Garudapurana 1.149

The glorious Garuḍa Mahāpurāṇa — 149
Dhanvantari said: / Since cough is swift-acting, it alone will be spoken of next. / Coughs are considered to be fivefold, caused by wind, bile, phlegm, injury, and wasting.

If neglected, all lead to wasting, each more potent than the preceding. / The premonitory sign of their impending onset is an itch in the throat and loss of taste.

Dryness of the ears, mouth, and throat occurs. There, the wind assigned to the lower parts, / moving upward and reaching the chest, enters into the throat;

filling the channels of the veins, it then agitates the limbs, / seeming to throw the eyes out, afflicting the voice, and causing pain in the flanks;

it proceeds through the mouth with a sound like broken bronze, / producing pain in the heart, flanks, thighs, and head, stupefaction, agitation, and loss of voice;

it causes a dry cough, with great impetus, pain, and sound. / With horripilation, having expelled dry phlegm with difficulty, it subsides into minuteness.

From bile there is yellowness of the eyes, bitterness of the mouth, fever, giddiness, / vomiting of bile and blood, thirst, hoarseness, a feeling of being fumed, intoxication,

and, during a continuous paroxysm of coughing, the apparent perception of sparks. / From phlegm, the chest and head have little pain, and the heart is motionless and heavy;

there is a coating in the throat, sluggishness, coryza, vomiting, loss of taste, / horripilation, and the discharge of thick, unctuous phlegm.

Through various rash acts such as fighting, undertaken beyond one's strength, / wind injured within the chest, followed by strong bile,

aggravated, produces a cough. Because of it, [the patient] spits phlegm accompanied by blood, / yellow, dark, dry, knotty, aggravated, and copious,

with a painful throat and a chest feeling as if shattered, / pierced as if by sharp needles and aching,

with pain tender to the touch, and burning heat caused by the pain of tearing; / having cracking of the joints, fever, breathlessness, thirst, hoarseness, and trembling;

cooing like a pigeon, suffering from flank pain, and then for him / vomiting of phlegm and other humors [occurs], and digestion, strength, and complexion decline.

In the emaciated [patient], there is blood in the urine, dyspnea, and stiffness of the back and waist. / With wind predominant, the aggravated [humors] running in the course of consumption

produce cough in the seat of consumption; then he spits phlegm / resembling foul-smelling pus, yellow, mixed, greenish, and red;

his chest feels numb, as if pierced, and as if burning; / he has sudden desire for hot and cold, excessive eating, loss of strength,

an unctuous and bright face, and eyes of radiant appearance; / then all the symptoms of wasting appear in him.

Thus this cough born of wasting destroys the body of the emaciated. / Or in the strong, both it and the injury-born one are manageable; but when both are fresh,

they may be cured by proper efficacy; and in curable and other cases, the treatment is distinct. / All mixed types are manageable, as is that of old age in the elderly.

Because diseases such as cough, dyspnea, wasting, vomiting, and loss of voice / arise from negligence, one should conquer them with haste.

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