मध्यमूर्ध्वमधस्तिर्यगव्यथां सञ्जनयेद्धृदः / रूपं भविष्यतस्तस्य प्रतिश्यायो भृशं ज्वरः
madhyamūrdhvamadhastiryagavyathāṃ sañjanayeddhṛdaḥ / rūpaṃ bhaviṣyatastasya pratiśyāyo bhṛśaṃ jvaraḥ
హృదయం మధ్యలో, పైగా, కిందగా, పక్కదిశలలోనూ వ్యథను కలిగించును. అతనికి రాబోయే రూపము ఇదే—భయంకరమైన ప్రతిశ్యాయము (జలుబు) మరియు తీవ్రమైన జ్వరము।
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Concept: Prodromal mapping: multi-directional pain centered around hṛd-region signals an approaching disease state culminating in severe cold and fever.
Vedantic Theme: Dukkha as a signal within embodied life; attentive awareness (smṛti) enables corrective action before escalation.
Application: Treat early systemic pain as a warning; rest, simplify diet, seek appropriate care, and avoid exertion that converts imbalance into full fever/catarrh.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.152 (symptom progression toward jvara and pratiśyāya)
This verse treats specific bodily pains and acute illness (cold/catarrh and high fever) as signs of an approaching crisis, used to recognize severity and the imminence of suffering.
Indirectly: by describing the body’s breakdown (heart-related pain and intense fever), it frames the physical prelude that often precedes death, which later sections connect to the jīva’s onward journey.
Treat widespread chest/heart-region pain with severe fever/cold as urgent; alongside medical care, one may intensify dharmic conduct, prayer, and preparedness (including family and ritual readiness).