Roganidāna: Definitions, Fivefold Diagnostic Method, and Doṣa-wise Causes
दोषत्रयकरैस्तैस्तैस्तथान्नपरिवर्ततः / धातोर्दुष्टात्पुरो वाताद्द्विग्रहावेशविप्लवात्
doṣatrayakaraistaistaistathānnaparivartataḥ / dhātorduṣṭātpuro vātāddvigrahāveśaviplavāt
दोषत्रयकरैर्नानाहेतुभिः, अन्नपरिवर्तनदोषेण, धातुदुष्ट्याऽपि, पुरोवातस्य प्रतिकूलप्रवृत्त्या, तथा द्विग्रहावेशजन्यविप्लवाच्च रोगः सम्भवति।
Lord Vishnu (speaking to Garuda/Vinata-putra)
Concept: Disease arises from doṣa-provocation, dietary incompatibility, dhātu corruption, vāta derangement, and external/psychic disturbances (graha/āveśa).
Vedantic Theme: The embodied condition (deha) is mutable and governed by guṇas and causal chains; discernment (viveka) supports right living.
Application: Adopt compatible diet, protect digestion, manage vāta through routine, and seek competent care for psychosomatic disturbances.
Primary Rasa: shanta
Secondary Rasa: adbhuta
Related Themes: Garuda Purana medical sections: doṣa-dhātu-mala framework (adjacent verses in 1.146); Garuda Purana: references to graha/āveśa as etiologies in disease contexts (general)
This verse frames illness as arising when factors that aggravate vāta, pitta, and kapha become dominant, showing that bodily imbalance is a central diagnostic principle.
Indirectly: by describing bodily and subtle disturbances (including graha-āveśa), it suggests that suffering can arise from both physical imbalance and unseen influences, which in the Purāṇic worldview relates to karmic vulnerability.
Maintain steadiness in diet and routine, avoid abrupt dietary changes, and address both physical causes (doṣa/dhātu imbalance) and mental-spiritual factors when facing persistent illness.