Shloka 23
Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever
पित्ते शान्ते ऽथ वै मूर्छा मदस्तृष्णा च जायते / दाहादौ पुनरन्तेषु तन्द्रालस्ये वमिः क्रमात्
pitte śānte 'tha vai mūrchā madastṛṣṇā ca jāyate / dāhādau punaranteṣu tandrālasye vamiḥ kramāt
Wenn pitta (die Galle) sich beruhigt, entstehen Ohnmacht, Verwirrung (Delir) und Durst. Danach, wenn Brennen und andere Zeichen nachlassen, treten Schläfrigkeit und Trägheit auf, und Erbrechen folgt der rechten Reihenfolge.
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Dosha: Pitta
Concept: Symptom chronology in pitta modulation: as pitta is pacified, certain systemic signs (mūrcchā, mada, tṛṣṇā) may arise; later, with reduction of burning, heaviness states (tandrā, ālasya) and vomiting can appear क्रमात् (in order).
Vedantic Theme: Observation of change (pariṇāma) in embodied states; knowledge through careful sequencing rather than isolated events.
Application: Monitor disease course by stages; do not misread late-stage drowsiness/vomiting as new disease without considering prior pitta flare and its pacification trajectory.
Primary Rasa: karuna
Secondary Rasa: shanta
Related Themes: Garuda Purana 1.147: surrounding verses on doṣa signs, āgantuka etiologies, and fever patterns
FAQs
This verse treats pitta as a key doṣa whose pacification is followed by a recognizable sequence of symptoms, indicating a traditional diagnostic understanding of bodily imbalance.
It does not directly describe the soul’s journey; instead, it focuses on bodily symptom progression, reflecting the text’s inclusion of practical teachings alongside afterlife doctrine.
Use it as a traditional framework for noticing symptom progression (thirst, faintness, drowsiness, vomiting) and seek timely care, especially when heat/burning and dehydration signs appear.