The Diagnosis of Vata Vyadhi (Wind Disorders)

Verse 1 (garuda.1.166.1)

श्रीगरुडमहापुराणम् १६६ धन्वन्तरिरुवाच । वातव्याधिनिदानं ते वक्ष्ये सुश्रुत तच्छृणु । सर्वथानर्थकथने विघ्न एव च कारणम्

śrīgaruḍamahāpurāṇam 166 dhanvantariruvāca vātavyādhinidānaṁ te vakṣye suśruta tacchṛṇu sarvathānarthakathane vighna eva ca kāraṇam

Dhanvantari said: O Sushruta, I shall now tell you the diagnosis of vata-vyadhi (wind disorders); listen to that. In every respect, it is heedless conduct itself that becomes the root cause and obstacle here.

Verse 2 (garuda.1.166.2)

अदृष्टदुष्टपवनशरीरमविशेषतः । स विश्वकर्मा विश्वात्मा विश्वरूपः प्रजापतिः

adṛṣṭaduṣṭapavanaśarīramaviśeṣataḥ sa viśvakarmā viśvātmā viśvarūpaḥ prajāpatiḥ

The wind, unseen yet vitiated, pervades the body without distinction; it is Vishvakarma, Vishvatma, Vishvarupa, and Prajapati —

Verse 3 (garuda.1.166.3)

स्रष्टा धाता विभुर्विष्णुः संहर्ता मृत्युरन्तकः । तद्वदुक्तं च यत्नेन यतितव्यमतः सदा

sraṣṭā dhātā vibhurviṣṇuḥ saṁhartā mṛtyurantakaḥ tadvaduktaṁ ca yatnena yatitavyamataḥ sadā

— it is also the Creator, the Sustainer, the All-pervading, Vishnu, the Destroyer, Death, and the Ender. Being thus declared, one must always strive with effort to keep it in balance.

Verse 4 (garuda.1.166.4)

तस्योक्ते दोषविज्ञाने कर्म प्राकृतवैकृतम् । समासव्यासतो दोषभेदानामवधार्य च

tasyokte doṣavijñāne karma prākṛtavaikṛtam samāsavyāsato doṣabhedānāmavadhārya ca

In the science of this dosha, its function is taught to be of two kinds — natural and vitiated. Having ascertained, in brief and in detail, the distinctions among the doshas —

Verse 5 (garuda.1.166.5)

प्रत्येकं पञ्चधा वीरो व्यापारश्चेह वैकृतः । तस्योच्यते विभागेन सनिदानं सलक्षणम्

pratyekaṁ pañcadhā vīro vyāpāraśceha vaikṛtaḥ tasyocyate vibhāgena sanidānaṁ salakṣaṇam

— each has its own fivefold function; here its vitiated activity is now described in detail, together with its causes and signs.

Verse 6 (garuda.1.166.6)

धातुक्षयकरैर्वायुः क्रुद्धो नातिनिषेव्यते । चतुः स्नोतोऽवकाशेषु भूयस्तान्येव पूरयेत्

dhātukṣayakarairvāyuḥ kruddho nātiniṣevyate catuḥ snoto'vakāśeṣu bhūyastānyeva pūrayet

If the wind, provoked by causes that deplete the bodily tissues, is not checked, it repeatedly fills the spaces of its four channels.

Verse 7 (garuda.1.166.7)

तेभ्यस्तु दोषपूर्णेभ्यः प्रच्छाद्य विवरं ततः । तव वायुः सकृत्क्रुद्धः शूलानाहान्त्रकूजनम्

tebhyastu doṣapūrṇebhyaḥ pracchādya vivaraṁ tataḥ tava vāyuḥ sakṛtkruddhaḥ śūlānāhāntrakūjanam

Blocking those passages now full of the vitiated dosha, the provoked wind at once produces colic pain, distension, and rumbling of the intestines —

Verse 8 (garuda.1.166.8)

मलरोधं स्वरभ्रंशं दृष्टिपृष्ठकटिग्रहम् । करोत्येव पुनः काये कृच्छ्रानन्यानुपद्रवान्

malarodhaṁ svarabhraṁśaṁ dṛṣṭipṛṣṭhakaṭigraham karotyeva punaḥ kāye kṛcchrānanyānupadravān

— retention of stool, loss of voice, and stiffness of the eyes, back, and waist; and it produces yet other severe complications in the body.

