Kāsa-bheda: The Fivefold Classification of Cough and Its Clinical Signs
नामाष्टचत्वारिंशदुत्तरशततमो ऽध्यायः धन्वन्तरिरुवाच / आशुकारी यतः कासः स एवातः प्रवक्ष्यते / पञ्च कासाः स्मृता वातपित्तश्लेष्मक्षतक्षयैः
nāmāṣṭacatvāriṃśaduttaraśatatamo 'dhyāyaḥ dhanvantariruvāca / āśukārī yataḥ kāsaḥ sa evātaḥ pravakṣyate / pañca kāsāḥ smṛtā vātapittaśleṣmakṣatakṣayaiḥ
Chapter one-hundred and forty-nine begins. Dhanvantari said: Since cough arises swiftly and can quickly become severe, it is now being explained. Cough is remembered as being of five kinds—arising from vāta, pitta, śleṣman (kapha), injury (kṣata), and consumption (kṣaya).
Dhanvantari
Dosha: Mixed
Concept: Right knowledge begins with classification: kāsa is swift-acting and is of five etiological kinds—vāta, pitta, śleṣman, kṣata, kṣaya.
Vedantic Theme: Pramāṇa-guided discernment (viveka) in the empirical domain; ordering experience reduces confusion and supports right action.
Application: When evaluating cough, first determine the dominant cause (doṣaja vs injury vs consumption) to guide appropriate treatment and prognosis.
Primary Rasa: shanta
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.149 (kāsa-nidāna and lakṣaṇa sequence); Garuda Purana 1.148 (preceding śodhana/doṣa discussion)
This verse introduces a diagnostic framework: cough is divided into five etiological types—vāta, pitta, kapha (śleṣman), injury (kṣata), and wasting/consumption (kṣaya)—so treatment can be matched to the cause.
It does not discuss the soul’s journey here; this section shifts to Dhanvantari’s Ayurvedic instruction, focusing on bodily disease classification rather than afterlife doctrine.
Use the principle of cause-based diagnosis: persistent cough should be assessed by underlying pattern (dry/windy, hot/inflammatory, phlegmatic, injury-related, or wasting) and evaluated promptly because it can become severe quickly.