Garuda Purana

पित्ताद्द्रुतगतिः पित्तज्वरलिङ्गोऽतिलोहितः । कफात्कण्डूयुतः स्निग्धः कफज्वरसमानरुक् ॥ १,१६३.

When caused by bile, it spreads rapidly, has symptoms of bile-fever, and is intensely red; when caused by phlegm, it is itchy, oily, and has symptoms similar to phlegm-fever.

सन्निपातसमुत्थाश्च सर्वलिङ्गसमन्विताः । स्वदोषलिङ्गैश्चीयन्ते सर्वैः स्फोटैरुपेक्षिताः । तेऽपि स्वेदान्विमुञ्चति बिभ्रतो व्रणलक्षणम् ॥ १,१६३.

Arising from the convergence of factors and marked by all signs, they accumulate with their own distinctive symptoms, disregarded by all eruptions; even so, they release sweat, bearing the characteristics of wounds.

वातपित्ताज्ज्वरच्छर्दिमूर्छातीसारतृड्भ्रमैः । गन्थिभेदाग्निसदनतमकारोचकैर्युतः ॥ १,१६३.

Accompanied by fever, vomiting, fainting, diarrhea, thirst, dizziness, swelling rupture, loss of appetite, darkness, and tastelessness, caused by wind and bile.

करोति सर्वमङ्गञ्च दीप्ताङ्गारावकीर्णवत् । यंयं देशं विसर्पश्च विसर्पति भवेत्ससः ॥ १,१६३.

It affects all limbs, like glowing embers scattered; wherever the spreading occurs, it spreads in that region.

शान्ताङ्गारासितो नीलो रक्तो वासु च चीयते । अग्निदग्ध इव स्फोटैः शीघ्रगत्वाद्द्रुतं स च ॥ १,१६३.

When the embers are extinguished, it becomes black, blue, or red, and accumulates; as if burned by fire, with eruptions, it moves swiftly and rapidly.

मर्मानुसारी वीसर्पः स्याद्वातोऽतिबलस्ततः । व्यथतेऽङ्गं हरेत्संज्ञां निद्राञ्च श्वासमीरयेत् ॥ १,१६३.

When the spreading follows the vital spots and wind is exceedingly strong, it causes pain in the limbs, takes away consciousness, induces sleep, and produces breathlessness.

हिक्काञ्च स गतोऽवस्थामीदृशीं लभते नरः । क्वचिन्मर्मारतिग्रस्तो भूमिशय्यासनादिषु ॥ १,१६३.

Hiccups arise, and the person attains such a condition; sometimes, afflicted in the vital spots, he lies on the ground, bed, or seat.

चेष्टमानस्ततः क्लिष्टो मनोदेहप्रमोहवान् । दुष्प्रबोधोऽश्नुते निद्रां सोऽग्निवीसर्प उच्यते ॥ १,१६३.

Then, struggling, he is distressed, afflicted with confusion of mind and body, difficult to awaken from sleep; this is called fiery spreading.

कफेन रुद्धः पवनो भित्त्वातं बहुधा कफम् । रक्तं वा वृद्धरक्तस्य त्वक्छिरास्नायुमांसगम् ॥ १,१६३.

When wind is obstructed by phlegm, it breaks through the phlegm in many ways, or blood, and in the case of increased blood, it affects skin, veins, tendons, and flesh.

दूषयित्वा तु दीर्घानुवृत्तस्थूलखरात्मिकाम् । ग्रन्थीनां कुरुते मालां सरक्तान्तीव्ररुग्ज्वराम् ॥ १,१६३.

Having corrupted them, it forms a long, thick, rough chain of nodules, with intense pain and fever, all suffused with blood.

श्वासकासातिसारास्यशोषहिक्कावमिभ्रमैः । मोहवैवर्ण्यमूर्छाङ्गभङ्गग्निसदनैर्युताम् । इत्ययं ग्रन्थिवीसर्पः कफमारुतकोपजः ॥ १,१६३.

Accompanied by breathlessness, cough, diarrhea, dryness of mouth, hiccups, vomiting, dizziness, confusion, discoloration, fainting, limb-breaking, and loss of appetite; this is nodular spreading, arising from the aggravation of phlegm and wind.

कफपित्ताज्ज्वरः स्तम्भो निद्रा तन्द्रा शिरोरुजा । अङ्गावसादविक्षेंपौ प्रलापारोचकभ्रमाः ॥ १,१६३.

From phlegm and bile arise fever, stiffness, sleep, drowsiness, headache, weakness and trembling of limbs, delirium, loss of appetite, and dizziness.

मूर्छाग्निहानिर्भेदोऽस्थ्नां पिपासेन्द्रियगौरवम् । आमोपवेशनं लेपः स्रोतसां स च सर्पति ॥ १,१६३.

Fainting, loss of digestive fire, breaking of bones, thirst, heaviness of the senses, accumulation of impurities, and coating; it spreads through the channels.

प्रायेणामाशयं गृह्णन्नेकदेशं न चातिरुक् । पीडकैरवकीर्णोऽतिपीतलोहितपाण्डुरैः ॥ १,१६३.

Usually affecting the stomach, not excessively painful in one place, covered with pustules, extremely yellow, red, or pale.

स्निध्नोऽसितो मेचकाभो मलिनः शोथवान्गुरुः । गम्भीरपाकः प्रायोष्मस्पृष्टः क्लिन्नोंऽवदीर्यते ॥ १,१६३.

