Garuda Purana

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.

शनैः शनैश्चोपशयान्दृढानपि मुहुर्मुहुः । विशेषाज्जीवितं प्राण उदानो बलमुच्यते । स्यात्तयोः पीडनाद्धनिरायुषञ्च बलस्य च ॥ १,१६७.

Gradually, by repeated application of remedies, even strong obstructions are alleviated. Especially, prāṇa and udāna are said to be life and strength; when these are afflicted, there is loss of life and strength.

आवृता वायवोऽज्ञाता ज्ञाता वा स्थानविच्युताः । प्रयत्नेनापि दुः साध्या भवेयुर्वानुपद्रवाः ॥ १,१६७.

Obstructed winds, whether unknown or known but displaced from their locations, are difficult to cure even with effort, and may be accompanied by complications.

विद्रधिप्लीहहृद्रोगगुल्माग्निसदनादयः । भवन्त्युपद्रवास्तेषामावृतानामुपेक्षया ॥ १,१६७.

Abscesses, spleen disorders, heart disease, abdominal tumors, and fire-related ailments arise as complications for those afflicted, due to neglect.

निदानं सुश्रुत ! मया आत्रेयोक्तं समीरितम् । सर्वरोगविवेकाय नराद्यायुः प्रवृद्धये ॥ १,१६७.

O Suśruta, the cause has been explained by me, as spoken by Ātreya, for the discernment of all diseases and the advancement of human life.

एवं विज्ञाय रोगादींश्चिकित्सामथ वै चरेत् । त्रिफला सर्वरोगघ्नी मध्वाज्यगुडसंयुता ॥ १,१६७.

Thus understanding the diseases, one should then undertake treatment; Triphalā, combined with honey, ghee, and jaggery, is a remedy for all diseases.

सव्योषा त्रिफला वापि सर्वरोगप्रमर्दिनी । शतावरीगुडूच्यग्निविडङ्गेन युताथवा ॥ १,१६७.

Triphalā with long pepper, or even alone, destroys all diseases; alternatively, mixed with śatāvarī, guḍūcī, fire, and viḍaṅga.

शतावरी गुडूच्यग्निः शुण्ठीमूषलिका बला । पुनर्नवा च बृहती निर्गुण्डी निम्बपत्रकम् ॥ १,१६७.

Śatāvarī, guḍūcī, fire, dry ginger, mūṣalikā, balā, punarnavā, bṛhatī, nirguṇḍī, and neem leaves.

भृङ्गराजश्चामलकं वासकस्तद्रसेन वा । भाविता त्रिफला सप्तवारमेखमथापिवा ॥ १,१६७.

Bhṛṅgarāja, āmalaka, vāsaka, or their juices; Triphalā processed seven times, or even once.

पूर्वोक्तश्च यथालाभयुक्तैश्चूर्णञ्च मोदकः । वटिका घृततैलं वा कषायो शोषरोगनुत् । पलं पलार्धकं वापि कर्षं कर्षार्धमेव वा ॥ १,१६७.

As previously mentioned, according to availability, powder, sweet balls, tablets, ghee, oil, or decoction counteract wasting diseases; a weight of one pala, half a pala, one karṣa, or even half a karṣa.

श्रीगरुडमहापुराणम् १६८ निदानं समाप्तम् । धन्वन्तरिरुवाच । सर्वरोगहरं सिद्धं योगसारं वदाम्यहम् । शृणु सुश्रुतं संक्षेपात्प्राणिनां जीवहेतवे ॥ १,१६८.

The section on causes is concluded in the glorious Garuḍa Mahāpurāṇa, chapter 168. Dhanvantari spoke: I declare the essence of a perfected remedy that removes all diseases; listen, O Suśruta, in brief, for the sake of the life of living beings.