Garuda Purana

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.

अतिश्लक्ष्णखरस्पर्शस्वेदास्वेदविवर्णताः । दाहः कण्डूस्त्वचि स्वापस्तोदः कोचोन्नतिस्तमः ॥ १,१६४.

Excessively smooth or rough to the touch, with sweating or dryness, discoloration, burning, itching of the skin, numbness, pricking pain, swelling, and darkness—

व्रणानामधिकं शूलं शीघ्रोत्पत्तिश्चिरस्थितिः । रूढानामपि रूक्षत्वं निमित्तेऽल्पेऽतिकोपनम् ॥ १,१६४.

Severe pain in the sores, rapid onset and long duration, even when healed they remain rough; with slight cause, they flare up greatly.

रोमहर्षोऽसृजः कार्ष्ण्यं कुष्ठलक्षणमग्रजम् । कृष्णारुणकपालाभं यद्रूक्षं परुषं तनु ॥ १,१६४.

Goosebumps, blackness of the blood—these are early signs of leprosy; when it is black, red, dry, rough, and thin like a skull—

विस्तृताकृतिपर्यस्तन्दूषितैर्लोमभिश्चितम् । कापालं तोदबहुलं तत्कुष्ठं विषमं स्मृतम् ॥ १,१६४.

—spread out in shape, scattered with corrupted hairs, that is Kāpāla leprosy, marked by much pricking pain and considered irregular.

उदुम्बरफलाभासं कुष्ठमौदुम्बरं वदेत् । वर्तुलं बहुलकेत्युक्तं दाहरुजाधिकम् ॥ १,१६४.

Leprosy resembling the fruit of the Udumbara tree is called Audumbara; it is round, with thick edges, and marked by intense burning and pain.

असंच्छन्नमदरणं कृमिवत्स्यादुदुम्बरम् । स्थिरं सत्यानं गुरु स्निग्धं श्वेतरक्तं मलान्वितम् ॥ १,१६४.

Uncovered, not spreading, worm-infested like Udumbara; firm, true, heavy, oily, white or red, and accompanied by impurities.

अन्योन्यसक्तपुच्छूनबहुकण्डूस्नुतिकृमि । श्लक्ष्णपीताभासंयुक्तं मण्डलं परिकीर्तितम् ॥ १,१६४.

With tails attached to each other, much itching, discharge, and worms; smooth and yellowish in appearance, this is known as Maṇḍala.

सकण्डूपिटिका श्यावा सक्लेदा च विचर्चिका । परुषन्तत्ररक्तान्तमन्तः श्यामं समुन्नतम् ॥ १,१६४.

Vicarcikā is dark, with itching and pimples, moist; rough, with red inside, dark within, and raised.

ऋष्यजिह्वाकृतिप्रोक्तं ऋष्यजिह्वं बहुक्रिमि । हस्तिचर्मखरस्पर्शं चर्माख्यं कुष्ठमुच्यते ॥ १,१६४.

That which is described as having the appearance of a rishya-jihva (deer's tongue), with many worms, rough to the touch like elephant skin, is called 'carmākhya' leprosy.

अस्वेदञ्चमत्स्यशल्कसन्निभं किटिमं पुनः । रूक्षाग्निवर्णं दुः स्पर्शं कण्डूमत्परुषासितम् ॥ १,१६४.

Again, that which does not sweat, resembles fish scales, is dry, of fiery color, unpleasant to touch, itchy, rough, and grayish-black, is called 'kiṭima'.

अन्ता रूक्षं बहिः स्निग्धमन्तर्घृष्टं रजः किरेत् । श्लक्ष्णस्पर्शं तनु स्निग्धं स्वच्छमस्वेदपुष्पवत् ॥ १,१६४.

That which is dry inside, oily outside, sheds dust when rubbed within, smooth to the touch, thin, oily, clear, and like the blossom of sweat, is another type.

प्रायेण चोर्ध्वकार्श्यञ्च कुण्डैः कण्डूपरैश्चितम् । रक्तैरलंशुका पाणिपादे कुर्याद्विपादिका ॥ १,१६४.

Generally, with upward emaciation, covered with clusters of intense itching, and with red, thread-like lines on the hands and feet, it produces 'vipādikā'.

तीव्रार्तिं गाढकण्डूञ्च सरागपिडिकाचितम् । दीर्घप्रतानदूर्वावदतसीकुसुमच्छवि ॥ १,१६४.

Marked by severe pain, intense itching, filled with red pimples, spreading widely, resembling the color of dūrvā grass or the atasi flower.

उच्छूनमण्डलो दद्रुः कण्डूमानिति कथ्यते । स्थूलमूलं सदाहार्ति रक्तस्त्रावं बहुव्रणम् ॥ १,१६४.

A raised, circular lesion called 'dadru' is said to be itchy; with a thick base, constant burning pain, red discharge, and many sores.

सादहकक्लेदरुजं प्रायशः सर्वजन्म च । रक्ताक्तमण्डलं पाण्डु कण्डूदाहरुजान्वितम् ॥ १,१६४.

Accompanied by burning, moisture, and pain, often recurring in every birth; a pale, circular lesion, tinged with red, with itching, burning, and pain.

सोत्सेधमाचितं रक्तैः कञ्जपर्णमिवाम्बुभिः । पुण्डरीकं भवेत्तद्धि चितं स्फोटैः सितारुणैः ॥ १,१६४.

Raised and filled with redness, like a lotus leaf with water, that is called 'puṇḍarīka', marked by blisters that are white and reddish.

विस्फोटपिटिका पामा कण्डूक्लेदरुजान्विताः । सूक्ष्मा श्यामारुणा रूक्षा प्रायः स्फिक्पाणिकूर्परे ॥ १,१६४.

'Pāmā' is characterized by blisters and pimples, with itching, moisture, and pain; fine, dark-reddish, dry, mostly found on the buttocks, hands, and elbows.

सस्फोटसंस्पर्शसहं कण्डूरक्तातिदाहवत् । रक्तदलं चर्मदलं काकणं तीव्रदाहरुक् ॥ १,१६४.

With blisters, painful to touch, with itching, redness, and intense burning; 'kākaṇa' is a red patch or skin lesion with severe burning and pain.

पूर्वरक्तञ्च कृष्णञ्च काकणं त्रिफलोपमम् । कृष्णलिङ्गैर्युतैः सर्वैः स्वस्वकारणतो भवेत् ॥ १,१६४.

'Kākaṇa' is first red, then black, resembling triphalā; it may have all dark features, each arising from its own cause.

दोषभेदाय विहितैरादिशेल्लिङ्गकर्मभिः । कुष्ठस्वदोषानुगतं सर्वदोषगतं त्यजेत् ॥ १,१६४.

For the differentiation of humors, one should indicate the signs and actions as prescribed; leprosy that follows all humors should be abandoned.