Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever
अन्तर्दाहो बहिः शैत्यं श्वासो हिक्का हि मज्जमे / तमसो दर्शनं मर्मच्छेदनं स्तब्धमेढ्रता
antardāho bahiḥ śaityaṃ śvāso hikkā hi majjame / tamaso darśanaṃ marmacchedanaṃ stabdhameḍhratā
เมื่อโทษะอยู่ในไขกระดูก ย่อมมีไฟภายในและความเย็นภายนอก; หายใจติดขัดและสะอึกไม่หยุด. เห็นแต่ความมืด; มีปวดราวถูกเฉือนที่จุดมรฺมะ และความแข็งเกร็งของอวัยวะเพศ
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: When vital systems are disturbed, paradoxical signs and sensory shutdown appear; marma pain indicates critical danger.
Vedantic Theme: Indriya-nivṛtti (sense failure) and the body’s collapse highlight the witness-self’s separateness; prompts contemplation of death’s approach.
Application: Recognize red-flag signs (darkness of vision, marma pain, severe dyspnea/hiccup) and seek immediate intensive care.
Primary Rasa: bhayanaka
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.147.72 (tamas/bhrama); Garuda Purana 1.147.76 (death possibility)
This verse functions as a karmic warning: it catalogues specific post-death torments to encourage dharmic living and timely rites that reduce distress in the preta condition.
It portrays the embodied experience of the departed in a suffering state—marked by heat, cold, breath distress, darkness, and piercing pains—indicating that the jiva can undergo intense sensations shaped by prior karma before attaining further destinations.
Live with restraint and compassion, avoid harmful actions that create severe karmic reactions, and perform prescribed death rites (shraddha, pinda-dana) with sincerity to support the departed and cultivate dharma.