Garuda Purana

यः पित्तरोगी सेवेत पित्तलं तस्य कामलम् । कोष्ठशा खोद्गतं पित्तं दग्ध्वासृङ्मांसमाहरेत् ॥ १,१६२.

If a person afflicted with bile consumes bile-increasing substances, jaundice arises for him; the bile, having entered the intestines, burns and draws out blood and flesh.

हारिद्रमूत्रनेत्रत्वं मुखं रक्तं शकृत्तथा । दाही विपाकतृष्णावान् भेकाभो दुर्बलेन्द्रियः ॥ १,१६२.

There is yellow coloration of urine and eyes, redness of the mouth and stool; the person experiences burning, abnormal digestion, thirst, a frog-like appearance, and weakened senses.

भवेत्पित्तानुगः शोथः पाण्डुरोगावृतस्य च । उपेक्षया च शोथाद्याः सकृच्छ्राः कुम्भकामलाः ॥ १,१६२.

Swelling associated with bile occurs in one suffering from anemia; due to neglect, swellings and similar conditions arise, which are difficult to treat, such as dropsy and severe jaundice.

हरितश्यामपित्तत्वे पाण्डुरोगो यदा भवेत् । वातपित्ते भ्रमस्तृष्णा स्त्रीषु हर्षो मृदुज्वरः ॥ १,१६२.

When anemia is accompanied by greenish or dark bile, and when wind and bile are involved, there is dizziness, thirst, sexual excitement in women, and mild fever.

तन्द्रा वा चानलभ्रंशस्तं वदन्ति हलीमकम् । आलस्यञ्चातिभवति तेषां पूर्वमुपद्रवः ॥ १,१६२.

If there is drowsiness or loss of digestive fire, that is called halīmaka; excessive laziness is an early complication for them.

शोथः प्रधानः कथितः स एवातो निगद्यते । पित्तरक्तकफान्वायुर्दुष्टो दुष्टान्बहिः शिराः ॥ १,१६२.

Swelling is described as the main disorder, and it is now explained: when bile, blood, phlegm, and wind are corrupted, they carry the corrupted substances into the external veins.

नीत्वा रुद्धगतिस्तैर्हि कुर्यात्त्वङ्मांससंश्रयम् । उत्सेधं संहतं शोथं तमाहुर्निचयादतः ॥ १,१६२.

Having brought them there, they obstruct the flow, and cause the swelling to settle in the skin and flesh; this compact, raised swelling is called by some as accumulation.

सर्वहेतुविशषैस्तु रूपभेदान्नवात्मकम् । दोषैः पृथग्विधैः सर्वैरभिघाताद्विषादपि ॥ १,१६२.

Due to all causes, with various forms and natures, and by all the different humors, as well as from injury or poison, such swellings arise.

तदेव नीयमानन्तु सर्वाङ्गे कामजम्भवेत् । पृथून्नताग्रग्रथितैर्विशेषैश्च त्रिधा विदुः ॥ १,१६२.

When this is carried throughout the body, it manifests as kāmajaundice; with broad, raised, and knotted features, it is known in three types.

सामान्यहेतुः शोथानां दोषजातो विशेषतः । व्याधिः कर्मोपवासादिक्षीणस्य भवति द्रुतम् ॥ १,१६२.

The general cause of swellings is the disturbance of the humors; in particular, disease quickly arises in those weakened by actions such as fasting.

अतिमात्रं यदासेवेद्गुरुमत्यन्तशीतलम् । लवणक्षारतीक्ष्णाम्लशाकाम्बुस्वप्नजागरम् ॥ १,१६२.

When one excessively consumes heavy or extremely cold foods, or salty, alkaline, pungent, sour vegetables, water, or engages in irregular sleep and wakefulness,

रोधो वेगस्य वल्लूरमजीर्णश्रममैथुनम् । पच्यते मार्गगमनं यानेन क्षोभिणापि वा ॥ १,१६२.

Suppression of natural urges, eating tough meat, indigestion, fatigue, sexual activity, travel, or agitation by vehicles—these all contribute.

श्वासकासातिसारार्शोजठरप्रदरज्वराः । विष्टम्भालस्यकच्छर्दिहिक्कापाण्डुविसर्पकम् ॥ १,१६२.

Shortness of breath, cough, diarrhea, hemorrhoids, abdominal diseases, fever, bloating, laziness, vomiting, hiccup, anemia, and spreading skin diseases arise.

ऊर्ध्वशोथमधो बस्तौ मध्ये कुर्वन्ति मध्यगाः । सर्वाङ्गगः सर्वगतः प्रत्यप्रत्यगेति तदाश्रयः ॥ १,१६२.

When swelling occurs above, below, or in the middle of the bladder, and is situated in the center, it is called 'sarvāṅgaga' if it affects the whole body, 'sarvagata' if it is widespread, and 'pratyapratyag' if it is localized.

तत्पूर्वरूपं क्षवथुः शिरायामङ्गगौरवम् । वाताच्छोथश्चलो रूक्षः खररोमारुणोऽसितः ॥ १,१६२.

