Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever
काये पित्तं यदा न्यस्तं श्लेष्मा चान्ते व्यवस्थितः / उष्णत्वं तेन देहस्य शीतत्वं करपादयोः
kāye pittaṃ yadā nyastaṃ śleṣmā cānte vyavasthitaḥ / uṣṇatvaṃ tena dehasya śītatvaṃ karapādayoḥ
ദേഹത്തിൽ പിത്തം പതിഞ്ഞു, കഫം അവസാനം ഘട്ടത്തിൽ കൂടിച്ചേരുമ്പോൾ, അതിനാൽ ശരീരത്തിന്റെ നടുഭാഗം ഉഷ്ണമാകുകയും കൈകാലുകൾ ശീതളമാകുകയും ചെയ്യുന്നു.
Lord Vishnu (in dialogue to Garuda/Vinata-putra)
Dosha: Mixed
Concept: Progression/placement of pitta and kapha yields characteristic thermal distribution: hot trunk, cold extremities.
Vedantic Theme: Discriminating awareness (viveka) between changing bodily states and the witnessing consciousness.
Application: Treat as a sign of systemic heat with peripheral cold: monitor circulation, hydration, and apply appropriate cooling/kapha-pacifying measures under guidance.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.147.82 (heat/cold split); Garuda Purana 1.147.85-86 (acute fever signs and recovery signs)
This verse treats changes in heat distribution (hot trunk, cold hands/feet) as a diagnostic sign of the final stage of life, helping identify the onset of the dying process described in the Preta Kanda.
Indirectly: it marks the physiological threshold of death—when the body’s humors shift and extremities cool—after which the text proceeds to describe post-death transitions relevant to the preta (departed being).
Use it as a traditional indicator of end-of-life transition: focus on calm presence, prayer/recitation, and timely performance of family duties and rites rather than panic when such signs appear.