Shloka 18

Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever

Devanagari script

दोषपाकश्चिरं तन्द्रा प्रततं कण्ठकूजनम् / सन्निपातमभिन्यासं तं ब्रूयाच्च हतौजसम्

Transliteration

doṣapākaściraṃ tandrā pratataṃ kaṇṭhakūjanam / sannipātamabhinyāsaṃ taṃ brūyācca hataujasam

Translation

إذا اضطربت الدوشا (doṣa) في الجسد اضطرابًا شديدًا، طال النعاس، ودام الخشخشة أو النعيق في الحلق، ووقع المرء في نوبة حُمّى خطرة كالسقوط في صرع؛ فليُعلَم أن أوجَسَه—حيويّتَه وقوّتَه—قد تلاشى.

Word by Word

• doṣapākaḥ: maturation/aggravation of doṣas
• doṣapākaḥ: Karta (Subject/कर्ता)
• Type: Noun
• Root: doṣa (प्रातिपदिक) + pāka (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; षष्ठी-तत्पुरुषः (दोषस्य पाकः)

• ciram: for a long time
• ciram: Adhikarana (Time/अधिकरण)
• Type: Indeclinable
• Root: cira (प्रातिपदिक)
• Form: अव्यय; कालवाचक क्रियाविशेषण (adverb of time)

• tandrā: drowsiness
• tandrā: Karta (Subject/कर्ता)
• Type: Noun
• Root: tandrā (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा (1st/Nominative), एकवचन

• pratatam: continuously
• pratatam: Visheshana (Qualifier/विशेषण)
• Type: Indeclinable
• Root: pra√tan (धातु) → pratata (कृदन्त-प्रातिपदिक)
• Form: अव्ययवत् प्रयोगः; नपुंसकलिङ्ग, द्वितीया (2nd/Accusative), एकवचन रूपेण क्रियाविशेषण (adverb: continuously)

• kaṇṭhakūjanam: throat-croaking; gurgling sound
• kaṇṭhakūjanam: Karta (Subject/कर्ता)
• Type: Noun
• Root: kaṇṭha (प्रातिपदिक) + kūjana (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा (1st/Nominative), एकवचन; सप्तमी/षष्ठी-तत्पुरुषभावः (कण्ठे/कण्ठस्य कूजनम्)

• sannipātam: sannipāta (combined doṣa condition)
• sannipātam: Karma (Object/कर्म)
• Type: Noun
• Root: sannipāta (प्रातिपदिक)
• Form: पुंलिङ्ग, द्वितीया (2nd/Accusative), एकवचन

• abhinyāsam: affliction; severe onset/attack
• abhinyāsam: Karma (Object/कर्म)
• Type: Noun
• Root: abhi√ni-as (धातु) → abhinyāsa (प्रातिपदिक)
• Form: पुंलिङ्ग, द्वितीया (2nd/Accusative), एकवचन

• tam: that (condition)
• tam: Karma (Object/कर्म)
• Type: Noun
• Root: tad (सर्वनाम-प्रातिपदिक)
• Form: पुंलिङ्ग, द्वितीया (2nd/Accusative), एकवचन; सर्वनाम

• brūyāt: should declare/call
• brūyāt: Kriya (Action/क्रिया)
• Type: Verb
• Root: √brū (धातु)
• Form: विधिलिङ् (Optative), परस्मैपद, प्रथमपुरुष (3rd person), एकवचन

• ca: and
• ca: Sambandha (Connector/सम्बन्ध)
• Type: Indeclinable
• Root: ca (अव्यय)
• Form: समुच्चयार्थक अव्यय (conjunction)

• hataujasam: with diminished vitality
• hataujasam: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: hata (कृदन्त-प्रातिपदिक) + ojas (प्रातिपदिक)
• Form: पुंलिङ्ग, द्वितीया (2nd/Accusative), एकवचन; षष्ठी-तत्पुरुषः (हतम् ओजः यस्य/ओजसः हतत्वम्) — अर्थतः ‘क्षीण-ओजस्’

Speaker

Lord Vishnu (speaking to Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Mixed

Philosophical Teaching

Concept: Ojas (vital essence) depletion as a marker of life-threatening disease; discernment of prognosis.

Vedantic Theme: Prāṇa/ojas as contingent supports of embodied life; reminder of mortality fostering vairāgya.

Application: Recognize red-flag symptoms (prolonged stupor, throat rattle, sannipāta seizure) and prioritize urgent care and supportive measures.

Verse Rasa

Primary Rasa: bhayanaka

Secondary Rasa: karuna

Cross References

Related Themes: Garuda Purana 1.147.19-21 (mechanism and prognosis of sannipāta-jvara elaborated)

FAQs

What is the importance of recognizing death-signs in the Garuda Purana?

This verse lists clinical indicators—prolonged stupor, throat-rattle, and sannipāta collapse—used to recognize severe decline and depleted ojas, helping families prepare for appropriate spiritual and ethical focus.

How does this verse explain the path of the soul?

Indirectly: it identifies the bodily breakdown (loss of ojas and doṣic collapse) that typically precedes death, marking the transition point after which the soul’s post-death journey described elsewhere in the Garuda Purana begins.

Practical application of this wisdom today?

Treat such symptoms as medical emergencies while also prioritizing calmness, prayer/recitation, and mindful conduct—supporting both physical care and a dignified end-of-life atmosphere.