Garuda Purana

कुष्ठं विसर्पमन्यच्च कुर्यात्सर्वाङ्गसादनम् । समानो विषमाजीर्णशीतसङ्कीर्णभोजनैः ॥ १,१६७.

It produces skin diseases, spreading eruptions, and other ailments causing weakness throughout the body; samāna is disturbed by irregular digestion and eating cold, mixed foods.

करोत्यकालशयनजागराद्यैश्च दूषितः । शूलगुल्मग्रहण्यादीन्यकृत्कामाश्रयान्गदान् ॥ १,१६७.

It causes disorders from improper sleep and wakefulness, such as colic, abdominal tumors, seizures, and diseases rooted in unfulfilled desires.

अपानो रूक्षगुर्वन्नवेगाघातातिवाहनैः । यानपानसमुत्थानचङ्क्रमैश्चातिसेवितैः ॥ १,१६७.

Apāna is disturbed by dry, heavy foods, suppression of urges, excessive riding, frequent travel, and overindulgence in movement.

कुपितः कुरुते रोगान्कृत्स्नान् पक्वाशयाश्रयान् । मूत्रसुक्रप्रदोषार्शोगुदभ्रंशादिकान्बहून् ॥ १,१६७.

When agitated, it produces diseases based in the lower abdomen, including disorders of urine, semen, piles, prolapse of the rectum, and many others.

सर्वाङ्गमाततं सामं तन्द्रास्तैमित्यगौरवैः । स्निग्धत्वाद्बोध कालस्य शैत्यशोथाग्निहानयः ॥ १,१६७.

General malaise spreads throughout the body, accompanied by drowsiness, heaviness, and sluggishness; due to unctuousness and delayed awakening, coldness, swelling, and loss of digestive fire occur.

कण्डूरूक्षातिनाशेन तद्विधोपशमेन च । मुक्तिं विद्यान्निरामं तं तन्द्रादीनां विपर्ययात् ॥ १,१६७.

By alleviating itching, dryness, and destruction, and through proper remedies, one attains freedom from these ailments; otherwise, drowsiness and related disorders persist.

वायोरावरणं वातो बहुभेदं प्रचक्षते । पित्तलिङ्गावृते दाहस्तृष्णा शूलं भ्रमस्तमः ॥ १,१६७.

The obstruction of vāyu is said to have many forms; when covered by pitta symptoms, there is burning, thirst, pain, dizziness, and darkness.

कटुकोष्णाम्ललवणैर्विदाहशीतकामता । शैत्यगौरवशूलाग्निकट्वाज्यपयसोऽधिकम् ॥ १,१६७.

With pungent, hot, sour, and salty foods, there is burning and desire for cold; coldness, heaviness, pain, loss of digestive fire, bitterness, and excess of ghee and milk occur.

लङ्घनायासरूक्षोष्णकामता च कफावृते । कफावृतेऽङ्गमर्दः स्याद्धृल्लासो गुरुतारुचिः ॥ १,१६७.

Fasting, exertion, dryness, heat, and desire for warmth occur when covered by kapha; when kapha covers, there is body ache, heart fatigue, heaviness, and loss of appetite.

रक्तवृते सदाहार्तिस्तवङ्मांसाश्रयजा भृशम् । भवेत्सरागः श्वयथुर्जायन्ते मण्डलानि च ॥ १,१६७.

When covered by blood, there is constant burning, intense pain rooted in the skin and flesh, redness, swelling, and the formation of patches.

शोथो मांसेन कठिनो हृल्लासपिटिकास्तथा । हर्षः पिपीलिकानां च संचार इव जायते । चललग्रनो मृदुः शीतः शोथो गात्रेषु रोचकः ॥ १,१६७.

Swelling becomes hard with flesh, heart fatigue, and boils; there is a sensation like the movement of ants, and the swelling is soft, cold, and appears on the limbs.

आढ्यवात इव ज्ञेयः स कृच्छ्रो मेदसावतः । स्पर्श आच्छादितेत्युष्णशीतलश्च त्वनावृते । मज्जावृते तु विषमं जृम्भणं परिवेष्टनम् ॥ १,१६७.

It should be understood as resembling āḍhya-vāta, difficult and arising from fat; the touch is concealed, and it is hot or cold when not covered; when covered by marrow, there is irregular yawning and constriction.

शूलञ्च पड्यिमानश्च पाणिभ्यां लभते सुखम् । शुक्रावृते तु शोथे वै चातिवेगो न विद्यते ॥ १,१६७.

There is pain and swelling, which is relieved by the hands; when covered by semen, swelling occurs but excessive urge is absent.

भुक्ते कुक्षौ रुजा जीर्णे निकृत्तिर्भवति ध्रुवम् । मूत्राप्रवृत्तिराध्मानं बस्तेर्मूत्रावृते भवेत् ॥ १,१६७.

After eating, pain arises in the abdomen; when digestion is impaired, there is certainly a cutting sensation. When urine is obstructed, swelling occurs in the bladder.

