Prameha-Nidāna-Lakṣaṇa-Bheda: Etiology, Signs, Varieties, and Complications of Meha
आवृतो दोषलिङ्गानि सो ऽनिमित्तं प्रदर्शयेत् / क्षणात्क्षीणः क्षणात्पूर्णो भजते कृच्छ्रसाघ्यताम्
āvṛto doṣaliṅgāni so 'nimittaṃ pradarśayet / kṣaṇātkṣīṇaḥ kṣaṇātpūrṇo bhajate kṛcchrasāghyatām
When the signs of the bodily humors are obscured, the patient shows symptoms without a clear cause. He becomes emaciated in a moment and full (bloated) in a moment—thus falling into a condition that is difficult to cure.
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Concept: Avaraṇa/hidden doṣa signs lead to erratic symptomatology and poor prognosis; rapid fluctuation indicates kṛcchra-sādhyatā (difficult to cure).
Vedantic Theme: Dukkha-lakṣaṇa of embodied existence; impermanence of bodily states (moment-to-moment change) as a contemplative cue (implicit).
Application: Treat early and investigate masked doṣa patterns; recognize rapid emaciation/bloating swings as red flags requiring intensive care and monitoring.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.159.6 (doṣa-āvaraṇa mechanism); Garuda Purana 1.159.8 (progression when neglected)
This verse highlights that clear doṣa-signs guide diagnosis; when those signs are obscured, symptoms become unreliable and the condition tends toward difficult curability.
Indirectly, it frames the body as governed by doṣas and karmic vulnerability: inexplicable, rapidly changing symptoms are treated as ominous indicators of severe disorder, often discussed alongside dharma-based living to avoid decline.
Treat sudden, rapidly fluctuating health changes as serious; seek timely qualified care, and maintain disciplined diet, conduct, and routine so that imbalance does not become “hard to cure.”