Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
सोष्माणो द्रवनीलोष्णपीतरक्तामवर्चसः / यवमध्या हरित्पीतहारिद्रत्वङ्नखादयः
soṣmāṇo dravanīloṣṇapītaraktāmavarcasaḥ / yavamadhyā haritpītahāridratvaṅnakhādayaḥ
هم محمومون ويسيل منهم السوائل، بحرارة مائلة للزرقة؛ وتظهر بشرتهم تلوناً أصفر ومحمراً و'نيئاً'. خصورهم نحيلة كحبة الشعير، وتبدو جلودهم وأظافرهم وما شابه ذلك بلون أصفر مخضر ولون الكركم.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Afterlife Stage: Naraka
Dosha: Pitta
Concept: Karma ripens into ‘āmā’ (raw/undigested) states—impurity and incompletion—seen as discoloration and weakness.
Vedantic Theme: Samsara as repeated embodiment with doṣa/āmā-like bondage; prompts purification and turning toward moksha.
Application: Pursue inner ‘digestion’ of impulses—ethical discipline, truthful living, and devotional remembrance to prevent ‘raw’ karmic residues.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156: continuation of symptom series (āmavarcasa, haridra-varṇa, emaciation)
This verse treats external features—heat, discoloration, skin and nail color—as meaningful indicators of an internal condition (a morbid/‘āma’ state), used in the text’s diagnostic-style descriptions.
Indirectly: it focuses on embodied signs rather than the post-death journey, but in Garuda Purana such descriptions often frame how one’s condition (health/imbalance shaped by actions) is read as a consequence of karma while living.
Treat persistent heat, abnormal discoloration, and changes in skin/nails as warnings to correct lifestyle and seek proper care—while also using the reminder to live ethically and avoid causes of harm that lead to suffering.