Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis
प्रसेको मुखमाधुर्यं मार्दवं वह्निदे हयोः / लौल्यभावो ऽन्नपानादौ शुचावशुचिवीक्षणम्
praseko mukhamādhuryaṃ mārdavaṃ vahnide hayoḥ / laulyabhāvo 'nnapānādau śucāvaśucivīkṣaṇam
内火(agni)所逼之人,涎液自流,口中觉甜,身亦柔软无力。又于饮食起躁动不安,并在所见之物中,开始分别清净与不净。
Lord Vishnu (in dialogue to Garuda)
Dosha: Pitta
Concept: Agni-affliction manifests in oral changes, bodily laxity, food-restlessness, and altered discrimination of śuci/aśuci—showing how physiological imbalance affects cognition and perception.
Vedantic Theme: Mind-body linkage: antaḥkaraṇa clarity depends on balanced prāṇa/agni; impaired discrimination (viveka) can arise from bodily disturbance.
Application: Stabilize digestive fire and routine; avoid chasing cravings; when perception feels erratic, simplify diet and re-establish cleanliness and regularity.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.152 (agni/inner fire disturbance and symptomatology; śuci-aśuci perception shift)
This verse lists observable changes—salivation, altered taste, softness/weakness, cravings, and heightened sense of purity/impurity—as indicators of inner distress that can accompany karmic fruition and the approach of transition.
By noting pre-death disturbances in the body and mind, it frames death as a karmically governed transition: the subtle tendencies (craving, agitation, aversion) intensify, shaping the person’s final mental state that influences the onward journey.
Use such signs as prompts for steadiness—reduce compulsive craving, practice cleanliness and discernment without obsession, and turn attention to prayer, repentance, charity, and remembrance of Vishnu to stabilize the mind.