Shloka 1

Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever

षट्चत्वारिंशदुत्तरशततमो ऽध्यायः धन्वन्तरिरुवाच / वक्ष्ये ज्वरनिदानं हि सर्वज्वरविबुद्धये / ज्वरो रोगपतिः पाप्मा मृत्युराजो ऽशनो ऽन्तकः / क्रुद्धदक्षाध्वरध्वंसिरुद्रोर्ध्वनयनोद्भवः

ṣaṭcatvāriṃśaduttaraśatatamo 'dhyāyaḥ dhanvantariruvāca / vakṣye jvaranidānaṃ hi sarvajvaravibuddhaye / jvaro rogapatiḥ pāpmā mṛtyurājo 'śano 'ntakaḥ / kruddhadakṣādhvaradhvaṃsirudrordhvanayanodbhavaḥ

അധ്യായം 147. ധന്വന്തരി പറഞ്ഞു—“സകല ജ്വരങ്ങളെയും ശരിയായി ഗ്രഹിക്കുവാൻ ജ്വരനിദാനം (കാരണങ്ങൾ) ഞാൻ പ്രസ്താവിക്കുന്നു. ജ്വരം രോഗങ്ങളുടെ അധിപൻ—പാപസ്വരൂപൻ, മരണരാജൻ, ഭക്ഷകൻ, അന്തകൻ; കോപത്തിൽ ദക്ഷയജ്ഞം ധ്വംസിച്ച ഊർദ്ധ്വനയനധാരിയായ രുദ്രനിൽ നിന്നാണ് അതിന്റെ ഉദ്ഭവം.”

