Garuda Purana

क्रमेण वायोः संसर्गात्पित्तं योनिषु सञ्चयम् । रक्तस्य कुरुते तस्या वातपित्तोक्तगुल्मजान् ॥ १,१६०.

Gradually, by the mingling of wind, bile accumulates in the womb, producing in her the tumors described as caused by wind and bile.

गर्भाशये च सुतरां शूलांश्चैवासृगाश्रये । योनिस्त्रावश्च दौर्गन्ध्यं भूयः स्यन्दनवेदने ॥ १,१६०.

There is severe pain in the womb and especially in the blood-vessels, along with vaginal discharge, foul odor, and increased burning sensation.

कदापि गर्भवद्गुल्मः सर्वे ते रतिसम्भवाः । पाकञ्चिरेण भजते नैधते विद्रधिः पुनः ॥ १,१६०.

Sometimes the tumor resembles a pregnancy; all these arise from sexual intercourse, and as they mature, they may develop into abscesses.

पच्यते शीघ्रमत्यर्थं दुष्टरक्ताश्रयस्तु सः । अतः शीघ्रं विदाहित्वाद्वद्रधिः सोऽभीधीयते ॥ १,१६०.

It ripens very quickly, being rooted in impure blood; therefore, because it rapidly causes burning and destruction, it is called an abscess.

गुल्मान्तारश्रये बस्तिदाहश्च प्लीहवेदना । अग्निवर्णबलभ्रंशो वेगानां वा प्रवर्तनम् ॥ १,१६०.

When the tumor is located deep within, there is burning in the bladder, pain in the spleen, loss of digestive power and strength, or abnormal urges.

अतो विपर्यये बाह्यकोष्ठाङ्गेषु च नातिरुक् । वैवर्ण्यमथ वा कासो बहिरुन्नतताधिकम् ॥ १,१६०.

Conversely, when it is in the outer abdominal wall, there is not much pain, but there may be discoloration, cough, or greater outward swelling.

साटोपमत्युग्ररुजमाध्मानमुदरे भृशम् । ऊर्ध्वाधो वातरोधेन तमानाहं प्रचक्षते ॥ १,१६०.

With tension and very severe pain, there is marked distension of the abdomen; when wind is obstructed upward or downward, this is called tympanites.

धनश्चाष्ठ्युपमो ग्रन्थिलोऽष्ठीलातु समुन्नता । समस्तालिङ्गसंयुक्तः प्रत्यष्ठीला तदाकृतिः ॥ १,१६०.

It may resemble a sack of wealth, be nodular, or raised like a pestle; when all signs are present, it is called a pestle-shaped tumor.

पक्वशयोद्भवोऽप्येवं वायुस्तीव्ररुजाश्रयात् । उद्गारबाहुल्यपुरीषबन्धतृप्त्यक्षमत्वान्त्रविकूजनानि ॥ १,१६०.

When arising from the colon, due to severe pain from wind, there is frequent belching, constipation, early satiety, inability to digest, and gurgling of the intestines.

आचोपमाध्मानमपक्तिशक्तिः आसन्नगुल्मस्य भवेच्च चिह्नम् ॥ १,१६०.

Distension resembling a sack, loss of digestive power—these are the signs of an impending tumor.

श्रीगरुडमहापुराणम् १६१ धन्वन्तरिरुवाच । उदराणां निदानञ्च वक्ष्ये सुश्रुत तच्छृणु । रोगाः सर्वेऽपि मन्दाग्नौ सुतरामुदराणि तु ॥ १,१६१.

Dhanvantari said: I will now explain the causes of abdominal diseases; listen to this, O Sushruta. All diseases arise especially when the digestive fire is weak, but abdominal diseases do so even more.

अनीर्णामयाश्चाप्यन्ये जायन्ते मलसंचयात् । ऊर्ध्वाधो वायवो रुद्ध्वा व्याकुलाविप्रवाहिणी? ॥ १,१६१.

Other diseases, not yet determined, also arise from the accumulation of impurities; when the upward and downward airs are obstructed, they become agitated and flow irregularly.

प्राणानपानान्संदूष्य कुर्युस्तान्मांससन्धिगान् । आध्माप्य कुक्षिमुदरमष्टधा ते च भेदतः ॥ १,१६१.

By corrupting the vital breaths—prāṇa and apāna—they affect the joints of the flesh; causing swelling of the belly and abdomen, these manifest in eight different ways.

पृथग्दोषैः समस्तौश्च प्लीहवङ्क्षक्षतोदकैः । तेनार्ताः शुष्कताल्वोष्ठाः सर्वपादकरोदराः ॥ १,१६१.

With distinct or combined humors, with fluids from the spleen, groin, or wounds, those afflicted become dry of palate and lips, with swelling of all limbs and abdomen.

