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Garudapurana 1.157

English (machine translation) 1.157

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1.157.1

The glorious Garuḍa Mahāpurāṇa — 157 / Dhanvantari said: / I shall state the diagnosis of diarrhoea and duodenal disorder, O Suśruta: / it is of six kinds: through the doshas individually, all combined, from fear, and from grief.

1.157.2

Diarrhoea arises particularly from drinking excessive water, / from dry food, muscle fat, oily substances, sesame paste, and sprouted grains,

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from alcohol, dry foods, excessive amounts of meat juices, disruption from excessive unction, / and from parasites, sounds, and incompatibilities in such regimen; aggravated wind

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relaxes the downward wind, having thereby destroyed the digestive fire; / affecting food, stool, and viscera, fluidity of stool and other symptoms

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bring about the characteristic signs of forthcoming diarrhoea: / splitting pain in the heart, anus, and viscera, bodily perspiration, retention of feces,

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distension, and indigestion. There, through wind, without fever, / scanty, noiseless, and bound stool is evacuated;

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dry, frothy, clear, or passed repeatedly with gripping; / also appearing like burnt medicine, slimy, causing cutting pain,

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with a dry and prolapsed anus, horripilation, and sighing. / Through bile, the stool is yellow, turmeric-coloured, and green as grass;

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with blood, extremely foul-smelling, accompanied by thirst, fainting, perspiration, and burning; / with rectal pain, heat, and suppurative inflammation. Through phlegm, it is thick,

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slimy, following along with that, scanty, accompanied by tenesmus, / with horripilation, discomfort, and heaviness in bladder, rectum, and abdomen;

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feeling as though not done even after defecation; that of all three forms has all symptoms. / When the mind is agitated by fear and one lies down, the wind liquefies the stool;

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from that, the hot, fluid, floating [stool] is quickly expelled; / they say its symptoms are identical to wind-bile; similarly so from grief.

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Diarrhoea in brief is twofold: with undigested matter and free from undigested matter. / Stool born with blood, causing disorder of chyle, sinks in water due to its heaviness, / foul-smelling, in one afflicted by gurgling, distension, pain, and excessive salivation.

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The nirāma type is the opposite, but due to kapha it does not sink in water at all. / One who is not very careful in cases of diarrhoea develops the disease of the grahaṇī.

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This may occur due to the extinction of the digestive fire caused by extremely accumulated [doshas]. / The condition whereby stool, either sāma or nirāma, is passed repeatedly in an undigested state

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is atīsāra (diarrhoea), by nature acute because of excess purging; / [food] passed as sāma is broken down by indigestion, whereas when digested, it is not well-processed.

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The disorder of the grahaṇī is chronic and causes the accumulation [of waste] to be eliminated: / suddenly [it causes] loose motions, and suddenly solid stool repeatedly. / It occurs in four varieties: from the individual doshas and from their combination.

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The premonitory symptoms are: debility of the body, slow and deficient movement of vāta, / salivation, bad taste in the mouth, loss of appetite, thirst, exhaustion, dizziness,

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distension of the abdomen, vomiting, and a buzzing sound in the ears. / The general symptoms are: emaciation, vomiting, fainting, fever,

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loss of consciousness, headache, constipation, swelling of the hands and feet, / drowsiness, dryness of the palate caused by vāta, blurred vision, and ringing in the ears;

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pain in the flanks, thighs, groins, and neck; acute cholera-like pain; / an increase in symptoms among the sick that drives away hunger and thirst.

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When food is digested or being digested, flatulence occurs, but after eating, one feels relief. / Due to vāta, there may be suspicion of heart disease, abdominal tumors, piles, spleen enlargement, and anaemia.

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With difficulty and after a delay, one repeatedly passes stool that is liquid, dry, small, frothy, and accompanied by sound, / suffering from pain in the anus, shortness of breath, and cough.

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Due to pitta, one passes liquid stool that appears yellowish-blue or yellowish, / afflicted by foul and sour belching, burning in the chest and throat, loss of appetite, and thirst.

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Due to kapha, digestion is painful, accompanied by nausea, vomiting, loss of appetite, / a coated feeling in the mouth, spitting of phlegm, cough, excessive salivation, and chronic catarrh.

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One feels the chest to be congested, the abdomen stiff and heavy, / with sweet-tasting, foul eructations, debility, and horripilation.

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The stool passed is broken, mixed with mucus, heavy, and sour. / Weakness occurs even in one who is not emaciated; in the tridoshic type, all symptoms are observed.

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The three wastes—thirst and the others—that are taught in the division of the body, / these too are the disorders of the grahaṇī; there is a common cause among them.

1.157.29

Diseases of vāta, urinary calculi, skin diseases, urinary disorders, abdominal dropsy, fistula-in-ano, / piles, and grahaṇī: these eight are the great diseases that are very difficult to overcome.

1.157.29.p1

Thus ends the one hundred and fifty-seventh chapter, entitled “Diagnosis of Diarrhoea,” in the Ācārakāṇḍa, the first section of the first part in the glorious Garuḍa Mahāpurāṇa.

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