ṣaṭ-catvāriṃśat-uttara-śatatamaḥthe one-hundred-and-forty-sixth
ṣaṭ-catvāriṃśat-uttara-śatatamaḥ:
Visheshana (Qualifier)
TypeAdjective
Rootṣaṭ (संख्या) + catvāriṃśat (संख्या) + uttara (प्रातिपदिक) + śatatama (प्रातिपदिक)
Formपुंलिङ्गे, प्रथमा, एकवचन; क्रमवाचक-समासः (अध्यायविशेषणम्): ‘शततमः’ with ‘षट्चत्वारिंशदुत्तर’ = 146th
adhyāyaḥchapter
adhyāyaḥ:
Karta (Subject/Topic)
TypeNoun
Rootadhyāya (प्रातिपदिक)
Formपुंलिङ्गे, प्रथमा, एकवचन
dhanvantariḥDhanvantari
dhanvantariḥ:
Karta (Subject/Agent)
TypeNoun
Rootdhanvantari (प्रातिपदिक)
Formपुंलिङ्गे, प्रथमा, एकवचन; वक्ता
uvācasaid
uvāca:
Kriya (Action)
TypeVerb
Root√vac (धातु)
Formलिट् (परोक्षभूत/परफेक्ट), प्रथमपुरुष, एकवचन; परस्मैपदम्
vakṣyeI will explain
vakṣye:
Kriya (Action)
TypeVerb
Root√vac (धातु)
Formलृट् (भविष्यत्काल), उत्तमपुरुष, एकवचन; परस्मैपदम्
jvara-nidānamthe etiology of fever
jvara-nidānam:
Karma (Object)
TypeNoun
Rootjvara (प्रातिपदिक) + nidāna (प्रातिपदिक)
Formनपुंसकलिङ्गे, द्वितीया, एकवचन; तत्पुरुषः ‘ज्वरस्य निदानम्’ = cause/etiology of fever
hiindeed/for
hi:
Sambandha (Connector)
TypeIndeclinable
Roothi (अव्यय)
Formअव्ययम्; निपातः (indeed/for)
sarva-jvara-vibuddhayefor understanding all fevers
sarva-jvara-vibuddhaye:
Sampradana (Purpose/Beneficiary)
TypeNoun
Rootsarva (प्रातिपदिक) + jvara (प्रातिपदिक) + vibuddhi (प्रातिपदिक)
Formस्त्रीलिङ्गे, चतुर्थी (सम्प्रदाने), एकवचन; तत्पुरुषः ‘सर्वज्वरस्य विबुद्धिः’ = understanding of all fevers
jvaraḥfever
jvaraḥ:
Karta (Subject)
TypeNoun
Rootjvara (प्रातिपदिक)
Formपुंलिङ्गे, प्रथमा, एकवचन
roga-patiḥlord of diseases
roga-patiḥ:
Samanaadhikarana (Predicate nominative)
TypeNoun
Rootroga (प्रातिपदिक) + pati (प्रातिपदिक)
Formपुंलिङ्गे, प्रथमा, एकवचन; तत्पुरुषः ‘रोगाणां पतिः’ = lord of diseases
pāpmāevil/sin
pāpmā:
Samanaadhikarana (Predicate nominative)
TypeNoun
Rootpāpman (प्रातिपदिक)
Formपुंलिङ्गे, प्रथमा, एकवचन; ‘पाप्मन्’ = sin/evil
mṛtyu-rājaḥking of death
mṛtyu-rājaḥ:
Samanaadhikarana (Predicate nominative)
TypeNoun
Rootmṛtyu (प्रातिपदिक) + rāja (प्रातिपदिक)
Formपुंलिङ्गे, प्रथमा, एकवचन; तत्पुरुषः ‘मृत्योः राजा’ = king of death
aśanaḥdevourer
aśanaḥ:
Samanaadhikarana (Predicate nominative)
TypeNoun
Rootaśana (प्रातिपदिक)
Formपुंलिङ्गे, प्रथमा, एकवचन; ‘अशन’ = eater/devourer
antakaḥdestroyer/ender
antakaḥ:
Samanaadhikarana (Predicate nominative)
TypeNoun
Rootantaka (प्रातिपदिक)
Formपुंलिङ्गे, प्रथमा, एकवचन; ‘अन्तक’ = ender/destroyer
kruddha-dakṣa-adhvara-dhvaṃsi-rudra-ūrdhva-nayana-udbhavaḥborn from Rudra who destroyed Dakṣa’s sacrifice in anger (the upturned-eyed one)
kruddha-dakṣa-adhvara-dhvaṃsi-rudra-ūrdhva-nayana-udbhavaḥ:
Samanaadhikarana (Predicate nominative)
TypeNoun
Rootkruddha (कृदन्त; √krudh/क्रुध् + क्त) + dakṣa (प्रातिपदिक) + adhvara (प्रातिपदिक) + dhvaṃsin (प्रातिपदिक; √dhvaṃs/ध्वंस्) + rudra (प्रातिपदिक) + ūrdhva (प्रातिपदिक) + nayana (प्रातिपदिक) + udbhava (प्रातिपदिक)
Formपुंलिङ्गे, प्रथमा, एकवचन; बहुपद-तत्पुरुषसमासः (विशेषणात्मकः): ‘क्रुद्धः दक्षाध्वरध्वंसी रुद्रः; ऊर्ध्वनयनात् उद्भवः’ इति—ज्वरस्य विशेषणम्

Dhanvantari

Concept: Jvara is ‘lord of diseases’, a death-like devourer; understanding its nidāna is essential for comprehending all fevers; its origin is traced to Rudra’s wrath in the Dakṣa-yajña myth.

Vedantic Theme: Suffering in embodiment is both natural (prakṛti) and symbolically tied to cosmic order/disorder; knowledge of causes is a step toward mastery and relief.

Application: Study fever etiologies systematically; treat with seriousness and early intervention; cultivate reverence for forces that exceed individual control (humility in medicine).

Primary Rasa: raudra

Secondary Rasa: bhayanaka

Type: ritual arena

Related Themes: Garuda Purana medical chapters: jvara nidāna and classifications (Chapter 147 context); Garuda Purana: mythic framing of diseases as deities/forces (general motif)

D
Dhanvantari
J
Jvara (fever personified)
R
Rudra (Shiva)
D
Daksha

FAQs

This verse frames fever as the “lord of diseases,” so knowing its nidāna (causes) is presented as foundational for correctly grasping and managing all fevers.

It portrays fever as arising from Rudra—the deity associated with fierce transformative power—specifically recalling Rudra’s destruction of Dakṣa’s sacrifice, emphasizing fever’s formidable, destructive aspect.

Treat fever seriously, seek to understand its root causes (nidāna) rather than only suppress symptoms, and adopt disciplined conduct—since the verse also associates jvara with ‘pāpmā’ (harm/evil) as a warning against neglect and imbalance.