Visarpa Nidāna-Lakṣaṇa
Causes, Types, and Prognosis of Rapidly Spreading Eruptive Disorders
वातपित्ताज्ज्वरच्छर्दिमूर्छातीसारतृड्भ्रमैः / गन्थिभेदाग्निसदनतमकारोचकैर्युतः
vātapittājjvaracchardimūrchātīsāratṛḍbhramaiḥ / ganthibhedāgnisadanatamakārocakairyutaḥ
From the aggravation of vāta and pitta arise fever, vomiting, fainting, diarrhea, thirst, and giddiness; accompanied by bursting of glandular swellings, loss of digestive fire, darkness/blackouts, and loss of appetite.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Pitta
Concept: Vāta-pitta aggravation produces multi-system derangement: jvara, chardi, mūrcchā, atīsāra, tṛṣṇā, bhrama, agni-sadana, arochaka—showing interconnected physiology.
Vedantic Theme: Interdependence (paraspara-sambandha) of functions in the embodied field; disturbance in one principle propagates through the whole system.
Application: Recognize vāta-pitta mixed presentation and treat early to protect agni and prevent collapse (hydration, cooling yet vāta-safe measures, monitoring consciousness and GI losses).
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.163 (doṣa-saṃyoga complications; agni-sadana and systemic lakṣaṇa lists)
The verse links vāta-pitta aggravation with agni-sadana (weakened digestion), implying that restoring agni is central to managing systemic disease progression.
In this chapter the text focuses on embodied suffering and its signs; by teaching causes and symptoms, it supports a dharmic approach to caring for life and reducing avoidable distress.
When multiple systemic symptoms cluster (fever, vomiting, faintness, diarrhea), treat it as serious and address digestion, hydration, and prompt medical evaluation rather than self-neglect.