पीनसश्वासकासं च स्वरमूर्धरुजो ऽरुचिः / ऊर्ध्वनिः श्वाससंशोषावधश्छर्दिश्च कोष्ठगे
pīnasaśvāsakāsaṃ ca svaramūrdharujo 'ruciḥ / ūrdhvaniḥ śvāsasaṃśoṣāvadhaśchardiśca koṣṭhage
When the disorder is seated in the abdomen, it produces nasal congestion, laboured breathing and cough, hoarseness of voice, headache and loss of appetite; there is upward, obstructed breathing with dryness, and also vomiting downward.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: Accurate discernment of bodily states is part of right living; suffering reveals the limits of embodiment.
Vedantic Theme: Deha-duḥkha as a spur toward viveka (discrimination) and moderation; body as instrument, not self.
Application: Recognize symptom clusters early; seek appropriate treatment; adopt diet/regimen that reduces causative imbalance; maintain calm breath and disciplined routine.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Type: body_region
Related Themes: Garuda Purana: medical/roga-nidāna style passages describing symptomatology (general internal parallel)
This verse preserves a traditional diagnostic listing—linking where a disorder is seated (here, the abdomen/koṣṭha) with recognizable symptoms—so a practitioner can identify the condition and respond with appropriate discipline, remedies, and right living.
Indirectly: by mapping physical suffering and dysfunction, the text frames embodied life as a field where karmic tendencies and imbalances manifest; understanding suffering in the body supports dharmic correction and preparation for the afterlife teachings elsewhere in the Purana.
Use it as a cautionary checklist: persistent congestion, breath trouble, cough, hoarseness, headache, appetite-loss, dryness, and vomiting indicate a deeper systemic disturbance—prompting timely medical attention along with disciplined diet and conduct.