Śvāsa-nidāna: Etiology, Types, Symptom Progression, and Fatal Prognosis
स याप्यस्तमकः साध्यो नरस्य बलिनो भवेत् / ज्वरमूर्छावतः सीतैर्न शाम्येत्प्रथमस्तु सः
sa yāpyastamakaḥ sādhyo narasya balino bhavet / jvaramūrchāvataḥ sītairna śāmyetprathamastu saḥ
「ヤーピヤ・アスタマカ」と呼ばれるそれは治療し得て、強健な男には癒えることもある。だが熱と失神を伴う者には、冷やす手立てをもってしても、初めは鎮まらない。
Lord Vishnu (speaking to Garuda/Vinata-putra)
Concept: Prognosis (sādhya/asādhya nuance): yāpya-astamaka is manageable/curable in the strong; complicated cases resist immediate palliation even with cooling.
Vedantic Theme: Kārya-kāraṇa (causal complexity) in embodied life; outcomes depend on multiple conditions (bala, upadrava).
Application: Assess strength and complications before choosing therapy; do not expect immediate relief in fever-fainting states; persist with appropriate staged care.
Primary Rasa: shanta
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.150 (classification: yāpya/sādhya; upadrava like jvara, mūrcchā)
This verse classifies yāpya-astamaka as a condition that can be managed and even cured in a robust person, showing the text’s focus on prognosis and patient strength in healing.
It states that when fever and fainting accompany the condition, the illness does not calm down quickly—highlighting complication-signs that delay relief even with cooling treatments.
It encourages assessing overall strength and complications (like fever with fainting) before expecting quick relief, and seeking appropriate medical care rather than relying only on symptomatic cooling measures.