Garudapurana 1.163

The glorious Garuḍa Mahāpurāṇa — 163
Dhanvantari said:
I shall tell you the diagnosis of erysipelas and other diseases, Suśruta; listen to that!
Erysipelas arises from trauma and from vitiated doṣas, like swelling.

They declare its location to be external; there, from fear or exertion,
and in progressive order it is difficult to cure; there the doṣas act according to their nature.

Aggravated by aggravating factors, especially burning foods,
those [doṣas] situated on the exterior enter swiftly into the interior of the body.

From the onslaught of thirst, the irregular functioning of natural urges,
and the rapid loss of digestive power, it spreads to the exterior.

Among them, that erysipelas from vāta has pain equal to vāta fever,
with swelling, throbbing, pricking pain, tearing pain, exhaustion, aching, and horripilation.

From pitta it moves rapidly, has the signs of pitta fever, and is very red.
From kapha it is accompanied by itching, is unctuous, with pain equal to kapha fever.

Those arising from the combination of all three doṣas are accompanied by all signs;
neglected, they are covered with blisters showing signs of all their respective doṣas;
they also discharge sweat, bearing the marks of an ulcer.

From vāta and pitta, it is accompanied by fever, vomiting, fainting, diarrhoea, thirst, dizziness,
splitting pain in the joints, decline of digestive fire, feeling of darkness, and anorexia.

It makes the entire limb appear as if scattered over with glowing embers.
Whichever region the erysipelas spreads to, that region becomes:

Black like extinguished charcoal, blue, or red, and it is swiftly covered
with blisters as if burnt by fire; and moving rapidly, that [erysipelas]

Spreads following the vital points; then vāta becomes exceedingly strong.
The body is in agony; it takes away consciousness and sleep, and provokes dyspnoea

And hiccup. Having reached such a state, a person
seized anywhere with distress in the vital points, tossing about

Upon the ground, bed, seat, and the like, afflicted, with delusion of mind and body,
falls into a sleep difficult to awake from; that is called agnivīsarpa.

Wind blocked by kapha, splitting that kapha into many parts,
or the blood in a person with aggravated blood, entering the skin, vessels, sinews, and flesh,

And corrupting them, produces a garland of nodules that are elongated, rounded, thick, and rough,
accompanied by blood, intense pain, and fever;

Accompanied by dyspnoea, cough, diarrhoea, dryness of the mouth, hiccup, vomiting, dizziness,
delusion, discolouration, fainting, aching of the limbs, and loss of digestive power.
Thus this is granthivīsarpa, born from the aggravation of kapha and wind.

From kapha and pitta, there is fever, stiffness, sleep, drowsiness, headache,
prostration of limbs, restlessness, delirium, anorexia, dizziness,

Fainting, loss of digestive fire, splitting pain in the bones, thirst, heaviness of sense-organs,
passage of undigested stool, and coating of the channels; and it spreads,

Mostly seizing the stomach, in a single region, not excessively painful,
covered with pustules that are intensely yellow, red, and pale;

Unctuous, dark, blackish-blue, dirty, swollen, heavy,
with deep suppuration, mostly touched with heat, moist, and cracking open;

Its flesh sloughed away as if cooked, its network of sinews and vessels exposed,
spreading everywhere with all symptoms, extending across the entire skin,
and smelling like a corpse: this erysipelas they call kardama.

Aggravated by an external cause, a wound, wind stirring up pitta along with blood,
produces erysipelas covered with [eruptions] resembling kulattha beans,

With blisters, abundant in swelling, fever, pain, and burning, with blackish-red blood.
Those caused by individual doṣas are three, curable, as are those born of two doṣas without complications.

Incurable are those arising from all three [doṣas], and all those that have invaded vital points,
whose sinews, vessels, and flesh are sloughed, and which are moist and smell like a corpse.

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