Shloka 18

Pāṇḍu-Śotha Nidāna: Doṣa-wise Signs, Complications, and Prognosis

Devanagari script

भवेत्पित्तानुगः शोथः पाण्डुरोगावृतस्य च / उपेक्षया च शोथाद्याः सकृच्छ्राः कुम्भकामलाः

Transliteration

bhavetpittānugaḥ śothaḥ pāṇḍurogāvṛtasya ca / upekṣayā ca śothādyāḥ sakṛcchrāḥ kumbhakāmalāḥ

Translation

من غلب عليه پاندو (pāṇḍu) ينشأ فيه ورمٌ (śotha) تابعٌ لهيجان پِتّه (pitta). فإن أُهمِل ذلك الورم وما يتصل به من علل، عَسُر شفاؤه وتحوّل إلى كُمْبها-كامَلا (kumbha-kāmalā)، وهو يرقانٌ شديد.

Word by Word

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

• पित्त: by/with pitta
• पित्त: Samasa-purvapada (Compound member)
• Type: Noun
• Root: पित्त (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया, एकवचन (समासपूर्वपद-रूपेण)

• अनुगः: pitta-associated
• अनुगः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: अनुग (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; समासः—पित्त + अनुग (तृतीया-तत्पुरुषः: ‘following/associated with pitta’)

• शोथः: swelling/edema
• शोथः: Karta (Subject/कर्ता)
• Type: Noun
• Root: शोथ (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन

• पाण्डुरोग: of jaundice
• पाण्डुरोग: Samasa-purvapada (Compound member)
• Type: Noun
• Root: पाण्डुरोग (प्रातिपदिक)
• Form: पुंलिङ्ग, षष्ठी, एकवचन (समासपूर्वपद-रूपेण); समासः—पाण्डु + रोग

• आवृतस्य: of one covered/obstructed (by jaundice)
• आवृतस्य: Sambandha (Genitive/सम्बन्ध)
• Type: Adjective
• Root: आवृत (आ+√वृ धातु, क्त; कृदन्त)
• Form: पुंलिङ्ग, षष्ठी, एकवचन; समासः—पाण्डुरोग + आवृत (षष्ठी-तत्पुरुषः: ‘covered/obstructed by jaundice’)

• च: and
• च: Samuccaya (Connector/समुच्चय)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: अव्यय; समुच्चयार्थक-निपात (conjunction)

• उपेक्षया: by neglect
• उपेक्षया: Karana (Instrument/करण)
• Type: Noun
• Root: उपेक्षा (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, तृतीया (3rd), एकवचन

• च: and
• च: Samuccaya (Connector/समुच्चय)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: अव्यय; समुच्चयार्थक-निपात

• शोथ: swellings
• शोथ: Samasa-purvapada (Compound member)
• Type: Noun
• Root: शोथ (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन (समासपूर्वपद-रूपेण)

• आद्याः: etc., beginning with swelling
• आद्याः: Karta (Subject/कर्ता)
• Type: Adjective
• Root: आदि (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन; समासः—शोथ + आदि (तत्पुरुषः: ‘beginning with swelling’)

• सकृच्छ्राः: with difficulty/with distress
• सकृच्छ्राः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: सकृच्छ्र (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन; विशेषण

• कुम्भ: pot-like (kumbha)
• कुम्भ: Samasa-purvapada (Compound member)
• Type: Noun
• Root: कुम्भ (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन (समासपूर्वपद-रूपेण)

• कामलाः: kumbha-kāmala (a severe type of jaundice)
• कामलाः: Karta (Subject/कर्ता)
• Type: Noun
• Root: कामला (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन; समासः—कुम्भ + कामला (कर्मधारयः: ‘kumbha-type kāmalā’)

Speaker

Lord Vishnu (in discourse to Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Pitta

Philosophical Teaching

Concept: Neglect (upekṣā) is a causal factor that transforms a manageable condition into a difficult, severe one.

Vedantic Theme: Pramāda as a binding force; disciplined action (niyama) reduces duḥkha in embodied life.

Application: Treat pitta-associated edema early in pāṇḍu; do not delay care; follow cooling and corrective regimen to prevent kumbha-kāmalā.

Verse Rasa

Primary Rasa: bhayanaka

Secondary Rasa: karuna

Cross References

Related Themes: Garuda Purana 1.162.16 (similar warning); Garuda Purana 1.162.17 (symptoms of pitta/kāmalā)

Characters & Entities

• Pitta
• Śotha
• Pāṇḍu-roga
• Kumbha-kāmalā

FAQs

What is the importance of pitta-related swelling (śotha) in the Garuda Purana?

This verse highlights a diagnostic principle: when pāṇḍu-roga is present, swelling tends to become pitta-driven, signaling a serious internal imbalance that should be addressed early.

How does this verse explain the consequences of neglecting illness?

It states that neglect (upekṣā) makes swelling and associated symptoms difficult to cure and can progress into kumbha-kāmalā, indicating an advanced, severe condition.

Practical application of this wisdom today?

Do not ignore early warning signs like persistent swelling and jaundice/anemia-like symptoms; seek timely care and correct diet/lifestyle to prevent progression into severe disease.