Which symptom is characteristic of vata-type hrday roga lakshana?

• A. Spasm in heart
• B. High blood pressure is always present
• C. Tingling in the legs only
• D. Cough with fever

Answer: (A)

The symptom focus is on how vata imbalance shows up in heart disease (hrday roga lakshana). When vata is aggravated, its influence is on movement and rapid, irregular function, so the heart may experience sudden, involuntary contractions or spasms and episodes of palpitations. This pattern—episodic, sharp, and unpredictable activity in the heart region—fits the vata temperament best among the options.

Hypertension described as "always present" isn’t a defining feature of vata-type heart disease; blood pressure changes can be linked to multiple dosha imbalances and aren’t specific to vata. Tingling in the legs points to peripheral vata or nervous system involvement but doesn’t pinpoint heart involvement. Cough with fever aligns more with kapha or pitta–related issues, not the vata-dominant heart pattern. So the characteristic vata manifestation in hrday roga is the heart spasms or sudden irregular heart activity.