Shloka 23

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

सर्वहेतुविशषैस्तु रूपभेदान्नवात्मकम् / दोषैः पृथग्विधैः सर्वैरभिघाताद्विषादपि

sarvahetuviśaṣaistu rūpabhedānnavātmakam / doṣaiḥ pṛthagvidhaiḥ sarvairabhighātādviṣādapi

Because of the many specific causes and the differing manifestations, swelling is understood to be ninefold in nature—arising from the various doṣas, from all their distinct combinations, and also from injury and from poisoning.

सर्वall
सर्व:
Sambandha (Compound member/समासाङ्ग)
TypeAdjective
Rootसर्व (प्रातिपदिक)
Formसमासाङ्ग (compound member)
हेतुcauses
हेतु:
Sambandha (Compound member/समासाङ्ग)
TypeNoun
Rootहेतु (प्रातिपदिक)
Formसमासाङ्ग
विशेषैःby specific (causal) factors
विशेषैः:
Karana (Instrument/करण)
TypeNoun
Rootविशेष (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया (3rd/Instrumental), बहुवचन; तत्पुरुष-समासः (सर्वहेतु-विशेषैः = by special causes of all kinds)
तुbut/indeed
तु:
Sambandha/Connector (सम्बन्ध)
TypeIndeclinable
Rootतु (अव्यय)
Formविरोध/अन्वयार्थक-निपात (particle: 'but/indeed')
रूपform
रूप:
Sambandha (Compound member/समासाङ्ग)
TypeNoun
Rootरूप (प्रातिपदिक)
Formसमासाङ्ग
भेदात्from variation in form
भेदात्:
Hetu/Apadana (Cause/Source/हेतु/अपादान)
TypeNoun
Rootभेद (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी (5th/Ablative), एकवचन; तत्पुरुषः (रूपभेदात् = from difference of form)
नवात्मकम्ninefold (having nine forms)
नवात्मकम्:
Karma/Predicate (Object/विधेय)
TypeAdjective
Rootनव (प्रातिपदिक) + आत्मन् (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया, एकवचन; तत्पुरुषः (नव आत्मा यस्य = ninefold)
दोषैःby doṣas (humors)
दोषैः:
Karana (Instrument/करण)
TypeNoun
Rootदोष (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया, बहुवचन
पृथग्विधैःof various kinds
पृथग्विधैः:
Karana (Instrument/करण)
TypeAdjective
Rootपृथक् (अव्यय/प्रातिपदिक) + विध (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया, बहुवचन; कर्मधारयः (पृथग्विध = of different kinds)
सर्वैःby all
सर्वैः:
Karana (Instrument/करण)
TypeAdjective
Rootसर्व (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया, बहुवचन; विशेषण (दोषैः)
अभिघातात्from injury/trauma
अभिघातात्:
Hetu/Apadana (Cause/Source/हेतु/अपादान)
TypeNoun
Rootअभि + घात (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी, एकवचन
विषादात्from grief/depression
विषादात्:
Hetu/Apadana (Cause/Source/हेतु/अपादान)
TypeNoun
Rootविषाद (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी, एकवचन
अपिalso/even
अपि:
Sambandha/Connector (सम्बन्ध)
TypeIndeclinable
Rootअपि (अव्यय)
Formसमुच्चयार्थक/सम्भावनार्थक-अव्यय (particle: 'also/even')

Lord Vishnu (teaching Garuda/Vinata-putra)

Dosha: Mixed

Concept: Śotha is ninefold due to diverse hetu and rūpa-bheda: doṣa-specific, doṣa-combinational, plus trauma and viṣa (poison).

Vedantic Theme: Many names/forms (nāma-rūpa) arise from differing causes; discernment classifies appearances to guide right action.

Application: In evaluating swelling, include non-doṣic causes like injury and poisoning; tailor response to etiology rather than treating all edema identically.

Primary Rasa: adbhuta

Secondary Rasa: shanta

Related Themes: Garuda Purana 1.162.21-22 (doṣa mechanism and nicaya); Garuda Purana 1.162.24 (generalized swelling and threefold features)

V
Vishnu
G
Garuda

FAQs

The verse emphasizes diagnosis by cause and appearance, mapping śotha into multiple etiologies—doṣic, combined doṣic, traumatic, and toxic—so treatment can be cause-specific.

It does not address the afterlife narrative; it is a diagnostic teaching within Garuda Purana’s Ayurvedic material, spoken by Vishnu to Garuda.

Do not treat all swelling as the same—consider injury, allergy/toxin exposure, and systemic imbalance, and seek appropriate care based on the suspected cause.