श्लेष्मभेदः समये परमत्यर्थसंचितम् । अभिभूयेतरं दोषं शरीरं प्रतिपद्यते ॥ १,१६६.
When phlegm accumulates excessively at the proper time, it overpowers the other humors and spreads throughout the body.
सक्थ्यस्थीनि प्रपूर्यान्तः श्लेष्मणा स्तम्भितेन तत् । तदास्थि स्नाति तेनोरोस्तथा शीतानिलेन तु ॥ १,१६६.
When phlegm fills and stiffens the bones of the thighs, the bone and sinew are affected, and the thigh becomes cold due to wind.
श्यामाङ्गमङ्गस्तैमित्यतन्द्रामूर्छारुचिज्वरैः । तमूरुस्तम्भमित्याह बाह्यवातमथापरे ॥ १,१६६.
With dark limbs, stiffness, lethargy, fainting, pain, and fever, this is called thigh stiffness; others call it external wind.
वातशोणितसंशोथो जानुमध्ये महारुजः । ज्ञेयः क्रोष्टुकशीर्षस्तु स्थूलक्रोष्टुकशीर्षवत् ॥ १,१६६.
Swelling caused by wind and blood in the knee, accompanied by severe pain, is known as kroṣṭukaśīrṣa, resembling a large jackal's head.
रुक्पादविषमन्यस्ते श्रमाद्वा जायते यदा । वातेन गुल्फमाक्षित्य तमाहुर्वातकण्टकम् ॥ १,१६६.
When pain and unevenness arise in the feet due to fatigue, and wind affects the ankle, it is called vātakaṇṭaka.
पार्ष्णिप्रत्यङ्गुलीनाभौ कण्ठे वा मारुतार्दिते । सतिक्षेपं निगृह्णाति गृध्रसीं तां प्रचक्षते ॥ १,१६६.
When wind afflicts the heel, fingers, navel, or neck, it restricts movement; this is called gṛdhrasī.
हृष्येते चरणौ यस्य भवेतां चापि सुप्तकौ । पादहर्षः स विज्ञेयः कफमारुतकोपजः ॥ १,१६६.
When a person's feet become thrilled or numb, it is known as pādaharṣa, arising from the aggravation of phlegm and wind.
पादयोः कुरुते दाहं पित्तासृक्सहितोऽनिलः । विशेषतश्चङ्क्रमतः पाददाहं तमादिशेत् ॥ १,१६६.
When wind, combined with bile and blood, causes burning in the feet, especially while walking, this burning of the feet should be recognized.
श्रीगरुडमहापुराणम् १६७ धन्वन्तरीरुवाच । वातरक्तनिदानं ते वक्ष्ये सुश्रुत तच्छृणु । विरुद्धाध्यशनक्रोधदिवास्वप्नप्रजागरैः ॥ १,१६७.
Dhanvantari said: I will explain to you, Sushruta, the causes of vātarakta; listen. It arises from incompatible and excessive eating, anger, sleeping during the day, and staying awake at night.
प्रायशः सुकुमाराणां मिथ्याहारविहारिणाम् । स्थूलानां सुखिनां चापि कुप्यते वातशोणितम् ॥ १,१६७.
Vātaśoṇita generally afflicts those who are delicate, who eat and live improperly, who are obese, and those who live in comfort.
अग्निघातादशुद्धेश्च नृणामसृजि दूषिते । वातलैः शीतलैर्वायुर्वृद्धः क्रुद्धो विमार्गगः ॥ १,१६७.
When the blood becomes impure in people due to the effect of heat or improper cleansing, and is disturbed by vāta or cold winds, vāta increases, becomes agitated, and moves abnormally.
तादृशैवासृजा रुद्धः प्राक्तदैव प्रदूषयेत् । तथा वातो गुदे पीडां बलासं वातशोणितम् ॥ १,१६७.
Obstructed by such blood, vāta first corrupts it, and then in the rectum causes pain or produces vātarakta.
संस्तभ्य जनयेत्पूर्वं पश्चात्सर्वत्र धावति । विशेषाद्वमनाद्यैश्च प्रलम्बस्तस्य लक्षणम् ॥ १,१६७.
First it causes stiffness, then it spreads everywhere; especially, symptoms like heaviness and others such as vomiting are its signs.
भविष्यतः कुष्ठसमं तथा साम्बुदसंज्ञकम् । जानुजङ्घोरुकट्यंसहस्तपादाङ्गसन्धिषु ॥ १,१६७.
Later, it becomes like leprosy, called sāmbuda, affecting the knees, calves, thighs, hips, shoulders, arms, hands, feet, and joints.
कण्डूस्फुरणनिस्तोदभेदगौरवसुप्तताः । भूत्वा भूत्वा प्रशाम्यन्ति मुहुराविर्भवन्ति च ॥ १,१६७.
Itching, twitching, pricking, splitting pain, heaviness, and numbness arise and subside repeatedly, appearing again and again.
पादयोर्मूलमास्थाय कदाचिद्धस्तयोरपि । आखोरिव विलं क्रुद्धः कृत्स्नं देहं बिधावति ॥ १,१६७.
