Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever
गम्भीरधातुचारित्वात्सन्निपातेन सम्भवात् / तुल्योच्छ्रयाच्च दोषाणां दुश्चिकित्स्यश्चतुर्थकः
gambhīradhātucāritvātsannipātena sambhavāt / tulyocchrayācca doṣāṇāṃ duścikitsyaścaturthakaḥ
यह गहरे धातुओं में प्रवेश करने वाला है, सन्निपात (तीनों दोषों के संयुक्त प्रकोप) से उत्पन्न होता है, और इसमें दोष समान रूप से प्रबल होते हैं; इसलिए ‘चतुर्थक’ ज्वर कठिन-चिकित्स्य है।
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Dosha: Mixed
Concept: Right diagnosis: when all doṣas are equally aggravated and the pathology reaches deeper dhātus, prognosis worsens; knowledge guides humility and careful therapy.
Vedantic Theme: Viveka (discernment) in approaching embodied suffering; acceptance of complexity rather than simplistic causation.
Application: Seek skilled diagnosis for complex fevers; avoid self-medication; prioritize early intervention before deeper tissue involvement.
Primary Rasa: shanta
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.147 (jvara-bheda; sannipata discussion)
This verse highlights sannipāta—simultaneous disturbance of all three doṣas—as a key reason certain conditions become complex and hard to manage.
This verse is primarily medical/Āyurvedic in focus; it does not directly describe the soul’s journey, but teaches how bodily imbalance and deep tissue involvement affect human life and wellbeing.
Treat multi-factor health issues early—before they become deep-seated—and aim for doṣa balance through disciplined diet, routine, and timely medical guidance.