Shloka 63

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

Devanagari script

गम्भीरधातुचारित्वात्सन्निपातेन सम्भवात् / तुल्योच्छ्रयाच्च दोषाणां दुश्चिकित्स्यश्चतुर्थकः

Transliteration

gambhīradhātucāritvātsannipātena sambhavāt / tulyocchrayācca doṣāṇāṃ duścikitsyaścaturthakaḥ

Translation

Vì nó thâm nhập vào các mô thể sâu, vì phát sinh do sự phối hợp tăng vượng (sannipāta) của các doṣa, và vì trong đó các doṣa đều trội ngang nhau, nên loại “thứ tư” là khó chữa trị.

Word by Word

• गम्भीरधातुचारित्वात्: because of deep penetration into the tissues
• गम्भीरधातुचारित्वात्: Hetu/Apadana (Cause/Source/हेतु/अपादान)
• Type: Noun
• Root: गम्भीर + धातु + चारित्व (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, पञ्चमी (5th/पञ्चमी), एकवचन — ablative singular; समासः बहुपद-तत्पुरुष (determinative: ‘deep-tissue-involvement/penetration’)

• सन्निपातेन: by the combined (tridoṣa) aggravation
• सन्निपातेन: Karana (Instrument/Means/करण)
• Type: Noun
• Root: सन्निपात (प्रातिपदिक)
• Form: पुंलिङ्ग, तृतीया (3rd/तृतीया), एकवचन — instrumental singular

• सम्भवात्: from arising/origin
• सम्भवात्: Hetu/Apadana (Cause/Source/हेतु/अपादान)
• Type: Noun
• Root: सम्भव (प्रातिपदिक)
• Form: पुंलिङ्ग, पञ्चमी (5th/पञ्चमी), एकवचन — ablative singular

• तुल्योच्छ्रयात्: because of equal predominance (of doṣas)
• तुल्योच्छ्रयात्: Hetu/Apadana (Cause/Source/हेतु/अपादान)
• Type: Noun
• Root: तुल्य + उच्छ्रय (प्रातिपदिक)
• Form: पुंलिङ्ग, पञ्चमी (5th/पञ्चमी), एकवचन — ablative singular; समासः कर्मधारय (‘equal elevation/strength’)

• च: and
• च: Samuccaya (Connector/समुच्चय)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: समुच्चय-अव्यय (conjunction)

• दोषाणाम्: of the doṣas (humors)
• दोषाणाम्: Sambandha (Genitive relation/सम्बन्ध)
• Type: Noun
• Root: दोष (प्रातिपदिक)
• Form: पुंलिङ्ग, षष्ठी (6th/षष्ठी), बहुवचन — genitive plural

• दुश्चिकित्स्यः: hard to treat
• दुश्चिकित्स्यः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: दुस् + चिकित्स्य (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st/प्रथमा), एकवचन — nominative singular; समासः उपसर्गपूर्वक-तत्पुरुष (‘difficult to treat’)

• चतुर्थकः: the quartan (fever)
• चतुर्थकः: Karta (Subject/कर्ता)
• Type: Noun
• Root: चतुर्थक (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st/प्रथमा), एकवचन — nominative singular

Speaker

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

Medical Ayurveda

Dosha: Mixed

Philosophical Teaching

Concept: Right diagnosis: when all doṣas are equally aggravated and the pathology reaches deeper dhātus, prognosis worsens; knowledge guides humility and careful therapy.

Vedantic Theme: Viveka (discernment) in approaching embodied suffering; acceptance of complexity rather than simplistic causation.

Application: Seek skilled diagnosis for complex fevers; avoid self-medication; prioritize early intervention before deeper tissue involvement.

Verse Rasa

Primary Rasa: shanta

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.147 (jvara-bheda; sannipata discussion)

FAQs

What is the importance of sannipāta in the Garuda Purana?

This verse highlights sannipāta—simultaneous disturbance of all three doṣas—as a key reason certain conditions become complex and hard to manage.

How does this verse explain the path of the soul?

This verse is primarily medical/Āyurvedic in focus; it does not directly describe the soul’s journey, but teaches how bodily imbalance and deep tissue involvement affect human life and wellbeing.

Practical application of this wisdom today?

Treat multi-factor health issues early—before they become deep-seated—and aim for doṣa balance through disciplined diet, routine, and timely medical guidance.