Causes and Signs of Hṛdroga
Heart Disease) and Tṛṣṇā (Pathological Thirst
वातात्पित्तात्कफात्तृष्णा सन्निपाताद्बलक्षयः / षष्ठी स्यादुपसर्गाच्च वातपित्ते च कारणम्
vātātpittātkaphāttṛṣṇā sannipātādbalakṣayaḥ / ṣaṣṭhī syādupasargācca vātapitte ca kāraṇam
ਵਾਤ, ਪਿੱਤ ਅਤੇ ਕਫ ਤੋਂ ਤ੍ਰਿਸ਼ਨਾ ਪੈਦਾ ਹੁੰਦੀ ਹੈ; ਅਤੇ ਤਿੰਨਾਂ ਦੋਸ਼ਾਂ ਦੇ ਸਨ੍ਨਿਪਾਤ ਤੋਂ ਬਲ ਦਾ ਖ਼ਯ ਹੋ ਜਾਂਦਾ ਹੈ। ਛੱਠੀ-ਜ੍ਵਰ ਉਪਸਰਗ (ਸੰਕਰਮਣ) ਤੋਂ ਹੁੰਦਾ ਹੈ—ਇਉਂ ਕਿਹਾ ਗਿਆ ਹੈ; ਅਤੇ ਵਾਤ ਤੇ ਪਿੱਤ ਵੀ ਉਸ ਦੇ ਕਾਰਣ ਹਨ।
Lord Vishnu (in dialogue instruction to Garuda/Vinata-putra, within a didactic medical/diagnostic passage)
Dosha: Vata/Pitta/Kapha
Concept: Doṣa-vikṛti (vāta/pitta/kapha) and sannipāta as causal explanation for thirst and bala-kṣaya; recognition of upasarga (contagion) as etiological factor.
Vedantic Theme: Deha as anitya and upādhi; discernment (viveka) begins with accurate knowledge of bodily conditions.
Application: Observe doṣa-aggravating habits; treat fever/thirst early; reduce contagion exposure; seek balancing regimen for vāta-pitta and prevent sannipāta.
Primary Rasa: shanta
Related Themes: Garuda Purana 1.154 (Ayurveda/roga-nidāna section): doṣa theory, tṛṣṇā and jvara etiologies
It links morbid thirst to doṣic disturbance—vāta, pitta, and kapha—indicating a physiological imbalance rather than a purely external cause.
It states that when all three doṣas combine in sannipāta, the result is depletion of strength, implying a more severe systemic condition.
It encourages early attention to thirst and fatigue as signs of imbalance, and recognizes contagion (upasarga) as a real cause—supporting both preventive hygiene and balanced living.