Garudapurana 1.150

The glorious Garuḍa Mahāpurāṇa — 150
Dhanvantari said: / Now, therefore, I shall declare the diagnosis of dyspneic disease. / Dyspnea may arise from the progression of cough, or from earlier humor-aggravating causes,

from undigested matter, diarrhea, vomiting, poison, jaundice, and fever, / from dust, smoke, wind, injury to vital points, and cold water.

The minor, the dark, the interrupted, the great, and the fifth, the upward: / wind whose passage is obstructed by phlegm, positioned everywhere,

vitiating the impaired channels carrying breath, water, and food, / residing in the chest, produces dyspnea originating from the stomach.

Its premonitory symptom is pain in the heart and flanks, reversal of the breath, / flatulence, and splitting pain in the temples. There, impelled by exertion and overeating,

impelling the minor [breath], that wind himself, laden with impurities, / goes in reverse direction into the channels, the wind exciting phlegm;

seizing the head and neck, and afflicting the chest and flanks, / it brings about cough, wheezing, stupor, loss of appetite, and severe coryza,

and produces dyspnea of violent paroxysm, distressing the vital breath; / he faints from its force, and feels easy for a moment only after spitting.

Lying down, he breathes with difficulty; sitting upright, he finds relief. / With upward-turned eyes, his forehead sweating, he is greatly tormented,

with a parched mouth, frequent gasping; he longs for warmth, trembling; / and it is worsened by clouds, water, cold, east winds, and phlegm-generating foods.

That dark dyspnea is manageable, [or] curable in a strong person. / Accompanied by fever and fainting, it is not calmed by cold; but that first one [is mild].

Like one breathing with a cough, shattered, tormented by pain as if vital points were severed, / with sweat, fainting, distension of the abdomen, burning in the bladder, and broken sleep,

downcast in gaze, with dripping eyes, or with one eye unctuous and red, / dry-mouthed, lamenting, wretched, with lost complexion, unconscious,

in great distress, breathing with a loud sound, gasping, / tossed about, agitated, like an enraged bull continually,

with lost consciousness and comprehension, his eyes and face rolling, / rolling his eyes, with retention of urine and feces, and broken speech,

with parched throat frequently, and intense pain in the ears, temples, and head; / he who breathes out long upward and does not draw it back down,

his mouth and ears filled with phlegm, afflicted by the furious vital breath, / gazes upward wildly, rolling his eyes around;

as his vital points are severed, he laments with voice suppressed. / These may be cured when not fully manifested; fully manifested, they certainly take life.

Thus ends the one hundred and fiftieth chapter, entitled 'Diagnosis of Dyspnea', in the Ācārakāṇḍa of the first part in the glorious Garuḍa Mahāpurāṇa.