Pāṇḍu-Śotha Nidāna: Doṣa-wise Signs, Complications, and Prognosis
विड्भेदश्चाम्लको दाहः कफाच्च हृदयार्द्रता / तन्द्रा लवणवक्रत्वं रोमहर्षः स्वरक्षयः
viḍbhedaścāmlako dāhaḥ kaphācca hṛdayārdratā / tandrā lavaṇavakratvaṃ romaharṣaḥ svarakṣayaḥ
There is looseness of the bowels, sour belching or acidic disturbance, and a burning sensation; and when kapha predominates there is heavy, moist oppression in the region of the heart. Drowsiness arises, a salty distorted taste appears, there is horripilation, and the voice becomes weakened.
Lord Vishnu (in dialogue with Garuda/Vinata-putra)
Dosha: Kapha
Concept: Differentiating mixed digestive disturbance (bheda, amla, dāha) and kapha-prādhānya (hṛdaya-ārdra-gurutā, tandrā, svara-kṣaya) through symptom patterns.
Vedantic Theme: Mind-body linkage: tamas-like tandrā and weakened voice reflect imbalance in the instrument; cultivate sattva by balanced living.
Application: Recognize kapha dominance (heaviness/moistness at heart region, drowsiness, salty taste, voice weakness) and address with kapha-pacifying diet/activity per vaidya.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.162.10-11 (vāta/pitta signs); Garuda Purana 1.162.13-14 (nicheya, srotas involvement)
It identifies kapha-dominant features—cardiac-region heaviness/moistness, drowsiness, altered salty taste, and weak voice—useful for recognizing congestion and lethargy.
By showing how digestion, breath/voice, and alertness degrade, it underscores the impermanence of the body and the need to cultivate steadiness through dharma.
Address chronic lethargy, heaviness, and voice weakness with lifestyle correction (lighter diet, movement, regulated sleep) and appropriate medical evaluation.