Shloka 83

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.

कायेin the body
काये:
Adhikarana (Locative/अधिकरण)
TypeNoun
Rootकाय (प्रातिपदिक)
Formपुंलिङ्ग, सप्तमी (7th), एकवचन
पित्तम्bile
पित्तम्:
Karta (Subject/कर्ता)
TypeNoun
Rootपित्त (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1st/2nd), एकवचन
यदाwhen
यदा:
Sambandha (Temporal link/सम्बन्ध)
TypeIndeclinable
Rootयदा (अव्यय)
Formकालवाचक-अव्यय (temporal adverb)
न्यस्तम्placed
न्यस्तम्:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootनि + अस्/स्था (धातु) + न्यस्त (कृदन्त-प्रातिपदिक)
Formभूतकृदन्त (क्त), नपुंसकलिङ्ग, प्रथमा (1st), एकवचन; ‘placed/deposited’
श्लेष्माphlegm
श्लेष्मा:
Karta (Subject/कर्ता)
TypeNoun
Rootश्लेष्मन् (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन
and
:
Sambandha (Connector/सम्बन्ध)
TypeIndeclinable
Rootच (अव्यय)
Formसमुच्चयार्थक-अव्यय (conjunction)
अन्तेat the end/terminal part
अन्ते:
Adhikarana (Locative/अधिकरण)
TypeNoun
Rootअन्त (प्रातिपदिक)
Formपुंलिङ्ग, सप्तमी (7th), एकवचन
व्यवस्थितःsituated
व्यवस्थितः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootवि + अव + स्था (धातु) + व्यवस्थित (कृदन्त-प्रातिपदिक)
Formभूतकृदन्त (क्त), पुंलिङ्ग, प्रथमा (1st), एकवचन; ‘well-established/situated’
उष्णत्वम्heat/hotness
उष्णत्वम्:
Karta (Subject/कर्ता)
TypeNoun
Rootउष्णत्व (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1st/2nd), एकवचन
तेनby that/thereby
तेन:
Karana (Instrument/करण)
TypeNoun
Rootतद् (सर्वनाम-प्रातिपदिक)
Formपुं/नपुंसक, तृतीया (3rd/तृतीया), एकवचन
देहस्यof the body
देहस्य:
Sambandha (Genitive/सम्बन्ध)
TypeNoun
Rootदेह (प्रातिपदिक)
Formपुंलिङ्ग, षष्ठी (6th/षष्ठी), एकवचन
शीतत्वम्coldness
शीतत्वम्:
Karta (Subject/कर्ता)
TypeNoun
Rootशीतत्व (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1st/2nd), एकवचन
करपादयोःof the hands and feet
करपादयोः:
Sambandha (Genitive/सम्बन्ध)
TypeNoun
Rootकर + पाद (प्रातिपदिक)
Formपुंलिङ्ग, षष्ठी/सप्तमी (6th/7th), द्विवचन; द्वन्द्वः कर + पाद

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)

FAQs

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.