Shloka 26

Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis

Devanagari script

लिम्पन्निव कफैः कण्ठं मुखं घुरघुरायते / स्वयं विरुद्धैः सर्वैस्तु सर्वालिङ्गैः क्षयो भवेत्

Transliteration

limpanniva kaphaiḥ kaṇṭhaṃ mukhaṃ ghuraghurāyate / svayaṃ viruddhaiḥ sarvaistu sarvāliṅgaiḥ kṣayo bhavet

Translation

كأن الكَفَا (البلغم) قد طُلي على الحلق، فينسدّ الحلق ويصدر من الفم صوتٌ مُغرغرٌ أجشّ. فإذا ظهرت جميع العلامات الجسدية على نحوٍ متعارضٍ فيما بينها، دلّ ذلك على وقوع كْشايا (داء الاستهلاك/الهزال).

Word by Word

• लिम्पन्: as if smearing/coating
• लिम्पन्: Kriya-visheshana (Adverbial/क्रियाविशेषण)
• Type: Verb
• Root: लिप् (धातु)
• Form: वर्तमानकाले शतृ-प्रत्ययान्त कृदन्त (Present active participle); पुंलिङ्ग, प्रथमा, एकवचन (क्रियाविशेषणवत्)

• इव: as if/like
• इव: Sambandha (Comparative/उपमा)
• Type: Indeclinable
• Root: इव (अव्यय)
• Form: उपमा-अव्यय (particle of comparison)

• कफैः: by phlegm(s)
• कफैः: Karana (Instrument/करण)
• Type: Noun
• Root: कफ (प्रातिपदिक)
• Form: पुंलिङ्ग, तृतीया (3rd/Instrumental), बहुवचन

• कण्ठम्: throat
• कण्ठम्: Karma (Object/कर्म)
• Type: Noun
• Root: कण्ठ (प्रातिपदिक)
• Form: पुंलिङ्ग, द्वितीया (2nd/Accusative), एकवचन

• मुखम्: mouth
• मुखम्: Karma (Object/कर्म)
• Type: Noun
• Root: मुख (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, द्वितीया (2nd/Accusative), एकवचन

• घुरघुरायते: rattles/gurgles
• घुरघुरायते: Kriya (Action/क्रिया)
• Type: Verb
• Root: घुरघुराय् (धातु; नामधातु/ध्वन्यनुकरण)
• Form: लट् (Present), प्रथमपुरुष (3rd person), एकवचन; आत्मनेपदम्

• स्वयम्: by itself
• स्वयम्: Kriya-visheshana (Adverbial/क्रियाविशेषण)
• Type: Indeclinable
• Root: स्वयम् (अव्यय)
• Form: अव्यय; क्रियाविशेषण (adverb)

• विरुद्धैः: by incompatible (factors)
• विरुद्धैः: Karana (Instrument/करण)
• Type: Adjective
• Root: विरुद्ध (प्रातिपदिक; कृदन्त-भूतकृदन्त)
• Form: पुंलिङ्ग, तृतीया (3rd/Instrumental), बहुवचन; विशेषणम् (सर्वैः/आलिङ्गैः इत्यस्य)

• सर्वैः: by all
• सर्वैः: Karana (Instrument/करण)
• Type: Adjective
• Root: सर्व (प्रातिपदिक)
• Form: पुंलिङ्ग, तृतीया (3rd/Instrumental), बहुवचन; विशेषणम्

• तु: indeed/but
• तु: Discourse (Particle/निपात)
• Type: Indeclinable
• Root: तु (अव्यय)
• Form: अव्यय; निपात (emphatic/contrastive particle)

• सर्वालिङ्गैः: by all signs/symptoms
• सर्वालिङ्गैः: Karana (Instrument/करण)
• Type: Noun
• Root: सर्व-आलिङ्ग (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया (3rd/Instrumental), बहुवचन; तत्पुरुषः (सर्वाणि आलिङ्गानि)

• क्षयः: consumption/decline (phthisis)
• क्षयः: Karta (Subject/कर्ता)
• Type: Noun
• Root: क्षय (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन

• भवेत्: would occur/may become
• भवेत्: Kriya (Action/क्रिया)
• Type: Verb
• Root: भू (धातु)
• Form: विधिलिङ् (Optative), प्रथमपुरुष (3rd person), एकवचन; परस्मैपदम्

Speaker

Lord Vishnu (speaking to Garuda)

Medical Ayurveda

Dosha: Kapha/Mixed

Philosophical Teaching

Concept: When doṣa-signs appear in contradictory combinations (viruddha-lakṣaṇa), it signals deeper systemic depletion (kṣaya).

Vedantic Theme: Impermanence of the body and the need for discriminative knowledge (viveka) regarding changing conditions.

Application: Recognize kapha obstruction (clogged throat, gurgling) and treat early; if mixed/contradictory signs arise, consider serious wasting pathology and seek comprehensive care.

Verse Rasa

Primary Rasa: karuna

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.152.27 (kapha excess and difficult kṣaya); Garuda Purana 1.153.1-2 (nidāna methodology for arocaka)

Characters & Entities

• Vishnu
• Garuda

FAQs

What is the importance of describing bodily signs like phlegm-clogged throat in the Garuda Purana?

This verse treats specific physical omens as indicators of severe decline, helping the listener recognize the seriousness of a condition and the approach of an end-stage wasting disease (kṣaya).

How does this verse relate to the Garuda Purana’s broader discussion of death and the soul’s journey?

By identifying clear end-of-life signs, the text frames death as a knowable transition; recognizing such signs supports timely spiritual preparation (remembrance of dharma, mantra, and rites) before the soul departs.

Practical application of this wisdom today?

Use it as a reminder of impermanence: when health declines, prioritize ethical living, settle duties, and engage in prayer/recitation and supportive end-of-life rites rather than denial or delay.