Kāsa-bheda: The Fivefold Classification of Cough and Its Clinical Signs
नामाष्टचत्वारिंशदुत्तरशततमो ऽध्यायः धन्वन्तरिरुवाच / आशुकारी यतः कासः स एवातः प्रवक्ष्यते / पञ्च कासाः स्मृता वातपित्तश्लेष्मक्षतक्षयैः
nāmāṣṭacatvāriṃśaduttaraśatatamo 'dhyāyaḥ dhanvantariruvāca / āśukārī yataḥ kāsaḥ sa evātaḥ pravakṣyate / pañca kāsāḥ smṛtā vātapittaśleṣmakṣatakṣayaiḥ
第百四十九章が始まる。ダンヴァンタリは言った。「咳は速やかに起こり、たちまち重くなり得るゆえ、今これを説く。咳は五種と記される—ヴァータ、ピッタ、シュレーシュマン(カパ)、損傷(クシャタ)、消耗(クシャヤ)より生ずる。」
Dhanvantari
Dosha: Mixed
Concept: Right knowledge begins with classification: kāsa is swift-acting and is of five etiological kinds—vāta, pitta, śleṣman, kṣata, kṣaya.
Vedantic Theme: Pramāṇa-guided discernment (viveka) in the empirical domain; ordering experience reduces confusion and supports right action.
Application: When evaluating cough, first determine the dominant cause (doṣaja vs injury vs consumption) to guide appropriate treatment and prognosis.
Primary Rasa: shanta
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.149 (kāsa-nidāna and lakṣaṇa sequence); Garuda Purana 1.148 (preceding śodhana/doṣa discussion)
This verse introduces a diagnostic framework: cough is divided into five etiological types—vāta, pitta, kapha (śleṣman), injury (kṣata), and wasting/consumption (kṣaya)—so treatment can be matched to the cause.
It does not discuss the soul’s journey here; this section shifts to Dhanvantari’s Ayurvedic instruction, focusing on bodily disease classification rather than afterlife doctrine.
Use the principle of cause-based diagnosis: persistent cough should be assessed by underlying pattern (dry/windy, hot/inflammatory, phlegmatic, injury-related, or wasting) and evaluated promptly because it can become severe quickly.