Shloka 19

Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis

प्रसेकः पीनसः श्वासः स्वरभेदो ऽल्पवह्निता / दोषैर्मन्दानलत्वेन शोथलेपकफोल्बणैः

prasekaḥ pīnasaḥ śvāsaḥ svarabhedo 'lpavahnitā / doṣairmandānalatvena śothalepakapholbaṇaiḥ

Chảy nước bọt nhiều, sổ mũi, khó thở, khàn tiếng và hỏa tiêu hóa yếu phát sinh khi các doṣa bị kích động—khi ngọn lửa tiêu hóa trở nên manda (ì ạch), kèm sưng phù, lớp nhớt bám phủ, và kapha thịnh quá mức.

प्रसेकःexcess salivation
प्रसेकः:
Karta (Subject/कर्ता)
TypeNoun
Rootप्रसेक (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, एकवचन
पीनसःcoryza/rhinitis
पीनसः:
Karta (Subject/कर्ता)
TypeNoun
Rootपीनस (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, एकवचन
श्वासःbreathlessness
श्वासः:
Karta (Subject/कर्ता)
TypeNoun
Rootश्वास (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, एकवचन
स्वरभेदःchange/cracking of voice
स्वरभेदः:
Karta (Subject/कर्ता)
TypeNoun
Rootस्वर (प्रातिपदिक) + भेद (प्रातिपदिक)
Formतत्पुरुषसमास (‘स्वरस्य भेदः’), पुंलिङ्ग, प्रथमा, एकवचन
अल्पवह्निताlow digestive fire
अल्पवह्निता:
Karta (Subject/कर्ता)
TypeNoun
Rootअल्प (प्रातिपदिक) + वह्नि (प्रातिपदिक) + ता (भावप्रत्यय)
Formतत्पुरुषसमास (‘अल्पो वह्निः यस्य’/‘अल्पवह्नि-भावः’), स्त्रीलिङ्ग, प्रथमा, एकवचन
दोषैःby the doṣas
दोषैः:
Karana (Instrument/करण)
TypeNoun
Rootदोष (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया (3rd/तृतीया), बहुवचन (Plural)
मन्दानलत्वेनthrough the state of weak digestion
मन्दानलत्वेन:
Karana (Instrument/करण)
TypeNoun
Rootमन्द (प्रातिपदिक) + अनल (प्रातिपदिक) + त्व (भावप्रत्यय)
Formतत्पुरुषसमास (‘मन्दः अनलः’ कर्मधारय + त्व), नपुंसकलिङ्ग, तृतीया, एकवचन
शोथby swellings
शोथ:
Karana (Instrument/करण)
TypeNoun
Rootशोथ (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया, बहुवचन — ‘शोथैः’ (sandhi in list)
लेपby coatings/plaques
लेप:
Karana (Instrument/करण)
TypeNoun
Rootलेप (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया, बहुवचन — ‘लेपैः’ (sandhi in list)
कफोल्बणैःby those excessive in kapha
कफोल्बणैः:
Karana (Instrument/करण)
TypeAdjective
Rootकफ (प्रातिपदिक) + उल्बण (प्रातिपदिक)
Formतत्पुरुषसमास (‘कफेन उल्बण’ = कफप्रचुर), पुंलिङ्ग, तृतीया, बहुवचन (Plural)

Lord Vishnu (speaking to Garuda/Vinata-putra)

Dosha: Kapha

Concept: Agni as regulator: when digestive fire is मंद, doṣas accumulate and manifest as systemic symptoms.

Vedantic Theme: Order (ṛta-like regularity) in the body mirrors cosmic order; neglect leads to disorder and suffering.

Application: Watch for hypersalivation, coryza, dyspnea, hoarseness, low appetite/weak agni, swelling and mucous coating as signs of kapha/doṣa aggravation; prioritize restoring agni and reducing kapha load.

Primary Rasa: shanta

Secondary Rasa: karuna

Related Themes: Garuda Purana 1.152.15-18 (rājayakṣmā signs and doṣa mapping)

D
Doṣas
K
Kapha

FAQs

This verse links manda-agni with kapha-dominant pathology—mucous coating, swelling, and symptoms like breathlessness and hoarseness—showing digestion (agni) as central to maintaining balance of the doṣas.

It attributes these to doṣa aggravation, especially kapha excess and a mucous ‘coating’ (lepa) associated with weak digestive fire, which manifests upward as salivation and nasal discharge.

Treat recurring mucus, hoarseness, and heaviness as signs to improve agni and reduce kapha-provoking habits (overly heavy, cold, or damp diet/lifestyle), aiming for balanced digestion and clearer channels.