Causes and Signs of Hṛdroga
Heart Disease) and Tṛṣṇā (Pathological Thirst
सर्वेषु तत्प्रकोपो हि सम्यग्धातुप्रशोषणात् / सर्वदेहभ्रामोत्कम्पतापहृद्दाहमोहकृत्
sarveṣu tatprakopo hi samyagdhātupraśoṣaṇāt / sarvadehabhrāmotkampatāpahṛddāhamohakṛt
เมื่อโทษะนั้นกำเริบทั่วสรรพางค์เพราะธาตุทั้งหลายแห้งเหือดโดยสิ้นเชิง ย่อมก่อให้เกิดเวียนศีรษะทั่วกาย อาการสั่น ความร้อนแรง แสบร้อนบริเวณหัวใจ และความหลงมัวเมา.
Lord Vishnu
Concept: Dhātu-kṣaya (drying/depletion of tissues) enables doṣa aggravation, producing whole-body derangement: bhrama, kampana, tāpa, hṛd-dāha, moha.
Vedantic Theme: Duḥkha as inherent to deha; clarity arises by distinguishing the witnessing self from bodily-mental perturbations.
Application: Prevent dehydration and tissue depletion; recognize red-flag symptoms (tremor, burning, delirium) and seek prompt cooling/rehydrating, doṣa-pacifying care.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.154: dhātu-kṣaya and doṣa-prakopa leading to systemic signs
This verse treats dhātu-praśoṣaṇa as a key cause of systemic aggravation that manifests as tremors, burning sensations, heart-region scorching, and delusion—signs of severe decline that prompt spiritual and practical preparedness.
By describing confusion (moha) and bodily destabilization at the end-stage of life, it signals the transition-point where clarity, remembrance, and dharmic preparation become crucial before the soul’s post-death journey is described in subsequent teachings.
Treat intense agitation, tremors, burning distress, and confusion as a call for compassionate care, calming spiritual practices (japa, prayer, sattvic conduct), and timely family/ritual readiness aligned with dharma.