Garuda Purana

सर्षपोपमसंस्थाना जिह्वापाकमहारुजा । पुत्रिणी महती चाल्पा सुसूक्ष्मा पिडिका स्मृता ॥ १,१५९.

Resembling mustard seeds in form, with severe pain and ulceration of the tongue, the pustule called putriṇī is described as large, small, or very minute.

विदारीकन्दवद्वृत्ता कठिना च विदारिका । विद्रधेर्लक्षणैर्युक्ता ज्ञेया विद्रधिका तु सा ॥ १,१५९.

Round like the root of vidārī, hard, and possessing the features of an abscess—this is to be known as vidradhikā.

पुत्रिणी च विदारी च दुः सहा बहुमेदसः । सद्यः पित्तोल्बणास्त्वन्याः सम्भवन्त्यल्पमेदसः ॥ १,१५९.

Putriṇī and vidārī are difficult to endure and occur in those with much fat; the others, dominated by pitta, arise in those with little fat.

पिडिकास्ता भवेयुः स्याद्दोषोद्रेको यथायथम् । प्रमेहेण विनाप्येता जायन्ते दुष्टमेदसः ॥ १,१५९.

These pustules manifest according to the aggravation of the doṣas; even without diabetes, they arise from corrupted fat.

तावच्च नोपलक्ष्यन्ते यावद्वर्णञ्च वर्जितम् । हारिद्रं रक्तवर्णं वा मेहप्राग्रूपवर्जितम् ॥ १,१५९.

They are not noticed as long as there is no change in color; yellow or red coloration, or absence of the early signs of diabetes, should be noted.

यो मूत्रयेत तन्महें रक्तपित्तन्तु तद्विदुः । स्वेदोऽङ्गगान्धः शिथिलत्वमङ्गे श्य्याशनस्वप्नसुखाभिषङ्गः । हृन्नेत्रजिह्वाश्रवणोपदाहा घनोग्रता केशनखाभिवृद्धिः ॥ १,१५९.

One who passes urine of such a kind is said to have raktapitta; symptoms include sweating, body odor, looseness of limbs, drowsiness, craving for food and sleep, burning in the heart, eyes, tongue, and ears, heaviness, and excessive growth of hair and nails.

शीतप्रियत्वं गलतालुशोषो माधुर्य मास्ये करपाददाहः । भविष्यतो मेहगणस्य रूपं मूत्रेऽपि धावन्ति पिपीलिकाश्च ॥ १,१५९.

Fondness for cold, dryness of the throat and palate, sweetness in the mouth, burning in the hands and feet—these are signs of impending diabetes; ants are also seen attracted to the urine.

तृष्णा प्रमेहे मधुरं प्रपिच्छं मध्वामये स्याद्विविधोविकारः । सम्पूरणाद्वा कफसम्भवः स्यात्क्षीणेषु दोषेष्वनिलात्मको वा ॥ १,१५९.

Thirst in diabetes, sweetness, and stickiness in the mouth, and various disorders occur; from fullness, it arises from kapha, and when the doṣas are depleted, it is of vāta nature.

सम्पूर्णरूपाः कफपित्तमेहाः क्रमेण ये वै रतिसम्भवाश्च । सक्रामते पित्तकृतास्तु याप्याः साध्योऽस्ति मेहो यदि नास्ति दिष्टम् ॥ १,१५९.

Those cases of diabetes caused by kapha and pitta, manifesting fully and gradually, and those arising from sexual activity, are chronic if caused by pitta; diabetes is curable if not ordained by fate.

श्रीगरुडमहापुराणम् १६० धन्वन्तरिरुवाच । निदानं विद्रधेर्वक्ष्ये गुल्मस्य शृणु शुश्रुत ! । भुक्तैः पर्युषितात्युष्णशुष्करूक्षविदाहिभिः ॥ १,१६०.

Dhanvantari said: I will explain the cause of abscess; listen, O Suśruta, to that of gulma as well! It arises from consuming food that is stale, excessively hot, dry, rough, or burning.

जिह्मशय्याविचेष्टाभिस्तैस्तैश्चासृक्प्रदूषणैः । दुष्टसत्वङ्मांसमेदोऽस्थिमदामृष्टोदराश्रयः ॥ १,१६०.

From lying on uneven beds, improper movements, and various blood vitiations, the corrupted flesh, fat, marrow, and bone become the seat of disease in the abdomen.

यः शोथो बहिरन्तश्च महाशूलो महारुजः । वृत्तः स्यादायतो यो वा स्मृतो रोगः स विद्रधिः ॥ १,१६०.

That swelling, both external and internal, with severe pain and great suffering, which is round or elongated, is known as the disease called abscess.

दोषैः पृथक्समुदितैः शोणितेन स्त्रतेन च । वहते तत्र तत्राङ्गे दारुणे ग्रथितोऽस्त्रुतः ॥ १,१६०.

Formed by the separate or combined action of the doṣas and blood, it moves in various parts of the body, hard, knotted, and not discharging.

अन्तरा दारुणश्चैव गम्भीरो गुल्मवर्धनः । वल्मीकवत्समुत्स्त्रावी ह्यग्निमान्द्यञ्च जायते ॥ १,१६०.

Internally, it is severe and deep, increasing like a tumor; it discharges like an anthill and causes digestive weakness.

