अवश्यायानिलरजोभाष्यातिस्वप्नजागरैः । नीचात्युच्चोपधानेन पीतेनान्येन वारिणा ॥ १ ॥
Exposure to dew (mist, fog), breeze and dust, too much of speaking, sleeping and keeping awake, keeping the pillow either very low or very high under the head, drinking other types of (unaccustomed) water,
excessive drinking of water, sexual intercourse, planetary influence, suppression of vomiting and tears etc. By these and other similar causes, the doshas provoked by vitiation of Vata,
become solidified in the nose and produce Pratishyaya which when advanced leads to Kshaya (consumption). In Pratishyaya caused by Vata, there appears dryness of the mouth, profuse sneezing,
स्वरसादश्चिरात्पाकः शिशिराच्छकफस्रुतिः ।पित्तात्तृष्णाज्वरघ्राणपिटिकासम्भवभ्रमाः ॥ ५ ॥
weak voice, delayed ripening, discharge of cold and thin fluid from the nose. In that caused by Pitta, there is thirst, fever, possibility of eruptions developing inside the nose, giddiness, ulceration of the nasal tip