Sometimes, starting at the soles of the feet or even the hands, it runs through the whole body in a rage, like a rat.
त्वङ्मांसाश्रयमत्तानं तत्पूर्वं जायते ततः । कालान्तरेण गम्भीरं सर्वधातूनभिद्रवेत् ॥ १,१६७.
At first it is confined to the skin and flesh, but later, over time, it becomes deep and invades all the body tissues.
कट्यादिसंयतस्थाने त्वक्ताम्रश्यावलोहिताः । श्वयथुर्ग्रथितः पाकः स वायुश्चास्थिमज्जसु ॥ १,१६७.
In places like the hips, the skin becomes coppery, dark, or red; there is swelling, hard lumps, and suppuration, and vāyu enters the bones and marrow.
छिन्दन्निव चरत्यन्तश्चकीकुर्वंश्च वेगवान् । करोति खञ्जं पङ्गुं वा शरीरं सर्वतश्चरन् ॥ १,१६७.
Inside, it moves as if cutting, making a creaking sound, moving swiftly; as it spreads through the body, it causes lameness or crippling.
वाताधिकेऽधिकं तत्र शूलस्फुरणभञ्जनम् । शोथस्य रौक्ष्यं कृष्णत्वं श्यावतावृद्धिहानयः ॥ १,१६७.
When vāta predominates, there is intense pain, twitching, breaking sensations, dryness of swelling, blackness, and increase or decrease of discoloration.
धमन्यङ्गुलिसन्धीनां संकोचोङ्गग्रहो तिरुक् । शीतद्वेषानुपशयौ स्तम्भवेपथुसुप्तयः ॥ १,१६७.
There is contraction of blood vessels and finger joints, stiffness of limbs, crookedness, aversion to cold, relief from warmth, rigidity, shivering, and numbness.
रक्ते शोथोऽतिरुक्तोदस्ताम्राश्चिमिचिमायते । स्निग्धरूक्षैः समं नैति कण्डुक्लेदसमन्वितः ॥ १,१६७.
When blood is predominant, there is swelling, pronounced redness, tingling, and it does not improve with oily or dry treatments, accompanied by itching and moisture.
पित्ते विदाहः संमोहः स्वादो मूर्छा मदस्तृषा । स्पर्शासहत्वं रुग्रावः शोषः पाको भृशोष्मता ॥ १,१६७.
When pitta is predominant, there is burning, fainting, bitter taste, loss of consciousness, intoxication, thirst, intolerance to touch, severe pain, dryness, suppuration, and intense heat.
कफे स्तैमित्यगुरुता सुप्तिस्निग्धत्वशीतता । कण्डूर्मन्दा च रुग्द्बन्द्वं सर्वलिङ्गञ्च संकरात् ॥ १,१६७.
When kapha is predominant, there is stiffness, heaviness, sleepiness, oiliness, coldness, mild itching, dull pain, and, when all are mixed, all symptoms appear together.
एकदोषञ्च संसाध्यं याप्यञ्चैव द्विदोषजम् । त्रिदोषजन्त्यजेदाशु रक्तपित्तं सुदारुणम् ॥ १,१६७.
When only one doṣa is involved, it can be managed; when two doṣas are involved, it is controllable; but when all three doṣas are involved, it quickly destroys, causing severe raktapitta.
रक्तमङ्गे निहन्त्याशु शाखासन्धिषु मारुतः । निवेश्यान्योन्यमावार्य वेदनाभिर्हरत्यसून् ॥ १,१६७.
Vāta quickly attacks the blood in the limbs, especially in the joints, blocking the channels, and with pain, takes away life.
वायौ पञ्चात्मके प्राणे रौक्ष्याच्चापल्यलङ्घनैः । अत्याहाराभिघाताच्च वेगोदीरणचारणैः ॥ १,१६७.
When the fivefold vital air is disturbed by dryness, restlessness, excessive jumping, overeating, injury, and rapid movements, it becomes aggravated.
कुपितश्चक्षुरादीनामुपघातं प्रकल्पयेत् । पीनसो दाहतृट्कासश्वासादिश्चैव जायते ॥ १,१६७.
When agitated, it causes harm to the eyes and other senses; ailments such as nasal congestion, burning, thirst, cough, and breathlessness arise.
कण्ठरोधोमलभ्रंशच्छर्द्यरोचकपीनसान् । कुर्याच्च गलगण्डदींस्तञ्जत्रुमूर्ध्वसंश्रयः ॥ १,१६७.
Obstruction of the throat, loss of mucus, vomiting, loss of appetite, and nasal disorders occur; it also produces swelling in the throat, jaw, and upper regions.
व्यानोऽतिगमनस्नानक्रीडाविषयचोष्टितैः । विरुद्धरूक्षभीहर्षविषादाद्यैश्च दूषितः ॥ १,१६७.
The vyāna is corrupted by excessive movement, bathing, play, indulgence in pleasures, and by incompatible, dry, frightening, exciting, and depressing influences.