Shloka 15

Pāṇḍu-Śotha Nidāna: Doṣa-wise Signs, Complications, and Prognosis

Devanagari script

पाण्डुरोगेक्षयेजाते नाभिपादास्यमेहनम् / पुरीषं कृमिवन्मुञ्चेद्भिन्नं सास्त्रं कफान्वितम्

Transliteration

pāṇḍurogekṣayejāte nābhipādāsyamehanam / purīṣaṃ kṛmivanmuñcedbhinnaṃ sāstraṃ kaphānvitam

Translation

เมื่อผู้ป่วยปาณฑุโรคเกิดภาวะซูบผอม จะมีทุกข์ที่สะดือ เท้า ปาก และทางปัสสาวะ อุจจาระออกประหนึ่งมีหนอน—เหลว ปนเลือด และมีเสมหะ (กผะ) ร่วมด้วย

Word by Word

• पाण्डुरोगे: in/with jaundice (pāṇḍu-roga)
• पाण्डुरोगे: Adhikarana (Locative/अधिकरण)
• Type: Noun
• Root: पाण्डुरोग (प्रातिपदिक)
• Form: पुंलिङ्ग, सप्तमी (7th/सप्तमी), एकवचन; समासः—पाण्डु + रोग (षष्ठी-तत्पुरुषः/कर्मधारय-प्रायः)

• क्षये: in wasting/consumption
• क्षये: Adhikarana (Locative/अधिकरण)
• Type: Noun
• Root: क्षय (प्रातिपदिक)
• Form: पुंलिङ्ग, सप्तमी (7th/सप्तमी), एकवचन

• जाते: when arisen/occurred
• जाते: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: जात (√जन् धातु, क्त-प्रत्यय; कृदन्त)
• Form: नपुंसकलिङ्ग, सप्तमी (7th/सप्तमी), एकवचन; क्त-प्रत्ययान्त (past passive participle)

• नाभि: navel
• नाभि: Samasa-purvapada (Compound member)
• Type: Noun
• Root: नाभि (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा (1st/प्रथमा), एकवचन (समासपूर्वपद-रूपेण)

• पाद: foot
• पाद: Samasa-purvapada (Compound member)
• Type: Noun
• Root: पाद (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन (समासपूर्वपद-रूपेण)

• आस्य: mouth
• आस्य: Samasa-purvapada (Compound member)
• Type: Noun
• Root: आस्य (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा, एकवचन (समासपूर्वपद-रूपेण)

• मेहनम्: (discharge) from navel, feet, mouth and urinary organ
• मेहनम्: Karma (Object/कर्म)
• Type: Noun
• Root: मेहन (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया (1st/2nd), एकवचन; समासः—नाभि + पाद + आस्य + मेहन (समाहार-द्वन्द्वः)

• पुरीषम्: stool/feces
• पुरीषम्: Karma (Object/कर्म)
• Type: Noun
• Root: पुरीष (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, द्वितीया (2nd/द्वितीया), एकवचन

• कृमिवत्: like worms
• कृमिवत्: Kriya-visheshana (Adverbial/क्रियाविशेषण)
• Type: Indeclinable
• Root: कृमि (प्रातिपदिक) + वत् (तद्धित)
• Form: अव्यय; उपमानार्थक-क्रियाविशेषण (adverb of manner: ‘like worms’)

• मुञ्चेत्: should discharge/void
• मुञ्चेत्: Kriya (Action/क्रिया)
• Type: Verb
• Root: √मुच् (धातु)
• Form: विधिलिङ् (Optative), प्रथमपुरुष (3rd), एकवचन; परस्मैपदम्

• भिन्नम्: split/loose (broken)
• भिन्नम्: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: भिन्न (√भिद् धातु, क्त-प्रत्यय; कृदन्त)
• Form: नपुंसकलिङ्ग, द्वितीया (2nd), एकवचन; क्त-प्रत्ययान्त

• स: with
• स: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: स (सर्वनाम-प्रातिपदिक)
• Form: नपुंसकलिङ्ग, द्वितीया, एकवचन; सर्वनाम (with)

• अस्त्रम्: weapon-like (sharp) pain/‘as if with a weapon’ (lit. weapon)
• अस्त्रम्: Karma (Object/कर्म)
• Type: Noun
• Root: अस्त्र (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, द्वितीया, एकवचन

• कफ: phlegm
• कफ: Samasa-purvapada (Compound member)
• Type: Noun
• Root: कफ (प्रातिपदिक)
• Form: पुंलिङ्ग, तृतीया (3rd/तृतीया), एकवचन (समासपूर्वपद-रूपेण)

• अन्वितम्: accompanied by phlegm
• अन्वितम्: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: अन्वित (√इ धातु + अनु-उपसर्ग, क्त; कृदन्त)
• Form: नपुंसकलिङ्ग, द्वितीया, एकवचन; समासः—कफ + अन्वित (तृतीया-तत्पुरुषः: ‘endowed with phlegm’)

Speaker

Lord Vishnu (speaking to Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Mixed

Philosophical Teaching

Concept: Care of the body through accurate recognition of disease-signs; negligence worsens suffering.

Vedantic Theme: Deha-anityatā (impermanence of the body) as a practical spur to vigilance and discipline.

Application: Recognize severe pāṇḍu-kṣaya signs (wasting, bleeding/kapha-mixed diarrhea, multi-site affliction) and seek timely treatment; avoid causative diet/behavior.

Verse Rasa

Primary Rasa: bibhatsa

Secondary Rasa: karuna

Cross References

Related Themes: Garuda Purana 1.162.16-19 (progression of pāṇḍu/pitta complications)

Characters & Entities

• Pandu-roga
• Kshaya
• Kapha
• Krimi

FAQs

What is the importance of pāṇḍu-roga and kṣaya in Garuda Purana?

The verse links pāṇḍu (debilitating pallor) with kṣaya (wasting), showing how advanced depletion produces multi-site distress and severe bowel symptoms—markers of serious decline.

How does this verse explain the path of the soul?

It is not an afterlife verse; it addresses embodied suffering and degeneration, reinforcing the Purana’s practical instruction that maintaining health supports one’s dharma and spiritual aims.

Practical application of this wisdom today?

Loose stools with blood/mucus and systemic weakness are danger signs; seek prompt medical care and avoid self-treatment, since the text frames these as signs of advanced wasting.