Shloka 45

Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids

Devanagari script

स्त्रवन्ति सहसा रक्तं तस्य चातिप्रवृत्तितः / केकाभः पीड्यते दुः खैः शोणितक्षयसम्भवैः

Transliteration

stravanti sahasā raktaṃ tasya cātipravṛttitaḥ / kekābhaḥ pīḍyate duḥ khaiḥ śoṇitakṣayasambhavaiḥ

Translation

فجأة يبدأ الدم في التدفق منه؛ وبسبب هذا الإفراز المفرط، يتعذب المريض بالآلام التي تنشأ عن استنزاف الدم.

Word by Word

• स्त्रवन्ति: they ooze/flow
• स्त्रवन्ति: Kriya (Action)
• Type: Verb
• Root: स्रु (धातु)
• Form: लट् (Present), परस्मैपद, प्रथमपुरुष (3rd), बहुवचन

• सहसा: suddenly
• सहसा: Visheshana (Adverbial modifier)
• Type: Indeclinable
• Root: सहसा (अव्यय)
• Form: अव्यय; क्रियाविशेषण (adverb)

• रक्तम्: blood
• रक्तम्: Karma (Object/कर्म)
• Type: Noun
• Root: रक्त (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, द्वितीया (2nd/कर्म), एकवचन

• तस्य: of it/of that
• तस्य: Sambandha (Genitive/सम्बन्ध)
• Type: Noun
• Root: तद् (सर्वनाम-प्रातिपदिक)
• Form: पुंलिङ्ग/नपुंसकलिङ्ग, षष्ठी (6th/सम्बन्ध), एकवचन; सर्वनाम

• च: and
• च: Samuccaya (Connector)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: अव्यय; समुच्चय (conjunction)

• अतिप्रवृत्तितः: due to excessive discharge/activity
• अतिप्रवृत्तितः: Apadana (Cause/Source)
• Type: Noun
• Root: अति-प्रवृत्ति (प्रातिपदिक; समास)
• Form: स्त्रीलिङ्ग, पञ्चमी (5th/अपादान), एकवचन; अव्ययीभावसमासः (अति+प्रवृत्ति)

• केकाभः: one resembling a heron (pale/whitish)
• केकाभः: Karta (Subject/कर्ता)
• Type: Noun
• Root: केक-आभ (प्रातिपदिक; समास)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; समासः—तत्पुरुषः (केकायाः आभः/सदृशः)

• पीड्यते: is afflicted/tormented
• पीड्यते: Kriya (Action)
• Type: Verb
• Root: पीड् (धातु)
• Form: लट् (Present), आत्मनेपद, प्रथमपुरुष, एकवचन; कर्मणि प्रयोग (passive)

• दुःखैः: by pains/sufferings
• दुःखैः: Karana (Instrument/Means)
• Type: Noun
• Root: दुःख (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया (3rd/करण), बहुवचन

• शोणितक्षयसम्भवैः: arising from loss of blood
• शोणितक्षयसम्भवैः: Karana (Instrument/Means)
• Type: Adjective
• Root: शोणित-क्षय-सम्भव (प्रातिपदिक; समास)
• Form: नपुंसकलिङ्ग, तृतीया, बहुवचन; विशेषणम् (दुःखैः); समासः—तत्पुरुषः (शोणितक्षयात् सम्भवाः)

Speaker

Lord Vishnu (narrating to Garuda)

Philosophical Teaching

Concept: Unchecked pathology leads to kṣaya (wasting), turning acute events into chronic suffering.

Vedantic Theme: Anityatā of bodily supports (dhātu-kṣaya) prompting dispassion and care for right living.

Application: Recognize warning signs (sudden bleeding) and seek immediate intervention; conserve vitality through appropriate regimen.

Verse Rasa

Primary Rasa: karuna

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.156.43-44 (lesion description); Garuda Purana 1.156.46 (loss of color/strength)

Characters & Entities

• Kekābha

FAQs

What is the importance of describing punishments like blood-depletion (śoṇita-kṣaya) in the Garuda Purana?

It functions as a karmic warning: specific painful results are mapped to harmful actions, urging restraint, non-violence, and ethical living to avoid post-death suffering.

How does this verse explain the path of the soul after death?

Within the Preta Kanda’s framework, the departed experiences consequences in Yama’s domain according to karma; this verse illustrates a particular torment characterized by uncontrolled bleeding and weakness from blood loss.

Practical application of this wisdom today?

Avoid actions that cause injury or depletion to others, practice compassion and self-control, and support dharmic conduct—traditionally complemented by mindful rites for the departed and charity.