Pāṇḍu-Śotha Nidāna: Doṣa-wise Signs, Complications, and Prognosis
यः पित्तरोगी सेवेत पित्तलं तस्य कामलम् / कोष्ठशा खोद्गतं पित्तं दग्ध्वासृङ्मांसमाहरेत्
yaḥ pittarogī seveta pittalaṃ tasya kāmalam / koṣṭhaśā khodgataṃ pittaṃ dagdhvāsṛṅmāṃsamāharet
Người mắc pāṇḍu-roga nếu còn dùng những thứ làm tăng pitta (pittala) thì sẽ sinh kāmalā (vàng da). Pitta bốc lên từ trong phủ tạng (koṣṭha) sẽ thiêu đốt huyết và nhục, khiến bệnh trở nên nguy hiểm.
Lord Viṣṇu (in instruction to Garuḍa/Vinatā-putra)
Dosha: Pitta
Concept: Cause-and-effect in health: indulgence in pitta-provoking regimen yields worsening pathology and severe jaundice-like states.
Vedantic Theme: Kārya-kāraṇa-bhāva (causal nexus) operating within prakṛti; pramāda as bondage to suffering.
Application: Avoid pitta-aggravating foods/behaviors when pitta is deranged; treat early to prevent progression to severe kāmalā/kumbha-kāmalā.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.162.18 (repeats/clarifies pitta-following swelling and kumbha-kāmalā); Garuda Purana 1.162.17 (signs of kāmalā/pitta aggravation)
It is presented as a difficult, severe form of kāmalā (jaundice) that can develop when earlier disorders like pāṇḍu and pitta-linked swelling are neglected.
It reinforces a dharmic principle of timely care and non-negligence: ignoring warning signs leads to heavier suffering, which can obstruct disciplined spiritual life.
Do not ignore chronic pallor, swelling, and heat signs—seek early diagnosis and correction of diet/lifestyle to prevent severe progression.