Hiccups, asthma, cough, pain in head, ears, and eyes — these and other various diseases arise from disturbance of prāṇa.

This verse enumerates specific symptoms that can result from incorrect prāṇāyāma practice. Prakopataḥ means “from disturbance” or “from agitation” of prāṇa (pavana, a synonym for vāyu).

The symptoms listed are:

• Hikkā — hiccups or diaphragm spasms
• Śvāsa — breathing difficulty or asthma
• Kāsa — cough
• Śiraḥ-vedanā — headache
• Karṇa-vedanā — ear pain
• Akṣi-vedanā — eye pain

These symptoms reflect disturbance of different subsidiary vāyus. Hiccups and cough indicate imbalance of prāṇa vāyu and udāna vāyu. Headaches and sensory pains suggest disturbance of vyāna vāyu, which governs circulation in the head.

The phrase vividhāḥ rogāḥ (“various diseases”) indicates this list is not exhaustive. The verse serves as a diagnostic guide: if these symptoms appear during or after practice, it’s a sign that something is being done incorrectly and must be corrected immediately, preferably by consulting a teacher.