Shloka 40

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

सर्वथा विकृतिज्ञाने प्रागसाध्य उदाहृतः / ज्वरोपद्रवतीक्ष्णत्वं मन्दाग्निर्बहुमूत्रता

sarvathā vikṛtijñāne prāgasādhya udāhṛtaḥ / jvaropadravatīkṣṇatvaṃ mandāgnirbahumūtratā

വികൃതികളെ വിലയിരുത്തുന്ന എല്ലായിടത്തും ഇത് തുടക്കത്തിൽ തന്നേ അസാധ്യമെന്ന് പ്രസ്താവിക്കുന്നു—ജ്വരത്തിന്റെ അതിതീക്ഷ്ണതയും ഉപദ്രവങ്ങളും, മന്ദാഗ്നി (ജീർണശക്തി ക്ഷീണം), കൂടാതെ അതിമൂത്രത.

sarvathāin every way
sarvathā:
Sambandha/Modifier (सम्बन्ध)
TypeIndeclinable
Rootsarvathā (अव्यय; sarva + thā)
Formअव्यय; प्रकारवाचक क्रियाविशेषण (indeclinable adverb: in every way)
vikṛtijñānein the assessment/knowledge of abnormality
vikṛtijñāne:
Adhikarana (Context/अधिकरण)
TypeNoun
Rootvikṛti (प्रातिपदिक) + jñāna (प्रातिपदिक)
Formनपुंसकलिङ्ग, सप्तमी (7th), एकवचन; षष्ठी-तत्पुरुष (vikṛteḥ jñānam) ‘knowledge of abnormality’; अधिकरण (Neuter, Locative singular)
prākpreviously, earlier
prāk:
Sambandha/Modifier (सम्बन्ध)
TypeIndeclinable
Rootprāk (अव्यय)
Formअव्यय; कालवाचक (indeclinable: previously/earlier)
asādhyaḥincurable
asādhyaḥ:
Karta (Subject/कर्ता)
TypeAdjective
Roota + sādhya (प्रातिपदिक; √sādh (धातु) से)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन; नञ्-पूर्वक विशेषण (Masculine, Nominative singular; incurable)
udāhṛtaḥis declared/said
udāhṛtaḥ:
Kriya (Action/क्रिया)
TypeVerb
Rootud-ā-√hṛ (धातु) + kta (क्त)
Formक्त-प्रत्ययान्त कृदन्त; पुंलिङ्ग, प्रथमा (1st), एकवचन; कर्मणि प्रयोगे ‘is said/declared’ (Past passive participle used predicatively)
jvarafever
jvara:
Sambandha (Compound member/सम्बन्ध)
TypeNoun
Rootjvara (प्रातिपदिक)
Formपुंलिङ्ग; समासपूर्वपद (as first member of compound)
upadravacomplication
upadrava:
Sambandha (Compound member/सम्बन्ध)
TypeNoun
Rootupadrava (प्रातिपदिक)
Formपुंलिङ्ग; समासपूर्वपद (as compound member)
tīkṣṇatvamintensity (sharpness)
tīkṣṇatvam:
Karta (Subject/कर्ता)
TypeNoun
Roottīkṣṇa (प्रातिपदिक) + tva (त्व)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1st/2nd), एकवचन; भाववाचक (abstract noun: sharpness/intensity)
mandāgniḥweak digestion (low agni)
mandāgniḥ:
Karta (Subject/कर्ता)
TypeNoun
Rootmanda (प्रातिपदिक) + agni (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन; कर्मधारय (mandaḥ agniḥ) ‘weak digestive fire’
bahumūtratāexcess urination
bahumūtratā:
Karta (Subject/कर्ता)
TypeNoun
Rootbahu (प्रातिपदिक) + mūtra (प्रातिपदिक) + tā (ता)
Formस्त्रीलिङ्ग, प्रथमा (1st), एकवचन; तत्पुरुष (bahu-mūtra) + ता-प्रत्यय (abstract noun: polyuria)

Lord Vishnu (in dialogue with Garuda)

Concept: Vikṛti-jñāna (knowledge of morbid states) includes recognizing incurable patterns: severe fever with complications, weak agni, polyuria.

Vedantic Theme: Viveka and yathārtha-jñāna (seeing things as they are) to reduce delusion and guide compassionate action.

Application: Use prognostic markers to triage: identify severe complicated fever, low digestive fire, and excessive urination as poor prognostic signs; intensify care or shift to palliation.

Primary Rasa: bhayanaka

Secondary Rasa: karuna

Related Themes: Garuda Purana 1.147 (asādhyatā-lakṣaṇa in jvara; agni and complications as key markers)

FAQs

This verse highlights prognostic markers—fever with severe complications, weakened digestion, and excessive urination—indicating a condition considered incurable early on, guiding realistic expectations and appropriate conduct.

Indirectly, by emphasizing clear signs of terminal decline; in the Garuda Purana’s broader teaching, recognizing such signs supports timely spiritual preparation and dharmic duties when life is nearing its end.

Treat these as red-flag indicators: seek competent medical care promptly, and alongside treatment maintain disciplined diet/digestion support and mindful preparation for responsibilities and spiritual practices.