Shloka 5

Śvāsa-nidāna: Etiology, Types, Symptom Progression, and Fatal Prognosis

Devanagari script

प्राग्रूपं तस्य हृत्पार्श्वशूलं प्राणविलोमता / आनाहः शङ्खभेदश्च तत्रायासो ऽतिभोजनैः

Transliteration

prāgrūpaṃ tasya hṛtpārśvaśūlaṃ prāṇavilomatā / ānāhaḥ śaṅkhabhedaśca tatrāyāso 'tibhojanaiḥ

Translation

Tanda awalnya ialah: sakit di kawasan jantung dan sisi tubuh, pergerakan prāṇa-vāyu menjadi songsang, perut kembung menegang, serta sakit mencelah di pelipis; dalam keadaan itu, kepenatan timbul kerana makan berlebihan.

Word by Word

• प्राक्: beforehand; previously
• प्राक्: Kriya-visheshana (Adverbial/क्रियाविशेषण)
• Type: Indeclinable
• Root: प्राक् (अव्यय)
• Form: अव्यय, कालवाचक/पूर्वकालवाचक (adverb: beforehand)

• रूपम्: form; symptom-form
• रूपम्: Karma/Predicate (Object or predicative/कर्म)
• Type: Noun
• Root: रूप (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया (1st/2nd), एकवचन

• तस्य: of it; of that (disease)
• तस्य: Sambandha (Genitive/सम्बन्ध)
• Type: Noun
• Root: तद् (सर्वनाम-प्रातिपदिक)
• Form: षष्ठी (6th/Genitive), एकवचन; सर्वनाम

• हृत्: heart
• हृत्: Sambandha (Qualifier/सम्बन्ध)
• Type: Noun
• Root: हृद्/हृत् (प्रातिपदिक)
• Form: नपुंसकलिङ्ग; समासपूर्वपद

• पार्श्व: side; flank
• पार्श्व: Sambandha (Qualifier/सम्बन्ध)
• Type: Noun
• Root: पार्श्व (प्रातिपदिक)
• Form: नपुंसकलिङ्ग; समासमध्यपद

• शूलम्: pain; colic
• शूलम्: Karta/Predicate (Subject/predicate-noun)
• Type: Noun
• Root: शूल (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया, एकवचन; समासान्तपद

• प्राण: prāṇa (vital air)
• प्राण: Sambandha (Qualifier/सम्बन्ध)
• Type: Noun
• Root: प्राण (प्रातिपदिक)
• Form: पुंलिङ्ग; समासपूर्वपद

• विलोमता: reverse course; upward/contrary movement
• विलोमता: Karta/Predicate (Subject/predicate-noun)
• Type: Noun
• Root: विलोमता (प्रातिपदिक; विलोम + ता)
• Form: स्त्रीलिङ्ग, प्रथमा (1st/Nominative), एकवचन; भाववाचक (abstract noun)

• आनाहः: distension; bloating
• आनाहः: Karta/Predicate (Subject/predicate-noun)
• Type: Noun
• Root: आनाह (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन

• शङ्ख: conch; (here) temple region
• शङ्ख: Sambandha (Qualifier/सम्बन्ध)
• Type: Noun
• Root: शङ्ख (प्रातिपदिक)
• Form: पुंलिङ्ग; समासपूर्वपद

• भेदः: splitting pain; piercing
• भेदः: Karta/Predicate (Subject/predicate-noun)
• Type: Noun
• Root: भेद (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; समासान्तपद

• च: and
• च: Sambandha (Connector/सम्बन्ध)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: समुच्चयबोधक अव्यय (conjunction)

• तत्र: there; in that (condition)
• तत्र: Adhikarana (Adverbial locus/अधिकरण)
• Type: Indeclinable
• Root: तत्र (अव्यय)
• Form: देशवाचक अव्यय (locative adverb: there/in that condition)

• आयासः: exertion; fatigue
• आयासः: Karta/Predicate (Subject/predicate-noun)
• Type: Noun
• Root: आयास (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन

• अतिभोजनैः: by overeating; due to excessive meals
• अतिभोजनैः: Karana/Hetu (Instrument/Cause/करण/हेतु)
• Type: Noun
• Root: अतिभोजन (प्रातिपदिक; अति + भोजन)
• Form: नपुंसकलिङ्ग, तृतीया (3rd/Instrumental), बहुवचन; समासः—तत्पुरुषः (अति-भोजनम्)

Speaker

Lord Vishnu (teaching Garuda/Vinata-putra in a didactic section)

Medical Ayurveda

Dosha: Vata

Philosophical Teaching

Concept: Prodromal discernment (pūrvarūpa) and the ethical-physiological link between overconsumption (atibhojana) and suffering; moderation as preventive wisdom.

Vedantic Theme: Aparigraha/saṃyama as supportive of sattva: restraint in intake reduces bodily turbulence that veils clarity.

Application: Treat early signs seriously; avoid overeating and heavy foods; adopt measured diet and rest to prevent progression of śvāsa.

Verse Rasa

Primary Rasa: karuna

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.150.4 (stomach-origin); Garuda Purana 1.150.7 (full symptom expression)

Characters & Entities

• Vishnu
• Garuda

FAQs

What is the importance of recognizing prāgrūpa (prodromal signs) in the Garuda Purana?

This verse frames early symptoms—heart/flank pain, prāṇa moving in reverse, and abdominal distension—as warnings, implying that timely restraint (especially in diet) prevents worsening.

How does this verse explain the role of prāṇa-vilomatā in illness?

By naming prāṇa-vilomatā (contrary movement of the vital wind) alongside ānāha (distension/obstruction), the verse links disordered prāṇa-flow with digestive blockage and systemic discomfort.

Practical application of this wisdom today?

Practice dietary moderation, avoid overeating, and treat persistent chest-side pain with bloating or reflux-like upward movement as a signal to rest, simplify food, and seek competent medical guidance.