Verse 9 (garuda.1.166.9)

आमाशयोत्थवमथुश्वासकासविषूचिकाः । कण्डूपरोधघर्मादिव्याधीनूर्ध्वञ्च नाभितः

āmāśayotthavamathuśvāsakāsaviṣūcikāḥ kaṇḍūparodhagharmādivyādhīnūrdhvañca nābhitaḥ

It produces vomiting arising from the stomach, breathlessness, cough, vishuchika (a cholera-like disorder), itching, retention, and diseases of sweating and the like, above the navel —

Verse 10 (garuda.1.166.10)

श्रोत्रादीन्द्रियबाधां च त्वचि स्फोटनरूक्षताम् । चक्रेतीव्ररुजाश्वासगरामयविवर्णताः

śrotrādīndriyabādhāṁ ca tvaci sphoṭanarūkṣatām cakretīvrarujāśvāsagarāmayavivarṇatāḥ

— impairment of the ear and other senses, and eruption and dryness of the skin; it also produces intense pain, breathlessness, a poison-like illness, and discoloration.

Verse 11 (garuda.1.166.11)

अन्त्रस्यान्तञ्च विष्टम्भमरुचिं कृशतां भ्रमम् । मांसमेदोगतग्रन्थिं चर्मादावुपकर्कशम्

antrasyāntañca viṣṭambhamaruciṁ kṛśatāṁ bhramam māṁsamedogatagranthiṁ carmādāvupakarkaśam

It produces obstruction at the end of the intestine, loss of appetite, emaciation, giddiness, glandular knots in flesh and fat, and roughness of the skin.

Verse 12 (garuda.1.166.12)

गुर्वङ्गन्तुद्यतेऽत्यर्थं दण्डमुष्टिहतं यथा । अस्थिस्थः सक्थिसन्ध्यस्थिशूलं तीव्रञ्च लक्षयेत्

gurvaṅgantudyate'tyarthaṁ daṇḍamuṣṭihataṁ yathā asthisthaḥ sakthisandhyasthiśūlaṁ tīvrañca lakṣayet

The limbs grow heavy and throb intensely, as though struck by a club or fist; the wind lodged in the bones causes severe pain in the thigh, joints, and bones.

Verse 13 (garuda.1.166.13)

मज्जस्थोऽस्थिषु चास्थैर्यमस्वप्नं यत्तदा रुजाम् । शुक्रस्य शीघ्रमुत्सङ्गसर्गान्विकृतिमेव वा

majjastho'sthiṣu cāsthairyamasvapnaṁ yattadā rujām śukrasya śīghramutsaṅgasargānvikṛtimeva vā

Lodged in the marrow, it causes instability in the bones and sleeplessness from pain; lodged in the semen, it causes premature emission or its derangement.

Verse 14 (garuda.1.166.14)

तत्तद्गर्भस्थशुक्रस्थः शिरस्याध्मानरिक्ताता । तत्र स्थानस्थितः कुर्यात्क्रुद्धः श्वयथुकृच्छ्रताम्

tattadgarbhasthaśukrasthaḥ śirasyādhmānariktātā tatra sthānasthitaḥ kuryātkruddhaḥ śvayathukṛcchratām

Situated in the semen within the womb, it causes emptiness and distension in the head of the developing being; lodged and provoked in each of its own places, it produces swelling and distress there.

Verse 15 (garuda.1.166.15)

जलपूर्णदृतिस्पर्शं शोषं सन्धिगतोऽनिलः । सर्वाङ्गसंश्रयस्तोदभेदस्फुरणभञ्जनम्

jalapūrṇadṛtisparśaṁ śoṣaṁ sandhigato'nilaḥ sarvāṅgasaṁśrayastodabhedasphuraṇabhañjanam

To the touch, the part feels like a water-filled bladder, and there is wasting too. Vata lodged in the joints, pervading all the limbs, causes pricking pain, a tearing sensation, throbbing, and a feeling of breaking.

