Shloka 23
Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever
पित्ते शान्ते ऽथ वै मूर्छा मदस्तृष्णा च जायते / दाहादौ पुनरन्तेषु तन्द्रालस्ये वमिः क्रमात्
pitte śānte 'tha vai mūrchā madastṛṣṇā ca jāyate / dāhādau punaranteṣu tandrālasye vamiḥ kramāt
เมื่อปิตตะสงบลง ย่อมเกิดเป็นลม มึนเมา/หลง และกระหาย ต่อมาเมื่ออาการแสบร้อนเป็นต้นทุเลา ย่อมเกิดง่วงซึมและเฉื่อยชา แล้วจึงอาเจียนตามลำดับ.
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Dosha: Pitta
Concept: Symptom chronology in pitta modulation: as pitta is pacified, certain systemic signs (mūrcchā, mada, tṛṣṇā) may arise; later, with reduction of burning, heaviness states (tandrā, ālasya) and vomiting can appear क्रमात् (in order).
Vedantic Theme: Observation of change (pariṇāma) in embodied states; knowledge through careful sequencing rather than isolated events.
Application: Monitor disease course by stages; do not misread late-stage drowsiness/vomiting as new disease without considering prior pitta flare and its pacification trajectory.
Primary Rasa: karuna
Secondary Rasa: shanta
Related Themes: Garuda Purana 1.147: surrounding verses on doṣa signs, āgantuka etiologies, and fever patterns
FAQs
This verse treats pitta as a key doṣa whose pacification is followed by a recognizable sequence of symptoms, indicating a traditional diagnostic understanding of bodily imbalance.
It does not directly describe the soul’s journey; instead, it focuses on bodily symptom progression, reflecting the text’s inclusion of practical teachings alongside afterlife doctrine.
Use it as a traditional framework for noticing symptom progression (thirst, faintness, drowsiness, vomiting) and seek timely care, especially when heat/burning and dehydration signs appear.