Kāsa-bheda: The Fivefold Classification of Cough and Its Clinical Signs
कण्ठे प्रलेपमदजं पीनसच्छर्द्यरोचकाः / रोमहर्षो धनस्निग्धंश्लेष्मणाञ्च प्रवर्तनम्
kaṇṭhe pralepamadajaṃ pīnasacchardyarocakāḥ / romaharṣo dhanasnigdhaṃśleṣmaṇāñca pravartanam
喉にはぬめる粘液の膜がまとわり、吐き気を伴う。鼻づまり、嘔吐、食欲不振が起こり、身の毛がよだつ。痰は濃く脂のように重くなり、動いて増し、吐き出される。
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Kapha
Concept: Observation of kapha aggravation signs (śleṣma-vikāra) and their progression in the throat and upper channels.
Vedantic Theme: Deha-anityatā (the body’s vulnerability) as a spur to viveka; practical knowledge for sustaining dharma through health.
Application: Recognize early kapha signs (throat coating, nausea, congestion, anorexia) and adopt kapha-pacifying regimen (light, warm diet; avoid heavy/unctuous foods; rest; seek vaidya).
Primary Rasa: bibhatsa
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.149 (medical/roga-nidāna sequence on vāta-pitta-kapha aggravation and symptoms)
This verse lists specific observable signs—throat coating, nausea, congestion, vomiting, anorexia, and phlegm aggravation—used in the text’s broader discussion of bodily conditions and omens surrounding sickness.
Indirectly: by detailing physical disturbances and decline, it supports the Garuda Purana’s wider Preta Kanda narrative where bodily changes accompany the transition toward death and the post-death journey.
Treat these as warning signs to seek timely care, maintain cleanliness of diet and habits, and prepare spiritually (japa, prayer, and ethical living) when health visibly deteriorates.