Verse 16 (garuda.1.166.16)

स्तम्भनाक्षेपणं स्वप्नः सन्धिभञ्जनकम्पनम् । यदा तु धमनीः सर्वाः क्रुद्धोऽभ्येति मुहुर्मुहुः । तदाङ्गमाक्षिपत्येष व्याधिराक्षेपणः स्मृतः

stambhanākṣepaṇaṁ svapnaḥ sandhibhañjanakampanam yadā tu dhamanīḥ sarvāḥ kruddho'bhyeti muhurmuhuḥ tadāṅgamākṣipatyeṣa vyādhirākṣepaṇaḥ smṛtaḥ

There is stiffness, spasm, disturbed sleep, a sense of the joints breaking, and trembling. When this provoked wind repeatedly assails all the vessels, it throws the limbs into spasm — this disease is known as akshepaka (convulsion).

Verse 17 (garuda.1.166.17)

अधः प्रतिहतो वायुर्व्रजेदूर्ध्वं यदा पुनः । तदावष्टभ्य हृदयं शिरः शङ्खौ च पीडयेत्

adhaḥ pratihato vāyurvrajedūrdhvaṁ yadā punaḥ tadāvaṣṭabhya hṛdayaṁ śiraḥ śaṅkhau ca pīḍayet

When the wind, obstructed below, again moves upward, it seizes the heart and afflicts the head and temples with pain —

Verse 18 (garuda.1.166.18)

सक्षिपेत्परितो गात्रं हनुं वा चास्य नामयत् । कृच्छ्रादुच्छ्वसितं चापि निमीलन्नयनद्वयम्

sakṣipetparito gātraṁ hanuṁ vā cāsya nāmayat kṛcchrāducchvasitaṁ cāpi nimīlannayanadvayam

— it throws the whole body into spasm on every side, or twists the jaw; breathing becomes laboured, and both eyes close —

Verse 19 (garuda.1.166.19)

कपोत इव कूजेच्च निः संगः सोपतन्त्रकः । स एव वामनासायां युक्तस्तु मरुता हृदि

kapota iva kūjecca niḥ saṁgaḥ sopatantrakaḥ sa eva vāmanāsāyāṁ yuktastu marutā hṛdi

— he moans like a dove, becomes unconscious, and a rattling sound arises in the throat. This same condition, when the wind is confined to the left nostril and joined with the heart,

Verse 20 (garuda.1.166.20)

प्राप्नोति च मुहुः स्वास्थ्यं मुहुरस्वास्थ्यवान्भवेत् । अभिघातसमुत्थश्च दुश्चिकित्स्यतमो मतः

prāpnoti ca muhuḥ svāsthyaṁ muhurasvāsthyavānbhavet abhighātasamutthaśca duścikitsyatamo mataḥ

— causes the patient repeatedly to swing between apparent recovery and relapse into illness; the form arising from injury is held to be the most difficult of all to treat.

Verse 21 (garuda.1.166.21)

स्वेदस्तम्भं तदा तस्य वायुश्छिन्नतनुर्यदा । व्याप्नोति सकलं देहं यत्र चायाम्यते पुनः

svedastambhaṁ tadā tasya vāyuśchinnatanuryadā vyāpnoti sakalaṁ dehaṁ yatra cāyāmyate punaḥ

Then his sweating becomes suppressed, and the wind, its flow broken, pervades the whole body, where it is drawn taut once more —

Verse 22 (garuda.1.166.22)

अन्तर्धान्तुगतश्चैव वेगस्तम्भं च नेत्रयोः । करोति जृम्भां सदनं दशनानां हतोद्यमम्

antardhāntugataścaiva vegastambhaṁ ca netrayoḥ karoti jṛmbhāṁ sadanaṁ daśanānāṁ hatodyamam

— entering deep within, it suppresses the natural urges and fixes the eyes; it also produces yawning, lassitude, and loss of the power to bite or chew.

