Śvāsa-nidāna: Etiology, Types, Symptom Progression, and Fatal Prognosis
धन्वन्तरिरुवाच / अथातः श्वासरोगस्य निदानं प्रवदाम्यहम् / कासवृद्ध्या भवेच्छ्वासः पूर्वैर्वा दोषकोपनैः
dhanvantariruvāca / athātaḥ śvāsarogasya nidānaṃ pravadāmyaham / kāsavṛddhyā bhavecchvāsaḥ pūrvairvā doṣakopanaiḥ
Dhanvantari nói: Nay ta sẽ trình bày nguyên nhân (nidāna) của bệnh khó thở (śvāsa). Khó thở có thể phát sinh do ho tăng nặng, hoặc do các doṣa trong thân đã bị kích động từ trước.
Dhanvantari
Concept: Nidāna (etiology) of śvāsa: secondary to kāsa-vṛddhi or primary doṣa-kopa (vitiation).
Vedantic Theme: Understanding causality (kāraṇa-kārya) reduces suffering; knowledge guides right action in the embodied domain.
Application: In dyspnea, evaluate whether cough is the driver or whether underlying doṣic imbalance precedes; treat root cause rather than symptoms alone.
Primary Rasa: shanta
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.149.21 (kāsa-śvāsa urgency); Garuda Purana 1.150.2 (specific triggers of śvāsa)
This verse opens a medical teaching attributed to Dhanvantari, framing breathlessness as a definable disease with identifiable causes—especially cough aggravation and doṣic disturbance—so that treatment can be properly directed.
It states that śvāsa can develop when cough increases, implying a progression where persistent or aggravated kāsa contributes to disordered respiration.
Treat worsening cough and doṣa-imbalance early—through appropriate diet, rest, and timely medical care—rather than ignoring symptoms until they progress into chronic breathlessness.