Kāsa-bheda: The Fivefold Classification of Cough and Its Clinical Signs
पारावत इवोत्कूजन्पार्श्वशूली ततो ऽस्य च / कफाद्यैर्वमनं पक्तिबलवर्णञ्च हीयते
pārāvata ivotkūjanpārśvaśūlī tato 'sya ca / kaphādyairvamanaṃ paktibalavarṇañca hīyate
Rồi người ấy rên rỉ như chim bồ câu, bị đau nhói nơi hông sườn. Người ấy nôn ra đờm dãi và các thứ khác; sức tiêu hóa, sức lực và sắc diện đều suy giảm.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Kapha
Concept: Clinical recognition of disease signs and the impermanence of bodily vigor.
Vedantic Theme: Anityatva of the body; dehābhimāna as a source of suffering.
Application: Observe early symptoms, seek timely care, and cultivate detachment and preparedness for mortality.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.149 (disease-signs/roga-lakshana sequence)
This verse uses concrete bodily signs—pain, vomiting, and loss of strength—to show how suffering manifests tangibly, often framed in the Purana as the ripening of past actions (karma).
By emphasizing the weakening of digestion, strength, and complexion, it highlights the body’s deterioration that precedes death—setting the stage for the text’s broader teaching on what follows for the jīva after bodily decline.
Treat physical decline as a reminder to live dharmically, reduce harmful actions, and prioritize ethical conduct and spiritual preparation alongside appropriate medical care.