Pāṇḍu-Śotha Nidāna: Doṣa-wise Signs, Complications, and Prognosis
पाण्डुरोगेक्षयेजाते नाभिपादास्यमेहनम् / पुरीषं कृमिवन्मुञ्चेद्भिन्नं सास्त्रं कफान्वितम्
pāṇḍurogekṣayejāte nābhipādāsyamehanam / purīṣaṃ kṛmivanmuñcedbhinnaṃ sāstraṃ kaphānvitam
パーンドゥ(pāṇḍu・蒼白の病)に罹る者に消耗(kṣaya)が生ずると、臍のあたり、足、口、そして尿道が侵される。便は虫が満ちたかのように—水様で崩れ、血を混じえ、さらにカパ(kapha・粘液)を伴って排される。
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Mixed
Concept: Care of the body through accurate recognition of disease-signs; negligence worsens suffering.
Vedantic Theme: Deha-anityatā (impermanence of the body) as a practical spur to vigilance and discipline.
Application: Recognize severe pāṇḍu-kṣaya signs (wasting, bleeding/kapha-mixed diarrhea, multi-site affliction) and seek timely treatment; avoid causative diet/behavior.
Primary Rasa: bibhatsa
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.162.16-19 (progression of pāṇḍu/pitta complications)
The verse links pāṇḍu (debilitating pallor) with kṣaya (wasting), showing how advanced depletion produces multi-site distress and severe bowel symptoms—markers of serious decline.
It is not an afterlife verse; it addresses embodied suffering and degeneration, reinforcing the Purana’s practical instruction that maintaining health supports one’s dharma and spiritual aims.
Loose stools with blood/mucus and systemic weakness are danger signs; seek prompt medical care and avoid self-treatment, since the text frames these as signs of advanced wasting.