Garudapurana 1.148

Dhanvantari said: / Now I shall declare the diagnosis of bleeding disorder (raktapitta): / by things that are exceedingly hot, bitter, pungent, sour, salty, and cause burning sensations,

and by kodrava and uddālaka grains and other things mentioned, when consumed in excess, / the bile is provoked by bilious causes, and the liquid blood swoons.

Attaining mutual similarity with them, pervading the body, / from the vitiation of bile and blood, from their contact, and from corruption,

due to similarity of smell and color, it is designated as blood; / it arises from the seat of blood, the spleen and the liver.

Heaviness of the head, anorexia, desire for cold, smoking sensation, sour taste in the mouth, / vomiting, loathing of vomit, cough, breathlessness, giddiness, fatigue,

blood is not beneficial, fish-like smell in the mouth without fever, / red, yellow, and green coloration in the eyes and other parts,

inability to distinguish blue, red, and yellow colors, / and the character of madness in dreams: these occur or are about to occur in this [disease].

It proceeds upwards through the nose, eyes, ears, and mouth; downwards through the penis, vagina, and anus; / and when provoked, through all the hair follicles.

The upward type is curable, because it arises from phlegm; that is managed by purgation; / for many are the medicines for bile, and purgation is the best remedy.

Where phlegm is a secondary factor, it also purifies that; / astringent and sweet medicines, which increase phlegm, are beneficial for purification.

Pungent, bitter, and astringent [medicines], or those which by nature bring on phlegm; / the downward type is manageable [only], and for one not possessing long life, it is managed by emesis.

Few are the medicines for bile [in the downward type], and emesis is not a low remedy; / for a man whose strength is continuous and whose bile is calmed,

astringent and sweet medicines alone are beneficial for him; / that which is touched by phlegm and wind is incurable, tending to an end.

[When] intolerable because of going against the direction [of movement] and incurable from the beginning of medication, / for no cleansing treatment [works] for that which goes in an adverse direction.

In bleeding disease, cleansing in the opposite direction is prescribed; / even so, here pacification [along with] cleansing is desired.

When the humor are combined, vomiting is beneficial in every way; / there the departure of humor is observed as if by Śiva's weapon.

And secondary affections turn into morbid change; through results, it is overcome among them.

Thus ends the one hundred and forty-eighth chapter, entitled 'Diagnosis of Bleeding Disease', in the Ācārakāṇḍa of the first part in the glorious Garuḍa Mahāpurāṇa.