Garudapurana 1.146

The glorious Garuḍapurāṇa — 146 / Dhanvantari said: / I will speak accurately, O Suśruta, the diagnosis of all diseases, / as it was previously stated by Ātreya and the best of sages.

Roga, pāpman, jvara, vyādhi, vikāra, duṣṭa, āmaya, / yakṣman, ātaṅka, gada, and bādhā are synonymous words.

Aetiology, premonitory symptoms, fully developed symptoms, therapeutic tests, / and pathogenesis: this is known as the fivefold diagnosis of diseases.

By nimitta, hetu, āyatana, pratyaya, utthāna, and kāraṇa / they designate aetiology through synonyms. That by which the preliminary form is recognized

when a disease is about to arise, before being settled by a specific doṣa, / is the indistinct sign of diseases due to subtlety, according to each case.

That very [sign], having become manifest, is called the fully developed symptom. / Saṃsthāna, vyañjana, liṅga, lakṣaṇa, cihna, and ākṛti [are synonyms for it].

The beneficial application of medicines, food, and regimens / that are opposite to the cause, opposite to the disease, or contrary in effect,

one should know as the therapeutic test of a disease, for that is called homology. / The reverse is the non-therapeutic test, designated as unwholesome for the disease.

How the diseased condition is produced by the corrupted doṣa / and how it spreads: this is termed pathogenesis.

It is divided according to number, variant manifestations, predominance, strength, and time, / just as right here eight fevers will be spoken of.

Variant manifestation is the calculation of the proportionate fractions of the combined doṣas. / One should indicate the predominance of a disease through its independence or dependence.

The distinguishing of strength and weakness is through the completeness or parts of the causes and so on. / The time of the disease corresponds to night, day, mid-digestion, and parts of the meal, according to the respective humours.

Thus the meaning of diagnosis has been declared; it will be expounded in detail: / the cause of all diseases indeed is the provoked bodily wastes.

The provocation of them is declared to be the indulgence in various unwholesome things; / the unwholesome combination of the three [factors] has been described before.

By the use of bitter, pungent, astringent, sour, dry, and unmeasured substances, / by running, suppressing urges, staying awake at night, talking excessively loud,

by excessive medical treatments, grief, worry, physical exercise, and sexual intercourse, / and at the end of summer, day and night, and digestion, the wind humour becomes provoked.

Bile [is provoked] by pungent, sour, sharp, hot, bitter substances, anger, and burning foods, / and during autumn, midday, midnight, and the time of digestion.

By sweet, sour, salty, unctuous, heavy, channel-blocking, and cold substances, / by sitting idly, comfortable sleeping, indigestion, day-sleeping, and other nourishing practices,

by the improper application of emesis and the like, and while food eaten is still undigested, / in the morning and early night, phlegm [is provoked]. I will now declare the combinations [of humours].

From the intermingling of all of them, the combined morbidity occurs again / through mixed, undigested, irregular, and incompatible eating and the like;

by spoiled liquor and drinking water, dried vegetables, unripe radishes, / oil-cake, spoiled foods, and putrid, dry, or emaciated meat;

by various things causing the three doṣas, by change of food, / by corrupted tissue, by east wind, by seizure and possession by planetary spirits,

by spoiled and raw foods, by excessive phlegm, by planets, by affliction of the birth constellation, / by various improper conjunctions, by indulgence in sinful deeds, / by complications in childbirth in women, and by wrong treatment;

thus provoked in each disease, following the rules of the diseases, / quickly entering the chyle-vessels, the doṣas cause disorders in the body.

Thus ends the one hundred and forty-sixth chapter, entitled 'Diagnosis of All Diseases', in the Ācārakāṇḍa, which is called the first part in the First Section of the glorious and great Garuḍapurāṇa.