Shloka 6
Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever
अरुचिश्चाविपाकश्च स्तंभमालस्यमेव च / हृद्दाहश्च विपाकश्च तन्द्रा चालस्यमेव च / वस्तिर्विमर्दावनया दोषाणामप्रवर्तनम्
aruciścāvipākaśca staṃbhamālasyameva ca / hṛddāhaśca vipākaśca tandrā cālasyameva ca / vastirvimardāvanayā doṣāṇāmapravartanam
食欲不振与不消化，拘滞与懒惰；胸中灼热与不消化，昏沉与怠惰；膀胱之疾、周身酸痛与虚弱——当诸多ṣa（体液之失衡）不行不运、失其职分时，便会生起这些症状。
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Concept: When doṣas do not circulate/function (apravartana), systemic symptoms arise: anorexia, indigestion, stiffness, lethargy, chest burning, drowsiness, bladder disorders, soreness, weakness.
Vedantic Theme: Functional harmony vs obstruction: when prāṇa/doṣa dynamics are blocked, experience becomes duḥkha; knowledge enables corrective action.
Application: Address stagnation: promote proper movement/metabolism via appropriate diet, activity, and therapies (as guided), rather than suppressing symptoms alone.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.147: doṣa-lakṣaṇa and regimen logic (contextual internal reference)
FAQs
This verse highlights that when the doṣas do not circulate and act properly, multiple systemic symptoms arise—especially digestive disturbance, lethargy, and urinary issues—showing the Purana’s use of classical doṣa-based pathology.
Indirectly: by describing bodily breakdown through doṣa dysfunction, it sets a physiological context often used in the Preta Kanda to discuss decline, timing, and preparedness for the post-death journey taught elsewhere in the Vishnu–Garuda dialogue.
Treat persistent indigestion, chest-burning, stiffness, drowsiness, and urinary discomfort as signals of systemic imbalance; seek timely dietary discipline and appropriate medical care rather than ignoring early warning signs.