[Pramāṇa](https://indike.org/pramana/) › [Indian literature](https://indike.org/pramana/in) › [Purāṇas](https://indike.org/pramana/in.purana) › [Garuḍapurāṇa](https://indike.org/pramana/in.purana.garuda) › [English (machine translation)](https://indike.org/pramana/in.purana.garuda~en-mt) › 1.156 # Garudapurana 1.156 English (machine translation) 1.156 - **Language:** English ## Contents - [1.156.59](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.59) — 1 part ### [1.156.1](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.1) The glorious Garuḍa Mahāpurāṇa — 156. Dhanvantari said: / Now I shall explain the etiology of piles (arśas), O Suśruta! / The pegs that constantly arise in the flesh of living beings, ### [1.156.2](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.2) are called piles (arśas) because they obstruct the anal passage. / The doṣas, vitiating the skin, flesh, and fat, produce diverse forms of ### [1.156.3](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.3) fleshy sprouts in the anus and other parts; they call these piles. / Briefly, their division is twofold: congenital and arising in later life. ### [1.156.4](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.4) The varieties are dry and exuding, residing in the region of the rectum. / It measures four and a half finger-breadths; in it are three \[folds\], each situated at one and a half finger-breadths. ### [1.156.5](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.5) Among them, the inner is pravāhiṇī, in the middle of the bowel is visarjinī, / and the outer is saṃvaraṇī, at the anus, extending outward by a finger-breadth; ### [1.156.6](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.6) at a measure of one and a half finger-breadths further on are the hairs. / The cause of the congenital ones is the affliction of the seed in childhood; ### [1.156.7](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.7) the creation of the seed of piles is from the misconduct of mother and father, / from the wrath of deities, or from the combination of doṣas in another manner. ### [1.156.8](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.8) All hereditary diseases are declared to be incurable. / The congenital ones, in particular, are rough and unsightly, ### [1.156.9](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.9) turned inward, pale, and accompanied by severe complications. / They are also to be classified individually from the single doṣas, their combination, and their gathering. ### [1.156.10](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.10) The dry ones are from vāta and kapha, while the moist ones are from blood and pitta. / The cause of the aggravation of the doṣas is as stated before in \[the chapter on\] wasting and other diseases: ### [1.156.11](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.11) when the digestive fire is impaired and wastes are excessively accumulated; also from excessive sexual intercourse; / from agitation caused by drinking, and eating irregular, hard, or meager food; ### [1.156.12](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.12) from trauma caused by the enema nozzle, ulceration of the throat or lips, and splitting of the palms or soles; / from contact with extremely cold water, and constant excessive straining; ### [1.156.13](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.13) from suppressing or forcefully expelling the urges of passing urine and feces; / disgust, diarrhea, and grahaṇī are also complications of it; ### [1.156.14](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.14) from emaciation, irregular exertion, and the like; in women, furthermore, / from miscarriage of an immature fetus, and pressure from the growth of the fetus. ### [1.156.15](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.15) By these and other such causes, the apāna vāyu, aggravated in the fecal matter / and in the folds of the anus, having moisture and circular shape, swelling into full forms, ### [1.156.16](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.16) piles are born. Their premonitory symptoms are: weakness of the digestive fire, / flatulence, debility of the bones, cramps in the calves, and dizziness; ### [1.156.17](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.17) thick swelling arising in the eyes, looseness or retention of stool, / wind moving downward confounded, usually wandering below the navel; ### [1.156.18](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.18) with blood, cutting pain, contracting with difficulty while panting, / rumbling in the intestines, abdominal distension, and abundant sour or caustic belching; ### [1.156.19](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.19) abundant urine, scanty stool, lack of appetite, a smoky sensation in the gut, / pain in the head, back, and chest, laziness, and loose feces; ### [1.156.20](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.20) longing for sensory objects, anger from slight provocation, / suspicion, grahaṇī, swelling, anemia, abdominal tumors, and dropsy. ### [1.156.21](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.21) These very symptoms increase when \[the piles\] are formed under their specific names; / for the wind, turning back due to the obstruction of the downward path caused by them, ### [1.156.22](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.22) agitates the other winds going to all the sense organs and the body, / and the wind, drying up urine, feces, pitta, and kapha, ### [1.156.23](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.23) steals the digestive fire; then all \[kinds of\] piles generally develop. / The patient becomes exceedingly emaciated, dispirited, dejected, weak, and lusterless, ### [1.156.24](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.24) destitute of strength, bereft of complexion, like a tree consumed by pests; / seized by painful and severe complications, and torment of the vital parts as described in consumption; ### [1.156.25](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.25) likewise with cough, thirst, bad taste in the mouth, asthma, chronic rhinitis, / fatigue, aching of the limbs, vomiting, sneezing, swelling, and fevers; ### [1.156.26](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.26) afflicted with impotence, deafness, numbness, and urinary gravel, / emaciated, with a broken voice, brooding, spitting repeatedly, and lacking all relish. ### [1.156.27](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.27) suffering from sharp pain in all joints, bones, heart, navel, anus, and groins; / through the rectum dripping bile resembling a heron's belly, ### [1.156.28](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.28) dried up, discharged at the tip, alternately cooked and raw, / pale yellow, smeared with turmeric, and slimy is evacuated. ### [1.156.29](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.29) Anal polyps having an excess of wind are dry, tingling, / reddish-brown like glowing coals, rigid, irregular, and rough in shape; ### [1.156.30](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.30) dissimilar to each other, crooked, sharp, with cracked