Shloka 24

Cikitsā-sāra: Doṣa Nidāna–Lakṣaṇa, Agni, Ajīrṇa/Āma Cikitsā, Daśamūla, and Prognostic Signs

Devanagari script

भिषग्भेषजरोगार्तपरिचारकसम्पदः / चिकित्साङ्गानिचत्वारि विपरीतान्यसिद्धये

Transliteration

bhiṣagbheṣajarogārtaparicārakasampadaḥ / cikitsāṅgānicatvāri viparītānyasiddhaye

Translation

แพทย์ ยา ผู้ป่วยที่ทุกข์ด้วยโรค และผู้พยาบาล—เป็นสี่องค์แห่งการรักษา หากข้อใดข้อหนึ่งบกพร่องหรือผิดทาง ความสำเร็จย่อมไม่บังเกิด

Word by Word

• भिषग्भेषजरोगार्तपरिचारकसम्पदः: the resources/constituents: physician, medicine, patient, and attendant
• भिषग्भेषजरोगार्तपरिचारकसम्पदः: Karta (Subject/कर्ता)
• Type: Noun
• Root: भिषज् (प्रातिपदिक) + भेषज (प्रातिपदिक) + रोगार्त (प्रातिपदिक; रोग + आर्त) + परिचारक (प्रातिपदिक) + सम्पद्/सम्पद् (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; समासः—समाहार/इतरेतर-द्वन्द्व-प्रायः (चिकित्साङ्गानि: physician, medicine, patient, attendant), बहुवचन-रूपम्

• चिकित्साङ्गानि: the limbs/factors of treatment
• चिकित्साङ्गानि: Karta (Subject/कर्ता)
• Type: Noun
• Root: चिकित्सा (प्रातिपदिक) + अङ्ग (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; समासः—षष्ठी-तत्पुरुषः (चिकित्सायाः अङ्गानि)

• चत्वारि: four
• चत्वारि: Visheshana (Numeral qualifier/विशेषण)
• Type: Adjective
• Root: चतुर् (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया (1st/2nd), बहुवचन; संख्याविशेषणम् (qualifying अङ्गानि)

• विपरीतानि: contrary; improper
• विपरीतानि: Visheshana (Adjectival qualifier/विशेषण)
• Type: Adjective
• Root: विपरीत (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया (1st/2nd), बहुवचन; विशेषणम् (चिकित्साङ्गानि)

• असिद्धये: for non-accomplishment; for failure
• असिद्धये: Sampradana (Purpose/recipient/सम्प्रदान)
• Type: Noun
• Root: असिद्धि (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, चतुर्थी (4th/चतुर्थी), एकवचन; प्रयोजनार्थे (dative of purpose)

Speaker

Lord Vishnu (in discourse to Garuda/Vinata-putra)

Philosophical Teaching

Concept: Chikitsa depends on four coordinated limbs—physician, medicine, patient, attendant; defect in any undermines success.

Vedantic Theme: Interdependence (paraspara-sambandha) and causality: outcomes arise from a complete set of enabling conditions (sahakari-karana).

Application: In healthcare, ensure competence, correct medication, patient adherence/fitness, and proper nursing/support; treat failures as system-level gaps, not only drug choice.

Verse Rasa

Primary Rasa: shanta

Cross References

Related Themes: Garuda Purana 1.168.25 (clinical assessment and appropriateness)

Characters & Entities

• Vishnu
• Garuda

FAQs

What are the four essentials of successful treatment mentioned in the Garuda Purana?

This verse lists four: a competent physician, an appropriate medicine, a treatable/fit patient, and a proper attendant; if any one is defective, treatment fails.

How does this verse reflect Garuda Purana’s practical teaching style?

Instead of only metaphysical themes, it also preserves applied dharma—here, a concise medical rule showing that outcomes depend on aligned causes and proper support.

Practical application of this wisdom today?

Evaluate all four pillars: verify practitioner competence, ensure correct medication, assess patient compliance/strength, and arrange good care/support during recovery.