Its early symptoms include sneezing, heaviness in the head and limbs, swelling caused by wind that is mobile, dry, with rough hair, reddish or dark in color.

शङ्खबस्त्यन्त्रशोफर्तिमेदोभेदाः प्रसुप्तिता । वातोत्तानः क्लमः शीघ्रमुन्नमेत्पीडितां तनुम् ॥ १,१६२.

Swelling of the bladder, joints, and fat tissue, numbness, upward movement of wind, exhaustion, and rapid aggravation arise, causing distress to the afflicted body.

सिग्धस्तु मर्दनैः शाम्येद्रात्रावल्पो दिवा महान् । त्वक्सर्षपविलिप्ते च तस्मिंश्चिमिचिमायते ॥ १,१६२.

If the swelling is oily, it subsides with massage, being small at night and large during the day; when the skin is smeared with mustard oil, it tingles.

पीतरक्तासिंताभासः पित्तजातश्च शोषकृत् । शीघ्रं नासौ वा प्रशमेन्मध्ये प्राग्दहते तनुम् ॥ १,१६२.

When caused by bile, the swelling appears yellowish-red, produces dryness, does not subside quickly or at all, and burns the body from within.

सतृट्दाहज्वरस्वेदो भ्रमक्लोदमदभ्रमाः । साभिलाषी शकृद्भेदो गन्धः स्पर्शसहो मृदुः ॥ १,१६२.

There is thirst, burning, fever, sweating, dizziness, moistness, faintness, desire, diarrhea, a smell, tenderness to touch, and softness.

कण्डूमान्पाण्डुरोमा त्वक्कठिनः शीतलो गुरुः । स्निग्धःश्लक्ष्णः स्थिरः शूलो निद्राच्छर्द्यग्निमान्द्यकृत् ॥ १,१६२.

There is itching, pale hair, hard and cold skin, heaviness, oiliness, smoothness, firmness, pain, sleepiness, vomiting, and weak digestion.

आघातेन च शस्त्रादिच्छेदभेदक्षतादिभिः । हिमानिलैर्दध्यनिलैर्भल्लातकपिकच्छजैः ॥ १,१६२.

Swelling may also arise from trauma, cuts, wounds, cold wind, sour wind, or from the effects of bhallātaka and kapikacchu plants.

रसैः शुष्कैश्च संस्पर्शाच्छ्वयथुः स्याद्विसर्पवान् । भृशोष्मा लोहिताभासः प्रायशः पित्तलक्षणः ॥ १,१६२.

Swelling may result from contact with pungent or dry substances, and is accompanied by spreading inflammation, intense heat, a reddish appearance, and often shows symptoms of bile.

विषजः सविषप्राणिपरिसर्पणमूत्रणात् । दंष्ट्रादन्तनखाघातादविषप्राणिनामपि ॥ १,१६२.

Swelling caused by poison arises from the bite, scratch, or contact with venomous creatures, and even from non-venomous animals.

विण्मूत्रशुक्रोपहतमलवद्वस्तुसंङ्करात् । विषवृक्षानिलस्पर्शाद्गरयोगावचूर्णनात् ॥ १,१६२.

It may also result from contamination by feces, urine, semen, or other impure substances, from contact with poisonous plants or winds, or from the use of toxic powders.

मृदुश्चलोऽवलम्बी च शीघ्रो दाहरुजाकरः । नवोऽनुपद्रवः शोथः साध्योऽसाध्यः पुरेरितः ॥ १,१६२.

Such swelling is soft, mobile, drooping, quick to cause burning and pain, recent, without complications, and is considered either curable or incurable according to tradition.

श्रीगरुडमहापुराणम् १६३ धन्वन्तीररुवाच । विसर्पादिनिदानन्ते वक्ष्ये सुश्रुत तच्छृणु । स्याद्विसर्पो विघातात्तु दोषैर्दुष्टैश्च शोथवत् ॥ १,१६३.

Dhanvantari said: Now I will explain the causes of spreading diseases like visarpa; listen, O Suśruta. Visarpa arises from injury and from corrupted humors, similar to swelling.

अधिष्ठानञ्च तं प्राहुर्बाह्यं तत्र भयाच्छ्रमात् । यथात्तरञ्च दुः साध्यस्तत्र दोषो यथायथम् ॥ १,१६३.

Its location is said to be external, and there, due to fear or exhaustion, it becomes more severe; its difficulty of cure depends on the specific humor involved.

प्रकोपनैः प्रकुपिता विशेषेण विदाहिभिः । देहे शीघ्रं विशन्तीह तेऽन्तरे हि स्थिता बहिः ॥ १,१६३.

When aggravated by specific irritants, the humors quickly enter the body, either remaining inside or manifesting externally.

तृष्णाभियोगाद्वेगानां विषमाच्च प्रवर्तनात् । आशु चाग्निबलभ्रंशादतो बाह्यं विसर्पयेत् ॥ १,१६३.

Due to excessive thirst, disturbances of the urges, and irregular activity, and from a sudden loss of digestive fire, the disease spreads externally.