Causes and Signs of Hṛdroga
Heart Disease) and Tṛṣṇā (Pathological Thirst
वातात्पित्तात्कफात्तृष्णा सन्निपाताद्बलक्षयः / षष्ठी स्यादुपसर्गाच्च वातपित्ते च कारणम्
vātātpittātkaphāttṛṣṇā sannipātādbalakṣayaḥ / ṣaṣṭhī syādupasargācca vātapitte ca kāraṇam
Từ vāta, pitta và kapha phát sinh chứng khát; từ sự rối loạn đồng thời của cả ba (sannipāta) sinh ra suy kiệt sức lực. Cơn sốt ngày thứ sáu (ṣaṣṭhī) được nói là do lây nhiễm (upasarga), và vāta cùng pitta cũng là nguyên nhân của nó.
Lord Vishnu (in dialogue instruction to Garuda/Vinata-putra, within a didactic medical/diagnostic passage)
Dosha: Vata/Pitta/Kapha
Concept: Doṣa-vikṛti (vāta/pitta/kapha) and sannipāta as causal explanation for thirst and bala-kṣaya; recognition of upasarga (contagion) as etiological factor.
Vedantic Theme: Deha as anitya and upādhi; discernment (viveka) begins with accurate knowledge of bodily conditions.
Application: Observe doṣa-aggravating habits; treat fever/thirst early; reduce contagion exposure; seek balancing regimen for vāta-pitta and prevent sannipāta.
Primary Rasa: shanta
Related Themes: Garuda Purana 1.154 (Ayurveda/roga-nidāna section): doṣa theory, tṛṣṇā and jvara etiologies
It links morbid thirst to doṣic disturbance—vāta, pitta, and kapha—indicating a physiological imbalance rather than a purely external cause.
It states that when all three doṣas combine in sannipāta, the result is depletion of strength, implying a more severe systemic condition.
It encourages early attention to thirst and fatigue as signs of imbalance, and recognizes contagion (upasarga) as a real cause—supporting both preventive hygiene and balanced living.