Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis
पीनसश्वासकासं च स्वरमूर्धरुजो ऽरुचिः / ऊर्ध्वनिः श्वाससंशोषावधश्छर्दिश्च कोष्ठगे
pīnasaśvāsakāsaṃ ca svaramūrdharujo 'ruciḥ / ūrdhvaniḥ śvāsasaṃśoṣāvadhaśchardiśca koṣṭhage
عندما يستقر الاضطراب في البطن، فإنه يسبب احتقان الأنف، وصعوبة التنفس والسعال، وبحة في الصوت، وصداعاً وفقدان الشهية؛ وهناك تنفس متعثر نحو الأعلى مع جفاف، وكذلك قيء نحو الأسفل.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: Accurate discernment of bodily states is part of right living; suffering reveals the limits of embodiment.
Vedantic Theme: Deha-duḥkha as a spur toward viveka (discrimination) and moderation; body as instrument, not self.
Application: Recognize symptom clusters early; seek appropriate treatment; adopt diet/regimen that reduces causative imbalance; maintain calm breath and disciplined routine.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Type: body_region
Related Themes: Garuda Purana: medical/roga-nidāna style passages describing symptomatology (general internal parallel)
This verse preserves a traditional diagnostic listing—linking where a disorder is seated (here, the abdomen/koṣṭha) with recognizable symptoms—so a practitioner can identify the condition and respond with appropriate discipline, remedies, and right living.
Indirectly: by mapping physical suffering and dysfunction, the text frames embodied life as a field where karmic tendencies and imbalances manifest; understanding suffering in the body supports dharmic correction and preparation for the afterlife teachings elsewhere in the Purana.
Use it as a cautionary checklist: persistent congestion, breath trouble, cough, hoarseness, headache, appetite-loss, dryness, and vomiting indicate a deeper systemic disturbance—prompting timely medical attention along with disciplined diet and conduct.