Shloka 1
Śvāsa-nidāna: Etiology, Types, Symptom Progression, and Fatal Prognosis
धन्वन्तरिरुवाच / अथातः श्वासरोगस्य निदानं प्रवदाम्यहम् / कासवृद्ध्या भवेच्छ्वासः पूर्वैर्वा दोषकोपनैः
dhanvantariruvāca / athātaḥ śvāsarogasya nidānaṃ pravadāmyaham / kāsavṛddhyā bhavecchvāsaḥ pūrvairvā doṣakopanaiḥ
ダンヴァンタリは言った。「今より、喘息・呼吸困難（śvāsa）の病の因（ニダーナ）を説こう。呼吸困難は、咳の増悪によって起こることもあり、また先に身体のドーシャが昂ぶったことによって起こることもある。」
Dhanvantari
Concept: Nidāna (etiology) of śvāsa: secondary to kāsa-vṛddhi or primary doṣa-kopa (vitiation).
Vedantic Theme: Understanding causality (kāraṇa-kārya) reduces suffering; knowledge guides right action in the embodied domain.
Application: In dyspnea, evaluate whether cough is the driver or whether underlying doṣic imbalance precedes; treat root cause rather than symptoms alone.
Primary Rasa: shanta
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.149.21 (kāsa-śvāsa urgency); Garuda Purana 1.150.2 (specific triggers of śvāsa)
FAQs
This verse opens a medical teaching attributed to Dhanvantari, framing breathlessness as a definable disease with identifiable causes—especially cough aggravation and doṣic disturbance—so that treatment can be properly directed.
It states that śvāsa can develop when cough increases, implying a progression where persistent or aggravated kāsa contributes to disordered respiration.
Treat worsening cough and doṣa-imbalance early—through appropriate diet, rest, and timely medical care—rather than ignoring symptoms until they progress into chronic breathlessness.