Shloka 18

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

Devanagari script

दोषपाकश्चिरं तन्द्रा प्रततं कण्ठकूजनम् / सन्निपातमभिन्यासं तं ब्रूयाच्च हतौजसम्

Transliteration

doṣapākaściraṃ tandrā pratataṃ kaṇṭhakūjanam / sannipātamabhinyāsaṃ taṃ brūyācca hataujasam

Translation

Apabila doṣa dalam tubuh menjadi kacau teruk, timbul rasa mengantuk yang berpanjangan, bunyi serak/berkeriut berterusan di tekak, dan rebah ke dalam serangan demam yang berbahaya; orang demikian hendaklah difahami sebagai telah musnah ojas—daya hayat dan kekuatannya.

Word by Word

• doṣapākaḥ: maturation/aggravation of doṣas
• doṣapākaḥ: Karta (Subject/कर्ता)
• Type: Noun
• Root: doṣa (प्रातिपदिक) + pāka (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; षष्ठी-तत्पुरुषः (दोषस्य पाकः)

• ciram: for a long time
• ciram: Adhikarana (Time/अधिकरण)
• Type: Indeclinable
• Root: cira (प्रातिपदिक)
• Form: अव्यय; कालवाचक क्रियाविशेषण (adverb of time)

• tandrā: drowsiness
• tandrā: Karta (Subject/कर्ता)
• Type: Noun
• Root: tandrā (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा (1st/Nominative), एकवचन

• pratatam: continuously
• pratatam: Visheshana (Qualifier/विशेषण)
• Type: Indeclinable
• Root: pra√tan (धातु) → pratata (कृदन्त-प्रातिपदिक)
• Form: अव्ययवत् प्रयोगः; नपुंसकलिङ्ग, द्वितीया (2nd/Accusative), एकवचन रूपेण क्रियाविशेषण (adverb: continuously)

• kaṇṭhakūjanam: throat-croaking; gurgling sound
• kaṇṭhakūjanam: Karta (Subject/कर्ता)
• Type: Noun
• Root: kaṇṭha (प्रातिपदिक) + kūjana (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा (1st/Nominative), एकवचन; सप्तमी/षष्ठी-तत्पुरुषभावः (कण्ठे/कण्ठस्य कूजनम्)

• sannipātam: sannipāta (combined doṣa condition)
• sannipātam: Karma (Object/कर्म)
• Type: Noun
• Root: sannipāta (प्रातिपदिक)
• Form: पुंलिङ्ग, द्वितीया (2nd/Accusative), एकवचन

• abhinyāsam: affliction; severe onset/attack
• abhinyāsam: Karma (Object/कर्म)
• Type: Noun
• Root: abhi√ni-as (धातु) → abhinyāsa (प्रातिपदिक)
• Form: पुंलिङ्ग, द्वितीया (2nd/Accusative), एकवचन

• tam: that (condition)
• tam: Karma (Object/कर्म)
• Type: Noun
• Root: tad (सर्वनाम-प्रातिपदिक)
• Form: पुंलिङ्ग, द्वितीया (2nd/Accusative), एकवचन; सर्वनाम

• brūyāt: should declare/call
• brūyāt: Kriya (Action/क्रिया)
• Type: Verb
• Root: √brū (धातु)
• Form: विधिलिङ् (Optative), परस्मैपद, प्रथमपुरुष (3rd person), एकवचन

• ca: and
• ca: Sambandha (Connector/सम्बन्ध)
• Type: Indeclinable
• Root: ca (अव्यय)
• Form: समुच्चयार्थक अव्यय (conjunction)

• hataujasam: with diminished vitality
• hataujasam: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: hata (कृदन्त-प्रातिपदिक) + ojas (प्रातिपदिक)
• Form: पुंलिङ्ग, द्वितीया (2nd/Accusative), एकवचन; षष्ठी-तत्पुरुषः (हतम् ओजः यस्य/ओजसः हतत्वम्) — अर्थतः ‘क्षीण-ओजस्’

Speaker

Lord Vishnu (speaking to Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Mixed

Philosophical Teaching

Concept: Ojas (vital essence) depletion as a marker of life-threatening disease; discernment of prognosis.

Vedantic Theme: Prāṇa/ojas as contingent supports of embodied life; reminder of mortality fostering vairāgya.

Application: Recognize red-flag symptoms (prolonged stupor, throat rattle, sannipāta seizure) and prioritize urgent care and supportive measures.

Verse Rasa

Primary Rasa: bhayanaka

Secondary Rasa: karuna

Cross References

Related Themes: Garuda Purana 1.147.19-21 (mechanism and prognosis of sannipāta-jvara elaborated)

FAQs

What is the importance of recognizing death-signs in the Garuda Purana?

This verse lists clinical indicators—prolonged stupor, throat-rattle, and sannipāta collapse—used to recognize severe decline and depleted ojas, helping families prepare for appropriate spiritual and ethical focus.

How does this verse explain the path of the soul?

Indirectly: it identifies the bodily breakdown (loss of ojas and doṣic collapse) that typically precedes death, marking the transition point after which the soul’s post-death journey described elsewhere in the Garuda Purana begins.

Practical application of this wisdom today?

Treat such symptoms as medical emergencies while also prioritizing calmness, prayer/recitation, and mindful conduct—supporting both physical care and a dignified end-of-life atmosphere.