Garuda Purana

आध्मानमुदरे विष्ठा हृल्लासपरिकर्तने । बस्तौ च सुतरां शूलो गण्डश्वयथुसंभवः ॥ १,१५६.

There is bloating in the abdomen, hard stool, nausea, cutting pain, and especially severe pain in the bladder, along with swelling of the cheeks.

पवनस्योर्ध्वगामित्वात्ततश्छर्द्यरुचिज्वराः । हृद्रोगग्रहणीदोषमूत्रसंगप्रवाहिकाः ॥ १,१५६.

Because of the upward movement of wind, there arise vomiting, loss of appetite, fever, heart disease, disorders of digestion, retention of urine, and diarrhea.

बाधिर्यातिशिरः श्वासशिरोरुक्काशपीनसाः? । मनोविकारस्तृट्श्वासपित्तगुल्मोदरादयः ॥ १,१५६.

Deafness, severe headache, breathlessness, head pain, cough, nasal congestion, mental disturbances, thirst, difficulty breathing, disorders of bile, abdominal tumors, and similar conditions also occur.

एते च वातजा रोगा जायन्ते भृशदारुणाः । दुर्नामामृत्यूदावर्तपरमोऽयमुपद्रवः ॥ १,१५६.

These are the diseases caused by wind, arising intensely and severely; among them, the most dangerous are those with terrible names, leading even to death and severe complications.

वाताभिभूतकोष्ठानां तैर्विनापि विजायते । सहजानि तु दोषाणि यानि चाभ्यन्तरे वलौ ॥ १,१५६.

Even without these, those whose bowels are afflicted by wind develop inherent disorders, as well as those that are internal and associated with the channels.

स्थितानि तान्यसाध्यानि याप्यन्तेऽग्निबलादिभिः । द्वन्द्वजानि द्वितीयायां वला यान्याश्रितानि च ॥ १,१५६.

Those which are established are incurable, but may be managed by the strength of digestive fire and other means; those arising from the combination of two humors, and those dependent on the second channel, are also described.

कृच्छ्रसाध्यानि तान्याहुः परिसंवत्सराणि च । बाह्यायां तु वलौ जातान्येकदोषोल्बणानि च ॥ १,१५६.

These are said to be difficult to cure, taking years to resolve; those arising in the external channel and dominated by a single humor are also described.

अर्शांसि सुखसाध्यानि न चिरोत्पत्तिकानि च । मेढ्रादिष्वपि वक्ष्यन्ते यथास्वं नाभिजानि तु ॥ १,१५६.

Hemorrhoids are easily curable and do not take long to develop; those that arise in the genitals and similar areas will be described according to their type, but not those that are congenital.

गण्डूपदस्य रूपाणि पिच्छिलानि मृदूनि च । व्यानो गृहीत्वा श्लेष्माणं करोत्यर्शस्त्वचो बहिः ॥ १,१५६.

The forms of worm infestation are slimy and soft; when the circulating wind takes up phlegm, it produces external hemorrhoids on the skin.

कीलोपमं स्थिरखरं चर्मकीलं च तद्विदुः । वातेन तोदः पारुष्यं पित्तादसितवक्त्रता ॥ १,१५६.

They know the hard, immovable, wart-like skin growths; pain and roughness are caused by wind, blackening of the mouth by bile.

श्लेष्मणः स्निग्धता तस्य ग्रथितत्वं सवर्णता । अर्शसां प्रशमे यत्नमाशु कुर्वीत बुद्धिमान् । तान्याशु हि गदन्धा (कार्) य्य कुर्युर्बद्धगुदोदरम् ॥ १,१५६.

Oily texture, knotting, and normal color are due to phlegm; a wise person should quickly strive for the relief of hemorrhoids, for these diseases can soon cause obstruction of the anus and abdomen.

श्रीगरुडमहापुराणम् १५७ धन्वन्तरिरुवाच । अतीसारग्रहण्योश्च निदानं वच्मि सुश्रुत । दोषैर्व्यस्तैः समस्तैश्च भयाच्छोकाच्च षड्विधः ॥ १,१५७.

Dhanvantari said: I will now explain to you, O Suśruta, the causes of diarrhea and digestive disorders, which are of six kinds, arising from the disturbance of the humors, either singly or together, and from fear and grief.

अतीसारः स सुतरां जायतेऽत्यम्बुपानतः । विशुष्कान्नवसास्नेहतिलपिष्टविरूढकैः ॥ १,१५७.

Diarrhea especially arises from excessive drinking of water, as well as from eating dry food, raw meat, unctuous substances, sesame flour, and improperly cooked grains.

मद्यरूक्षातिमात्रादिरसातिस्नेहविभ्रमात् । कृमिघोषविरोधाच्च तद्विधेः कुपितानिलः ॥ १,१५७.

It also arises from excessive consumption of alcohol, dry and excessive foods, confusion of tastes and unctuousness, and from the opposition of worms and improper combinations, which provoke wind.

विस्त्रंसयत्यधोवातं हत्वा तेनैव चानलम् । व्यापार्यान्नशकृत्कोष्ठपुरीषद्रवतादयः ॥ १,१५७.

