Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis
तेषामुपद्रवान्विद्यात्कण्ठध्वंसकरी रुजाः / जृम्भाङ्गमर्दनिष्ठीववह्निमान्द्यास्यपूतिता
teṣāmupadravānvidyātkaṇṭhadhvaṃsakarī rujāḥ / jṛmbhāṅgamardaniṣṭhīvavahnimāndyāsyapūtitā
These should be known as its attendant afflictions: pains as though tearing the throat apart, together with yawning, aching of the limbs, excessive spitting, a weakening of the digestive fire, and foulness of the mouth.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Concept: Attentive recognition of complications (upadrava) as a form of responsible self-care.
Vedantic Theme: Suffering reveals deha-duḥkha; discernment (viveka) begins with accurate seeing of conditions.
Application: Monitor throat-tearing pain, yawning, body-ache, hypersalivation/spitting, weak digestion, and halitosis as warning signs requiring intervention.
Primary Rasa: bibhatsa
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.152.15 (main signs); Garuda Purana 1.152.17-19 (doṣa-wise elaboration)
This verse lists recognizable signs of trouble—throat-tearing pain, body-ache, excessive spitting, weak digestion, and foul breath—used in the text as indicators of distress that can be linked to karmic imbalance and the approach of suffering.
In the Preta Kanda context, Vishnu’s instruction to Garuda often connects physical and subtle distress with karmic outcomes; such afflictions are presented as observable markers of a being entering a period of hardship that precedes post-death experiences described elsewhere in the dialogue.
Treat these signs as a prompt for ethical self-correction (dharma), restraint from harmful actions, and timely sacred duties—such as prayer, charity, and appropriate rites—along with seeking proper care, while remembering the text’s emphasis on karma and responsibility.