Kāsa-bheda: The Fivefold Classification of Cough and Its Clinical Signs
क्षीणस्य सासृङ्मूत्रत्वं श्वासपृष्टकटिग्रहः / षायुप्रधानाः कुपिता धावतो राजयक्ष्मणः
kṣīṇasya sāsṛṅmūtratvaṃ śvāsapṛṣṭakaṭigrahaḥ / ṣāyupradhānāḥ kupitā dhāvato rājayakṣmaṇaḥ
やせ衰えた者には、血の混じる尿、苦しい呼吸、背と腰のこわばりや痛みが起こる。身内の風(ヴァーユ)が主として乱れ、激しく走り回る—これがラージャヤクシュマー(消耗病)である。
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Dosha: Vata
Concept: Naming and discerning a grave condition through lakṣaṇas; confronting mortality through knowledge.
Vedantic Theme: Duhkha-darśana leading to vairāgya; body as kṣetra subject to decay.
Application: Do not ignore wasting and breathlessness; seek treatment; use the awareness of fragility to prioritize dharma and inner discipline.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.149 (rājayakṣmā description continues)
This verse lists hallmark signs of rājayakṣmā and frames it as a condition driven by disturbed vital airs (vāyus), showing the text’s diagnostic, Ayurvedic-style approach within the Purana.
Indirectly: by describing severe wasting and disordered vāyus, it highlights how bodily decline affects prāṇa (vital functioning), a key concern in Purāṇic discussions of life, death, and the transition of the subtle body.
Treat the described signs as serious red flags—seek timely medical care, and also adopt disciplined living (diet, rest, breath regulation) to avoid chronic depletion and imbalance.