Garuda Purana

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.

चिरेण यमलैर्वेगैर्या हिक्रा संप्रवर्तते । परिणामान्मुखे वृद्धिं परिणामे च गच्छति ॥ १,१५१.

The hiccup that arises after a long time, with paired impulses, increases in the mouth as it progresses and grows with each episode.

कम्पयन्ती शिरो ग्रीवां यमलां तां विनिर्दिशेत् । प्रलापच्छर्द्यतीसारनेत्रविप्लुतजृम्भिता ॥ १,१५१.

The one that causes trembling of the head and neck should be identified as the 'paired' type, accompanied by delirium, vomiting, diarrhea, and rolling of the eyes.

यमला वेगिनी हिक्रा परिणामवती च सा । ध्वस्तभ्रूशङ्खयुग्मस्य श्रुतिविप्लुतचक्षुषः ॥ १,१५१.

The paired, forceful hiccup, which comes with progression, causes the brows and temples to droop, and disturbs hearing and sight.

स्तम्भयन्ती तनुं वाचं स्मृतिं संज्ञां च मुञ्चती । तुदन्ती मार्गमाणस्य कुर्वती मर्मघट्टनम् ॥ १,१५१.

It stiffens the body and speech, takes away memory and consciousness, strikes the vital channels, and causes pain along their course.

पृष्ठतो नमनं सार्ष्यं महाहिक्रा प्रवर्तते । महाशूला महाशब्दा महावेगा महाबला ॥ १,१५१.

When there is bending backward and trembling, the great hiccup arises; it brings severe pain, loud sound, great force, and immense strength.

पक्राशयाच्च नाभेर्वा पूर्ववत्सा प्रवर्तते ॥ १,१५१.

It also arises from the stomach or navel, just as previously described.

तद्रूपा सा महत्कुर्याञ्जृम्भणां गप्रसारणम् । गम्भीरेण निदानेन गम्भीरा तु सुसाधयेत् ॥ १,१५१.

That type produces great yawning and stretching of the jaw; with a deep cause, the deep hiccup is difficult to cure.

आद्ये द्वे वर्जयेदन्ये सर्वलिङ्गां च वेगिनीम् । सर्वस्य संचितामस्य स्थविरस्य व्यवायिनः ॥ १,१५१.

In the first two types, one should avoid the others; the forceful type shows all symptoms, especially in those who are old or sexually active.

व्याधिभिः क्षीणदेहस्य भक्तच्छेदकृशस्य च । सर्वेऽपि रोगा नाशाय न त्वेवं शाघ्रकारिणः ॥ १,१५१.

For one whose body is weakened by disease and emaciated from lack of food, all other ailments may be cured, but not so for one who acts rashly.

हिक्राश्वासौ यथा तौ हि मृत्युकाले कृतालयौ ॥ १,१५१.

Just as hiccup and breathlessness, when established at the time of death, remain fixed.