Kāsa-bheda: The Fivefold Classification of Cough and Its Clinical Signs
इत्येष क्षयजः कास क्षीणानां देहनाशनः / याप्यौ वा बलिनां तद्वत्क्षतजो ऽपि नवौ तु तौ
ityeṣa kṣayajaḥ kāsa kṣīṇānāṃ dehanāśanaḥ / yāpyau vā balināṃ tadvatkṣatajo 'pi navau tu tau
因此,由消耗(kṣaya,痨瘵)所生之咳嗽,能摧毁形体羸瘦之人;而强健者则尚可调摄。又如由创伤所生之咳嗽亦然——此二种当知:唯以谨慎调护、细致管理,方可施治。
Lord Vishnu (speaking to Garuda/Vinatā-putra)
Concept: Rogabheda (disease classification) and yāpyatva/sādhyatva (manageable vs curable) according to bala (strength) and kṣaya (wasting).
Vedantic Theme: Deha as anitya (impermanent instrument); prudent maintenance supports puruṣārtha without mistaking body for Self.
Application: Assess patient strength and etiology (kṣayaja/ kṣataja) before prognosis; prioritize nourishment and protective regimen for the emaciated; manage rather than overpromise cure in yāpya states.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.149 (kāsa/roga-prakaraṇa context); Garuda Purana 1.150 (śvāsa-nidāna follows)
This verse highlights prognosis: consumption-born cough is fatal for the debilitated, showing the text’s emphasis on assessing strength (bala) and degeneration (kṣaya) when judging outcomes.
Indirectly: by describing conditions that can lead to bodily destruction, it frames the body’s fragility—an underlying Purāṇic theme that encourages dharma and preparedness for death rather than attachment to the body.
Treat chronic illness early, prioritize rebuilding strength, and recognize when care is palliative/management-focused—while maintaining disciplined, ethical living and spiritual steadiness.