनाहः शङ्खभेदश्च तत्रायासोऽतिभोजनैः ॥ १,१५०.

Its early symptoms are pain in the heart and sides, irregular breathing, abdominal distension, and splitting pain in the temples; exertion and overeating worsen it.

प्रेरितः प्रेरयन्क्षुद्रं स्वयं स समलं मरुत् । प्रतिलोमं शिरा गच्छेदुदीर्य पवनः कफम् ॥ १,१५०.

Driven and driving, the impure wind itself moves in a reverse direction, ascending the channels, and expels phlegm.

परिगृह्यशिरोग्रीवमुरः पार्श्वे च पीडयन् । कासं घुर्घुरकं मोहमरुचिम्पीनसं भृशम् ॥ १,१५०.

Seizing the head, neck, chest, and sides, it causes cough, rattling sounds, fainting, loss of appetite, and severe nasal congestion.

करोति तीव्रवेगञ्च श्वासं प्राणोपतापिनम् । प्रताम्येत्तस्य वेगेनष्ठीवनान्ते क्षणं सुखी ॥ १,१५०.

It produces intense, rapid breathlessness that torments the life-breath; the patient faints from its force, but after spitting, feels relief for a moment.

कृच्छ्राच्छयानः श्वसिति निषण्णः स्वास्थ्यमर्हति । उच्छ्रिताक्षो ललाटेन स्विद्यता भृशमार्तिमान् ॥ १,१५०.

With difficulty lying down, he breathes heavily; when seated, he feels better; his eyes are wide, his forehead sweats, and he is greatly afflicted.

विशुष्कास्यो मुहुः श्वासः काङ्क्षत्युष्णं सवेपथुः । मेघाम्बुशीतप्राग्वातैः श्लेष्मलैश्च विवर्धते ॥ १,१५०.

His mouth is dry, he breathes repeatedly, desires warmth, and trembles; it worsens with cold clouds, water, east wind, and phlegmatic conditions.

स याप्यस्तमकः साध्यो नरस्य बलिनो भवेत् । ज्वरमूर्छावतः सीतैर्न शाम्येत्प्रथमस्तु सः ॥ १,१५०.

This chronic darkness type is curable in a strong man; but in one with fever or fainting, or who is cold, it does not subside at first.

कासश्वसितवच्छीर्णमर्मच्छेदरुजार्दितः । सस्वेदमूर्छः सानाहो बस्तिदाहविबोधवान् ॥ १,१५०.

Afflicted like those with cough and breathlessness, he suffers pain from injury to vital spots, sweats, faints, has abdominal distension, burning in the bladder, and disturbed sleep.

अधोदृष्टिः शुताक्षस्तु स्निह्यद्रक्तैकलोचनः । शुष्कास्यः प्रलपन्दीनो नष्टच्छायो विचेतनः ॥ १,१५०.

His gaze is downward, his eyes are sunken, the whites are tinged with red, his mouth is dry, he babbles incoherently, his complexion is lost, and he is unconscious.

महातामहता दीनो नादेन श्वसिति क्रथन् । उद्धूयमानः संरब्धो मत्तर्षभ इवानिशम् ॥ १,१५०.

He breathes with a great, deep, pitiable sound, snorting and gasping, agitated like a maddened bull, ceaselessly.

प्रनष्टज्ञानविज्ञानो विभ्रान्तनयनाननः । नेत्रे समाक्षिपन्बद्धमूत्रवर्चा विशीर्णवाक् ॥ १,१५०.

His knowledge and discernment are lost, his eyes and face are bewildered; he draws his eyes together, his urine and stool are retained, and his speech is broken.

शुष्ककण्ठो मुहुश्चैव कर्णशङ्खाशिरोऽतिरुक् । यो दीर्घमुच्छ्वसित्यूर्ध्वं न च प्रत्याहरत्यधः ॥ १,१५०.

His throat is dry again and again, and there is severe pain in his ears, temples, and head; he breathes out long and upward, but does not draw breath back down.

श्लेष्मावृतमुखश्रोत्रः क्रुद्धगन्धवहार्दितः । ऊर्ध्वं समीक्षते भ्रान्तमक्षिणी परितः क्षिपन् ॥ १,१५०.

His mouth and ears are blocked with phlegm, afflicted by a disturbed sense of smell; he looks upward, his eyes wandering, casting glances all around.

मर्मसु च्छिद्यमानेषु परिदेवी निरुद्धवाक् । एते सिध्येयुरव्यक्ताः व्यक्ताः प्राणहरा ध्रुवम् ॥ १,१५०.

When the vital spots are being injured, he laments, his speech suppressed; these unmanifest symptoms may become manifest, and certainly bring death.

श्रीगरुडमहापुराणम् १५१ धन्वन्तरिरुवाच । हिक्रारोगनिदानञ्च वक्ष्ये सुश्रुत ! तच्छृणु । श्वासैकहेतुः प्राग्रूपं संख्या प्रकृतिसंश्रया ॥ १,१५१.

Dhanvantari said: I will explain the origin of the disease of hiccup, O Suśruta; listen to this. Hiccup has a single cause, its preliminary signs, types, and dependence on constitution.

हिक्रा भक्ष्योद्भवा क्षुद्रा यमला महतीति च । गम्भीरा च मरुत्तत्र त्वरयायुक्तिसेवितैः ॥ १,१५१.

Hiccups arise from food, are minor or paired or great; there is also a deep type, O Marut, caused by improper, hurried, or excessive consumption.

रूक्षतीक्ष्णखराशान्तैरन्नपानैः प्रपीडितः । करोति हिक्रां श्वसनः मन्दशब्दां क्षुधानुगाम् ॥ १,१५१.

When one is afflicted by dry, sharp, rough, or excessive food and drink, the breath produces a mild hiccup, with a soft sound, following hunger.

समं सन्ध्यान्नपानेन या प्रयाति च सान्नजा । आयासात्पवनः क्रुद्धः क्षुद्रां हिक्रां प्रवर्तयेत् ॥ १,१५१.

The hiccup that arises together with food and drink at twilight is called 'paired'; when wind is disturbed by exertion, it produces a minor hiccup.

जत्रुमूलात्परिसृता मन्दवेगवन्ती हि सा । वृद्धिमायासतो याति भुक्तमात्रे च मार्दबम् ॥ १,१५१.

That which spreads from the root of the neck, moving slowly, increases with exertion and becomes mild immediately after eating.