Shloka 1

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.

dhanvantariḥDhanvantari
dhanvantariḥ:
Karta (Subject/कर्ता)
TypeNoun
Rootdhanvantari (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन; वक्तृ-नाम
uvācasaid
uvāca:
Kriya (Predicate/क्रिया)
TypeVerb
Root√vac (वच् धातु)
Formलिट् (Perfect/परोक्ष), प्रथमपुरुष, एकवचन, परस्मैपद
athanow/then
atha:
Sambandha (Discourse marker/सम्बन्ध)
TypeIndeclinable
Rootatha (अव्यय)
Formअव्यय; आरम्भार्थक (then/now)
ataḥthereupon/therefore
ataḥ:
Sambandha (Connector/सम्बन्ध)
TypeIndeclinable
Rootataḥ (अव्यय)
Formअव्यय; हेत्वर्थ/तस्मात्-अर्थ (therefore/thereupon)
śvāsa-rogasyaof the disease ‘dyspnea/asthma’
śvāsa-rogasya:
Shashthi-sambandha (Genitive relation/षष्ठीसम्बन्ध)
TypeNoun
Rootśvāsa (प्रातिपदिक) + roga (प्रातिपदिक)
Formपुंलिङ्ग, षष्ठी (6th), एकवचन; षष्ठी-तत्पुरुषः (śvāsasya rogaḥ = disease of dyspnea)
nidānamcause/etiology
nidānam:
Karma (Object/कर्म)
TypeNoun
Rootnidāna (प्रातिपदिक)
Formनपुंसकलिङ्ग, द्वितीया (2nd), एकवचन
pravadāmiI explain/tell
pravadāmi:
Kriya (Predicate/क्रिया)
TypeVerb
Rootpra + √vad (वद् धातु)
Formलट् (Present/वर्तमान), उत्तमपुरुष, एकवचन, परस्मैपद
ahamI
aham:
Karta (Subject/कर्ता)
TypeNoun
Rootasmad (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन; अस्मद्-सर्वनाम
kāsa-vṛddhyāby increase of cough
kāsa-vṛddhyā:
Hetu (Cause/हेतु)
TypeNoun
Rootkāsa (प्रातिपदिक) + vṛddhi (प्रातिपदिक)
Formस्त्रीलिङ्ग, तृतीया (3rd), एकवचन; षष्ठी-तत्पुरुषः (kāsasya vṛddhiḥ = increase of cough); हेत्वर्थे तृतीया
bhavetmay arise/occurs
bhavet:
Kriya (Predicate/क्रिया)
TypeVerb
Root√bhū (भू धातु)
Formविधिलिङ् (Optative/विधि), प्रथमपुरुष, एकवचन, परस्मैपद
śvāsaḥdyspnea/asthma
śvāsaḥ:
Karta (Subject/कर्ता)
TypeNoun
Rootśvāsa (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), एकवचन
pūrvaiḥby earlier (factors)
pūrvaiḥ:
Karana/Hetu (Instrument/Cause/करण-हेतु)
TypeAdjective
Rootpūrva (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया (3rd), बहुवचन; ‘पूर्व’ = earlier/preceding
or
:
Sambandha (Connector/सम्बन्ध)
TypeIndeclinable
Rootvā (अव्यय)
Formअव्यय; विकल्पार्थक (or)
doṣa-kopanaiḥby factors that aggravate the doṣas
doṣa-kopanaiḥ:
Karana/Hetu (Instrument/Cause/करण-हेतु)
TypeNoun
Rootdoṣa (प्रातिपदिक) + kopana (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया (3rd), बहुवचन; षष्ठी-तत्पुरुषः (doṣāṇāṃ kopanāni = aggravators of humors)

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)

D
Dhanvantari
D
Doshas (Vata, Pitta, Kapha)
K
Kasa (cough)
S
Svasa (dyspnea)

FAQs

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.