Śvāsa-nidāna: Etiology, Types, Symptom Progression, and Fatal Prognosis
प्रेरितः प्रेरयन्क्षुद्रं स्वयं स समलं मरुत् / प्रतिलोमं शिरा गच्छेदुदीर्य पवनः कफम्
preritaḥ prerayankṣudraṃ svayaṃ sa samalaṃ marut / pratilomaṃ śirā gacchedudīrya pavanaḥ kapham
ప్రేరేపింపబడి, మలమిశ్రమమైన ఆ మరుత్ తానే మలాన్ని నడిపిస్తూ నాడులలో విరుద్ధ దిశగా సాగుతుంది; పైకి లేచే పవనం కఫాన్ని శిరస్సు వైపు తోసివేస్తుంది.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: Prāṇa-vāyu’s pathological reversal (pratiloma gati) through nāḍī/sirā pathways, mobilizing mala and propelling kapha upward—mechanism of symptom escalation.
Vedantic Theme: Embodied causation: when regulating principles (vāyu) are tainted, they become agents of disorder; governance of prāṇa parallels governance of mind.
Application: Therapeutic aim: restore vāyu’s normal direction (anulomana), reduce kapha, and prevent upward congestion affecting head/neck.
Primary Rasa: bhayanaka
Secondary Rasa: raudra
Related Themes: Garuda Purana 1.150.3 (kapha obstruction of vāyu); Garuda Purana 1.150.7 (head/neck involvement and catarrh)
This verse treats pratiloma movement as a technical sign of disturbance in the life-wind during the dying process, where vāyu drives impurities upward and alters normal bodily flow.
It describes the vital air becoming ‘tainted’ and moving against its usual direction through the bodily channels, pushing kapha upward toward the head—an indicator of the body’s systems losing normal regulation.
Use it as a contemplative reminder of bodily impermanence: prepare ethically (dharma, repentance, charity) and ritually (antyeṣṭi readiness, mantra/smaraṇa) rather than clinging to the body’s failing functions.