Verse 23 (garuda.1.166.23)

पार्श्वयोर्वेदनां बाह्यां हनुपृष्ठसिरोग्रहम् । देहस्य बहिरायामं पृष्ठतो हृदये शिरः

pārśvayorvedanāṁ bāhyāṁ hanupṛṣṭhasirograham dehasya bahirāyāmaṁ pṛṣṭhato hṛdaye śiraḥ

There is external pain in the sides, stiffness of the jaw, back, and head, and the body arches outward and backward, drawing the head toward the heart —

Verse 24 (garuda.1.166.24)

उरश्चोत्क्षिप्यते तत्र स्कन्धो वा नाम्यते तदा । दन्तेष्वास्ये च वैवर्ण्यं ह्यस्वेदस्तत्र गात्रतः

uraścotkṣipyate tatra skandho vā nāmyate tadā danteṣvāsye ca vaivarṇyaṁ hyasvedastatra gātrataḥ

— the chest is thrown upward, or the shoulder is bent; there is discoloration of the teeth and mouth, and no sweating occurs over the limbs.

Verse 25 (garuda.1.166.25)

बाह्यायामं हनुस्तम्भं ब्रवते वातरोगिणम् । विण्मूत्रमसृजं प्राप्य ससमीरसमीरणाः

bāhyāyāmaṁ hanustambhaṁ bravate vātarogiṇam viṇmūtramasṛjaṁ prāpya sasamīrasamīraṇāḥ

This outward arching together with jaw-lockage is declared to be the sign of one afflicted by vata-disease. Reaching the stool, urine, and blood, and joining with the natural wind-currents —

Verse 26 (garuda.1.166.26)

आयच्छन्ति तनोर्देषाः सर्वमापादमस्तकम् । तिष्ठतः पाण्डुमात्रस्य व्रणायामः सुवर्धितः

āyacchanti tanordeṣāḥ sarvamāpādamastakam tiṣṭhataḥ pāṇḍumātrasya vraṇāyāmaḥ suvardhitaḥ

— they stretch the whole body from head to foot; in one who merely lies pale and inert, this arching-stiffness becomes fully established.

Verse 27 (garuda.1.166.27)

गात्रवेगे भवेत्स्वास्थ्यं सर्वेष्वाक्षेपणेन तत् । जिह्वाविलेखनादुष्णभक्षणादतिमानतः

gātravege bhavetsvāsthyaṁ sarveṣvākṣepaṇena tat jihvāvilekhanāduṣṇabhakṣaṇādatimānataḥ

When the body's natural urge finds proper release, health is restored; otherwise convulsion pervades every limb. From scraping the tongue, eating hot food, and excessive pride —

Verse 28 (garuda.1.166.28)

कुपितो हनुमूलस्थः स्तम्भयित्वानिलो हनुम् । करोति विवृतास्यत्वमथवा संवृतास्यताम्

kupito hanumūlasthaḥ stambhayitvānilo hanum karoti vivṛtāsyatvamathavā saṁvṛtāsyatām

— the wind, provoked and lodged at the root of the jaw, stiffens the jaw and keeps the mouth either permanently open or permanently closed.

Verse 29 (garuda.1.166.29)

हनस्तम्भः स तेन स्यात्कृच्छ्राच्चर्वणभाषणम् । वाग्वादिनी शिरास्तम्भो जिह्वां स्तम्भयतेऽनिलः

hanastambhaḥ sa tena syātkṛcchrāccarvaṇabhāṣaṇam vāgvādinī śirāstambho jihvāṁ stambhayate'nilaḥ

This is called hanustambha (lockjaw), by which chewing and speaking become difficult. When the veins governing speech become stiff, the wind fixes the tongue as well —

Verse 30 (garuda.1.166.30)

जिह्वास्तम्भः स तेनान्नपानवाक्येष्वनीशता । शिरसा भारहरणादतिहास्यप्रभाषणात्

jihvāstambhaḥ sa tenānnapānavākyeṣvanīśatā śirasā bhāraharaṇādatihāsyaprabhāṣaṇāt

— this is called jihvastambha (tongue-paralysis), by which eating, drinking, and speaking become impossible. From carrying loads on the head, excessive laughter, and loud speech,

Verse 31 (garuda.1.166.31)

