Shloka 20

Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever

दोषे विवृद्धे नष्टे ऽग्नौ सर्वसंपूर्णलक्षणः / सान्निपातज्वरो ऽसाध्यः कृच्छ्रसाध्यस्ततो ऽन्यथा

doṣe vivṛddhe naṣṭe 'gnau sarvasaṃpūrṇalakṣaṇaḥ / sānnipātajvaro 'sādhyaḥ kṛcchrasādhyastato 'nyathā

Kapag ang mga doṣa ay labis na lumala at ang apoy ng pagtunaw, ang agni, ay napawi, ang lagnat na sannipāta ay lumilitaw na taglay ang ganap na mga palatandaan; ang gayong lagnat ay di na magagamot—kung hindi man, magagamot lamang nang may matinding hirap.

doṣewhen the doṣa is
doṣe:
Adhikarana (Locus/अधिकरण)
TypeNoun
Rootdoṣa (प्रातिपदिक)
Formपुंलिङ्ग, सप्तमी (7th/Locative), एकवचन
vivṛddheincreased/aggravated
vivṛddhe:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootvi√vṛdh (धातु) → vivṛddha (कृदन्त)
Formपुंलिङ्ग, सप्तमी (7th/Locative), एकवचन; क्त-प्रत्ययान्त (PPP)
naṣṭedestroyed/lost
naṣṭe:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Root√naś (धातु) → naṣṭa (कृदन्त)
Formपुंलिङ्ग/नपुंसकलिङ्ग, सप्तमी (7th/Locative), एकवचन; क्त-प्रत्ययान्त (PPP)
agnauwhen digestive fire is (lost)
agnau:
Adhikarana (Locus/अधिकरण)
TypeNoun
Rootagni (प्रातिपदिक)
Formपुंलिङ्ग, सप्तमी (7th/Locative), एकवचन
sarvasaṃpūrṇalakṣaṇaḥhaving all symptoms complete
sarvasaṃpūrṇalakṣaṇaḥ:
Visheshya (Predicate/विशेष्य)
TypeAdjective
Rootsarva (प्रातिपदिक) + saṃpūrṇa (प्रातिपदिक) + lakṣaṇa (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; बहुपद-तत्पुरुषः (सर्वैः संपूर्णानि लक्षणानि यस्य)
sānnipātajvaraḥsannipāta-fever
sānnipātajvaraḥ:
Karta (Subject/कर्ता)
TypeNoun
Rootsannipāta (प्रातिपदिक) + jvara (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; तत्पुरुषः (सन्निपातजः ज्वरः)
asādhyaḥincurable
asādhyaḥ:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Roota- (निषेध) + sādhya (कृदन्त-प्रातिपदिक, √sādh)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; यत्/ण्यत्-प्रत्ययान्त ‘साध्य’ + नञ् (not curable)
kṛcchrasādhyaḥcurable with difficulty
kṛcchrasādhyaḥ:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootkṛcchra (प्रातिपदिक) + sādhya (कृदन्त-प्रातिपदिक, √sādh)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; कर्मधारयः (कृच्छ्रः साध्यः)
tataḥthereafter/therefore
tataḥ:
Sambandha (Connector/सम्बन्ध)
TypeIndeclinable
Roottataḥ (अव्यय)
Formअव्यय; तस्मात्-अर्थे (therefore/then)
anyathāotherwise
anyathā:
Visheshana (Qualifier/विशेषण)
TypeIndeclinable
Rootanyathā (अव्यय)
Formअव्यय; प्रकारान्तरवाचक (otherwise)

Lord Vishnu (in discourse to Garuda)

Dosha: Mixed

Concept: Centrality of agni (digestive/metabolic fire) for recovery; when extinguished amid doṣa excess, prognosis becomes hopeless.

Vedantic Theme: Limits of embodied agency; acceptance of prārabdha within the field of prakṛti.

Application: Protect and restore agni early (diet discipline, timely treatment); understand when care shifts from curative to supportive/compassionate.

Primary Rasa: bhayanaka

Secondary Rasa: shanta

Related Themes: Garuda Purana 1.147.17-19 (signs and mechanisms); Garuda Purana 1.147.21 (variant patterns when pitta is separate)

FAQs

This verse highlights sannipāta as a critical condition where all doṣas act together; when agni fails and symptoms are fully developed, the disease is described as beyond cure.

This specific verse is medical rather than afterlife-focused; it teaches discernment of prognosis in severe illness, indirectly emphasizing timely care and the fragility of embodied life.

Treat persistent fever and digestive collapse as urgent: prioritize early intervention, restoring digestion/metabolic strength, and seeking qualified medical care before the condition becomes fully established.