Kāsa-bheda: The Fivefold Classification of Cough and Its Clinical Signs
सुप्यते तुद्यत इव हृदयं पचतीव च / अकस्मादुष्णशीतेच्छा बह्वाशित्वं बलक्षयः
supyate tudyata iva hṛdayaṃ pacatīva ca / akasmāduṣṇaśītecchā bahvāśitvaṃ balakṣayaḥ
เขาหลับราวกับถูกกระแทก หัวใจรู้สึกเหมือนถูกแทงและเหมือนถูกเผา อยู่ๆ ก็อยากได้ความร้อนหรือความเย็น กินจุ และกำลังวังชาร่อยหรอ
Lord Vishnu (narrating to Garuda)
Dosha: Mixed
Concept: The body’s sensations and cravings become unreliable under disease; strength is not under egoic control.
Vedantic Theme: Mind-body fluctuations (vikāra) are not the Self; cultivate sākṣitva (witnessing).
Application: Notice dysregulated cravings and fatigue as warning signs; practice moderation and seek care; maintain mental witnessing rather than panic.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.149 (progressive kṣaya signs)
They are described as bodily and inner indicators that the life-force is destabilizing and the person is approaching a major transition, prompting remembrance of dharma and spiritual preparation.
By highlighting distress and abnormal cravings, the verse frames death as a process where the embodied system weakens—setting the stage for the jīva’s separation from the body and the subsequent after-death journey described later in the text.
Treat sudden unexplained weakness and mental disturbance as a cue to steady the mind, reduce harmful actions, increase prayer/recitation, and attend to end-of-life duties and reconciliation while time remains.