The Diagnosis of Anorexia (Arochaka)

Verse 1 (garuda.1.153.1)

धन्वन्तरिरुदाच । अरोचकनिदान्ते वक्ष्येऽहं सुश्रुताधुना । अरोचको भवेद्दोषैर्जिह्वाहृदयसंश्रयैः

dhanvantarirudāca arocakanidānte vakṣye'haṁ suśrutādhunā arocako bhaveddoṣairjihvāhṛdayasaṁśrayaiḥ

Dhanvantari said: O Sushruta, I shall now declare the diagnosis of Arochaka, loss of appetite and taste. It arises from the humors lodged in the tongue and heart —

Verse 2 (garuda.1.153.2)

सन्निपातेन मनसः सन्तापेन च पञ्चमः । कषायतिक्तमधुरं वातादिषु मुखं क्रमात्

sannipātena manasaḥ santāpena ca pañcamaḥ kaṣāyatiktamadhuraṁ vātādiṣu mukhaṁ kramāt

or from sannipata, all three humors together, with a fifth type arising from mental distress. The taste in the mouth becomes astringent, bitter, and sweet respectively, according to Vata and the other humors —

Verse 3 (garuda.1.153.3)

सर्वं वीतरसं शोकक्रोधादिषु यथा मनः । छर्दिदोषैः पृथक्सर्वैर्दुष्टैरन्यैश्च पञ्चमः

sarvaṁ vītarasaṁ śokakrodhādiṣu yathā manaḥ chardidoṣaiḥ pṛthaksarvairduṣṭairanyaiśca pañcamaḥ

In the mental type, through grief, anger, and the like, the mouth becomes entirely without taste. Vomiting occurs separately from each vitiated humor, and the fifth type arises from other emotional causes.

Verse 4 (garuda.1.153.4)

उदानोऽधिकृतान्दोषान्सर्वं सन्ध्यर्हमस्यति । आशु क्लेशोऽस्य लावण्यप्रसेकारुचयः क्रमात्

udāno'dhikṛtāndoṣānsarvaṁ sandhyarhamasyati āśu kleśo'sya lāvaṇyaprasekārucayaḥ kramāt

The Udana-vayu expels, at their proper time, all the humors that are due for release. Its early distress consists, in order, of a saline taste, salivation, and loss of appetite —

Verse 5 (garuda.1.153.5)

नाभिपृष्ठं रुजत्याशु पार्श्वे चाहारमुत्क्षिपेत् । ततो विच्छ्रिन्नल्पाल्पकषायं फेनिलं वमेत्

nābhipṛṣṭhaṁ rujatyāśu pārśve cāhāramutkṣipet tato vicchrinnalpālpakaṣāyaṁ phenilaṁ vamet

it quickly causes pain in the navel, back, and sides, and expels the food eaten; then, intermittently, it produces small amounts of astringent, frothy vomit —

Verse 6 (garuda.1.153.6)

शब्दोद्गरयुतः कृच्छ्रमनुकृच्छ्रेण वेगवत् । कासास्यशोषकं वातात्स्वरपीडासमन्वितम्

śabdodgarayutaḥ kṛcchramanukṛcchreṇa vegavat kāsāsyaśoṣakaṁ vātātsvarapīḍāsamanvitam

accompanied by belching, occurring with difficulty and then with still greater difficulty and force; from Vata it produces cough and dryness of the mouth, along with distress in the voice —

Verse 7 (garuda.1.153.7)

पित्तात्क्षारोदकनिभं धूम्रं हरितपीतकम् । सासृगम्लं कटुतिक्तं तृण्मूर्छादाहपाकवत्

pittātkṣārodakanibhaṁ dhūmraṁ haritapītakam sāsṛgamlaṁ kaṭutiktaṁ tṛṇmūrchādāhapākavat

from Pitta the vomit resembles alkaline water, smoky, greenish-yellow, mixed with blood, sour, pungent, and bitter, accompanied by thirst, fainting, burning, and a cooking-like sensation —

Verse 8 (garuda.1.153.8)

कफात्स्निग्धं घनं पीतं श्लेष्मतस्तु समाक्षिकम् । मधुरं लवणं भूरि प्रसक्तं लोमहर्षणम्

kaphātsnigdhaṁ ghanaṁ pītaṁ śleṣmatastu samākṣikam madhuraṁ lavaṇaṁ bhūri prasaktaṁ lomaharṣaṇam

from Kapha the vomit is unctuous, thick, and yellow; from excess phlegm it becomes honey-like, sweet and salty, copious and persistent, accompanied by horripilation —

Verse 9 (garuda.1.153.9)

मखश्वयथुमाधुर्यतन्द्राहृल्लासकासवान् । सर्वैर्लिङ्गैः समापन्नस्त्याज्यो भवति सर्वथा

makhaśvayathumādhuryatandrāhṛllāsakāsavān sarvairliṅgaiḥ samāpannastyājyo bhavati sarvathā

with swelling of the face, a sweet taste, drowsiness, nausea, and cough. A patient showing all these signs together, that is, the tridoshic form, should be entirely abandoned as incurable.

Verse 10 (garuda.1.153.10)

सर्वं यस्य च विद्विष्टं दर्शनश्रवणादिभिः । वातादिनैव संक्रुद्धकृमिदुष्टान्नजे गदे । शूलवेपतुहृल्लासो विशेषात्कृमिजे भवेत्

sarvaṁ yasya ca vidviṣṭaṁ darśanaśravaṇādibhiḥ vātādinaiva saṁkruddhakṛmiduṣṭānnaje gade śūlavepatuhṛllāso viśeṣātkṛmije bhavet

One to whom everything becomes repugnant through sight, sound, and the like has the mental type. In the disease caused by aggravated Vata and the rest, or by worms, or by spoiled food, there occur cramping pain, trembling, and nausea, and this is especially marked in the worm-caused type.