छिद्रावृते विबन्धोऽथ स्वस्थानं परिकृन्त ति । पतत्याशु ज्वराक्रान्तो मूर्छां च लभते नरः ॥ १,१६७.

When there is obstruction due to a perforation, constriction occurs, and the proper location is severed. The person quickly falls, afflicted by fever, and experiences fainting.

सकृत्पीडितमन्येन दुष्टं शुक्रं चिरात्सृजेत् । सर्वधात्वावृते वायौ श्रोणिवङ्क्षणपृष्ठरुक् ॥ १,१६७.

When semen is pressed once by another, it is expelled after a long time in a corrupted state. When wind is obstructed in all tissues, there is pain in the hips, groin, and back.

विलोमे मारुते चैव हृदयं परिपीड्यते । भ्रमो मूर्छा रुजा दाहः पित्तेन प्राण आवृते ॥ १,१६७.

When the wind moves in the opposite direction, the heart is afflicted. When breath is obstructed by bile, there is dizziness, fainting, pain, and burning.

रुजा तन्द्रा स्वरभ्रंशो दाहो व्याने तु सर्वशः । क्रमों गचेष्टाभङ्गश्च सन्तापः सहवेदनः ॥ १,१६७.

Pain, drowsiness, loss of voice, and burning occur throughout the body when vyāna is affected. There is disturbance in movement, breaking of actions, heat, and accompanying pain.

समान ऊष्मोपहतिः सस्वेदोपरतिः सुतृट् । दाहश्च स्यादपाने तु मले हारिद्रवर्णता ॥ १,१६७.

When samāna is afflicted, there is loss of warmth, cessation of sweating, intense thirst, and burning. When apāna is affected, the excreta become yellow in color.

रजोवृद्धिस्तापनञ्च तथा चानाहमेहनम् । श्लेष्मणा प्रावृते प्राणे नादः स्नोतोऽवरोधनम् ॥ १,१६७.

Increase of menstrual flow, heat, and retention of urine occur. When breath is obstructed by phlegm, there is sound, snoring, and blockage.

ष्ठीवनञ्चैव सस्वेदश्वासनिः श्वाससंग्रहः । उदाने गुरुगात्रत्वमरुचिर्वाक्स्वरग्रहः ॥ १,१६७.

Spitting, sweating, difficulty in breathing, and accumulation of breath occur. When udāna is affected, there is heaviness of the limbs, loss of appetite, and hoarseness of voice.

बलवर्णप्रणाशश्चा पाने पर्वास्थिसंग्रहः । गुरुताङ्गेषु सर्वेषु स्थूलत्वञ्चागतं भृशम् ॥ १,१६७.

Loss of strength and color, accumulation in joints and bones, heaviness in all limbs, and pronounced corpulence occur.

समानेऽतिक्रियाज्ञत्वमस्वेदो मन्दवह्निता । अपाने सकलं मूत्रं शकृतः स्यात्प्रवर्तनम्? ॥ १,१६७.

When samāna is affected, there is ignorance of proper actions, absence of sweating, and weak digestive fire. When apāna is affected, there is complete expulsion of urine and feces.

इति द्वाविंशतिविधं वातरक्तामयं विदुः । प्राणादयस्तथान्योऽन्यं समाक्रान्ता यथाक्रमम् ॥ १,१६७.

Thus, the disorder known as vātarakta is understood to be of twenty-two types. The vital breaths and others are afflicted by each other in succession.

सर्वेऽपि विंशतिविधं विद्यादावरणञ्च यत् । हृल्लासोच्छ्वाससंरोधः प्रतिश्यायः शिरोग्रहः ॥ १,१६७.

All should know the twenty types of obstruction. There is palpitations, suppression of breath, cold, and headache.

हृद्रोगो मुखशोषश्च प्राणेनापान आवृते । उदानेनावृते प्राणे भवेद्धै बलसंक्षयः ॥ १,१६७.

Heart disease and dryness of the mouth occur when prāṇa is obstructed by apāna. When prāṇa is obstructed by udāna, there is loss of strength.

विचारणेन विभजेत्सर्वमावरणं भिषक् । स्थानान्यपेक्ष्य वातानां वृर्धिहानिं च कर्मणाम् ॥ १,१६७.

By examination, the physician should distinguish all obstructions, considering the locations of the winds, their increase and decrease, and their actions.

प्राणादीनाञ्च पञ्चानां पित्तमावरणं मिथः । पित्तादीनामावसतिर्मिश्राणां मिश्रितैश्च तैः ॥ १,१६७.

Obstruction of pitta occurs mutually among the five vital airs, and the residence of pitta and others is mixed with those elements.

मिश्रैः पित्तादिभिस्तद्वन्मिश्राण्यपित्वनेकधा । तांल्लक्षयेदवहितो यथास्वं लक्षणोदयात् ॥ १,१६७.

With mixtures of pitta and others, similarly, mixed disorders arise in many ways. The attentive physician should recognize them according to their characteristic manifestations.