नष्टचेष्टबलाहाराः कृतप्रध्मात्कुक्षयः । पुरुषाः स्युः प्रेतरूपा भाविनस्तस्य लक्षणम् ॥ १,१६१.

Deprived of movement, strength, and appetite, with bellies distended by wind, such people become ghost-like in form—these are the signs to be recognized.

क्षुन्नाशोऽरुचिवत्सर्वं सविदाहञ्च पच्यते । जीर्णान्नं यो न जानाति सोऽपथ्यं सेवतेनरः ॥ १,१६१.

Loss of hunger, aversion to all food, and burning pain arise; one who cannot discern digested from undigested food consumes what is unwholesome.

क्षीयते बलमङ्गस्य श्वसित्यल्पोऽविचेष्टितः । विषयावृत्तिबुद्धिश्च शोकशोषादयोऽपिच ॥ १,१६१.

The strength of the body diminishes, breathing becomes shallow, and there is little activity; the mind turns away from sense objects, and sorrow and wasting ensue.

रुग्बस्तिसन्धौ सततं लघ्वल्पभोजनैरपि । जराजीर्णो बलभ्रंशो भवेज्जठररोगिणः ॥ १,१६१.

There is constant pain in the bladder and joints, even with light and small meals; in abdominal disease, old age and indigestion bring about loss of strength.

स्वतन्त्रतन्द्रालसता मलसर्गोऽल्पवह्निता । दाहः श्वयथुराध्मानमन्त्रे सलिलसम्भवे ॥ १,१६१.

Lethargy, laziness, and independent drowsiness occur, with scanty excretion and weak digestive fire; there is burning, swelling, and bloating, especially when water is present.

सर्वत्र तोये मरणं शोचनं तत्र निष्फलम् । गवाक्षवच्छिराजालैरुदरं गुड्गुडायते ॥ १,१६१.

Death occurs in all watery places, and lamentation there is fruitless; the abdomen, like a window with a mesh of veins, makes gurgling sounds.

नाभिमन्त्रश्च विष्टभ्य वेगं कृत्वा प्रणश्यति । मारुते हृत्कटीनाभिपायुवङ्क्षणवेदनाः ॥ १,१६१.

The navel is obstructed and, creating pressure, is destroyed; with wind, there is pain in the heart, waist, navel, anus, and groin.

सशब्दो निः सरेद्वायुर्वहते मूत्रमल्पकम् । नातिमात्रं भवेल्लौल्यं नरस्य विरसं मुखम् ॥ १,१६१.

The wind passes out with sound, and carries little urine; there is no excessive craving, and the mouth of the person becomes tasteless.

तत्रवातोदरे शोथः पाणिपान्मुखकुक्षिषु । कुर्क्षिपार्श्वोदरकटीपृष्ठरुक्पर्वभदनम् ॥ १,१६१.

In abdominal disease caused by wind, there is swelling in the hands, feet, face, and belly; pain arises in the groin, sides, abdomen, waist, back, and joints.

शुष्ककासाङ्गमर्दाधोगुरुतामलसंग्रहः । श्यामारुणत्वगादित्वं मुखे च रसवद्धिता ॥ १,१६१.

There is dry cough, body ache, heaviness below, and accumulation of impurities; the skin becomes dark or reddish, and the mouth loses its sense of taste.

सतोदभेदमुदरं नीलकृष्णशिराततम् । आध्मातमुदरे शब्दमद्भुतं वा करोति सः ॥ १,१६१.

When the abdomen is split with pain, the veins appear blue-black and spread; when bloated, the belly produces strange sounds.

वायुश्चात्र सरुक्च्छब्दं विधत्ते सर्वथा गतिम् । पित्तोदरे ज्वरो मूर्छा दाहित्वं कटुकास्यता ॥ १,१६१.

Here, the wind causes pain and noise, moving in all directions; in abdominal disease from bile, there is fever, fainting, burning, and bitterness in the mouth.

भ्रमोतिसारः पीतत्वं त्वगादावुदरं हरित् । पीतताम्रशिरादित्वं सस्वेदं सोष्म दह्यते ॥ १,१६१.

There is dizziness, diarrhea, yellowness of the skin and other areas; the veins become yellow or coppery, with sweating and heat, and the person feels burning.

धूमायते मृदुस्पर्शं क्षैप्रपाकं प्रदूयते । श्लेष्मोदरेषु सदनं स्वेदश्वयथुगौरवम् ॥ १,१६१.

There is a smoky appearance, soft to the touch, and rapid decay; in diseases of the abdomen caused by phlegm, there is heaviness, sweating, and swelling.

निद्रा क्लेशोऽरुचिः श्वासः काशः शुक्लत्वगादिता । उदरं तिमिरं स्निग्धं शुक्लकृष्णशिरावृतम् ॥ १,१६१.

There is sleepiness, discomfort, loss of appetite, shortness of breath, cough, and paleness of the skin; the abdomen is cloudy, oily, and covered with white and black veins.