Pāṇḍu-Śotha Nidāna: Doṣa-wise Signs, Complications, and Prognosis
पीतरक्तासिंताभासः पित्तजातश्च शोषकृत् / शीघ्रं नासौ वा प्रशमेन्मध्ये प्राग्दहते तनुम्
pītaraktāsiṃtābhāsaḥ pittajātaśca śoṣakṛt / śīghraṃ nāsau vā praśamenmadhye prāgdahate tanum
Yellowish and reddish in appearance, born of pitta (bile) and causing wasting, it does not quickly subside; rather, it burns the body from within, as though igniting it in the middle.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Pitta
Concept: Doṣa-viveka: pitta-lakṣaṇa (heat, discoloration, śoṣa) and chronicity; recognizing internal ‘dāha’ as a defining marker.
Vedantic Theme: Tāpa (burning affliction) as a reminder of embodied limitation; cultivating discernment and timely corrective action.
Application: When signs of pitta (yellow/red, burning, wasting) persist, prioritize cooling measures (śīta, madhura, tikta), hydration, and medical evaluation.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.162.34 (pitta-associated systemic signs: thirst, fever, sweat, diarrhea)
This verse highlights a pitta-born condition marked by yellow-red coloration, internal burning, and wasting—showing how the text classifies suffering through doṣa-based (humoral) causes.
It portrays suffering as an inward, consuming heat that does not easily calm down, emphasizing the felt reality of disease as a form of inner ‘burning’ and depletion.
Use it as a reminder to manage pitta-aggravating factors (excess heat, irritants, overexertion) and seek timely balancing measures, since such conditions are described as fast-wasting and slow to subside.