mouths, / resembling beans, dates, wild jujubes, or cotton fruits; ### [1.156.31](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.31) some resemble kadamba flowers, some are like mustard seeds; / causing severe distress in the head, flanks, shoulders, calves, thighs, groins, and elsewhere; ### [1.156.32](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.32) causing sneezing, eructation, constipation, cardiac distress, and anorexia, / bringing on cough, dyspnoea, irregular digestive fire, ringing in the ears, and dizziness. ### [1.156.33](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.33) Afflicted by them, a person passes knotty, scanty, noisy stool with tenesmus, / accompanied by pain, froth, and slime, \[passed\] with obstruction. ### [1.156.34](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.34) His skin, eyes, and mouth become black, and urine and stool are obstructed; / moreover, abdominal tumours, spleen disorders, and stone-like swellings arise in him. ### [1.156.35](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.35) Those dominated by bile have blue tips, with red, yellow, and black lustres; / their discharges flow from slender tips, they smell like raw meat, and are thin, soft, and flaccid; ### [1.156.36](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.36) resembling parrot tongues, pieces of liver, or leech mouths; / causing burning, emaciation, fever, perspiration, thirst, fainting, anorexia, and confusion; ### [1.156.37](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.37) they are accompanied by heat; the faeces are liquid, blue, hot, yellow, red, and undigested; / they are barley-shaped in the middle, and the skin, nails, and other parts become green, yellow, and turmeric-coloured. ### [1.156.38](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.38) Those dominated by phlegm have deep roots, are dense, cause dull pain, and are white; / elevated, fleshy, unctuous, rigid, round, heavy, and firm; ### [1.156.39](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.39) slimy, motionless, smooth, very itchy, pleasant to the touch; / resembling karīra sprouts, jackfruit seeds, or cow udders; ### [1.156.40](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.40) causing fullness in the groins, cutting pain in the anus, bladder, and navel; / accompanied by cough, dyspnoea, nausea, excessive salivation, anorexia, and chronic catarrh; ### [1.156.41](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.41) causing great dysuria, heaviness in the head, chilliness, and alkaline discharges; / producing impotence, dullness of digestion, vomiting, diarrhoea, and other disorders; ### [1.156.42](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.42) accompanied by tenesmus and copious stool mixed with fat-like matter, phlegm, and blood; / they do not bleed or burst; the skin and other parts are pale and oily. ### [1.156.43](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.43) From combinations \[of two doshas\] arise combined symptoms; from all three combined, all signs are present. / Blood-dominated piles in the rectum have the shape of bile-type piles, ### [1.156.44](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.44) resemble banyan sprouts, and look like guñjā berries or corals. / Afflicted by tight constipation, they suddenly bleed ### [1.156.45](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.45) excessive, vitiated, and hot blood; and from its excessive flow, / looking like a peacock, he is afflicted by miseries arising from blood loss; ### [1.156.46](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.46) diminished in complexion, strength, and enthusiasm, his vitality destroyed, his senses clouded. / By mung beans, kodo millet, citron, karīra, chickpeas, and the like, ### [1.156.47](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.47) which are dry and astringent, wind is aggravated in the seat of stool and becomes strong; / blocking the downward-moving channels and drying up below, ### [1.156.48](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.48) it produces severe retention of wind, stool, and urine; / thereby, intense pain arises in the abdomen, back, heart, and flanks; ### [1.156.49](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.49) distension in the abdomen, retained faeces, nausea, cutting pain, / especially severe colic in the bladder, and swelling of the cheeks occur. ### [1.156.50](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.50) Because wind moves upward, there arise vomiting, anorexia, fever, / heart disease, disorders of the duodenum, urinary retention, and tenesmus; ### [1.156.51](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.51) deafness, severe head pain, dyspnoea, headache, cough, and chronic catarrh; / mental disturbance, thirst, breathlessness, bilious abdominal tumours, and other disorders. ### [1.156.52](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.52) These highly dreadful diseases caused by wind arise; / udāvarta is the most grave complication, an enemy of longevity, \[caused by\] piles. ### [1.156.53](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.53) In those whose bellies are overwhelmed by wind, it arises even without them. / But those piles that are congenital, and those situated on the innermost fold, ### [1.156.54](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.54) are incurable; they are palliated by digestive strength and the like. / Those born of two doshas, and those situated on the second fold, ### [1.156.55](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.55) are said to be curable with difficulty, as are those lasting over a full year; / but those arisen on the outer fold, aggravated by only a single dosha, ### [1.156.56](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.56) are easily curable piles, if not of long standing. / They will also be described on the penis and other parts according to their characteristics; but those born at the navel ### [1.156.57](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.57) have the form of earthworms, slimy and soft. / Vyāna wind, seizing phlegm, produces piles on the exterior of the skin, ### [1.156.58](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.58) peg-like, firm, and rough; they know it as a cutaneous wart. / By wind there is piercing pain and roughness; from bile there is a blackish tip; ### [1.156.59](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.59) from phlegm there is unctuousness, knottiness, and same colour as the skin. / An intelligent person should quickly make an effort for the relief of piles; / for, quickly causing disease, they may cause intestinal obstruction. ### [1.156.59.p1](https://indike.org/pramana/in.purana.garuda~en-mt.1.156.59.p1) Thus in the glorious Garuḍa Mahāpurāṇa, in the first section called the first part, in the section on Conduct, the one hundred and fifty-sixth chapter, named “Diagnosis of Piles”. ## Linked texts (1) - [Garuḍapurāṇa](https://indike.org/pramana/in.purana.garuda.1.156.1) — Vyāsa, Sanskrit --- Source: [https://indike.org/pramana/in.purana.garuda~en-mt.1.156](https://indike.org/pramana/in.purana.garuda~en-mt.1.156) · Pramāṇa