Shloka 21

Pāṇḍu-Śotha Nidāna: Doṣa-wise Signs, Complications, and Prognosis

शोथः प्रधानः कथितः स एवातो निगद्यते / पित्तरक्तकफान्वायुर्दुष्टो दुष्टान्बहिः शिराः

śothaḥ pradhānaḥ kathitaḥ sa evāto nigadyate / pittaraktakaphānvāyurduṣṭo duṣṭānbahiḥ śirāḥ

Swelling (śotha) has been declared the principal sign; therefore it is now described. When vāyu, associated with pitta, blood (rakta), and kapha, becomes vitiated, it also vitiates the outer channels/veins (śirā).

शोथःswelling/edema
शोथः:
Karta (Subject/कर्ता)
TypeNoun
Rootशोथ (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन
प्रधानःprincipal/main
प्रधानः:
Karta (Subject/कर्ता)
TypeAdjective
Rootप्रधान (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, एकवचन; विशेषण (qualifying शोथः)
कथितःis said/has been stated
कथितः:
Kriya (Predicative/क्रिया)
TypeVerb
Rootकथ् (धातु) + क्त (कृदन्त)
Formभूतकर्मणि कृदन्त (past passive participle), पुंलिङ्ग, प्रथमा, एकवचन; कर्मणि-प्रयोगे विधेय
सःhe/that
सः:
Karta (Subject/कर्ता)
TypeNoun
Rootतद् (सर्वनाम-प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, एकवचन; सर्वनाम
एवindeed/only
एव:
Sambandha/Emphasis (सम्बन्ध)
TypeIndeclinable
Rootएव (अव्यय)
Formअवधारणार्थक-अव्यय (emphatic particle)
अतःtherefore
अतः:
Hetu (Cause/हेतु)
TypeIndeclinable
Rootअतः (अव्यय)
Formहेतौ-अव्यय (causal adverb: 'therefore/from this')
निगद्यतेis described/declared
निगद्यते:
Kriya (Action/क्रिया)
TypeVerb
Rootनि + गद् (धातु)
Formलट् (Present), प्रथमपुरुष, एकवचन; आत्मनेपद; कर्मणि-प्रयोग (passive sense)
पित्तbile (pitta)
पित्त:
Sambandha (Compound member/समासाङ्ग)
TypeNoun
Rootपित्त (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया, एकवचन (समासाङ्ग)
रक्तblood
रक्त:
Sambandha (Compound member/समासाङ्ग)
TypeNoun
Rootरक्त (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया, एकवचन (समासाङ्ग)
कफphlegm (kapha)
कफ:
Sambandha (Compound member/समासाङ्ग)
TypeNoun
Rootकफ (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा/द्वितीया, एकवचन (समासाङ्ग)
अन्वायुḥwind (vāyu) following/associated (with them)
अन्वायुḥ:
Karta (Subject/कर्ता)
TypeNoun
Rootअनु (उपसर्ग) + वायु (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; उपसर्गपूर्वक-प्रातिपदिक (अनु+वायु)
दुष्टःvitiated
दुष्टः:
Karta (Subject/कर्ता)
TypeAdjective
Rootदुष्ट (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, एकवचन; विशेषण (वायुः)
दुष्टान्vitiated
दुष्टान्:
Karma (Object/कर्म)
TypeAdjective
Rootदुष्ट (प्रातिपदिक)
Formपुंलिङ्ग, द्वितीया (2nd/Accusative), बहुवचन; विशेषण (शिराः)
बहिःoutside
बहिः:
Adhikarana (Location/अधिकरण)
TypeIndeclinable
Rootबहिः (अव्यय)
Formदेशवाचक-अव्यय (adverb of place: 'outside')
शिराःveins/vessels
शिराः:
Karta (Subject/कर्ता)
TypeNoun
Rootशिरा (प्रातिपदिक)
Formस्त्रीलिङ्ग, प्रथमा (1st/Nominative), बहुवचन

Lord Vishnu (speaking to Garuda/Vinata-putra)

Dosha: Mixed

Concept: Śotha as a principal lakṣaṇa; doṣa-saṅghāta (vāyu with pitta, rakta, kapha) disturbing śirā and bāhya-srotas.

Vedantic Theme: Causality and interdependence (kārya-kāraṇa-bhāva) observed in the body; knowledge as a means to reduce suffering.

Application: In swelling with heat/redness (pitta-rakta), heaviness (kapha), and pain/movement disturbance (vāyu), address multi-doṣa involvement rather than single-symptom treatment.

Primary Rasa: adbhuta

Secondary Rasa: karuna

Related Themes: Garuda Purana 1.162.22-24 (mechanism and classifications of śotha)

V
Vayu
P
Pitta
R
Rakta (blood)
K
Kapha
S
Shiras (vessels)

FAQs

This verse states that swelling (śotha) is the principal feature and ties it to multi-doṣa involvement—vāyu acting together with pitta, blood (rakta), and kapha.

It does not address the soul’s journey; it focuses on bodily pathology. In Purāṇic teaching, such knowledge supports right living (dharma) by preserving the body as an instrument for spiritual practice.

Treat unexplained swelling as significant—traditional logic here links it to systemic imbalance affecting circulation/channels—so it warrants prompt evaluation and corrective regimen under qualified care.