Garudapurana 1.147.15

1.147.15

sasvanau sarujau karṇau mahāśītau hi naiva vā /
paridagdhā kharā jihvā gurustrastāṅgasandhitā //

the ears have ringing and pain, or are excessively cold, or not at all; / the tongue is scorched and rough; the joints of the limbs are heavy and lax;