Kāsa-bheda: The Fivefold Classification of Cough and Its Clinical Signs
पित्तात्पीताक्षिकत्वं च तिक्तास्यत्वं ज्वरो भ्रमः / पित्तासृग्वमनं तृष्णा वैस्वर्यं धूमको मदः
pittātpītākṣikatvaṃ ca tiktāsyatvaṃ jvaro bhramaḥ / pittāsṛgvamanaṃ tṛṣṇā vaisvaryaṃ dhūmako madaḥ
เมื่อปิตตะกำเริบ จะเกิดตาเหลือง ปากขม มีไข้และเวียนศีรษะ; อาเจียนน้ำดีและโลหิต กระหายน้ำรุนแรง เสียงแหบพร่า เห็นเหมือนมีควันบังตา และเพ้อคล้ายคนมึนเมา۔
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Dosha: Pitta
Concept: Doṣa theory: pitta aggravation manifests as heat, yellow discoloration, bitterness, fever, thirst, and bilious/bloody emesis with sensory haze.
Vedantic Theme: Sākṣitva (witnessing) amid intense bodily upheaval; recognition that mind-states can be doṣa-influenced.
Application: Identify pitta-aggravation signs (yellow eyes, bitter mouth, fever, thirst, bilious/bloody vomiting, smoky vision, delirium) and cool/seek medical care promptly; avoid heat-provoking diet and stress.
Primary Rasa: bhayanaka
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.149.8 (kapha features contrasted)
This verse lists the characteristic signs of pitta aggravation, showing that the text also preserves practical diagnostics of bodily imbalance alongside its spiritual teachings.
It does not directly describe the soul’s journey; instead, it focuses on bodily symptoms, reflecting the Garuda Purana’s broader scope that includes guidance on health and embodied suffering.
Use it as a traditional symptom checklist for heat/bile-type imbalance (e.g., bitter taste, thirst, yellowing, fever) and seek appropriate Ayurvedic or medical guidance rather than ignoring warning signs.