Kāsa-bheda: The Fivefold Classification of Cough and Its Clinical Signs
दुः खस्पर्शेन शूलेन भेदपीडाहितापिना / पर्वभेदज्वरश्वासतृष्णावैस्वर्यकम्पवान्
duḥ khasparśena śūlena bhedapīḍāhitāpinā / parvabhedajvaraśvāsatṛṣṇāvaisvaryakampavān
Afflicted by painful contact and stabbing torment—by splitting aches and burning fever—he suffers joint-rending pains, fever, laboured breathing, thirst, loss of voice, and trembling.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Pitta
Concept: Multi-doṣic systemic crisis: śūla (pain), dāha (burning), jvara (fever), śvāsa (dyspnea), tṛṣṇā (thirst), vaisvarya (hoarseness/voice loss), kampa (tremor).
Vedantic Theme: Saṃsāra-duḥkha and the need for right living; body as instrument requiring care, not identity.
Application: Recognize red-flag cluster (fever + dyspnea + tremor + voice loss + severe pain) and seek urgent treatment; supportive care: hydration, rest, cooling/anti-inflammatory measures per physician.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.149 (systemic symptom culmination; doṣa aggravation leading to jvara/śvāsa/tṛṣṇā)
This verse itemizes specific torments (pain, fever, thirst, breathlessness, trembling) to illustrate the tangible consequences of karma and the distress of the post-death condition described in the text.
It portrays the being’s experience as marked by intense sensory and bodily afflictions, reflecting the Garuda Purana’s narrative that the post-death journey includes suffering shaped by one’s actions.
Use it as a prompt for ethical restraint and compassionate conduct—reducing harmful actions (pāpa) that the tradition links with painful post-mortem consequences, and encouraging mindful living and dharmic choices.