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Garudapurana 1.162

English (machine translation) 1.162

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1.162.1

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,

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

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

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

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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,

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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;

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

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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,

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

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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.

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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,

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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,

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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,

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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.

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

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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],

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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.

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

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

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

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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,

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

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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.

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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.

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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.

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

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

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

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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.

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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.

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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.

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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.

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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.

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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.

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

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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,

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

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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;

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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.

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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.

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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.

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