Cikitsā-sāra: Doṣa Nidāna–Lakṣaṇa, Agni, Ajīrṇa/Āma Cikitsā, Daśamūla, and Prognostic Signs
संमिश्रलक्षणैर्ज्ञेयो द्वित्रिदोषान्वयो नरः / दोषस्येतरसद्भावे ऽप्यधिका प्रकृतिः स्मृताः
saṃmiśralakṣaṇairjñeyo dvitridoṣānvayo naraḥ / doṣasyetarasadbhāve 'pyadhikā prakṛtiḥ smṛtāḥ
Melalui tanda-tanda yang bercampur, seseorang difahami mempunyai gabungan dua, bahkan tiga doṣa. Walaupun doṣa lain turut hadir, perlembagaan ditentukan oleh doṣa yang paling dominan.
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Concept: Prakṛti may be dual or tri-doṣic; determination rests on the predominant doṣa even amid mixed presence.
Vedantic Theme: Discernment (viveka) in the field of prakṛti: naming the dominant tendency enables skillful action; plurality resolved by predominance.
Application: Assess mixed constitutions by weighting dominant signs; tailor diet/routine primarily to the predominant doṣa while accommodating secondary tendencies.
Primary Rasa: shanta
Related Themes: Garuda Purana 1.168.31-34 (causes and single-doṣa lakṣaṇas)
This verse states that even if multiple doṣas appear, the person’s prakṛti is primarily defined by the doṣa that is most predominant, guiding assessment and balancing.
It explains that mixed signs indicate a dual-doṣa or tri-doṣa association, and diagnosis should look for which doṣa is strongest rather than assuming equal balance.
Observe recurring tendencies (dryness, heat, heaviness, etc.) to identify the dominant doṣa, then choose diet and routine that reduce that excess while supporting overall balance.