Prameha-Nidāna-Lakṣaṇa-Bheda: Etiology, Signs, Varieties, and Complications of Meha
आवृतो दोषलिङ्गानि सो ऽनिमित्तं प्रदर्शयेत् / क्षणात्क्षीणः क्षणात्पूर्णो भजते कृच्छ्रसाघ्यताम्
āvṛto doṣaliṅgāni so 'nimittaṃ pradarśayet / kṣaṇātkṣīṇaḥ kṣaṇātpūrṇo bhajate kṛcchrasāghyatām
Apabila tanda-tanda doṣa terselubung, pesakit memperlihatkan gejala tanpa sebab yang nyata. Seketika menjadi susut, seketika menjadi penuh dan kembung—maka jatuhlah ia ke keadaan yang sukar disembuhkan.
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Concept: Avaraṇa/hidden doṣa signs lead to erratic symptomatology and poor prognosis; rapid fluctuation indicates kṛcchra-sādhyatā (difficult to cure).
Vedantic Theme: Dukkha-lakṣaṇa of embodied existence; impermanence of bodily states (moment-to-moment change) as a contemplative cue (implicit).
Application: Treat early and investigate masked doṣa patterns; recognize rapid emaciation/bloating swings as red flags requiring intensive care and monitoring.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.159.6 (doṣa-āvaraṇa mechanism); Garuda Purana 1.159.8 (progression when neglected)
This verse highlights that clear doṣa-signs guide diagnosis; when those signs are obscured, symptoms become unreliable and the condition tends toward difficult curability.
Indirectly, it frames the body as governed by doṣas and karmic vulnerability: inexplicable, rapidly changing symptoms are treated as ominous indicators of severe disorder, often discussed alongside dharma-based living to avoid decline.
Treat sudden, rapidly fluctuating health changes as serious; seek timely qualified care, and maintain disciplined diet, conduct, and routine so that imbalance does not become “hard to cure.”