Shloka 23

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

सर्वहेतुविशषैस्तु रूपभेदान्नवात्मकम् / दोषैः पृथग्विधैः सर्वैरभिघाताद्विषादपि

sarvahetuviśaṣaistu rūpabhedānnavātmakam / doṣaiḥ pṛthagvidhaiḥ sarvairabhighātādviṣādapi

ولكثرة الأسباب الخاصة وتنوّع الصور الظاهرة، يُفهَم التورّم على أنّه ذو تسعة أنحاء: ينشأ من الدوشا (doṣa) على انفراد، ومن جميع تراكيبها المختلفة، وكذلك من الإصابة والضرب، ومن التسمّم أيضًا.

सर्वall
सर्व:
Sambandha (Compound member/समासाङ्ग)
TypeAdjective
Rootसर्व (प्रातिपदिक)
Formसमासाङ्ग (compound member)
हेतुcauses
हेतु:
Sambandha (Compound member/समासाङ्ग)
TypeNoun
Rootहेतु (प्रातिपदिक)
Formसमासाङ्ग
विशेषैःby specific (causal) factors
विशेषैः:
Karana (Instrument/करण)
TypeNoun
Rootविशेष (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया (3rd/Instrumental), बहुवचन; तत्पुरुष-समासः (सर्वहेतु-विशेषैः = by special causes of all kinds)
तुbut/indeed
तु:
Sambandha/Connector (सम्बन्ध)
TypeIndeclinable
Rootतु (अव्यय)
Formविरोध/अन्वयार्थक-निपात (particle: 'but/indeed')
रूपform
रूप:
Sambandha (Compound member/समासाङ्ग)
TypeNoun
Rootरूप (प्रातिपदिक)
Formसमासाङ्ग
भेदात्from variation in form
भेदात्:
Hetu/Apadana (Cause/Source/हेतु/अपादान)
TypeNoun
Rootभेद (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी (5th/Ablative), एकवचन; तत्पुरुषः (रूपभेदात् = from difference of form)
नवात्मकम्ninefold (having nine forms)
नवात्मकम्:
Karma/Predicate (Object/विधेय)
TypeAdjective
Rootनव (प्रातिपदिक) + आत्मन् (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया, एकवचन; तत्पुरुषः (नव आत्मा यस्य = ninefold)
दोषैःby doṣas (humors)
दोषैः:
Karana (Instrument/करण)
TypeNoun
Rootदोष (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया, बहुवचन
पृथग्विधैःof various kinds
पृथग्विधैः:
Karana (Instrument/करण)
TypeAdjective
Rootपृथक् (अव्यय/प्रातिपदिक) + विध (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया, बहुवचन; कर्मधारयः (पृथग्विध = of different kinds)
सर्वैःby all
सर्वैः:
Karana (Instrument/करण)
TypeAdjective
Rootसर्व (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया, बहुवचन; विशेषण (दोषैः)
अभिघातात्from injury/trauma
अभिघातात्:
Hetu/Apadana (Cause/Source/हेतु/अपादान)
TypeNoun
Rootअभि + घात (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी, एकवचन
विषादात्from grief/depression
विषादात्:
Hetu/Apadana (Cause/Source/हेतु/अपादान)
TypeNoun
Rootविषाद (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी, एकवचन
अपिalso/even
अपि:
Sambandha/Connector (सम्बन्ध)
TypeIndeclinable
Rootअपि (अव्यय)
Formसमुच्चयार्थक/सम्भावनार्थक-अव्यय (particle: 'also/even')

Lord Vishnu (teaching Garuda/Vinata-putra)

Dosha: Mixed

Concept: Śotha is ninefold due to diverse hetu and rūpa-bheda: doṣa-specific, doṣa-combinational, plus trauma and viṣa (poison).

Vedantic Theme: Many names/forms (nāma-rūpa) arise from differing causes; discernment classifies appearances to guide right action.

Application: In evaluating swelling, include non-doṣic causes like injury and poisoning; tailor response to etiology rather than treating all edema identically.

Primary Rasa: adbhuta

Secondary Rasa: shanta

Related Themes: Garuda Purana 1.162.21-22 (doṣa mechanism and nicaya); Garuda Purana 1.162.24 (generalized swelling and threefold features)

V
Vishnu
G
Garuda

FAQs

The verse emphasizes diagnosis by cause and appearance, mapping śotha into multiple etiologies—doṣic, combined doṣic, traumatic, and toxic—so treatment can be cause-specific.

It does not address the afterlife narrative; it is a diagnostic teaching within Garuda Purana’s Ayurvedic material, spoken by Vishnu to Garuda.

Do not treat all swelling as the same—consider injury, allergy/toxin exposure, and systemic imbalance, and seek appropriate care based on the suspected cause.