Shloka 7

Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis

Devanagari script

मध्यमूर्ध्वमधस्तिर्यगव्यथां सञ्जनयेद्धृदः / रूपं भविष्यतस्तस्य प्रतिश्यायो भृशं ज्वरः

Transliteration

madhyamūrdhvamadhastiryagavyathāṃ sañjanayeddhṛdaḥ / rūpaṃ bhaviṣyatastasya pratiśyāyo bhṛśaṃ jvaraḥ

Translation

ਹਿਰਦਾ ਮੱਧ, ਉੱਪਰ, ਹੇਠਾਂ ਅਤੇ ਪਾਸੇ ਵੱਲ ਵੀ ਦਰਦ ਪੈਦਾ ਕਰਦਾ ਹੈ। ਉਸ ਲਈ ਆਉਣ ਵਾਲਾ ਰੂਪ ਇਹ ਹੈ—ਭਿਆਨਕ ਪ੍ਰਤਿਸ਼੍ਯਾਯ (ਜ਼ੁਕਾਮ) ਅਤੇ ਤੀਬਰ ਜ੍ਵਰ।

Word by Word

• मध्य: in the middle
• मध्य: Desha (Location/देश)
• Type: Indeclinable
• Root: मध्य (प्रातिपदिक)
• Form: अव्यय (adverb) दिशाबोधक—मध्यतः/मध्ये (in the middle)

• ऊर्ध्व: upwards
• ऊर्ध्व: Desha (Direction/देश)
• Type: Indeclinable
• Root: ऊर्ध्व (प्रातिपदिक)
• Form: अव्यय (adverb) दिशाबोधक—ऊर्ध्वतः (upwards)

• अधः: downwards
• अधः: Desha (Direction/देश)
• Type: Indeclinable
• Root: अधस् (प्रातिपदिक)
• Form: अव्यय (adverb) दिशाबोधक (downwards)

• तिर्यक्: sideways, obliquely
• तिर्यक्: Desha (Direction/देश)
• Type: Indeclinable
• Root: तिर्यक् (प्रातिपदिक)
• Form: अव्यय (adverb) दिशाबोधक (sideways/obliquely)

• अव्यथाम्: pain, discomfort
• अव्यथाम्: Karma (Object/कर्म)
• Type: Noun
• Root: अव्यथा (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, द्वितीया (2nd), एकवचन

• सञ्जनयेत्: would produce, causes to arise
• सञ्जनयेत्: Kriya (Action/क्रिया)
• Type: Verb
• Root: सम्-जन् (धातु) + णिच् (causative)
• Form: लोट्/विधिलिङ्? अत्र विधिलिङ् (optative) परस्मैपद; प्रथमपुरुष (3rd), एकवचन; णिजन्त (causative)

• हृदः: of the heart
• हृदः: Sambandha (Genitive/सम्बन्ध)
• Type: Noun
• Root: हृद्/हृदय (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, षष्ठी (6th), एकवचन (genitive)

• रूपम्: the form/symptom
• रूपम्: Karta (Subject/कर्ता)
• Type: Noun
• Root: रूप (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा (1st)/द्वितीया (2nd), एकवचन; अत्र प्रथमा—लक्षणरूपेण (as a symptom)

• भविष्यतः: of the impending (condition)
• भविष्यतः: Sambandha (Genitive/सम्बन्ध)
• Type: Adjective
• Root: भू (धातु) + शतृ (भविष्यत्-प्रातिपदिक)
• Form: भविष्यत् (future participle/agentive adjective); पुं/नपुंसकलिङ्ग, षष्ठी (6th), एकवचन; ‘भविष्यतः’ = ‘भविष्यतः (रोगस्य)’

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

• प्रतिश्यायः: coryza, cold
• प्रतिश्यायः: Karta (Subject/कर्ता)
• Type: Noun
• Root: प्रतिश्याय (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st), एकवचन

• भृशम्: excessively, severely
• भृशम्: Kriya-vishesana (Adverbial/क्रियाविशेषण)
• Type: Indeclinable
• Root: भृशम् (अव्यय)
• Form: अव्यय (adverb) तीव्रताबोधक

• ज्वरः: fever
• ज्वरः: Karta (Subject/कर्ता)
• Type: Noun
• Root: ज्वर (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st), एकवचन

Speaker

Lord Vishnu (in instruction to Garuda/Vinata-putra)

Philosophical Teaching

Concept: Prodromal mapping: multi-directional pain centered around hṛd-region signals an approaching disease state culminating in severe cold and fever.

Vedantic Theme: Dukkha as a signal within embodied life; attentive awareness (smṛti) enables corrective action before escalation.

Application: Treat early systemic pain as a warning; rest, simplify diet, seek appropriate care, and avoid exertion that converts imbalance into full fever/catarrh.

Verse Rasa

Primary Rasa: karuna

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.152 (symptom progression toward jvara and pratiśyāya)

Characters & Entities

• Garuda

FAQs

What is the importance of physical omens in the Garuda Purana?

This verse treats specific bodily pains and acute illness (cold/catarrh and high fever) as signs of an approaching crisis, used to recognize severity and the imminence of suffering.

How does this verse explain the path of the soul?

Indirectly: by describing the body’s breakdown (heart-related pain and intense fever), it frames the physical prelude that often precedes death, which later sections connect to the jīva’s onward journey.

Practical application of this wisdom today?

Treat widespread chest/heart-region pain with severe fever/cold as urgent; alongside medical care, one may intensify dharmic conduct, prayer, and preparedness (including family and ritual readiness).