Shloka 63

Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever

Devanagari script

गम्भीरधातुचारित्वात्सन्निपातेन सम्भवात् / तुल्योच्छ्रयाच्च दोषाणां दुश्चिकित्स्यश्चतुर्थकः

Transliteration

gambhīradhātucāritvātsannipātena sambhavāt / tulyocchrayācca doṣāṇāṃ duścikitsyaścaturthakaḥ

Translation

それは身体の深層のダートゥ（dhātu）にまで行き渡り、またドーシャの合併増悪であるサンニパータ（sannipāta）より生じ、しかもドーシャが等しく優勢となるゆえ、「第四の型」は治療が難しい。

Word by Word

• गम्भीरधातुचारित्वात्: because of deep penetration into the tissues
• गम्भीरधातुचारित्वात्: Hetu/Apadana (Cause/Source/हेतु/अपादान)
• Type: Noun
• Root: गम्भीर + धातु + चारित्व (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, पञ्चमी (5th/पञ्चमी), एकवचन — ablative singular; समासः बहुपद-तत्पुरुष (determinative: ‘deep-tissue-involvement/penetration’)

• सन्निपातेन: by the combined (tridoṣa) aggravation
• सन्निपातेन: Karana (Instrument/Means/करण)
• Type: Noun
• Root: सन्निपात (प्रातिपदिक)
• Form: पुंलिङ्ग, तृतीया (3rd/तृतीया), एकवचन — instrumental singular

• सम्भवात्: from arising/origin
• सम्भवात्: Hetu/Apadana (Cause/Source/हेतु/अपादान)
• Type: Noun
• Root: सम्भव (प्रातिपदिक)
• Form: पुंलिङ्ग, पञ्चमी (5th/पञ्चमी), एकवचन — ablative singular

• तुल्योच्छ्रयात्: because of equal predominance (of doṣas)
• तुल्योच्छ्रयात्: Hetu/Apadana (Cause/Source/हेतु/अपादान)
• Type: Noun
• Root: तुल्य + उच्छ्रय (प्रातिपदिक)
• Form: पुंलिङ्ग, पञ्चमी (5th/पञ्चमी), एकवचन — ablative singular; समासः कर्मधारय (‘equal elevation/strength’)

• च: and
• च: Samuccaya (Connector/समुच्चय)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: समुच्चय-अव्यय (conjunction)

• दोषाणाम्: of the doṣas (humors)
• दोषाणाम्: Sambandha (Genitive relation/सम्बन्ध)
• Type: Noun
• Root: दोष (प्रातिपदिक)
• Form: पुंलिङ्ग, षष्ठी (6th/षष्ठी), बहुवचन — genitive plural

• दुश्चिकित्स्यः: hard to treat
• दुश्चिकित्स्यः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: दुस् + चिकित्स्य (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st/प्रथमा), एकवचन — nominative singular; समासः उपसर्गपूर्वक-तत्पुरुष (‘difficult to treat’)

• चतुर्थकः: the quartan (fever)
• चतुर्थकः: Karta (Subject/कर्ता)
• Type: Noun
• Root: चतुर्थक (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st/प्रथमा), एकवचन — nominative singular

Speaker

Lord Vishnu (in discourse to Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Mixed

Philosophical Teaching

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.

Verse Rasa

Primary Rasa: shanta

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.147 (jvara-bheda; sannipata discussion)

FAQs

What is the importance of sannipāta in the Garuda Purana?

This verse highlights sannipāta—simultaneous disturbance of all three doṣas—as a key reason certain conditions become complex and hard to manage.

How does this verse explain the path of the soul?

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.

Practical application of this wisdom today?

Treat multi-factor health issues early—before they become deep-seated—and aim for doṣa balance through disciplined diet, routine, and timely medical guidance.