विषमादुपधानाच्च कठिनानां च चर्वणात् । वायुर्विवर्धते तैश्च वातूलैरूर्ध्वमास्थितः

viṣamādupadhānācca kaṭhinānāṁ ca carvaṇāt vāyurvivardhate taiśca vātūlairūrdhvamāsthitaḥ

from an uneven pillow, and from chewing hard substances, the wind increases; aggravated by these wind-provoking causes, it then rises upward —

Verse 32 (garuda.1.166.32)

वक्रीकरोति वक्त्रं च ह्युच्चैर्हसितमीक्षितम् । ततोऽस्य कुरुते मृद्वीं वाक्शक्तिं स्तब्धनेत्रताम्

vakrīkaroti vaktraṁ ca hyuccairhasitamīkṣitam tato'sya kurute mṛdvīṁ vākśaktiṁ stabdhanetratām

— and twists the face, distorting even the laughter and gaze; thereafter it weakens the power of speech and fixes the eyes in a stare.

Verse 33 (garuda.1.166.33)

दन्तचालं स्वरभ्रंशः श्रुतिहानीक्षितग्रहौ । गन्धाज्ञानं स्मृतिध्वंसस्त्रासः श्वासश्च जायते

dantacālaṁ svarabhraṁśaḥ śrutihānīkṣitagrahau gandhājñānaṁ smṛtidhvaṁsastrāsaḥ śvāsaśca jāyate

The teeth loosen, the voice fails, hearing and sight are impaired; the sense of smell, memory are destroyed, and fear along with breathlessness also arise.

Verse 34 (garuda.1.166.34)

निष्ठीवः पार्श्वतोदश्च ह्येकस्याक्ष्णो निमीलनम् । जत्रोरूर्ध्वं रुजस्तीव्राः शरीरार्धधरोऽपि वा

niṣṭhīvaḥ pārśvatodaśca hyekasyākṣṇo nimīlanam jatrorūrdhvaṁ rujastīvrāḥ śarīrārdhadharo'pi vā

There is spitting, pricking pain in the side, closing of one eye, severe pain above the collarbone, and sometimes half the body alone becomes afflicted —

Verse 35 (garuda.1.166.35)

तमाहुरर्दितं केचिदेकाङ्गमथ चापरे । रक्तमाश्रित्य च शिराः कुर्यान्मूर्धधराः शिराः

tamāhurarditaṁ kecidekāṅgamatha cāpare raktamāśritya ca śirāḥ kuryānmūrdhadharāḥ śirāḥ

Some call this ardita (facial paralysis), others regard it as confined to a single limb. Taking hold of the blood, it may also seize the veins supporting the head —

Verse 36 (garuda.1.166.36)

रूक्षः सवेदनः कृष्णः सोऽसाध्यः स्याच्छिरोग्रहः । तनुं गृहीत्वा वायुश्च स्नायुस्तथैव च

rūkṣaḥ savedanaḥ kṛṣṇaḥ so'sādhyaḥ syācchirograhaḥ tanuṁ gṛhītvā vāyuśca snāyustathaiva ca

— this shirograha (seizure of the head), when dry, painful, and dark, becomes incurable. And the wind, having likewise seized the body and the sinews —

Verse 37 (garuda.1.166.37)

पक्षमन्यतरं हन्ति पक्षाघातः स उच्यते । कृत्स्नस्य कायस्यार्धं स्यादकर्मण्यमचेतनम्

pakṣamanyataraṁ hanti pakṣāghātaḥ sa ucyate kṛtsnasya kāyasyārdhaṁ syādakarmaṇyamacetanam

— strikes down one entire half of the body; this is called pakshaghata (hemiplegia). Half of the whole body becomes non-functional and without sensation.

