Garudapurana 1.162

The glorious Garuḍa Purāṇa — 162 / Dhanvantari said: / Hear, Suśruta, as I tell you the pathology of anaemia and swelling. / The impurities with bile predominant, aggravated by the aforesaid aggravating causes,

driven by the powerful wind, whether lodged after being repeatedly propelled, / entering the ten vessels, pervade the entire body.

Corrupting the skin, blood, phlegm, and flesh, relying on the chyle, / they produce various colours in the skin and between skin and flesh.

A turmeric-yellow or pale complexion is especially prominent among them; / when this fierce disease has advanced, it strikes, and thence comes heaviness,

laxity to the touch of the bodily tissues, and loss of quality arising from undigested matter; / thence one becomes poor in blood, fat, and bone, sapless, and with slackened senses,

with limbs feeling as if shattered, a sense of liquefaction at the heart, / pain in the eye-sockets and mouth, and stupor accompanied by salivation;

with diminished thirst, aversion to cold, fallen hair, destroyed digestive fire, / weak strength, feverish, dyspnoeic, afflicted with earache, and dizzy.

It is of five kinds: through each doṣa separately, through all combined, and from eating earth. / Its premonitory signs are throbbing of the heart and dryness of the skin,

anorexia, yellow urine, absence of sweat, and scanty urine. / There, from wind resembling fat, there is severe pain and clamminess of the body,

blackness of gaze, dark veins, nails, faeces, urine, and eyes, / swelling, bad taste in the nose and mouth, dryness of stools, and stupor in the flanks.

In [anaemia from] bile, there is a green or yellow appearance; fever and darkness in the veins, head, and so forth; / thirst, dryness, fainting, foul odour, desire for cold, and acrid taste in the mouth,

diarrhoea, sour eructations, and burning sensation. From phlegm, there is moisture of the heart, / drowsiness, salty taste in the mouth, goosebumps, and loss of voice,

cough, and vomiting. From the combination of all three, its symptoms are mixed and exceedingly unbearable. / Provoked by wind and bile, pungent or sweet phlegm,

having vitiated the muscle-fat and other [tissues], causes loss of blood due to dryness, / and causes wasting of the channels, obstructing them as before.

When anaemia advances to consumption, the navel, feet, mouth, and penis [swell]; / one discharges stool like worms, loose, accompanied by blood and phlegm.

If a patient with a bilious disorder indulges in bile-provoking things, he develops jaundice; / the bile, having entered the visceral organs and the branches [of the vessels], burning blood and flesh, brings on [jaundice],

with turmeric-yellow urine and eyes, a red face, and similarly coloured faeces, / burning sensations, indigestion, thirst, resembling a frog [in complexion], and with weakened senses.

In one afflicted with anaemia, swelling follows upon bile; / and from neglect, swelling and other symptoms become the intractable pot-jaundice.

When the bile becomes greenish-black in anaemia, / with wind and bile [provoked], dizziness, thirst, lack of pleasure in women, mild fever,

drowsiness, or loss of digestive fire—they call that halīmaka. / Excessive lethargy is an early complication of these [conditions].

Swelling has been stated to be prominent; that very [swelling] is now described: / The corrupted wind, carrying the vitiated bile, blood, and phlegm to the outer vessels,

having its movement blocked by them, produces an elevation situated in the skin and flesh; / that compact [elevation] they call swelling, caused by accumulation.

According to all the particular causes, it is of nine types by difference of characteristics: / by the distinct individual doṣas, by all combined, from injury, and also from poison.

That very [swelling] spreading over the whole body is considered systemic; / they know it to be threefold by the distinctions of broad, elevated, and nodular.

The general cause of swellings is born of the doṣas in particular; / the disease develops quickly in one weakened by illness, physical exertion, fasting, and the like.

When one excessively indulges in heavy and extremely cold foods,
salty, alkaline, pungent, sour vegetables, water, sleep, and staying awake at night;

In the suppression of urges, dried meat, indigestion, exertion, sexual intercourse,
or travelling along roads by walking or by a jolting vehicle;

Dyspnoea, cough, diarrhoea, piles, abdominal enlargement, menorrhagia, fever,
flatulence, lassitude, vomiting, hiccup, anaemia, and erysipelas [occur].

Those [doṣas] situated in the upper part cause swelling in the upper body; those situated below, in the bladder; those in the middle, in the middle;
that which pervades the whole body affects all parts, according to its respective seat.

Its premonitory symptoms are sneezing, stretching of veins, and heaviness of limbs.
Swelling caused by vāta is mobile, rough, with coarse body-hair, reddish, or dark.

It has pain in the temples, bladder, and intestines, tearing pain in fat, numbness,
excess of vāta, and fatigue; when pressed, the body quickly rises up again.

It is soothed by oily massages; it is small at night and large by day;
and when mustard is applied to the skin, it tingles.

The swelling arising from pitta has a yellow, red, or dark appearance, and causes emaciation;
it does not subside quickly, or it burns the body initially from the middle.

It is accompanied by thirst, burning, fever, sweat, dizziness, weariness, intoxication, and vertigo;
it involves desires, loose stools, odour, intolerance of touch, and is soft.

The [kapha-type] is itchy, with pale hair, hard skin, cold, heavy,
unctuous, smooth, stable, painful, causing sleep, vomiting, and sluggish digestion.

Due to a blow, cutting, piercing, or wounding by weapons and the like,
or by frosty winds, winds carrying curd, or caused by bhallātaka and kapikacchu,

Or by contact with their dry juices, a spreading swelling occurs;
it has great heat, a reddish appearance, and mostly pitta characteristics.

The poison-born [swelling] occurs from the crawling or urination of poisonous creatures,
or from the strike of fangs, teeth, or claws even of non-poisonous creatures;

From contact with dirty clothes soiled by faeces, urine, and semen,
from the touch of wind blowing from poisonous trees, or from sprinkling with slow poison.

It is soft, mobile, hanging down, rapid, and causes burning and pain.
A recent swelling without complications is curable; the incurable has been explained earlier.

Thus ends the one hundred and sixty-second chapter, named “Diagnosis of Anaemia and Swelling”, in the Ācārakāṇḍa of the first part in the first section of the glorious Garuḍa Mahāpurāṇa.