Garuda Purana

रसो ह्यस्य न रक्ताय मांसाय कुरुते तु तत् । उपष्टब्धः समन्ताच्च केवलं वर्तते क्षयी ॥ १,१५२.

Indeed, the essence (rasa) does not become blood or flesh for such a person; being obstructed all around, it remains only as a wasting condition.

लिङ्गेष्वल्पेष्वतिक्षीणं व्याधौ षट्करणक्षयम् । वर्जयेत्साधयेदेव सर्वेष्वपि ततोऽन्यथा ॥ १,१५२.

When the signs are few and the disease is not severe, and the six senses are not exhausted, one should avoid (treatment); otherwise, in all cases, one should treat.

दोषैर्व्यस्तैः समस्तैश्च क्षयात्सर्वस्य मेदसः । स्वरभेदो भवेत्तस्य क्षामो रूक्षश्चलः स्वरः ॥ १,१५२.

When all the humors are disturbed, and all the fat is wasted, there is hoarseness of voice; the voice becomes thin, dry, and unsteady.

शुकवर्णाभकण्ठत्वं स्निग्धोष्णोपशमोऽनिलात् । पित्तात्तालुगले दाहः शोषो भवति सन्ततम् ॥ १,१५२.

The throat takes on a white color, and relief comes from oily and warm things due to wind; from bile, there is constant burning and dryness in the palate and throat.

लिम्पन्निव कफैः कण्ठं मुखं घुरघुरायते । स्वयं विरुद्धैः सर्वैस्तु सर्वालिङ्गैः क्षयो भवेत् ॥ १,१५२.

The throat seems smeared with phlegm, and the mouth makes a gurgling sound; when all the signs are present together, wasting occurs.

धूमायतीव चात्यर्थमुदेति श्लेष्मलक्षणम् । कृच्छ्रसाध्याः क्षयाश्चात्र सर्वैरल्पञ्च वर्जयेत् ॥ १,१५२.

It rises greatly, as if filled with smoke, showing phlegmatic symptoms; wasting that is difficult to cure should be avoided, especially when all signs are present.

श्रीगरुडमहापुराणम्

Thus ends the Śrī Garuḍa Mahāpurāṇa.

धन्वन्तरिरुदाच । अरोचकनिदान्ते वक्ष्येऽहं सुश्रुताधुना । अरोचको भवेद्दोषैर्जिह्वाहृदयसंश्रयैः ॥ १,१५३.

Dhanvantari said: Now I will explain the causes of loss of appetite, as taught by Suśruta; loss of appetite arises from humors residing in the tongue and heart.

सन्निपातेन मनसः सन्तापेन च पञ्चमः । कषायतिक्तमधुरं वातादिषु मुखं क्रमात् ॥ १,१५३.

By the combination of all humors and by mental distress, a fifth type occurs; in wind and other disorders, the mouth tastes successively astringent, bitter, and sweet.

सर्वं वीतरसं शोकक्रोधादिषु यथा मनः । छर्दिदोषैः पृथक्सर्वैर्दुष्टैरन्यैश्च पञ्चमः ॥ १,१५३.

Just as the mind becomes devoid of all taste in grief, anger, and so on, so too, by the various humors and other corruptions, a fifth type arises.

उदानोऽधिकृतान्दोषान्सर्वं सन्ध्यर्हमस्यति । आशु क्लेशोऽस्य लावण्यप्रसेकारुचयः क्रमात् ॥ १,१५३.

When the upward-moving air is afflicted by all the humors, it expels everything that is fit for digestion; quickly, there is distress, loss of luster, excessive salivation, and loss of appetite in succession.

नाभिपृष्ठं रुजत्याशु पार्श्वे चाहारमुत्क्षिपेत् । ततो विच्छ्रिन्नल्पाल्पकषायं फेनिलं वमेत् ॥ १,१५३.

It quickly causes pain in the navel and back, and expels food to the side; then, with interruptions, little by little, it vomits astringent, frothy matter.

शब्दोद्गरयुतः कृच्छ्रमनुकृच्छ्रेण वेगवत् । कासास्यशोषकं वातात्स्वरपीडासमन्वितम् ॥ १,१५३.

With noisy belching, it is difficult and forceful; due to wind, there is cough, dryness of the mouth, and affliction of the voice.

पित्तात्क्षारोदकनिभं धूम्रं हरितपीतकम् । सासृगम्लं कटुतिक्तं तृण्मूर्छादाहपाकवत् ॥ १,१५३.

From bile, it is like saline water, smoky, greenish-yellow; mixed with blood, sour, sharp, bitter, with a smell of grass, causing burning and ripening.

कफात्स्निग्धं घनं पीतं श्लेष्मतस्तु समाक्षिकम् । मधुरं लवणं भूरि प्रसक्तं लोमहर्षणम् ॥ १,१५३.

From phlegm, it is unctuous, thick, yellow, and from mucus, similar to honey; sweet, salty, abundant, excessive, and causing horripilation.

