Atīsāra (Diarrhoea) and Grahaṇī-doṣa: Causes, Prodromal Signs, Doṣa-wise Symptoms, and Major-Disease Status
प्राग्रूपाङ्गस्य सदनं चिरात्पवन अल्पकः / प्रसेको वक्त्रवैरस्यमरुचिस्तृट्श्रमोभ्रमः
prāgrūpāṅgasya sadanaṃ cirātpavana alpakaḥ / praseko vaktravairasyamarucistṛṭśramobhramaḥ
దేహం ముందే క్షీణించి వికృతమై ఉన్నవాడికి ఈ స్థితి దీర్ఘకాలం నిలుస్తుంది; ప్రాణవాయువు కూడా అల్పమవుతుంది. లాలాజలం కారడం, నోటిలో దుర్గంధం/చేడు రుచి, అరుచి, దాహం, శ్రమ మరియు భ్రమ (తల తిరగడం) కలుగుతాయి.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: Unchecked disorder leads to progressive depletion (kṣaya) and prāṇa diminution; consequences unfold over time if not corrected.
Vedantic Theme: Impermanence of bodily strength; urgency to use the body wisely as a vehicle for higher aims.
Application: Treat chronic digestive disorder early; monitor systemic signs (thirst, fatigue, dizziness, taste changes, drooling) as red flags for depletion and dehydration; prioritize nourishment that rekindles agni without producing āma.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.157.17 (chronic grahaṇī and its types); Garuda Purana 1.157.14-16 (atisāra leading to grahaṇī; debility)
This verse lists observable signs of prāṇa (life-breath) weakening and bodily decline, helping identify the transition toward the preta-state and prompting timely dharmic preparations and rites.
By emphasizing the diminishing of pavana (prāṇa) and the body’s degeneration, it frames death as a gradual separation process—where physiological signs accompany the soul’s impending departure.
Use it as a reminder to support the dying with calmness, cleanliness, hydration as appropriate, and timely spiritual practices (japa, prayer, charity), while preparing for proper last rites according to dharma.