Śvāsa-nidāna: Etiology, Types, Symptom Progression, and Fatal Prognosis
कासश्वसितवच्छीर्णमर्मच्छेदरुजार्दितः / सस्वेदमूर्छः सानाहो बस्तिदाहविबोधवान्
kāsaśvasitavacchīrṇamarmacchedarujārditaḥ / sasvedamūrchaḥ sānāho bastidāhavibodhavān
Von Husten und mühsamem Atem gepeinigt, zehrt er dahin; von Schmerz geschlagen, als wären die Lebenspunkte (marma) durchschnitten. Schweißüberströmt und ohnmächtig, aufgebläht durch Verstopfung, mit brennendem Gefühl in der Blase—und doch bleibt er bei Bewusstsein und wach im Geist.
Lord Viṣṇu (speaking to Garuḍa/Vinatā-putra)
Concept: Complicated disease picture: śvāsa-kāsa with kṣaya (wasting), marma-vedanā-like pain, sveda-mūrcchā, ānāha (obstruction/distension), and basti-dāha—showing systemic spread while consciousness remains.
Vedantic Theme: Sākṣitva (witness-consciousness) hinted by ‘vibodha-vān’—awareness persists amid bodily torment.
Application: Recognize multi-organ red flags; treat obstruction, urinary burning, and respiratory distress together; support the patient’s clarity with calm presence and spiritual reassurance.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.150 (upadrava/saṃnipāta-like complications of śvāsa)
This verse catalogs intense bodily afflictions to illustrate how karmic ripening can manifest as severe end-of-life suffering, emphasizing ethical living and timely religious duties.
By noting that the person remains 'vibodhavān' (conscious/aware) amid torment, it implies a lucid transitional state where suffering is experienced clearly, preparing the narrative ground for post-death journey teachings.
Live with restraint and dharma, attend to duties and repentance early, and support the dying with calmness, prayer, and proper rites—recognizing that awareness may persist even during severe distress.