Verse 38 (garuda.1.166.38)

एकाङ्गरोगतां केचिदन्ये कक्षरुजां विदुः । सर्वाङ्गरोधः स्तम्भश्च सर्वकायाश्रितेऽनिले

ekāṅgarogatāṁ kecidanye kakṣarujāṁ viduḥ sarvāṅgarodhaḥ stambhaśca sarvakāyāśrite'nile

Some regard this as a disease of a single limb, others as a pain in the armpit or side. When the wind pervades the entire body, obstruction and stiffness of every limb arise —

Verse 39 (garuda.1.166.39)

शुद्धवातकृतः पक्षः कृच्छ्रसाध्यतमो मतः । कृच्छ्रश्चान्येन संसृष्टो विवृद्धः क्षयहेतुकः

śuddhavātakṛtaḥ pakṣaḥ kṛcchrasādhyatamo mataḥ kṛcchraścānyena saṁsṛṣṭo vivṛddhaḥ kṣayahetukaḥ

— hemiplegia caused by vata alone is held to be the most difficult to cure; that combined with another dosha is also hard, and when greatly increased becomes a cause of wasting.

Verse 40 (garuda.1.166.40)

आमबद्धायनः कुर्यात्संस्तभ्याङ्गं कफान्वितः । असाध्य एव सर्वो हि भवेद्दण्डापतानकः

āmabaddhāyanaḥ kuryātsaṁstabhyāṅgaṁ kaphānvitaḥ asādhya eva sarvo hi bhaveddaṇḍāpatānakaḥ

That bound up with undigested matter (ama) and combined with kapha stiffens the limbs entirely — this dandapatanaka (rigid, bow-like stiffness) is in every form incurable.

Verse 41 (garuda.1.166.41)

अंसमूलोत्थितो वायुः शिराः संकुच्य तत्रगः । बहिः प्रस्यन्दितहरं जनयत्येव बाहुकम्

aṁsamūlotthito vāyuḥ śirāḥ saṁkucya tatragaḥ bahiḥ prasyanditaharaṁ janayatyeva bāhukam

The wind, rising from the base of the shoulder, contracts the veins there and, obstructing the outward flow, produces bahuka (paralysis of the arm).

Verse 42 (garuda.1.166.42)

तलं प्रत्यङ्गुलीनां यः कण्डरा बाहुपृष्ठतः । बाह्वोः कर्मक्षयकरी विपूची वेति सोच्यते

talaṁ pratyaṅgulīnāṁ yaḥ kaṇḍarā bāhupṛṣṭhataḥ bāhvoḥ karmakṣayakarī vipūcī veti socyate

That disorder of the tendon at the root of the fingers and along the back of the arm, which destroys the function of the arms, is called vipuchi.

Verse 43 (garuda.1.166.43)

वायुः कट्याश्रितः सक्थ्नः कण्डरामाक्षैपेद्यदा । तदा खञ्जो भवेज्जन्तुः पङ्गुः सक्थ्नोर्द्वयोर्वधात्

vāyuḥ kaṭyāśritaḥ sakthnaḥ kaṇḍarāmākṣaipedyadā tadā khañjo bhavejjantuḥ paṅguḥ sakthnordvayorvadhāt

When the wind, lodged in the hip, throws the thigh-tendon into spasm, the person becomes lame (khanja); when both thighs are disabled, he becomes fully crippled (pangu).

Verse 44 (garuda.1.166.44)

कम्पते गमनारम्भे खञ्जन्निव च गच्छति । कलायखञ्जं तं विद्यान्मुक्तसन्धिप्रबन्धनम्

kampate gamanārambhe khañjanniva ca gacchati kalāyakhañjaṁ taṁ vidyānmuktasandhiprabandhanam

He trembles on beginning to walk and moves with a limp — this should be known as kalaya-khanja, in which the binding of the joints has become loosened.

Verse 45 (garuda.1.166.45)

शीतोष्णद्रवसंसुष्कगुरुस्निग्धैश्च सेवितैः । जीर्णाजीर्णे तथायासक्षोभस्निग्धप्रजागरैः

śītoṣṇadravasaṁsuṣkagurusnigdhaiśca sevitaiḥ jīrṇājīrṇe tathāyāsakṣobhasnigdhaprajāgaraiḥ

From indulging in cold, hot, liquid, dry, heavy, and unctuous foods, whether digested or undigested, and from over-exertion, agitation, unctuous food, and staying awake at night —

Verse 46 (garuda.1.166.46)

श्लेष्मभेदः समये परमत्यर्थसंचितम् । अभिभूयेतरं दोषं शरीरं प्रतिपद्यते

śleṣmabhedaḥ samaye paramatyarthasaṁcitam abhibhūyetaraṁ doṣaṁ śarīraṁ pratipadyate

— kapha, failing to be dispersed in due time, becomes excessively accumulated and, overpowering the other doshas, takes hold of the body.

