Garuda Purana

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.

स्तने समत्थे दुःखं वा बाह्यविद्रधिलक्षणम् । नारीणां सूक्ष्मरक्तत्वात्कन्यायान्तु न जायते ॥ १,१६०.

Pain in the breast, whether present or not, is a sign of external abscess; due to the subtlety of blood in women, it does not occur in maidens.

क्रुद्धो रुद्धगतिर्वायुः शेफमूलकरो?हि सः । मुष्कवङ्क्षणतः प्राप्य फलकोषातिवाहिनीम् ॥ १,१६०.

When wind is enraged or its movement is obstructed, it produces swelling at the root of the penis; reaching the scrotum and groin, it causes excessive swelling of the testicular sac.

आपीड्य धमनीवृद्धिं करोति फलकोषयोः । दोषो मेदःसु तत्रास्ते सवृद्धिः सप्तधा गदः ॥ १,१६०.

By compressing, it causes enlargement of the veins in the testicular sac; the dosha accumulates in the fat there, and the disease manifests in seven forms with swelling.

मूत्रन्तयोरप्यनिलाद्बाह्ये वाभ्यन्तरे तथा । वातपूर्णः खरस्पर्शो रूक्षो वाताच्च दाहकृत् ॥ १,१६०.

Due to wind, swelling may occur at the ends of the urinary tract, either externally or internally; it is filled with air, rough to the touch, dry, and causes burning due to wind.

पक्वोदुम्बरसङ्काशः पित्ताद्दाहोष्मपाकवान् । कफात्तीव्रो गुरुः स्निग्धः कण्डूमान्कठिनोऽल्परुक् ॥ १,१६०.

When ripe, due to pitta, it resembles a fig, with burning, heat, and suppuration; due to kapha, it is severe, heavy, unctuous, itchy, hard, and causes little pain.

कृष्णः स्फोटावृतः पिण्डों वृद्धिलिङ्गश्च रक्ततः । कफवन्मेदसां वृद्धिर्मृदुतालफलोपमः ॥ १,१६०.

The swelling is black, covered with eruptions, and shows signs of growth due to blood; with kapha and fat, the swelling increases, soft and resembling a ripe palmyra fruit.

मूत्रधारणशीलस्य मूत्रजस्तत्र गच्छतः । अलोभः पूर्णधृतिमान्क्षोभं याति सरन्मृदु ॥ १,१६०.

For one who habitually retains urine, as the urine moves there, the absence of greed and full steadiness are disturbed, and the gentle flow becomes agitated.

मूत्रकृच्छ्रमधस्ताच्च वलयः फलकोषयोः । वातकोपिभिसहारैः शीततोयावगाहनैः ॥ १,१६०.

Difficulty in urination arises below, with swelling of the scrotum and testicles, accompanied by aggravation of wind, and by immersions in cold water.

विण्मूत्रधारणाच्चैव विषमाङ्गविचेष्टनैः । क्षोभितैः क्षोभितौजाश्च क्षीणान्तर्देहिनो यदा ॥ १,१६०.

Also, by retaining feces and urine, and by irregular movements of the limbs, when the vital energies are disturbed and depleted within the body—

पवनो विगुणीभूय शोणितं तदधोनयेत् । कुर्यात्तत्क्षणसन्धिस्थो ग्रन्थ्याभः श्वयथुस्तदा ॥ १,१६०.

The wind, having become disordered, drives the blood downward; then, at the joint, it produces swelling resembling a knot.