कुष्ठोक्तं यच्च यच्चास्थिमज्जाशुक्रसमाश्रयम् । कृच्छ्रं मेदोमतञ्चैव याप्यं स्नाप्वास्थिमांसगम् ॥ १,१६४.
That which is called leprosy, and which resides in the bone, marrow, or semen, is difficult to cure; that which is in the fat is manageable, and that which is in the skin, flesh, or bone is chronic.
अकृच्छ्रं कफवातोत्थं त्वग्गतं त्वमलञ्च यत् । तत्र त्वचि स्थिते कष्ठे काये वैवर्ण्यरूक्षाता ॥ १,१६४.
That which is not difficult, arising from kapha and vāta, and is limited to the skin or is impure; when it remains in the skin, there is discoloration and dryness in the body.
स्वेदतापश्वयथवः शोणिते पिशिते पुनः । पाणिपादाश्रिताः स्फोटाः क्लेशात्सन्धिषु चाधिकम् ॥ १,१६४.
Sweating, heat, and swelling occur in the blood and flesh; blisters on the hands and feet, and more so at the joints, due to affliction.
दोषस्याभीक्ष्णयोगेन दलनं स्याच्च मेदसि । नातिसंज्ञास्ति मज्जास्थिनेत्रवेगस्वरक्ष्यः ॥ १,१६४.
By the frequent combination of humors, there is destruction in the fat; there is no clear sign in the marrow, bone, eyes, or voice.
क्षते च क्रिमिभिः शुक्रे स्वदारापत्यबाधनम् । यथापूर्वाणि सर्वाणि स्वलिङ्गानि मृगादिषु ॥ १,१६४.
When there is a wound, worms in the semen, or affliction of one's wife and children, all the previous signs appear in animals and others as well.
कष्ठैकसम्भवं श्वित्रं किलासं दारुणं भवेत् । निर्दिष्टमपरिस्त्रावि त्रिधातूद्भवसंश्रयम् ॥ १,१६४.
Vitiligo (śvitra), arising solely from wood (kaṣṭha), is severe and dreadful; it is described as exuding, and based on the disturbance of all three humors.
वाताद्रूक्षारुणं पित्तात्ताम्रं कमलपत्रवत् । सदाहं रोमविध्वंसि कफाच्छ्वेतं घन गुरु ॥ १,१६४.
From wind, the lesion is dry and reddish; from bile, it is coppery, like a lotus petal, always burning, destroying hair; from phlegm, it is white, dense, and heavy.
सकण्डूरं क्रमाद्रक्तमांसमेदः सु चादिशेत् । वर्णेनैवेदृगुभयं कृच्छ्रं तच्चोत्तरोत्तरम् ॥ १,१६४.
With itching, it gradually becomes red, affecting flesh and fat; by its color, both types are recognized, and the severity increases progressively.
अशुक्लरोमबहुलमसंश्लिष्टं मिथो नवम् । अनग्निदग्धजं साध्यं श्वित्रं वर्ज्यमतोऽन्यथा ॥ १,१६४.
If it is not white, has abundant hair, is not attached, is new, and not burned by fire, then the leukoderma is curable; otherwise, it should be avoided.
गुह्यपाणितलौष्ठेषु जातमप्यचिरन्तरम् । वर्जनीयं विशेषेण किलासं सिद्धिमिच्छिता ॥ १,१६४.
If it arises recently in the genital area, palm, or lips, the leukoderma should especially be avoided by those seeking success.
स्पर्शैकाहारसंगादिसेवनात्प्रायशो गदाः । एकशय्यासनाच्चैव वस्त्रमाल्यानुलेपनात् ॥ १,१६४.
Diseases generally arise from contact, sharing food, and other interactions, as well as from sharing beds, seats, clothes, garlands, and ointments.
श्रीगरुडमहापुराणम् १६५ धन्वन्तरिरुवाच । क्रिमयश्च द्विधा प्रोक्ता बाह्यभ्यन्तरभेदतः । बहिर्मलकफासृग्विट्जन्मभेदाच्चतुर्विधाः ॥ १,१६५.
Dhanvantari said: Worms are described as twofold, distinguished as external and internal; externally, they are of four kinds, arising from dirt, phlegm, blood, and feces.
नामतो विंशतिविधा बाह्यास्तत्र मलोद्भवाः । तिलप्रमाणसंस्थानवर्णाः केशाम्बराश्रयाः ॥ १,१६५.
By name, the external worms are twenty kinds; among them, those arising from dirt are the size and shape of sesame seeds, and reside in hair and clothing.
बहुपादाश्च सूक्ष्माश्च यूका लिक्षाश्च नामतः । द्विधा ते कोष्ठपिडिकाः कण्डूगण्डान्प्रकुर्वते ॥ १,१६५.
They are many-legged and subtle, called lice and nits by name; of two types, they dwell in the body and cause itching and swelling.
कुष्ठैकहेतवोऽन्तर्जाः श्लेष्मजा बाह्यसम्भवाः । मधुरान्नगुडक्षीरदधिमत्स्यनवौदनैः ॥ १,१६५.
