Prameha-Nidāna-Lakṣaṇa-Bheda: Etiology, Signs, Varieties, and Complications of Meha
सम्पूर्णरूपाः कफपित्तमेहाः क्रमेण ये वै रतिसम्भवाश्च / सक्रामते पित्तकृतास्तु याप्याः साध्यो ऽस्ति मेहो यदि नास्ति दिष्टम्
sampūrṇarūpāḥ kaphapittamehāḥ krameṇa ye vai ratisambhavāśca / sakrāmate pittakṛtāstu yāpyāḥ sādhyo 'sti meho yadi nāsti diṣṭam
Les meha de type kapha et pitta, lorsqu’ils se présentent dans leur forme complète, évoluent peu à peu ; certains naissent aussi d’un excès d’abandon aux plaisirs sexuels. Ceux que produit le pitta peuvent être yāpya, donc maîtrisables. Un meha peut être guéri, pourvu que le diṣṭa—le destin contraire—ne s’y oppose pas.
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Dosha: Kapha
Concept: Disease progression depends on causes and conditions: doṣa-type, indulgent behavior, and the limiting factor of diṣṭa; effort can succeed when conditions permit.
Vedantic Theme: Interplay of puruṣakāra (human effort) and daiva/diṣṭa (destiny) within empirical life; cultivate right action without fatalism.
Application: Address causative behaviors (especially overindulgence, including sexual excess), seek treatment early, and maintain disciplined routine; accept uncertainty while acting responsibly.
Primary Rasa: shanta
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.159.38 (doṣa causation)
The verse emphasizes that kapha- and pitta-driven mehas have recognizable, progressive presentations, and that prognosis differs—some are yāpya (manageable) while others may be fully sādhya (curable).
Rather than the soul’s post-death journey, the verse addresses how conduct (indulgence) and daiva (diṣṭa) affect embodied outcomes, implying a dharmic link between lifestyle and suffering.
Treat lifestyle discipline as preventive medicine—especially moderation in indulgence—and recognize that prognosis depends on both timely care and limiting aggravating factors.