Shloka 59

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॥

चतुर्थकःthe fourth (type/stage)
चतुर्थकः:
Karta (Subject/कर्ता)
TypeNoun
Rootचतुर्थक (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st/प्रथमा), एकवचन
मलैःby/with impurities (malas)
मलैः:
Karana (Instrument/करण)
TypeNoun
Rootमल (प्रातिपदिक)
Formपुं/नपुंसकलिङ्ग, तृतीया (3rd/तृतीया), बहुवचन
मेदोमज्जास्थिfat, marrow, and bone
मेदोमज्जास्थि:
Sambandha (Compound base)
TypeNoun
Rootमेदस् + मज्जा + अस्थि (प्रातिपदिक)
Formनपुंसकलिङ्ग (समाहारद्वन्द्व), प्रातिपदिकरूप; समासः—द्वन्द्व (collective)
अन्यतरेin one (among them)
अन्यतरे:
Adhikarana (Location/अधिकरण)
TypeNoun
Rootअन्यतर (प्रातिपदिक)
Formनपुंसकलिङ्ग, सप्तमी (7th/सप्तमी), एकवचन; विकल्पार्थक (in one of the two/among)
स्थितःsituated/located
स्थितः:
Karta (Subject/कर्ता)
TypeAdjective
Rootस्था (धातु) → स्थित (कृदन्त)
Formभूतकृदन्त (क्त/PPP), पुंलिङ्ग, प्रथमा, एकवचन; विशेषण
मज्जास्थःlocated in the marrow
मज्जास्थः:
Karta (Subject/कर्ता)
TypeAdjective
Rootमज्जा + स्थ (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, एकवचन; विशेषण; समासः—तत्पुरुष (locative-determinative)
एवindeed/only
एव:
Sambandha (Emphasis)
TypeIndeclinable
Rootएव (अव्यय)
Formअव्यय; अवधारण (emphatic particle)
हिfor/indeed
हि:
Sambandha (Particle)
TypeIndeclinable
Rootहि (अव्यय)
Formअव्यय; निपात (particle; explanatory)
अपरःthe other (one)
अपरः:
Karta (Subject/कर्ता)
TypeNoun
Rootअपर (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, एकवचन
प्रभावम्effect/power
प्रभावम्:
Karma (Object/कर्म)
TypeNoun
Rootप्रभाव (प्रातिपदिक)
Formपुंलिङ्ग, द्वितीया (2nd/द्वितीया), एकवचन
अनुदर्शयेत्should show/manifest
अनुदर्शयेत्:
Kriya (Verb/क्रिया)
TypeVerb
Rootअनु-दृश् (धातु)
Formविधिलिङ् (optative), प्रथमपुरुष, एकवचन; परस्मैपद

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)

FAQs

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.