वर्चः पित्तकफान्बद्धान्करोति कुपितोऽनिलः । अपानो जठरे तेन संरुद्धो ज्वररुक्करः ॥ १,१६१.
When aggravated, the downward wind (apāna) in the abdomen binds the stool, bile, and phlegm, causing fever and pain.
काशश्वासोरुसद्गनं शिरोरुङ्नाभिपार्श्वरुक् । मलासंगोऽरुचिश्छर्दिरुदरे मलमारुतः ॥ १,१६१.
Cough, breathlessness, chest pain, headache, pain in the navel and sides, constipation, loss of appetite, vomiting—these are caused by the abdominal wind.
स्थिरनीलारुणशिराजालैरुदरमावृतम् । नाभेरुपरि च प्रायो गोपुच्छाकृति जायते ॥ १,१६१.
The abdomen becomes covered with firm, blue, and red veins; above the navel, a shape resembling a cow's tail often appears.
अस्थ्यादिशल्यै रन्यैश्च विद्धे चैवोदरे तथा । पच्यते यकृतादिश्च तच्छिद्रैश्च सरन्बहिः ॥ १,१६१.
When the abdomen is pierced by bone fragments or other foreign bodies, the liver and other organs begin to decay, and fluid flows out through those openings.
आम एव गुदाहेति ततोऽल्पाल्पः शकृद्रसः । स स्याद्विकृतगन्धोऽपि पिच्छिलः पीतलोहितः ॥ १,१६१.
If there is rawness or burning in the rectum, the fecal matter becomes scanty, foul-smelling, slimy, yellow, and bloody.
शेषश्चापूर्य जठरं घोरमारभते ततः । वर्धते तदधो नाभेराशु चैति जलात्मताम् ॥ १,१६१.
The remaining matter fills the abdomen, causing severe distress; it increases below the navel and quickly takes on a watery nature.
उद्रिक्ते दोषरूपे च व्याप्ते च श्वासतृट्भ्रमैः । छिद्रोदरमिदं प्राहुः परिस्त्रावीति चापरे ॥ १,१६१.
When the doṣas are greatly increased and pervade the body, along with breathlessness, thirst, and dizziness, this is called 'perforated abdomen'; others call it 'leakage.'
प्रवृत्तस्नेहपानादेः सहसापथ्यसेविनः । अत्यम्बुपानान्मन्दाग्नेः क्षीणस्यातिकृशस्य च ॥ १,१६१.
In those who suddenly indulge in unwholesome foods after consuming oily substances, who drink excessive water, have weak digestion, or are emaciated and very thin—
रुद्धः स्वमार्गादनिलः कफश्च जलमूर्छितः । वर्धते तु तदेवाम्बु तन्मात्राद्विन्दुराशितः ॥ १,१६१.
When the wind is obstructed from its own path, and phlegm is thickened by water, that very water increases, and from that essence, a drop is formed and accumulates.
तत्कोपादुदरं तृष्णागुदस्नुतिरुजान्वितम् । काशश्वासारुचियुतं नानावर्णाशिराततम् ॥ १,१६१.
From that disturbance arises abdominal swelling, accompanied by thirst, the flow of mucus, pain, cough, breathlessness, loss of appetite, and various colored veins spreading.
तोयपूर्णान्मृदुस्पर्शात्सदृशक्षोभवेपथु । बकोदरं स्थिरंस्निग्धं नाडीमावृत्य जायते ॥ १,१६१.
When the abdomen is filled with water, soft to the touch, trembling, and shivering similar to agitation, a stable and unctuous 'Bakodara' arises, blocking the channels.
उपेक्षायाञ्च सर्वेषां स्वस्थानां परिचालिताः । पाका द्रवा द्रवीकुर्युः सन्धिस्रोतोमुखान्यपि ॥ १,१६१.
And when all the healthy elements are neglected and disturbed, the digested and undigested fluids liquefy even the joints and openings of the channels.
स्वेदे चैव तु संरुद्धे मूर्छिताश्चान्तरस्थिताः । तदेवोदरमापूर्य कुर्यादुदरामयम् ॥ १,१६१.
When sweat is also obstructed and the internal fluids are thickened, that very fluid fills the abdomen and causes abdominal disease.
गुरूदरं स्थितं वृत्तमाहतञ्च न शब्दकृत् । हीनबलं तथा घोरं नाड्यां स्पृष्टञ्च सपति ॥ १,१६१.
The heavy abdomen is stable, rounded, injured, and does not produce sound; it is weak, severe, and when touched at the channel, it throbs.
शिरान्तर्धानमुदरे सर्वलक्षणमुच्यते । वातपित्तकफप्लीहसन्निपातोदकोदरम् ॥ १,१६१.
The disappearance of veins in the abdomen is said to be a sign of all types: wind, bile, phlegm, spleen, combined, and watery abdominal diseases.
पक्षाच्च जातसलिलं विष्टम्भोपद्रवान्वितम् । जन्मनैवोदरं सर्वं प्रायः कृच्छ्रतमं मतम् ॥ १,१६१.