मखश्वयथुमाधुर्यतन्द्राहृल्लासकासवान् । सर्वैर्लिङ्गैः समापन्नस्त्याज्यो भवति सर्वथा ॥ १,१५३.

When accompanied by swelling, sweetness, drowsiness, nausea, exhilaration, and cough, and when all these signs are present together, it must certainly be discarded.

सर्वं यस्य च विद्विष्टं दर्शनश्रवणादिभिः । वातादिनैव संक्रुद्धकृमिदुष्टान्नजे गदे । शूलवेपतुहृल्लासो विशेषात्कृमिजे भवेत् ॥ १,१५३.

When everything about a person is repulsive—by sight, hearing, and so on—due to wind and other humors, or from food corrupted by worms, the disease manifests with pain, trembling, exhilaration, and especially in worm-induced cases.

श्रीगरुडमहापुराणम् १५४ धन्वन्तरिरुवाच । हृद्रोगादिनिदानं ते वक्ष्येऽहं सुश्रुताधुना । कृमिहृद्रोगलिङ्गैश्च स्मृताः पञ्च तु हृद्गताः ॥ १,१५४.

Dhanvantari said: Now, O learned one, I will explain to you the causes of heart disease and related conditions, including those caused by worms; five types located in the heart are recognized by their signs.

वातेन शून्यातात्यर्थं भुज्यते रोरुदीति च । भिद्यते शुष्यते स्तब्धं हृदयं शून्यता भ्रमः ॥ १,१५४.

Due to wind, there is excessive emptiness, the person eats and cries out; the heart feels broken, dried, stiff, empty, and there is dizziness.

अकस्माद्दीनता शोको भयं शब्देऽसैष्णुता । वेपथुर्वेपनान्मोहः श्वासरोधोऽल्पनिद्रता ॥ १,१५४.

Sudden dejection, sorrow, fear, intolerance of sound, trembling, shivering, confusion, difficulty breathing, and little sleep arise.

पित्तात्तृष्णा श्रमो दाहो स्वेदोऽम्लकफजः क्रमः । छर्दनं ह्यम्लपित्तस्य धूमकल्पितको ज्वरः ॥ १,१५४.

From bile, there is thirst, fatigue, burning, sweating, and a sequence of sour and phlegmatic symptoms; vomiting occurs in sour-bile conditions, and fever arises with a smoky sensation.

श्लेष्मणा हृदयं स्तब्धं भारिकं साश्मगर्भवत् । कासास्थिसादनिष्ठीवनिद्रालस्यारुचिज्वराः ॥ १,१५४.

From phlegm, the heart becomes stiff, heavy, as if containing a stone; cough, weakness of bones, spitting, drowsiness, laziness, loss of appetite, and fever occur.

हृद्रोगे हि त्रिभिर्देषैः कृमिभिः श्यावनेत्रता । तमः प्रवेशो हृल्लासः शोथः कण्डूः कफस्त्रुतिः ॥ १,१५४.

In heart disease caused by all three humors and by worms, there is darkening of the eyes, entry into darkness, exhilaration, swelling, itching, and discharge of phlegm.

हृदयं सततं चात्र क्रकचेनेव दीर्यते । चिकित्सदामयं (रं) घोरं तच्छीघ्रं शीघ्रमारिणम् ॥ १,१५४.

Here, the heart is constantly torn as if by a saw; this terrible disease should be treated quickly, very quickly.

वातात्पित्तात्कफात्तृष्णा सन्निपाताद्बलक्षयः । षष्ठी स्यादुपसर्गाच्च वातपित्ते च कारणम् ॥ १,१५४.

From wind, bile, and phlegm comes thirst; from the combination of all three, loss of strength; the sixth type arises from complications, and wind-bile is the cause.

सर्वेषु तत्प्रकोपो हि सम्यग्धातुप्रशोषणात् । सर्वदेहभ्रामोत्कम्पतापहृद्दाहमोहकृत् ॥ १,१५४.

When all these are aggravated, they thoroughly dry up the body’s tissues, causing confusion throughout the body, trembling, heat, burning in the heart, and loss of consciousness.

जिह्वामूलगलक्लोमतालुतोयवहाः शिराः । संशोष्य तृष्णा जायन्ते तासां सामान्यलक्षणम् ॥ १,१५४.

When the veins carrying fluids to the root of the tongue, throat, palate, and uvula are dried up, thirst arises; this is their common sign.

मुखशोषो जलातृप्तिरन्नद्वेषः स्वरक्षयः । कण्ठोष्ठतालुकार्कश्याज्जिह्वानिष्क्रमणे क्लमः ॥ १,१५४.

Dryness of the mouth, satisfaction from water, aversion to food, loss of voice, burning in the throat, lips, and palate, and fatigue when sticking out the tongue.

प्रलापश्चित्तविभ्रंशो ह्युद्गराढ्यस्तथामयः । मारुतात्क्षामतादैन्यं शङ्खभे (तो) दः शिरौभ्रमः ॥ १,१५४.

Delirium, confusion of mind, and disease accompanied by frequent belching; from wind, there is emaciation, dejection, pain in the temples, and dizziness in the head.