नाभिबस्तियकृत्प्लीहक्लोमहृत्कुक्षिवङ्क्षणि । हृदये वेपमाने तु तत्रतत्रातितीव्ररुक् ॥ १,१६०.

It occurs in the navel, bladder, liver, spleen, heart, abdomen, and groin; when present in the heart, there is trembling and intense pain in those regions.

श्यामारुणशिरोत्थानपाको विषमसंस्थितिः । संज्ञाच्छेदभ्रमानाहस्यन्दसर्पणशब्दवान् ॥ १,१६०.

With a dark-red head, irregular maturation, and uneven shape, it is accompanied by loss of consciousness, confusion, distension, oozing, creeping sensations, and noise.

रक्तताम्रासितः पित्तात्तृण्मोहज्वरदाहवान् । क्षिप्तोत्थानप्रपाकश्च पाण्डुः कण्डूयुतः कफात् ॥ १,१६०.

Due to pitta, it appears red, coppery, or blackish, with delirium, fever, and burning; arising suddenly and maturing quickly, it is pale and itchy from kapha.

संक्लेशशीतकस्तम्भजृम्भारोचकगौरवाः । चिरोत्थानोऽविपाकश्च संकीर्णः सन्निपातजः ॥ १,१६०.

Distress, chills, stiffness, yawning, loss of appetite, heaviness, delayed onset, lack of proper digestion—these are the mixed symptoms arising from the combined disturbance of all three doshas.

सामर्थ्याच्चात्र विड्भेदो बाह्याभ्यन्तरलक्षणम् । कृष्णस्फोटावृतश्यामस्तीव्रदाहरुजाज्वरः ॥ १,१६०.

Here, due to the strength of the disorder, there is abnormal stool, with both external and internal signs: black eruptions, dark discoloration, intense burning, pain, and fever.

पित्तलिङ्गोऽसृजा बाह्ये स्त्रीणामेव तथान्तरम् । शस्त्राद्यैरभिघातोत्थरक्तैश्च रोगकारणम् ॥ १,१६०.

The signs of pitta are also found in external bleeding, especially in women; and disease can also be caused by blood from injuries by weapons and similar causes.

क्षतोत्थो वायुना क्षिप्तः स रक्तः पित्तमीरयन् । पित्तासृग्लक्षणं कुर्याद्विद्रधिं भूर्युपद्रवम् ॥ १,१६०.

When arising from a wound and agitated by wind, the blood provokes pitta, producing the symptoms of pitta and blood, and causing abscesses with many complications.

तेनोपद्रवभेदश्च स्मृतोऽधिष्ठानभेदतः । नाभौ हि ध्मातं चेद्बस्तौ मूत्रकृच्छ्रञ्चजायते ॥ १,१६०.

Thus, the variations in complications are recognized according to the site of affliction; for example, if swelling occurs at the navel or bladder, difficulty in urination arises.

श्वासप्रश्वासरोधश्च प्लीहायामतितृट्परम् । गलरोधश्च क्लोम्नि स्यात्सर्वाङ्गप्ररुजा हृदि ॥ १,१६०.

Obstruction of breathing and exhalation, spleen disorder, excessive thirst, and throat obstruction occur in the kloma; pain throughout the body and in the heart also arise.

प्रमोहस्तमकः कासौ हृदयोद्धट्टनन्तथा । कुक्षिपार्श्वान्तरे चैव कुक्षौ दोषोपजन्म च ॥ १,१६०.

Fainting, darkness before the eyes, cough, palpitations of the heart, and in the sides of the abdomen, as well as the generation of doshas in the abdomen, also occur.

तथा चेदूरुसन्धौ च वङ्क्षणे कटिपृष्ठयोः । पार्श्वयोश्च व्यथा पायौ पवनस्य निरोधनम् ॥ १,१६०.

Similarly, pain arises in the thigh-joints, groin, hips, back, and sides; there is pain in the anus and obstruction of wind.

आमपक्वविदग्धत्वं तेषां शोथवदादिशेत् । नाभेरूर्ध्वमुखात्पक्वात्प्रद्रवन्त्यपरे गुदात् ॥ १,१६०.

One should recognize in these cases the presence of raw, ripe, or suppurated swelling; some discharge upward from the navel when ripe, others downward from the anus.

गुदास्तनाभिजे विद्याद्दोषक्लेदोच्चविद्रधौ । कुरुते स्वाधिष्ठानस्य विवर्तं सन्निपातजः ॥ १,१६०.

Know that abscesses arising from the anus, breast, or navel are due to the moistening of doshas; the combined disturbance of doshas causes changes at their respective sites.

पक्वो हि नाभिवस्तिस्थो भिन्नोऽन्तर्बहिरेव वा । पाकश्चान्तः प्रवृद्धस्य क्षीणस्योपद्रवार्दितः ॥ १,१६०.

When mature, if located at the navel or bladder, the abscess may rupture either internally or externally; if the abscess is depleted and complications arise, the suppuration occurs within.

विद्रधिश्च भवेत्तत्र पापानां पापयोषिताम् । मृते तु गर्भगे चैव सम्भवेच्छ्वयथर्घनः ॥ १,१६०.

There, abscess develops in wicked women and sinners; if the fetus dies in the womb, a hard swelling may also arise.