Garuda Purana

मदमानरोषतोष प्रवृत्तिभिरितस्ततः । युक्तायुक्तं च समं युक्तिं युङ्क्ते न मद्येन ॥ १,१५५.

Due to intoxication, pride, anger, and pleasure, a person acts in various ways; but with wine, he cannot apply proper or improper reasoning equally.

बलकासदेशपात्रं प्रकृतिसहतामथवा वयांसि? । प्रविभज्ज्यात्तनुरूपं पिबति ततः पिबत्यमृत ॥ १,१५५.

Having considered strength, cough, place, vessel, natural constitution, or age, one should drink in accordance with one's own capacity; then, by that, one drinks the nectar.

श्रीगरुडमहापुराणम् १५६ धन्वन्तरिरुवाच । अथार्शसां निदानं च व्याख्यास्यमि च सुश्रुत ! । सर्वदा प्राणिनां मांसे कीलकाः प्रभवन्ति ये ॥ १,१५६.

Dhanvantari said: Now, O Suśruta, I will explain the causes of hemorrhoids—those which always arise in the flesh of living beings as stakes.

अर्शांसि तस्मादुच्यन्ते गुदमार्गनिरोधनात् । दोषस्त्वङ्मांसमेदांसि सन्दूष्य विविधाकृतीन् ॥ १,१५६.

Therefore, they are called 'arśas' because they obstruct the anal passage; the fault, having corrupted the skin, flesh, and fat, produces them in various forms.

मांसांकुरानपानादौ कुर्वन्त्यर्शांसि ताञ्जगुः । सहजन्मान्तरोत्थेन भेदो द्वेधा समासतः ॥ १,१५६.

They say that hemorrhoids are produced by sprouting of flesh, drinking, and other causes; in summary, there is a twofold division: those present from birth and those arising later.

शुष्काग्रावाविभेदाश्च गुदस्थानानुसंश्रयाः । अर्धपञ्चाङ्गुलिस्तस्मिंस्तिस्रोऽघ्यर्धाङ्गुलिस्थिताः ॥ १,१५६.

Dry, pointed, and unbroken, they are located in the anal region; among them, three are situated at one and a half finger-breadths, and the rest at half a finger-breadth.

बाल्यप्रवाहिणी तासामन्त्रमध्ये विसर्जिनी । बाह्यासंवरणे तस्या गुदादौ बहिरङ्गुले ॥ १,१५६.

Of these, the one flowing since childhood is in the middle, discharging; when the outer covering is absent, it is found at the beginning of the anus, externally, at a finger's breadth.

सार्धाङ्गुलप्रमाणेन रोमाण्यत्र ततः परम् । तत्र हेतुः सहोत्थानां बाल्ये बीजोपतप्तता ॥ १,१५६.

With a measure of half a finger, and with hair growing there, the cause in those arising together is the heating of the seed in childhood.

अर्शसां बीजसृष्टिस्तु मातापित्रपचारतः । देवतानां प्रकोपे हि सान्निपातस्य चान्यतः ॥ १,१५६.

The origin of hemorrhoids is from the seed, due to the cooking by mother and father; also from the anger of deities, and otherwise from the disturbance of all three doṣas.

असाध्या एवमाख्याताः सर्वे रोगाः कुलोद्भवाः । सहजानि विशेषेण रूक्षदुर्दर्शनानि तु ॥ १,१५६.

Thus, all diseases arising from the family are declared incurable; especially those congenital ones, which are dry and difficult to see.

अन्तर्मुखानि पाण्डूनि दारुणोपद्रवाणि च । योज्यानि च पृथोग्दोषसंसर्गनिचयात्स्वतः ॥ १,१५६.

They are inward-facing, pale, and accompanied by severe complications; those arising from the combination or accumulation of individual doṣas should be treated separately.

शुष्काणि वातश्लेष्मभ्यामार्द्राणि त्वस्य पित्ततः । दोषप्रकोपहेतुस्तु प्रागुक्तेवस्त्रसादिनि ॥ १,१५६.

The dry ones are due to vāta and śleṣman, while the moist ones are from pitta; the causes of doṣa aggravation have been previously stated in the section on wounds.

अग्नौ मलेऽतिनिचिते पुनश्चायं (ति) व्यवायतः । पानसंक्षोभविषमकठिनक्षुद्रकाशनात् ॥ १,१५६.

When fire and waste accumulate excessively, then, due to delay, from excessive drinking, irritation, eating unwholesome or hard foods, and coughing.

बस्तिनेत्रगलौष्ठोत्थतलभेदादिघट्टनात् । भृशशीताम्बुसंस्पर्शप्रततातिप्रवाहणात् ॥ १,१५६.

From injury to the bladder, rectum, throat, lips, palate, and so on; from frequent contact with very cold water, and from continuous excessive straining.

गतमूत्रशकृद्वेगधारणात्तदुदीरणात् । जुगुप्सातीसारमेव ग्रहणी सोऽप्युपद्रवः ॥ १,१५६.

