Shloka 24

Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis

दोषैर्व्यस्तैः समस्तैश्च क्षयात्सर्वस्य मेदसः / स्वरभेदो भवेत्तस्य क्षामो रूक्षश्चलः स्वरः

doṣairvyastaiḥ samastaiśca kṣayātsarvasya medasaḥ / svarabhedo bhavettasya kṣāmo rūkṣaścalaḥ svaraḥ

When the doṣas—acting separately or all together—deplete the body’s medas, the fat tissue, a disturbance of the voice arises: the voice becomes thin, dry, and unsteady.

doṣaiḥby the doṣas (humors)
doṣaiḥ:
Karana (Instrument/करण)
TypeNoun
Rootdoṣa (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया (3rd), बहुवचन
vyastaiḥseparately / individually deranged
vyastaiḥ:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootvyasta (कृदन्त/प्रातिपदिक)
Formभूतकृदन्त (क्त), पुंलिङ्ग, तृतीया (3rd), बहुवचन; विशेषण (qualifying doṣaiḥ)
samastaiḥcollectively / together
samastaiḥ:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootsamasta (कृदन्त/प्रातिपदिक)
Formभूतकृदन्त (क्त), पुंलिङ्ग, तृतीया (3rd), बहुवचन; विशेषण (qualifying doṣaiḥ)
caand
ca:
Sambandha (Connector/सम्बन्ध)
TypeIndeclinable
Rootca (अव्यय)
Formसमुच्चयबोधक अव्यय
kṣayātfrom/owing to wasting
kṣayāt:
Apadana (Ablative/अपादान)
TypeNoun
Rootkṣaya (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी (5th/पञ्चमी), एकवचन
sarvasyaof all / entire
sarvasya:
Shashthi-sambandha (Genitive/षष्ठी-सम्बन्ध)
TypeAdjective
Rootsarva (प्रातिपदिक)
Formपुं/नपुंसक, षष्ठी (6th), एकवचन; विशेषण (qualifying medasaḥ)
medasaḥof fat (adipose tissue)
medasaḥ:
Shashthi-sambandha (Genitive/षष्ठी-सम्बन्ध)
TypeNoun
Rootmedas (प्रातिपदिक)
Formनपुंसकलिङ्ग, षष्ठी (6th), एकवचन
svara-bhedaḥchange of voice
svara-bhedaḥ:
Karta (Subject/कर्ता)
TypeNoun
Rootsvara (प्रातिपदिक) + bheda (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन; षष्ठी-तत्पुरुष: 'change/alteration of voice'
bhavetwould occur / should occur
bhavet:
Kriya (Action/क्रिया)
TypeVerb
Rootbhū (धातु)
Formविधिलिङ् (Optative), प्रथमपुरुष (3rd), एकवचन
tasyaof him/that (patient)
tasya:
Shashthi-sambandha (Genitive/षष्ठी-सम्बन्ध)
TypeNoun
Roottad (सर्वनाम-प्रातिपदिक)
Formषष्ठी (6th), एकवचन; सर्वनाम
kṣāmaḥweak / emaciated
kṣāmaḥ:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootkṣāma (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन; विशेषण (qualifying svaraḥ)
rūkṣaḥdry / harsh
rūkṣaḥ:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootrūkṣa (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन; विशेषण (qualifying svaraḥ)
calaḥunsteady / wavering
calaḥ:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootcala (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन; विशेषण (qualifying svaraḥ)
svaraḥvoice
svaraḥ:
Karta (Subject/कर्ता)
TypeNoun
Rootsvara (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन

Lord Vishnu (speaking to Garuda/Vinata-putra)

Dosha: Mixed

Concept: Inner imbalance manifests outwardly; subtle signs (voice quality) reveal systemic depletion.

Vedantic Theme: Body as instrument; its weakening underscores impermanence and the need for inner anchoring.

Application: Monitor voice changes (thin/dry/unsteady) as clinical signs; address doṣa aggravation and medas depletion with nourishing, unctuous, stabilizing measures.

Primary Rasa: karuna

Secondary Rasa: bibhatsa

Related Themes: Garuda Purana 1.152 (lakṣaṇas of kṣaya; doṣa involvement and tissue depletion)

D
Doṣas
M
Medas (fat tissue)

FAQs

This verse treats medas-kṣaya as a diagnostic sign: depletion of medas, driven by disturbed doṣas, manifests outwardly through a weakened, dry, unstable voice—useful for recognizing systemic imbalance.

This specific verse is primarily physiological (Ayurvedic) rather than afterlife-focused; it highlights how doṣa imbalance alters the body’s functions, implying that bodily condition reflects underlying subtle imbalances affecting life-experience.

If the voice becomes unusually thin, dry, or wavering along with signs of tissue depletion, it can be taken as a prompt to restore balance through diet, rest, hydration, and appropriate Ayurvedic consultation rather than ignoring it as a minor symptom.