Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever
ष्ठीवनं रक्तपित्तस्य लोठनं शिरसो ऽतितृट् / कोष्ठानां श्यावरक्तानां मण्डलानां च दर्शनम्
ṣṭhīvanaṃ raktapittasya loṭhanaṃ śiraso 'titṛṭ / koṣṭhānāṃ śyāvaraktānāṃ maṇḍalānāṃ ca darśanam
ด้วยความกำเริบแห่งโรคเลือด-ปิตตะ จึงมีการถ่มน้ำลาย ศีรษะกลิ้งคลอน กระหายน้ำยิ่ง และปรากฏปื้นวงกลมสีคล้ำแดงอมฟ้าบนลำตัว—อาการเหล่านี้ปรากฏ
Lord Vishnu (in dialogue with Garuda/Vainateya)
Afterlife Stage: Naraka
Dosha: Pitta
Concept: Severe papa ripens into ‘blood-and-fire’ suffering (rakta/pitta imagery) and visible marks, making karmaphala manifest and undeniable.
Vedantic Theme: Karma as niyati within vyavahara; liberation requires transcending identification with the afflicted body-mind complex.
Application: Avoid violence and intoxicants; pursue purification (prayaschitta), charity, and bhakti; cultivate compassion to prevent blood-guilt and its consequences.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana Pretakalpa: symptom lists including rakta-pitta type afflictions and thirst (1.147 context)
This verse highlights observable bodily signs of intense suffering—used in the Garuda Purana to connect embodied pain with karmic causation and to prompt ethical correction and remedial rites.
By emphasizing severe physical distress (excessive thirst, bleeding disorder, skin marks), the text frames the embodied condition as part of a karmic sequence that precedes death and the post-death journey described elsewhere in the Purana.
Treat suffering as a call for dharmic living: reduce harm, practice truthfulness and restraint, and—within tradition—seek prayer, charity, and appropriate rites alongside medical care.