Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
बाधिर्यातिशिरः श्वासशिरोरुक्काशपीनसाः? / मनोविकारस्तृट्श्वासपित्तगुल्मोदरादयः
bādhiryātiśiraḥ śvāsaśirorukkāśapīnasāḥ? / manovikārastṛṭśvāsapittagulmodarādayaḥ
وتنشأ كذلك الصمم، وآفات الرأس كالشقيقة، وضيق النفس، وصداع الرأس، والسعال، ونزلة الأنف؛ وكذلك اضطراب النفس والعقل، والعطش المفرط، وعسر التنفّس، واختلال البيتا (pitta) أي الصفراء، وأورام البطن، والاستسقاء (تضخّم البطن)، وسائر عللٍ من هذا القبيل.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: Embodied suffering proliferates when foundational regulatory forces (vāta) are deranged; neglect compounds affliction across systems including mind.
Vedantic Theme: Mind-body interdependence within prakṛti; duḥkha prompts vairāgya and disciplined living.
Application: Treat vāta aggravation early; attend to sleep, nourishment, and mental steadiness to prevent psychosomatic spread.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.156.48; Garuda Purana 1.156.49; Garuda Purana 1.156.50; Garuda Purana 1.156.52
This verse functions as a karmic-dharma warning: it catalogs physical and mental afflictions to show that suffering can manifest as concrete ailments when one lives against dharma.
By linking inner disorder (mano-vikāra) and bodily pain to consequences, it implies that the jīva carries impressions of actions that later ripen as embodied suffering, shaping one’s experience in life and beyond.
Use it as a prompt for self-correction: cultivate sattvic habits, truthful and non-harmful conduct, and remedial dharmic practices (prāyaścitta, charity, devotion) alongside appropriate medical care.