Shloka 60

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

Devanagari script

द्विधा कफोणिजङ्घाभ्यां स पूर्वं शिरसानिलात् / अस्थिमज्जोरुपगतश्चतुर्थकविपर्ययः

Transliteration

dvidhā kaphoṇijaṅghābhyāṃ sa pūrvaṃ śirasānilāt / asthimajjorupagataścaturthakaviparyayaḥ

Translation

Kemudian ia terbelah dua dan bergerak melalui pinggul serta betis; mula-mula ia berangkat dari kepala bersama angin hayat (anila). Setelah mencapai tulang, sumsum, dan paha—itulah yang dihuraikan sebagai pembalikan keempat susunan tubuh.

Word by Word

• द्विधा: in two ways
• द्विधा: Kriya-visheshana (Manner)
• Type: Indeclinable
• Root: द्विधा (अव्यय)
• Form: अव्यय; प्रकारवाचक (manner adverb)

• कफः: kapha (phlegm)
• कफः: Karta (Subject/कर्ता)
• Type: Noun
• Root: कफ (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन

• ऊणिजङ्घाभ्याम्: by/through the thighs and shanks
• ऊणिजङ्घाभ्याम्: Karana (Instrument/करण)
• Type: Noun
• Root: ऊणि + जङ्घा (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, तृतीया (3rd/तृतीया), द्विवचन; समासः—द्वन्द्व

• सः: that/it
• सः: Karta (Subject/कर्ता)
• Type: Noun
• Root: तद् (सर्वनाम-प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; सर्वनाम

• पूर्वम्: first/previously
• पूर्वम्: Kriya-visheshana (Temporal)
• Type: Indeclinable
• Root: पूर्व (प्रातिपदिक)
• Form: अव्यय; कालवाचक/क्रमवाचक (temporal/sequential adverb)

• शिरसा: by/through the head
• शिरसा: Karana (Instrument/करण)
• Type: Noun
• Root: शिरस् (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया (3rd/तृतीया), एकवचन

• अनिलात्: from wind (vāta)
• अनिलात्: Apadana (Source/अपादान)
• Type: Noun
• Root: अनिल (प्रातिपदिक)
• Form: पुंलिङ्ग, पञ्चमी (5th/पञ्चमी), एकवचन

• अस्थिमज्जोरुपगतः: having reached bone, marrow, and thigh
• अस्थिमज्जोरुपगतः: Karta (Subject/कर्ता)
• Type: Adjective
• Root: अस्थि + मज्जा + उरु + उपगत (कृदन्त)
• Form: भूतकृदन्त (क्त/PPP) ‘उपगत’; पुंलिङ्ग, प्रथमा, एकवचन; विशेषण; पूर्वपदसमूहः तत्पुरुष-प्राय (determinative chain)

• चतुर्थकविपर्ययः: the reversal/variation of the fourth (type)
• चतुर्थकविपर्ययः: Karta (Subject/कर्ता)
• Type: Noun
• Root: चतुर्थक + विपर्यय (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; समासः—तत्पुरुष

Speaker

Lord Vishnu (in dialogue with Garuda/Vinatā-putra)

Medical Ayurveda

Dosha: Kapha

Philosophical Teaching

Concept: Pathogenesis as directional movement and reversal (viparyaya) of doṣa/kapha with prāṇa/vāyu through specific limbs and deep tissues.

Vedantic Theme: Change and motion belong to prakṛti; the witnessing awareness remains distinct—useful for cultivating non-identification amid bodily flux.

Application: Track symptom migration from head to lower limbs and deep tissues; recognize ‘viparyaya’ patterns (reversal of expected order) to adjust treatment sequence and anticipate deeper involvement.

Verse Rasa

Primary Rasa: adbhuta

Secondary Rasa: shanta

Geographic Context

Type: body-pathway

Cross References

Related Themes: Garuda Purana 1.147 (viparyaya/periodicity sequence across verses 57–61)

FAQs

What is the importance of viparyaya (reversal) in the Garuda Purana?

This verse uses “viparyaya” to classify a specific pattern in the departure of the life-wind (prāṇa), describing an inverted/contrary progression through bodily regions as death approaches.

How does this verse explain the path of the soul at death?

It frames the transition in terms of prāṇa’s movement—first associated with the head and then proceeding through hips, shanks, and deeper tissues like bone and marrow—indicating stages of withdrawal from the gross body.

Practical application of this wisdom today?

It encourages mindful living and preparation for death through dharma and inner discipline, recognizing that death is a process of gradual withdrawal rather than a sudden event.