Sticky, black, resembling soot, dirty, swollen, heavy; deep maturation, mostly moist when touched by heat, it bursts open.

पक्ववच्छीर्णमांसश्च स्पष्टस्नायुशिरागणः । सर्वगो लक्षणैः सर्वेः सर्वगत्वक्समर्पणः । शवगन्धी च वीसर्पः कर्दमाख्यमुशन्ति तम् ॥ १,१६३.

Like ripened flesh, with exposed tendons and veins, affecting all parts with all symptoms, spreading everywhere, emitting the smell of a corpse; this spreading is called 'muddy'.

बाह्यहेतोः क्षतात्क्रुद्ध्वः सरक्तं पित्तमीरयन् । वीसर्पं मारुतः कुर्यात्कुलत्थसदृशैश्चितम् ॥ १,१६३.

Due to external causes, from injury, agitated blood and bile, wind produces spreading, marked by nodules resembling horse gram.

स्फोटैः शोथज्वररुजादाहाढ्यं श्यावशोणितम् । पथग्दोषैस्त्रयः साध्या द्वन्द्वजाश्चानुपद्रवाः ॥ १,१६३.

With eruptions, swelling, fever, pain, burning, dark blood; the three pathologies caused by the channels are curable, and those arising from dual causes are without complications.

असाध्याः कृतसर्वोत्थाः सर्वे चाक्रान्तमर्मणः । शीर्णस्नायुशिरामांसाः क्लिन्नाश्चशवगन्धयः ॥ १,१६३.

Incurable are those arising from all causes, and those that invade the vital spots; with ruptured tendons, veins, flesh, moist, and emitting the smell of a corpse.

श्रीगरुडमहापुराणम् १६४ धन्वन्तरिरुवाच । मिथ्याहारविहारेण विशेषेण विरोधिना । साधुनिन्दावधाद्युद्धहरणाद्यैश्च सेवितैः ॥ १,१६४.

Dhanvantari said: Especially due to improper eating and living, and by engaging in actions such as slandering the virtuous, neglect, fighting, and theft—

पाप्मभिः कर्मभिः सद्यः प्राक्तनैः प्रेरितामलाः । शिराः प्रपद्य तैर्युक्तास्त्वग्वसारक्तमामिषम् ॥ १,१६४.

—by sinful deeds, both recent and past, impure substances are driven into the veins; joined with these, they reach the skin, flesh, blood, and fat.

दूषयन्ति च संशोष्य निश्चरन्तस्ततो बहिः । त्वचः कुर्वान्ति वैवर्ण्यं शिष्टाः कुष्ठमुशन्तितम् ॥ १,१६४.

They corrupt these tissues, drying them up, and then emerge outward; they cause discoloration of the skin, and the remaining impurities manifest as leprosy and other skin diseases.

कालेनोपेक्षितं यत्स्यात्सर्वं कोष्ठानि तद्वपुः । प्रपद्य धातून्बाह्यान्तः सर्वान्संक्लेद्य चावहेत् ॥ १,१६४.

When neglected over time, all the bodily channels are affected; having entered all the tissues, both external and internal, they disturb and overflow them.

सस्वेदक्लेदसङ्कोचान्कृमीन् सूक्ष्मांश्चदारुणान् । लोमत्वक्स्नायुधमनीराक्रामति यथाक्रमम् ॥ १,१६४.

With sweat, moisture, and constriction, they produce minute and harsh worms, which successively invade the hair, skin, tendons, and vessels.

भस्माच्छादितवत्कुर्याद्बाह्यं कुष्ठमुदाहृतम् । कुष्ठानि सप्तधा दोषैः पृथग्द्वन्द्वैः समागतैः ॥ १,१६४.

It produces external leprosy, appearing as if covered with ash; leprosy is said to be of seven kinds, arising from the humors singly, in pairs, or all together.

सर्वेष्वपि त्रिदोषेषु व्यपदेशोऽधिकस्ततः । वातेन कुष्ठं कापालं पित्तेनौदुम्बरं कफात् ॥ १,१६४.

Among all the three humors, their combinations are further distinguished: leprosy from wind is called Kāpāla, from bile Udumbara, and from phlegm—

मण्डलाख्यं विचर्चो च ऋष्याख्यं वातपित्तजम् । चर्मैककुष्ठं किटिमं सिध्मालसविपादिकाः ॥ १,१६४.

—are Maṇḍala, Vicarcū, Ṛṣya, and those from wind and bile; Carma, Eka-kuṣṭha, Kiṭima, Sidhmā, Alasā, and Vipādikā.

वातश्लेष्मोद्भवाः श्लेष्मपित्ताद्दद्रूशतारुषी । पुण्डरीकं सविस्फोटं पामा चर्मदलं तथा ॥ १,१६४.

Those arising from wind and phlegm, and from phlegm and bile, are Dadru and Śatāruṣī; Puṇḍarīka, with blisters, Pāmā, and Carmadala as well.

सर्वेभ्यः काकणं पूर्वत्रिकं दद्रु सकाकणम् । पुण्डरीकर्यजिह्वे च महाकुष्ठानि सप्त तु ॥ १,१६४.

Of all these, Kākaṇa, Pūrvatrika, Dadru with Kākaṇa, Puṇḍarīka, Ryajihvā—these seven are the major types of leprosy.