Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever
प्रलापो ग्लानिररुचिरस्थिगे त्वस्थिभेदनम् / दोषप्रवृत्तिरुद्बोधः श्वासांगक्षेपकूजनम्
pralāpo glānirarucirasthige tvasthibhedanam / doṣapravṛttirudbodhaḥ śvāsāṃgakṣepakūjanam
เมื่อโทษะตั้งอยู่ในกระดูก ย่อมเกิดเพ้อพร่ำ อ่อนแรง เบื่ออาหาร ปวดกระดูก และรู้สึกราวกับกระดูกแตกแยก; โทษะกำเริบ สะดุ้งตื่นกะทันหัน หายใจลำบาก แขนขากระตุก และครางครวญ
Lord Vishnu (in instruction to Garuda/Vinata-putra, per the standard Garuda Purana dialogue frame)
Dosha: Vata
Concept: Deeper dhātu invasion correlates with intensified suffering and systemic instability (doṣa upsurge, respiratory distress).
Vedantic Theme: Duḥkha-darśana leading to mumukṣutva (urge for liberation) by seeing the body as a field of affliction.
Application: Treat as emergency signs (breath difficulty, convulsions, severe pain); prioritize stabilization and skilled care.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.147.75 (marma pain, darkness)
This verse lists concrete bodily and mental symptoms that signal the dying process, helping the listener recognize the gravity of the moment and turn attention toward dharma, remembrance, and proper end-of-life rites.
By highlighting the breakdown of bodily stability—breath distress, delirium, convulsions, and doṣa upheaval—it implies the soul’s imminent separation from the physical body, a key transition point emphasized throughout the Garuda Purana’s after-death narrative.
Use it to prioritize calm presence, prayer/recitation, ethical settling of duties, and timely ritual preparation (as per one’s tradition) when such end-stage signs appear, rather than denial or delay.