Śvāsa-nidāna: Etiology, Types, Symptom Progression, and Fatal Prognosis
क्षुद्रकस्तमकश्छिन्नो महानूर्ध्वश्च पञ्चमः / कफोपरुद्धगमनपवनो विष्वगास्थितः
kṣudrakastamakaśchinno mahānūrdhvaśca pañcamaḥ / kaphoparuddhagamanapavano viṣvagāsthitaḥ
ชนิดทั้งหลายมีว่า: ตมกะชนิดเล็ก (กษุทรกะ), ชนิดขาดเป็นช่วง (ฉินนะ), ชนิดรุนแรง (มหาน), และชนิดที่ห้า คือชนิดเคลื่อนขึ้น (อูรธวะ) เมื่อกะผะขวางการเคลื่อนไหว ปราณวายุจึงแผ่ซ่านไปทั่วกาย
Lord Vishnu (speaking to Garuda/Vainateya)
Dosha: Kapha
Concept: Discriminative knowledge through classification (bheda) of pathological states; understanding prāṇa-vāyu obstruction by kapha.
Vedantic Theme: Sharira as upādhi: embodied life is conditioned by guṇa/doṣa interactions; knowledge begins with right discernment (viveka) of causes and categories.
Application: Recognize subtype patterns of tamaka-śvāsa and note kapha-obstruction with vāyu dispersion to guide appropriate regimen and treatment.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.150.4-7 (pathogenesis and symptoms of śvāsa/tamaka)
This verse classifies tamaka into distinct clinical types and links symptoms to doṣic causation—especially kapha obstructing prāṇa-vāyu—showing the Purana’s practical medical (Āyurvedic) instruction alongside spiritual teaching.
It states that kapha blocks the normal movement of vāyu (prāṇa), causing the wind to move abnormally—diffusely or upward—producing severe or variant forms of tamaka (dyspnea).
Use it as a reminder to address root imbalances (kapha obstruction and vāyu disturbance) through disciplined routine, diet compatible with one’s constitution, and qualified medical guidance—rather than treating only surface symptoms.