The Compendium of Bheḷa 2.3

From vāta, from pitta, from kapha, from combination [of the three], and also from blood, / five gulmas occur in this world; I shall declare their characteristics.

When a person prone to vāta indulges in vāta-aggravating food, / runs, or jumps, or keeps awake at night,

speaks excessively, laughs excessively, indulges excessively in women, / causes upward movement of wind, or engages excessively in physical exertion,

or falls from a tree, or vomits with force, / then his vāyu, aggravated in this way, enters the stomach

and produces a gulma in the flanks, the heart, or the abdomen. / It is at one moment large and then becomes small again;

accompanied by pricking and throbbing, it pierces and shoots about; / it causes pain, and it also produces fever;

seizing the head of the bladder, it stays as if tearing it apart; / and food becomes poison and ascends to the head;

and at one moment it is distinctly visible, and then it disappears again; / he passes hard stool with difficulty, or accompanied by blood;

and the person with vātagulma appears dark-hued. / When a person who is constantly prone to pitta indulges in pitta-aggravating food,

and foolishly consumes drinks of such nature without measure, / then his pitta, aggravated in this way, enters the stomach

and produces a gulma in the flanks, the heart, or the abdomen. / It burns, aches, stings, and fumes;

constantly feverish and red, he frequently exudes sweat; / like a heated iron ball, it burns where it is located;

it produces thirst and fainting, and also creeps from its place; / and extreme pain arises in that region;

hairs previously grown fall out from that affliction of gulma, / and they do not grow back as long as the disease is not pacified;

and the person is seen with a yellowish appearance from pittagulma. / When a person who is constantly prone to phlegm indulges in phlegm-aggravating food,

foolishly [eating] without measure, and is addicted to daytime sleeping, / then his phlegm, aggravated in this way, enters the stomach

and produces a gulma in the flanks, the heart, or the abdomen. / Food is not relishable to him, and what is eaten is not digested;

and along with phlegm, what has been eaten repeatedly comes upward; / he has white urine and feces, and has a whitish appearance,

and his eyes become white in gulma arising from phlegm. / When a person who is continuously emaciated by disease or medication,

and whose strength and digestive fire have not returned, indulges in doṣa-aggravating things, / his accumulated doṣas produce a dreadful gulma;

in that sānnipātika [type], all symptoms are observed. / But blood-gulma arises only in women;

it does not occur in men; I shall declare its characteristics: / when a woman has recently had a miscarriage, or recently given birth,

or through excessive childbearing, or likewise through lack of childbearing, / or through supporting a heavy load, blood then becomes distended;

when that blood is retained, the woman considers herself pregnant; / then in due course, colic arises in her abdomen,

and that abdominal enlargement from gulma is in the belly, and she considers: 'This is a fetus'; / and thinking 'this is a fetus', she bears the disease for one year or even many [years],

and she somehow restrains the splitting pain; / then with the passage of time her breasts become filled with milk,

she becomes emaciated and pale, and welcomes pregnancy cravings; / vomiting, spitting, and drowsiness afflict her in this way,

and there is swelling of the feet when vitiation occurs in blood-gulma. / Of these five gulmas, it has indeed been declared: / one should know the combined [type] to be incurable, and the others curable with exertion."
Thus spoke the venerable Ātreya.
Thus ends the third chapter in the Nidāna section of Bheḷa.
Fourth Chapter.
Now we shall explain the diagnosis of cough; thus spoke the venerable Ātreya.