Visarpa Nidāna-Lakṣaṇa
Causes, Types, and Prognosis of Rapidly Spreading Eruptive Disorders
श्वासकासातिसारास्यशोषहिक्कावमिभ्रमैः / मोहवैवर्ण्यमूर्छाङ्गभङ्गग्निसदनैर्युताम् / इत्ययं ग्रन्थिवीसर्पः कफमारुतकोपजः
śvāsakāsātisārāsyaśoṣahikkāvamibhramaiḥ / mohavaivarṇyamūrchāṅgabhaṅgagnisadanairyutām / ityayaṃ granthivīsarpaḥ kaphamārutakopajaḥ
Marked by breathlessness, cough, diarrhea, dryness of mouth, hiccup, vomiting, and dizziness—together with delirium, discoloration, fainting, body-aches, and the waning of digestive fire—this is called “granthi-vīsarpa,” a spreading nodular affliction born of aggravated kapha and vāta.
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Dosha: Vata
Concept: Correct naming (saṃjñā) and causal diagnosis (doṣa-hetu) are prerequisites for effective response; ignorance of causes amplifies suffering.
Vedantic Theme: Viveka (discernment) applied to prakṛti’s guṇas/doṣas; knowledge as a means to reduce duḥkha in vyavahāra.
Application: Use symptom clusters to identify doṣa involvement (kapha-vāta) and recognize systemic danger signs (mūrcchā, agni-sadana) requiring immediate care.
Primary Rasa: bhayanaka
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.163.15-19 (continuing vīsarpa/granthi symptomatology and doṣa-based differentiation)
This verse preserves a classical symptom-list for a kapha–vāta–origin spreading nodular disorder, showing the Garuda Purana’s role as a compendium that also transmits Ayurvedic nidāna (diagnostic) knowledge.
It explicitly attributes granthi-vīsarpa to kapha and vāta aggravation (kaphamārutakopa-jaḥ), with hallmark signs like respiratory distress, digestive impairment (agni-sadana), and systemic weakness.
Use it as a traditional symptom-check framework: when kapha–vāta features (congestion/heaviness with dryness, pain, weakness of digestion) dominate, seek qualified Ayurvedic assessment rather than treating signs in isolation.