Raktapitta Nidāna and Cikitsā: Causes, Signs, Srotas-Spread, and Śodhana Priority
संसृष्टेषु हि दोषेषु सर्वथा छर्दनं हितम् / तत्र दोषो ऽत्र गमनं शिवास्त्र इव लक्ष्यते
saṃsṛṣṭeṣu hi doṣeṣu sarvathā chardanaṃ hitam / tatra doṣo 'tra gamanaṃ śivāstra iva lakṣyate
عندما تختلط الدوشا (أخلاط الجسد) وتضطرب معًا، يكون القيء نافعًا من كل وجه. ففي تلك الحال تُرى المادةُ الممرِضة تخرج من هذا الجسد، كأنها مطرودةٌ بسلاح شِيفا.
Lord Vishnu (in dialogue with Garuda)
Dosha: Mixed
Concept: When doṣas are mutually mixed (saṃsṛṣṭa), śodhana—especially vamana (emesis)—is wholesome; disease is treated by removing the offending cause.
Vedantic Theme: Deha as an instrument; purification (śuddhi) supports clarity and sattva, enabling higher pursuits.
Application: In mixed-humor disorders, consider physician-guided emesis as a primary śodhana; interpret symptoms as movement of morbid matter toward expulsion.
Primary Rasa: shanta
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.148 (Ayurveda section on doṣa and śodhana); Garuda Purana 1.149 (continuation into kāsa/respiratory pathology)
This verse states that when the doṣas are mixed and aggravated, vomiting is considered broadly beneficial because it expels the morbid matter from the body.
It describes the doṣa as visibly “moving out” of the body, using the metaphor of being driven out forcefully like Śiva’s weapon.
Treat it as a traditional principle of purification: if cleansing is needed, it should be done under competent guidance (e.g., qualified Ayurvedic supervision) rather than self-induced practices.