Metrical Texts:—The Kapham is naturally and spontaneously aggravated in the morning and evening, in Hemanta, and specially in Spring, and just after a meal. Likewise, it is aggravated by the use of cold food or drink, etc.
Symptoms of the aggravated blood:—[Owing to a natural similarity between blood and the Pittam, and through a natural affinity between their attributes], causes, which tend to aggravate the deranged Pittam, tend to aggravate or agitate the blood as well. Moreover, frequent meals or repeated use of food, into the composition of which cool, liquid and heavy substances largely enter, are followed by a disturbed or aggravated condition of the blood. Sleep in the day time, anger, exposure to the glare of the sun or fire, over-fatiguing labour, an external blow, ingestion of indigestible or incompatible substances, and eating before the full digestion of a previous meal, may as well be set down as causes which tend to aggravate blood.
Metrical Texts:—As the bodily humours are never aggravated independently of the blood, their aggravation goes together with a disturbed or agitated condition of the blood. The aggravated condition of the humours gives rise to pain and moves the wind (Vayu) in the bowels; it further occasions acid eructations, thirst, burning sensations, aversion to food, vomiting