From holding back urine or stool, or from forcibly expelling them; from disgust, diarrhea, and also grahaṇī—this too is a complication.

कर्षणाद्विषमादेश्चचेष्टाभ्यो योषितां पुनः । आमगर्भप्रपतनाद्गर्भवृद्धिप्रपीडनात् ॥ १,१५६.

From pulling, uneven movements, and exertions by women, again; from the descent of an unripe embryo, and from the distress caused by the growth of the embryo.

ईदृशैश्चापरैर्वायुरपानः कुपितो मले । पायोर्वलीषु सद्रवृत्तिभास्वन्निः पूर्णमूर्तिषु ॥ १,१५६.

By such causes, or by others, the apāna wind becomes disturbed, producing waste; in the folds of the anus, in those with liquid stools, and in those with a full body.

जायन्तेर्ऽशांसितु तत्पूर्वं लक्षणं वह्निमन्दता । विष्टम्भः सास्थिसदनं पिण्डि (ष्ट) कोद्वेष्टनं भ्रमः ॥ १,१५६.

Symptoms arise: before that, there is diminished digestive fire, obstruction, pain in the seat of bones, cramping of the limbs, twisting, and dizziness.

सान्द्रोत्थोनेत्रयोः शोथः शकृद्भवेदोऽथ वा ग्रहः । मारुतः पुरतो मूढः प्रायो नाभेरधश्चरन् ॥ १,१५६.

Dense swelling occurs in the eyes; there may be constipation or retention of stool; the wind, blocked ahead, generally moves below the navel.

सरक्तः परिकृन्तंश्च कृच्छ्रादाकुञ्चति श्वसन् । अन्त्रकूजनमाटोपः क्षारितोद्गारभूरिता ॥ १,१५६.

Mixed with blood, cut off, breathing becomes difficult and contracted; there is rumbling in the intestines, bloating, excessive belching, and frequent expulsion.

प्रभूतमूत्रमल्पा विडश्रद्धा धूम्रकोष्ठकः । शिरः पृष्ठोरसां शूलमालस्यं भिन्नवर्चसम् ॥ १,१५६.

Urine is abundant, stool scanty, appetite weak, the abdomen dusky; pain in the head, back, and chest, fatigue, and altered feces.

इन्द्रियार्थेषु लौल्यं च क्रोधो दुः खोपचारतः । आशङ्का ग्रहणी शोथः पाण्डुगुल्मोदरेषु च ॥ १,१५६.

There is restlessness toward sense objects, anger due to distress, suspicion, retention, swelling, and pallor in the abdomen.

एतान्येव विवर्धन्ते जातेष्वहतनामसु । निवर्तमानो मानो हि तैरधोमार्गरोधतः ॥ १,१५६.

These symptoms increase in those whose digestion is impaired; as the wind turns back, it is obstructed by these in the lower path.

क्षोभयेदनिलानन्यान् सर्वेन्द्रियशरीगान् । तथा मूत्रशकृत्पित्तकफान्वायुश्च शोषयन् ॥ १,१५६.

It agitates the other winds, all the senses and the body; likewise, it dries up urine, stool, bile, phlegm, and wind.

मुष्णात्यग्निं ततः सर्वे भवन्ति प्रायशोर्ऽशसः । कृशो भृशं हतोत्साहो दीनः क्षामोऽथ निष्प्रभः ॥ १,१५६.

It destroys the digestive fire, and then all become mostly emaciated; thin, greatly lacking enthusiasm, dejected, wasted, and dull.

असारी विगतच्छायो जन्तुदग्ध इवद्रुम । कृच्छ्रैरुग्रद्रवैर्ग्रस्तो यक्ष्मोक्तैर्मर्मपीडनैः ॥ १,१५६.

Without essence, devoid of luster, like a tree scorched by insects; afflicted by severe, fast-flowing humors and pains described as consumption, tormenting the vital points.

तथा काशपिपासास्यवैरस्यश्वासपीनसैः । क्लमाङ्गभङ्गवमथुक्षवथुश्वयथुज्वरैः ॥ १,१५६.

Also with cough, thirst, dryness of mouth, tastelessness, breathlessness, nasal congestion; fatigue, breaking of limbs, grinding, sneezing, swelling, and fever.

क्लैब्यबाधिर्यस्तैमित्यशर्करापरिपीडितः । क्षामो भिन्नस्वरो ध्यायन्मुहुः ष्ठीवन्नरोचकी ॥ १,१५६.

Afflicted by impotence, deafness, stiffness, and gravel; wasted, with altered voice, meditating, repeatedly spitting, and lacking appetite.

सर्वपर्वास्थिहृन्नाभीपायुवङ्क्षणशूलवान् । गुदेनस्त्रवता पित्तं बलाकोदरसन्निभम् ॥ १,१५६.

Pain in all joints, bones, heart, navel, anus, groin; bile flows from the rectum, resembling the belly of a crane.