Verse 47 (garuda.1.166.47)

सक्थ्यस्थीनि प्रपूर्यान्तः श्लेष्मणा स्तम्भितेन तत् । तदास्थि स्नाति तेनोरोस्तथा शीतानिलेन तु

sakthyasthīni prapūryāntaḥ śleṣmaṇā stambhitena tat tadāsthi snāti tenorostathā śītānilena tu

This kapha, become stiffened, fills the bones of the thigh from within, and the bone as well as the chest becomes coated by it, together with cold wind —

Verse 48 (garuda.1.166.48)

श्यामाङ्गमङ्गस्तैमित्यतन्द्रामूर्छारुचिज्वरैः । तमूरुस्तम्भमित्याह बाह्यवातमथापरे

śyāmāṅgamaṅgastaimityatandrāmūrchārucijvaraiḥ tamūrustambhamityāha bāhyavātamathāpare

— the limbs darken, and there is heaviness, drowsiness, fainting, loss of appetite, and fever; this they call urustambha (stiffness of the thighs); others call it bahyavata (external wind-disorder).

Verse 49 (garuda.1.166.49)

वातशोणितसंशोथो जानुमध्ये महारुजः । ज्ञेयः क्रोष्टुकशीर्षस्तु स्थूलक्रोष्टुकशीर्षवत्

vātaśoṇitasaṁśotho jānumadhye mahārujaḥ jñeyaḥ kroṣṭukaśīrṣastu sthūlakroṣṭukaśīrṣavat

Swelling caused by the provocation of vata and blood, occurring in the middle of the knee with intense pain, should be known as krosthukashirsha, resembling the thick head of a jackal.

Verse 50 (garuda.1.166.50)

रुक्पादविषमन्यस्ते श्रमाद्वा जायते यदा । वातेन गुल्फमाक्षित्य तमाहुर्वातकण्टकम्

rukpādaviṣamanyaste śramādvā jāyate yadā vātena gulphamākṣitya tamāhurvātakaṇṭakam

When another kind of unusual pain arises in the foot from exertion, with the wind gripping the ankle, they call it vatakantaka (the 'wind-thorn').

Verse 51 (garuda.1.166.51)

पार्ष्णिप्रत्यङ्गुलीनाभौ कण्ठे वा मारुतार्दिते । सतिक्षेपं निगृह्णाति गृध्रसीं तां प्रचक्षते

pārṣṇipratyaṅgulīnābhau kaṇṭhe vā mārutārdite satikṣepaṁ nigṛhṇāti gṛdhrasīṁ tāṁ pracakṣate

When the disturbed wind seizes, with a jerking pain, the heel, toes, thereabouts, or the leg, they call that gridhrasi (sciatica).

Verse 52 (garuda.1.166.52)

हृष्येते चरणौ यस्य भवेतां चापि सुप्तकौ । पादहर्षः स विज्ञेयः कफमारुतकोपजः

hṛṣyete caraṇau yasya bhavetāṁ cāpi suptakau pādaharṣaḥ sa vijñeyaḥ kaphamārutakopajaḥ

One whose feet tingle and also feel numb — this should be known as padaharsha (tingling of the feet), arising from the provocation of kapha and vata.

Verse 53 (garuda.1.166.53)

पादयोः कुरुते दाहं पित्तासृक्सहितोऽनिलः । विशेषतश्चङ्क्रमतः पाददाहं तमादिशेत्

pādayoḥ kurute dāhaṁ pittāsṛksahito'nilaḥ viśeṣataścaṅkramataḥ pādadāhaṁ tamādiśet

The wind, combined with pitta and blood, produces a burning sensation in the feet; this, especially when aggravated by walking, should be termed padadaha (burning of the feet).