Visarpa Nidāna-Lakṣaṇa
Causes, Types, and Prognosis of Rapidly Spreading Eruptive Disorders
हिक्काञ्च स गतो ऽवस्थामीदृशीं लभते नरः / क्वचिन्मर्मारतिग्रस्तो भूमिशय्यासनादिषु
hikkāñca sa gato 'vasthāmīdṛśīṃ labhate naraḥ / kvacinmarmāratigrasto bhūmiśayyāsanādiṣu
അവനെ ഹിക്കയും പിടിക്കും; മനുഷ്യൻ ഇത്തരമൊരു അവസ്ഥയിൽ എത്തും. ചിലപ്പോൾ മർമ്മവേദന കൊണ്ട് പീഡിതനായി നിലത്തും കിടക്കയിലും ഇരിപ്പിടത്തിലും മുതലായവയിലും ആശ്വാസം ലഭിക്കില്ല.
Lord Vishnu (in discourse to Garuda/Vinatā-putra)
Dosha: Vata
Concept: Systemic distress signs (hikkā) and positional intolerance indicate worsening internal derangement affecting prāṇa and marma.
Vedantic Theme: Duḥkha-darśana leading to dispassion; the body cannot be made a stable refuge.
Application: Treat hiccups and inability to rest as escalation; support prāṇa, reduce pain, and seek immediate medical attention.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.163 (hikkā and marma-vedanā as complications in vīsarpa)
They function as prognostic signs—hiccups, marma pain, and inability to rest indicate a severe, worsening condition.
It does not narrate post-death travel; it describes bodily crisis markers that, in traditional thought, may precede life-threatening decline.
Persistent hiccups with intense pain and inability to rest suggests serious illness—do not self-treat; seek urgent evaluation.