Cikitsā-sāra: Doṣa Nidāna–Lakṣaṇa, Agni, Ajīrṇa/Āma Cikitsā, Daśamūla, and Prognostic Signs
गुल्फजानुललाटं च हनुर्गण्डस्तथैव च / भ्रष्टं स्थानच्युतं यस्य स जहात्यचिरादसून्
gulphajānulalāṭaṃ ca hanurgaṇḍastathaiva ca / bhraṣṭaṃ sthānacyutaṃ yasya sa jahātyacirādasūn
หากข้อเท้า หัวเข่า หน้าผาก รวมถึงคางและแก้มของผู้ใด ดูเหมือนเคลื่อนผิดไปจากตำแหน่งปกติ ผู้นั้นจะละทิ้งลมหายใจแห่งชีวิตในไม่ช้า.
Lord Vishnu (narrating to Garuda/Vinata-putra in the Garuda Purana dialogue framework)
Concept: Certain bodily dislocations are portents of prana’s imminent departure; embodied life is fragile and time-bound.
Vedantic Theme: Anityatva (impermanence) of the body; prana’s withdrawal as a sign that the jiva’s embodied tenure is ending.
Application: Recognize end-of-life signs; seek appropriate care, reconciliation, and spiritual preparation when such signs appear.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.168 (arishta-lakshana series)
They function as warning-signs indicating that death may be near, prompting timely spiritual preparation such as remembrance of Bhagavan, repentance, charity, and arranging rites.
It links visible bodily abnormalities—limbs and facial parts seeming ‘out of place’—with the imminent departure of the life-breath (asūn), a classic omen-style description.
Treat severe, sudden bodily distortions as both a medical emergency and a cue for inner readiness—calm the mind, engage in prayer/mantra, and complete essential duties ethically.