When water is present from birth due to the influence of the parents, with symptoms of obstruction, all such congenital abdominal diseases are considered extremely difficult.
श्रीगरुडमहापुराणम् १६२ धन्वन्तरिरुवाच । पाण्डुशोथनिदानञ्च शृणु सुश्रत वच्मि ते । पित्तप्रधानाः कुपिता यथोक्तैः कोपनैर्मलाः ॥ १,१६२.
Dhanvantari said: Hear now the origin of pallor and swelling; I will tell you, O attentive one. When the humors dominated by bile are provoked by the causes previously described—
नत्रानिलेन बलिना क्षिप्ताक्षिप्तं यदि स्थितम् । धमनीर्दशमीः प्राप्य व्याप्नुवन्सकलां तनुम् ॥ १,१६२.
If not driven by the strong wind, and if it remains in place, reaching the ten vessels, it spreads throughout the entire body.
त्वगसृक्छ्लेष्ममांसानि प्रदूष्यन्रसमाश्रितम् । त्वङ्मांसयोस्तु कुरुते त्वचि वर्णान् पृथग्विधान् ॥ १,१६२.
Corrupting the skin, blood, phlegm, and flesh, and residing in the essence, it produces various colors in the skin and flesh.
स्वयं हरिद्रा हारिद्रं पाण्डुत्वं तेषु चाधिकम् । यातोऽयं प्रहतेदुग्रः स रोगस्तेन गौरवम् ॥ १,१६२.
Itself yellow like turmeric, and with excessive yellowness in those parts, when this severe disease strikes, it brings heaviness.
धातूनां स्पर्शशैथिल्यमामजश्च गुणक्षयः । ततोऽल्परक्तमेदोऽस्थिनिः सारः स्याच्छ्लथेन्द्रियः ॥ १,१६२.
There is looseness of touch in the tissues, loss of qualities due to undigested matter, and thus little blood, fat, and bone remain, with weakened senses.
शीर्यमाणैरिवाङ्गैस्तु द्रवता हृदयेन च । शूलोक्षिकूटवदने स्तैमित्यं तत्र लालया ॥ १,१६२.
With limbs as if decaying, and the heart melting, the mouth is dry and parched, and there is stiffness with drooling.
हीनतृट्शिशिरद्वेषी शीर्णलोभो हतानलः । मन्दशक्तिर्ज्वरी श्वासी कर्णशूली तथा भ्रमी ॥ १,१६२.
He has little thirst, dislikes cold, lacks desire, has impaired digestion, is weak, feverish, short of breath, has ear pain, and dizziness.
स पञ्चधा पृथग्दोषैः समस्तैर्मृत्तिकादनात् । प्राग्रूपमस्य हृदयस्पन्दनं रूक्षता त्वचि ॥ १,१६२.
This disease is fivefold, caused by separate humors or all together, and by eating clay; its early signs are palpitations of the heart and dryness of the skin.
अरुचिः पीतमूत्रत्वं स्वेदाभावोऽल्पमृत्रता । मेदः समानिलात्तत्र गाढरुक्क्लेदगात्रता ॥ १,१६२.
There is loss of appetite, yellow urine, absence of sweat, scanty urination; when fat is affected by wind, the body becomes very dry, rough, and moist.
कृष्णेक्षणं कृष्णशिरानखविण्मूत्रनेत्रता । शोथो नासास्यवैरस्यं विट्शोषः पार्श्वमूर्छना ॥ १,१६२.
The eyes, veins, nails, urine, and eyes become black; there is swelling, aversion to smells and tastes, dryness of stool, and fainting in the sides.
पित्ते हरितपित्ताभः शिरादिषु ज्वरस्तमः । तृट्शोषमूर्छादौर्गन्ध्यं शीतेच्छा कटुवक्रता ॥ १,१६२.
When bile is predominant, the fever appears yellowish-green in the head and other parts; there is thirst, dryness, fainting, foul smell, desire for cold, bitterness, and a crooked taste.
विड्भेदश्चाम्लको दाहः कफाच्च हृदयार्द्रता । तन्द्रा लवणवक्रत्वं रोमहर्षः स्वरक्षयः ॥ १,१६२.
There is diarrhea, sourness, burning sensation, and due to phlegm, moistness of the heart; drowsiness, a salty and crooked taste, horripilation, and loss of voice.
काशश्छर्दिश्च निचयान्नष्टलिङ्गोऽतिदुः सहः । उत्कृष्टेनिलपित्ताभ्या कटुर्वा मधुरः कफः ॥ १,१६२.
There is cough and vomiting, and in some cases, the symptoms disappear entirely and are extremely difficult to endure; when bile and wind are greatly aggravated, the phlegm is either bitter or sweet.
दूषयित्वा वसादींश्च रौक्ष्याद्रक्तविमोक्षणम् । स्रोतसां संक्षयं कुर्यादनुरुध्य च पूर्ववत् ॥ १,१६२.
After corrupting the fats and similar tissues, due to dryness, bloodletting is indicated; it causes depletion of the channels, and, as before, the symptoms persist.