Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever
चतुर्थको मलैर्मेदोमज्जास्थ्यन्यतरे स्थितः / मज्जास्थ एव ह्यपरः प्रभावमनुदर्शयेत्
caturthako malairmedomajjāsthyanyatare sthitaḥ / majjāstha eva hyaparaḥ prabhāvamanudarśayet
చతుర్థక (దోషం) మలము, మేదము, మజ్జ, అస్తి—ఇవాటిలో ఏదో ఒకటిలో స్థితమై ఉంటుంది. మరొకటి మాత్రం నిజంగా మజ్జలోనే నిలిచి తన ప్రత్యేక ప్రభావాన్ని వెల్లడిస్తుంది॥
Lord Vishnu (speaking to Garuda/Vainateya)
Concept: Depth of lodging (āśraya) in tissues determines the nature and visibility of effects; marrow/bone involvement indicates deeper pathology.
Vedantic Theme: Causal layers (kāraṇa) produce specific effects (kārya) when conditions mature; discernment of cause-effect without confusion of Self with body.
Application: When symptoms suggest deep-seated disorder, evaluate dhātu involvement (fat/marrow/bone) and expect distinct ‘prabhāva’ (specific effects); prioritize deeper-tissue management and longer convalescence.
Primary Rasa: shanta
Type: tissue-layer (dhātu/mala)
Related Themes: Garuda Purana 1.147 (classification of defects/periodic disorders across tissues)
This verse frames certain defects/impurities as residing in specific bodily tissues (waste, fat, marrow, bone), emphasizing that their location determines how their effects become visible.
Indirectly: by linking embodied experience to internal constituents and their effects, it supports the Garuda Purana’s broader theme that the jīva’s karmic condition expresses through the body’s states and afflictions.
Cultivate bodily and mental discipline—clean living, moderation, and ethical conduct—since the text highlights that hidden internal conditions eventually manifest as tangible outcomes.