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.
कषायकटुतिक्ताम्लरूक्षाहारादिभोजनात् । चिन्ताव्यवयव्यायामभयशोकप्रजागरात् ॥ १,१६८.
From food that is astringent, pungent, bitter, sour, dry, and similar, as well as from worry, sexual activity, exercise, fear, grief, and sleeplessness.
उच्चैर्भाषातिभाराच्च कर्मयोगातिकर्षणात् । वायुः कुप्यति पर्जन्ये जीर्णान्ने दिनसंक्षये ॥ १,१६८.
From loud speech, excessive weight, strenuous activity, and overexertion, wind is aggravated during storms, after digestion, and at the end of the day.
उष्णाम्ल लवणक्षारकटुकाजीर्णभोजनात् । तीक्ष्णातपाग्निसन्तापमद्यक्रोधनिषेवणात् ॥ १,१६८.
From hot, sour, salty, alkaline, pungent, and indigestible foods, intense heat, fire, distress, alcohol, and anger, bile is aggravated.
विदाहकाले भुक्तस्य मध्याह्ने जलदात्यये । ग्रीष्मकालेर्ऽद्धरात्रेऽपि पित्तं कुप्यति देहिनः ॥ १,१६८.
At the time of burning, after eating, at midday, after the end of clouds, in summer, and at midnight, bile is aggravated in the body.
स्वाद्वम्ललवणस्निग्धगुरुशीतातिभोजनात् । नवान्नपिच्छिलानूपमांसादेः सेवनादपि ॥ १,१६८.
From sweet, sour, salty, oily, heavy, and cold foods, as well as from eating new rice, slimy foods, fish, and meat.
अव्यायाम दिवास्वप्नशय्यासनसुखादिभिः । कफप्रदोषो भुक्ते च वसन्ते च प्रकुप्यति ॥ १,१६८.
From lack of exercise, daytime sleep, comfort of bed and seat, and similar pleasures, phlegm is aggravated after eating and in spring.
देहपारुष्यसंकोचतोदविष्टम्भकादयः । तथा च सुप्ता रोमहर्षस्तम्भनशोषणम् ॥ १,१६८.
Roughness of the body, contraction, obstruction, and similar symptoms; likewise, numbness, goosebumps, stiffness, and dryness.
श्यामत्वमङ्गविश्लेषबलमायासवर्धनम् । वायोर्लिङ्गानि तैर्युक्तं रोगं वातात्मकं वदेत् ॥ १,१६८.
Darkness of complexion, separation of limbs, weakness, and increased fatigue are signs of wind; a disease with these should be called wind-based.
दाहोष्मपादसंक्लेदकोपरागपरिश्रमाः । कट्वम्लशववैगन्ध्यस्वेदमूर्छातितृट्भ्रमाः ॥ १,१६८.
Burning, heat, moistening of feet, redness, exhaustion, bitterness, sourness, foul smell, sweating, fainting, excessive thirst, and dizziness.
हारिद्रं हरितत्वञ्च पित्तलिङ्गान्वितैर्नरः । देहे स्निग्धत्वमाधुर्यचिरकारित्वबन्धनम् ॥ १,१६८.
Yellowing, greenness, and other signs of bile; in the body, oiliness, sweetness, prolonged actions, and binding.
स्तैमित्यतृप्तिसङ्घातशोथशतिलगौरवम् । कण्डूनिद्राभियोगश्च लक्षणं कफसम्भवम् ॥ १,१६८.
Stillness, lack of satisfaction, heaviness from swelling and oiliness, itching, drowsiness, and lethargy—these are the signs arising from phlegm.
हेतुलक्षणसंसर्गाद्विद्याद्व्याधिं द्विदोषजम् । सर्वहेतुसमुत्पन्नं त्रिलिङ्गं सान्निपातिकम् ॥ १,१६८.
From the combination of causes and symptoms, one should recognize a disease arising from two humors; when all causes are present, it is triple-marked and called sannipātika.
दोषधातुमलाधारो देहिनां देह उच्यते । तेषां समत्वमारोग्यं क्षयवृद्धेर्विपर्ययः ॥ १,१६८.
The body is said to be the support of humors, tissues, and wastes; their balance is health, while their decrease or increase is the opposite.
वसासृङ्मांसमेदोऽस्थिमज्जाशुक्राणि धातवः । वातपित्तकफा दोषा विण्मूत्राद्या मलाः स्मृताः ॥ १,१६८.
Fat, blood, flesh, marrow, bone, and semen are the tissues; wind, bile, and phlegm are the humors; feces, urine, and others are considered wastes.
वायुः शीतो लघुः सूक्ष्मः स्वरनाशीस्थिरो बली । पित्तमम्लकटूष्णञ्चापङ्क्ती रोगकारणम् ॥ १,१६८.
Wind is cold, light, subtle, causes loss of voice, steady, and strong; bile is sour, pungent, hot, and foul-smelling, and is the cause of disease.
मधुरो लवणः स्निग्धो गुरुः श्लेषमातिपिच्छिलः । गुदश्रोण्याश्रयो वायुः पित्तं पक्वाशयस्थितम् ॥ १,१६८.
Sweet, salty, unctuous, heavy, and very slimy is phlegm; wind resides in the rectum and hips, bile is situated in the colon.
कफस्यामाशयस्थानं कण्ठो वा मूर्धसन्धयः । कटुतिक्तकषायाश्च कोपयन्ति समीरणम् ॥ १,१६८.
The seat of phlegm is the stomach, or the throat and joints of the head; pungent, bitter, and astringent tastes provoke wind.
कट्वम्ललवणाः पित्तं स्वादूष्णलवणाः कफम् । एत एव विपर्यस्ताः शमायैषां प्रयोजिताः । भवन्ति रोगिणां शान्त्यै स्वस्थाने सुखहेतवः ॥ १,१६८.
Pungent, sour, and salty tastes increase bile; sweet, hot, and salty increase phlegm; these, when used oppositely, bring their pacification, and for the sick, their calming, while in the healthy, they are causes of well-being.
चक्षुष्यो मधुरो ज्ञेयो रसधातुविवह्द्धनः । अम्लोत्तरो मनोहृद्यं तथा दीपनपाचनम् ॥ १,१६८.
Sweet taste is known to be good for the eyes and increases the tissue fluids; sour, when predominant, is pleasing to the mind and heart, and also stimulates digestion.
दीपनोज्वरतृष्णाघ्नस्तिक्तः शोधनशोषणः । पित्तलो लेखन स्तम्भी कषायो ग्राहिशोषणः ॥ १,१६८.
Bitter stimulates digestion, destroys fever and thirst, purifies and dries; astringent is bile-reducing, scraping, constricting, absorbent, and drying.