Kāsa-bheda: The Fivefold Classification of Cough and Its Clinical Signs
सुप्यते तुद्यत इव हृदयं पचतीव च / अकस्मादुष्णशीतेच्छा बह्वाशित्वं बलक्षयः
supyate tudyata iva hṛdayaṃ pacatīva ca / akasmāduṣṇaśītecchā bahvāśitvaṃ balakṣayaḥ
Người ấy thiếp ngủ như bị đánh gục; tim như bị đâm thấu và như đang bốc cháy. Bỗng nhiên không cớ, sinh ham muốn nóng hay lạnh, ăn nhiều quá mức, và sức lực hao mòn.
Lord Vishnu (narrating to Garuda)
Dosha: Mixed
Concept: The body’s sensations and cravings become unreliable under disease; strength is not under egoic control.
Vedantic Theme: Mind-body fluctuations (vikāra) are not the Self; cultivate sākṣitva (witnessing).
Application: Notice dysregulated cravings and fatigue as warning signs; practice moderation and seek care; maintain mental witnessing rather than panic.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.149 (progressive kṣaya signs)
They are described as bodily and inner indicators that the life-force is destabilizing and the person is approaching a major transition, prompting remembrance of dharma and spiritual preparation.
By highlighting distress and abnormal cravings, the verse frames death as a process where the embodied system weakens—setting the stage for the jīva’s separation from the body and the subsequent after-death journey described later in the text.
Treat sudden unexplained weakness and mental disturbance as a cue to steady the mind, reduce harmful actions, increase prayer/recitation, and attend to end-of-life duties and reconciliation while time remains.