The sole cause of leprosy is internal worms, which arise from phlegm externally, and from sweet foods, molasses, milk, curd, fish, and fresh rice.
कफादामाशये जाता वृद्धाः सर्पन्ति सर्वतः । पृथुब्रध्ननिभाः केचित्केचिद्गण्डूपदोपमाः ॥ १,१६५.
Born in the stomach from phlegm, they grow and move everywhere; some resemble broad threads, others are like swelling lumps.
रूढधान्याङ्कुराकारास्तनुदीर्घास्तथाणवः । श्वेतास्ताम्रावभासाश्च नामतः सप्तधा तु ते ॥ १,१६५.
Some are shaped like sprouted grains, thin and long, and small; they are white or coppery in appearance, and by name, they are seven kinds.
अन्त्रादा उदरावेष्टा हृदयादा महागुदाः । च्युरवो दर्भकुसुमाः सुगन्धास्ते च कुर्वते ॥ १,१६५.
Some arise from the intestines, encircle the abdomen, some from the heart, some from the anus; they are expelled, resembling grass flowers, fragrant, and they cause effects.
हृल्लासमास्यश्रवणमविपाकमरोचकम् । मूर्छाच्छर्दिज्वरानाहकार्श्यक्षवथुपीनसान् ॥ १,१६५.
They cause nausea, mouth discharge, indigestion, loss of appetite, fainting, vomiting, fever, abdominal swelling, emaciation, sneezing, and nasal congestion.
रक्तवाहिशिरास्थानरक्तजा जन्तवोऽणवः । अपादा वृत्तताम्राश्च सौक्ष्म्यात्केचिददर्शनाः ॥ १,१६५.
Those born in blood vessels are minute creatures, without legs, round and coppery, and due to their subtlety, some are invisible.
केशादा रोमविध्वंसा रोमद्वीपा उदुम्बराः । षट्ते कुष्ठैककर्माणः सहसौरसमातरः ॥ १,१६५.
Arising from hair, they destroy hair, form hair islands, and are like figs; these six types are the sole cause of leprosy, together with the Sausura and Samatara.
पक्वाशये पुरीषोत्था जायन्तेऽथोविसर्पिणः । वृद्धास्ते स्युर्भवेयुश्च ते यदामाशयोन्मुखाः ॥ १,१६५.
Born in the large intestine from feces, they may also spread; when they grow, they move toward the stomach.
तदास्योद्गारनिः श्वामविड्गन्धानुविधायिनः । पृथुवृत्ततनुस्थूलाः श्यावपीतसितासिताः ॥ १,१६५.
Then, they cause foul breath, wheezing, and the smell of feces; they are broad, round, thick, and may be dark, yellow, white, or black.
ते पञ्चनाम्ना क्रिमयः ककेरुकमकेरुकाः । सौसुरादाः सशूलाख्या लेलिहा जनयन्ति हि ॥ १,१६५.
These worms are known by five names: Kakeruka, Makeruka, Sausura, Sashula, and Lelihā; they indeed produce offspring.
वङ्भेदशूलविष्टम्भकार्श्यपारुष्यपाण्डुताः । रोमहर्षाग्निसदनं गुदकण्डूंर्विमार्गगाः ॥ १,१६५.
Splitting of speech, piercing pain, stiffness, emaciation, roughness, pallor; horripilation, sensation of heat in the rectum, itching of the anus, and abnormal passage of stool.
श्रीगरुडमहापुराणम् १६६ धन्वन्तरिरुवाच । वातव्याधिनिदानं ते वक्ष्ये सुश्रुत तच्छृणु । सर्वथानर्थकथने विघ्न एव च कारणम् ॥ १,१६६.
Dhanvantari spoke: I will explain to you the origin of diseases caused by wind, O Suśruta, listen to this. In every account of misfortune, obstruction is indeed the cause.
अदृष्टदुष्टपवनशरीरमविशेषतः । स विश्वकर्मा विश्वात्मा विश्वरूपः प्रजापतिः ॥ १,१६६.
The unseen, corrupted wind affects the body indiscriminately; he is the universal creator, the soul of all, the one with the form of the universe, the lord of creatures.
स्रष्टा धाता विभुर्विष्णुः संहर्ता मृत्युरन्तकः । तद्वदुक्तं च यत्नेन यतितव्यमतः सदा ॥ १,१६६.
He is the creator, the sustainer, the pervader, Viṣṇu, the destroyer, death, and the end. Thus, what is spoken must always be pursued with effort.
तस्योक्ते दोषविज्ञाने कर्म प्राकृतवैकृतम् । समासव्यासतो दोषभेदानामवधार्य च ॥ १,१६६.
Upon knowing the faults described, one should discern the natural and altered actions, and, in summary and detail, ascertain the varieties of faults.
प्रत्येकं पञ्चधा वीरो व्यापारश्चेह वैकृतः । तस्योच्यते विभागेन सनिदानं सलक्षणम् ॥ १,१६६.
Each one, in five ways, the agent acts here in altered forms; its divisions, along with causes and characteristics, are explained.