The disturbed wind disperses downward, destroying the digestive fire; thus, the food, feces, and bowels are affected, resulting in looseness of stool and other symptoms.

प्रकल्पतेऽतीसारस्य लक्षणं तस्य भाविनः । भेदो हृद्गुदकोष्ठेषु गात्रस्वेदो मलग्रहः ॥ १,१५७.

These are considered the signs of impending diarrhea: disturbance in the heart, anus, and bowels, sweating of the limbs, and retention of impurities.

आध्मानमविपाकश्च तत्र वातेन विज्वरम् । अल्पाल्पं शब्दशून्याढ्यं विरु (ब)द्धमुपवेश्यते ॥ १,१५७.

In this condition, there is bloating and indigestion without fever, the stool is scanty, silent, and difficult to pass.

रूक्षं सफेनमच्छं च गृहीतं व मुहुर्मुहुः । तथादग्धगदाभासं पिच्छिलं परिकर्तयन् ॥ १,१५७.

The stool is dry, frothy, and clear, passed repeatedly or at intervals; it may appear burnt or poisoned, slimy, and cause cutting pain.

सशुष्कभ्रष्टपायुश्च हृष्टरोमा विनिश्वसन् । पित्तेन पीतमशितं हारिद्रं शाद्वलप्रभम् ॥ १,१५७.

With a dried and contracted anus, hair standing on end, and sighing, when bile is involved, the stool is yellow, resembling turmeric or green grass.

सरक्तमतिदुर्गन्धं तृण्मूर्छास्वेददाहवान् । सशूलपायुसन्तापपाकवाञ्छ्लेष्मणा घनम् ॥ १,१५७.

It is blood-stained, extremely foul-smelling, mixed with undigested grass, accompanied by sweating and burning; there is pain, heat in the rectum, a desire for pungent tastes, and thick phlegm.

पिच्छिलं तत्रानुसारमल्पाल्पं सप्रवाहिकम् । सरोमहर्पः सेक्लेशो गुरुबस्तिगुदोदरः ॥ १,१५७.

There, the discharge is slimy, scanty, and flowing; it causes hair loss, severe discomfort, and heaviness in the bladder, anus, and abdomen.

कृतेऽप्यकृतसङ्गश्च सर्वात्मा सर्वलक्षणः । भयेन क्षुभिते चित्ते शायिते द्रावयेत्स (च्छ) कृत् ॥ १,१५७.

Even when performed, if not properly assimilated, it affects the entire being with all its signs; when the mind is disturbed by fear and the person lies down, it is expelled.

वायुस्ततो निवार्येत क्षिप्रमुष्णं द्रवं प्लवम् । वातपित्ते समं लिङ्गमाहुस्तद्वच्च शोकतः ॥ १,१५७.

Then, wind should be restrained quickly with warm, liquid, and light substances; the signs are similar in wind and bile disorders, and likewise in grief.

अतीसारः समासेन द्वेधा सामो निरामकः । सासृग्जातं रसद्रोगो गौरवादप्सु मुञ्चति? । शकृद्दुर्गन्धमाटोपविष्टम्भार्तिप्रसेकिनः ॥ १,१५७.

In summary, diarrhea is of two types: with impurity and without impurity; when mixed with blood, it is a disorder of the fluids, and due to heaviness, it is released into water; the stool is foul-smelling, noisy, obstructed, and causes pain.

विपरीतो निरामस्तु कफात्कोऽपि न मज्जति । अतीसारेषु यो नाति यत्नवान् ग्रहणीगदः ॥ १,१५७.

The opposite, without impurity, is caused by phlegm, but does not sink; among diarrheas, one who is not very careful becomes afflicted with grahani disease.

तस्य स्यादग्निनिर्वाणकार्यैरत्यर्थसञ्चितैः । सामं शकृन्निरामं वा जीर्णं येनातिसार्यते ॥ १,१५७.

For him, due to excessive accumulation of factors that extinguish the digestive fire, whether the stool is impure or pure, it is digested and then expelled as diarrhea.

सोऽतिसारोऽतिसरणा दाशुकारीः स्वभावतः । सामंशीर्णमजीर्णेन जीर्णे पक्वं तु नैव च ॥ १,१५७.

This diarrhea, by its nature, causes excessive discharge; when mixed with impurity, it is undigested, but when digested, it is not so.

चिरकृद्ग्रहणीदोषः सञ्चयांश्चोपवेशयेत् । अकस्माद्वारसुर्वेधमकस्मात्सन्धिनीमुहुः? । स चतुर्धा पृथग्दोषैः सन्निपाताच्च जायते ॥ १,१५७.

Long-standing grahani disorder causes accumulation and compels fasting; sometimes there is sudden trembling, sometimes sudden joint pain; it arises in four ways according to the different humors, and also from their combination.

प्राग्रूपाङ्गस्य सदनं चिरात्पवन अल्पकः । प्रसेको वक्त्रवैरस्यमरुचिस्तृट्श्रमोभ्रमः ॥ १,१५७.

The early symptoms are weakness of the limbs, persistent wind, slight salivation, bad taste in the mouth, loss of appetite, thirst, fatigue, and dizziness.