Pāṇḍu-Śotha Nidāna: Doṣa-wise Signs, Complications, and Prognosis
पाण्डुरोगेक्षयेजाते नाभिपादास्यमेहनम् / पुरीषं कृमिवन्मुञ्चेद्भिन्नं सास्त्रं कफान्वितम्
pāṇḍurogekṣayejāte nābhipādāsyamehanam / purīṣaṃ kṛmivanmuñcedbhinnaṃ sāstraṃ kaphānvitam
إذا أصيب المبتلى بمرض پاندو (pāṇḍu) بالهزال والضمور (kṣaya)، تأذّت منطقة السُّرّة والقدمان والفم ومجرى البول. ويخرج البراز كأنه مملوء بالديدان—رخوًا متفككًا ممزوجًا بالدم ومصحوبًا بالكَفَه (kapha) أي البلغم.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Mixed
Concept: Care of the body through accurate recognition of disease-signs; negligence worsens suffering.
Vedantic Theme: Deha-anityatā (impermanence of the body) as a practical spur to vigilance and discipline.
Application: Recognize severe pāṇḍu-kṣaya signs (wasting, bleeding/kapha-mixed diarrhea, multi-site affliction) and seek timely treatment; avoid causative diet/behavior.
Primary Rasa: bibhatsa
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.162.16-19 (progression of pāṇḍu/pitta complications)
The verse links pāṇḍu (debilitating pallor) with kṣaya (wasting), showing how advanced depletion produces multi-site distress and severe bowel symptoms—markers of serious decline.
It is not an afterlife verse; it addresses embodied suffering and degeneration, reinforcing the Purana’s practical instruction that maintaining health supports one’s dharma and spiritual aims.
Loose stools with blood/mucus and systemic weakness are danger signs; seek prompt medical care and avoid self-treatment, since the text frames these as signs of advanced wasting.