Shloka 1

Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis

ऽध्यायः धन्वन्तरिरुवाच / अथातो यक्ष्मरोगस्य निदानं प्रवदाम्यहम् / अनेकरोगानुगतो बहुरोगपुरोगमः

'dhyāyaḥ dhanvantariruvāca / athāto yakṣmarogasya nidānaṃ pravadāmyaham / anekarogānugato bahurogapurogamaḥ

Dhanvantari said: Now, therefore, I shall explain the nidāna—the causes and diagnostic basis—of the disease called yakṣmā (consumption). It is accompanied by many other ailments and is preceded by numerous disorders.

अध्यायःchapter
अध्यायः:
Karta (Subject/कर्ता)
TypeNoun
Rootअध्याय (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; शीर्षक/विषय-निर्देश
धन्वन्तरिःDhanvantari
धन्वन्तरिः:
Karta (Subject/कर्ता)
TypeNoun
Rootधन्वन्तरि (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; वक्ता-नाम
उवाचsaid
उवाच:
Kriya (Action/क्रिया)
TypeVerb
Rootवच् (धातु)
Formलिट् (Perfect), प्रथमपुरुष (3rd person), एकवचन; परस्मैपदम्
अथnow/then
अथ:
Sambandha (Relation/सम्बन्ध)
TypeIndeclinable
Rootअथ (अव्यय)
Formअव्यय; अनुक्रम/आरम्भसूचक (then/now)
अतःthereupon/therefore
अतः:
Sambandha (Relation/सम्बन्ध)
TypeIndeclinable
Rootअतः (अव्यय)
Formअव्यय; हेत्वर्थ/अनन्तरार्थ (therefore/thereupon)
यक्ष्मरोगस्यof the disease called yakṣmā (consumption)
यक्ष्मरोगस्य:
Sambandha (Genitive/षष्ठी-सम्बन्ध)
TypeNoun
Rootयक्ष्म-रोग (प्रातिपदिक; यक्ष्म + रोग)
Formपुंलिङ्ग, षष्ठी (6th/Genitive), एकवचन; तत्पुरुषः (यक्ष्मः एव रोगः)
निदानम्cause/etiology
निदानम्:
Karma (Object/कर्म)
TypeNoun
Rootनिदान (प्रातिपदिक)
Formनपुंसकलिङ्ग, द्वितीया (2nd/Accusative), एकवचन
प्रवदामिI explain / I declare
प्रवदामि:
Kriya (Action/क्रिया)
TypeVerb
Rootप्र+वद् (धातु)
Formलट् (Present), उत्तमपुरुष (1st person), एकवचन; परस्मैपदम्
अहम्I
अहम्:
Karta (Subject/कर्ता)
TypeNoun
Rootअस्मद् (सर्वनाम-प्रातिपदिक)
Formउत्तमपुरुष-सर्वनाम, प्रथमा (1st/Nominative), एकवचन
अनेकmany
अनेक:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootअनेक (प्रातिपदिक)
Formविशेषण; पुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन (बहुरोगपुरोगमः इत्यस्य विशेषणार्थे)
रोगdiseases
रोग:
Sambandha (Relation/सम्बन्ध)
TypeNoun
Rootरोग (प्रातिपदिक)
Formपुंलिङ्ग; समासाङ्ग (अनेक-रोग-अनुगतः इत्यत्र)
अनुगतःaccompanied by / followed by
अनुगतः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootअनु+गम् (धातु)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; क्त-प्रत्ययान्त कृदन्त (gone after/followed), विशेषणम्
बहुmany
बहु:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootबहु (प्रातिपदिक)
Formविशेषण; समासाङ्ग (बहु-रोग-पुरोगमः इत्यत्र)
रोगdiseases
रोग:
Sambandha (Relation/सम्बन्ध)
TypeNoun
Rootरोग (प्रातिपदिक)
Formपुंलिङ्ग; समासाङ्ग (बहु-रोग-पुरोगमः)
पुरोगमःgoing in front; having many diseases as forerunners
पुरोगमः:
Karta (Subject/कर्ता)
TypeAdjective
Rootपुरः-गम (प्रातिपदिक; पुरः + गम)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; तत्पुरुषः (पुरः गच्छति इति), विशेषणम्

Dhanvantari

Concept: Nidāna-jñāna (knowing causes) as the foundation of right treatment; disciplined inquiry prevents harm.

Vedantic Theme: Prakṛti-based causality in the body; suffering arises from compounded conditions—knowledge reduces avidyā in practical life.

Application: Diagnose root causes and co-morbidities before intervention; avoid single-symptom treatment; cultivate preventive habits.

Primary Rasa: shanta

Secondary Rasa: adbhuta

Related Themes: Garuda Purana: Dhanvantari sections on roga-nidāna and cikitsā; Garuda Purana: other chapters listing diseases and remedies

D
Dhanvantari
Y
Yakshma

FAQs

This verse introduces Dhanvantari’s systematic explanation of yakṣmā by focusing on nidāna (causation/diagnostic basis), framing the condition as a complex disease linked with many associated disorders.

It characterizes yakṣmā as a major ailment that rarely appears alone—many diseases accompany it, and multiple disorders commonly arise beforehand, indicating a progressive, multi-symptom decline.

Treat chronic decline as multi-factorial: address early warning disorders, look for coexisting conditions, and focus on root causes rather than only symptomatic relief.