Causes and Signs of Hṛdroga
Heart Disease) and Tṛṣṇā (Pathological Thirst
प्रलापश्चित्तविभ्रंशो ह्युद्गराढ्यस्तथामयः / मारुतात्क्षामतादैन्यं शङ्खभे (तो) दः शिरौभ्रमः
pralāpaścittavibhraṃśo hyudgarāḍhyastathāmayaḥ / mārutātkṣāmatādainyaṃ śaṅkhabhe (to) daḥ śiraubhramaḥ
Es entstehen wirres Reden und Verwirrung des Geistes, dazu übermäßiges Aufstoßen und Krankheit des Leibes. Aus der Entgleisung von maruta (vāyu) kommen Auszehrung und Elend; es zeigt sich spaltender Schmerz in den Schläfen und Schwindel des Kopfes.
Lord Vishnu (narrating to Garuda/Vinata-putra)
Dosha: Vata
Concept: Maruta (vāyu) derangement contributes to emaciation, misery, temporal splitting pain, and head dizziness; delirium and mental confusion accompany systemic disorder.
Vedantic Theme: Antaḥkaraṇa disturbances are conditioned by doṣas; the witness-self remains distinct—yet practical care of the instrument (body-mind) is necessary for dharma.
Application: Treat vāta aggravation and dehydration; recognize delirium/vertigo/temporal pain as danger signs; ensure rest, grounding, hydration, and urgent clinical attention.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.154: vāta-linked neurocognitive symptoms (pralāpa, citta-vibhrama, bhrama) and wasting (kṣāmatā)
This verse links vāyu disturbance with concrete symptoms—emaciation, misery, temple-splitting pain, and dizziness—showing how internal wind-disorder manifests as both physical and mental instability.
By pairing pralāpa (delirious speech) and cittavibhraṁśa (mental confusion) with digestive and bodily symptoms, the verse presents illness as a combined psychophysical disturbance rather than purely physical disease.
Treat persistent confusion, dizziness, and wasting as warning signs requiring timely care—along with stabilizing routines and restraint—rather than ignoring them as minor discomforts.