Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
श्लेष्मणः स्निग्धता तस्य ग्रथितत्वं सवर्णता / अर्शसां प्रशमे यत्नमाशु कुर्वीत बुद्धिमान् / तान्याशु हि गदन्धा (कार्) य्य कुर्युर्बद्धगुदोदरम्
śleṣmaṇaḥ snigdhatā tasya grathitatvaṃ savarṇatā / arśasāṃ praśame yatnamāśu kurvīta buddhimān / tānyāśu hi gadandhā (kār) yya kuryurbaddhagudodaram
ومن علاماته لزوجةُ البلغم (Śleṣman/Kapha) ودُهنيّتُه، وتكتّله وتغلّظه، وتغيّر اللون على نسقٍ واحد. لذلك ينبغي للعاقل أن يبادر إلى المعالجة لإخماد داء الأرشاس (البواسير). فإن هذه العلل إن أُهمِلَت أسرعت إلى مرضٍ خبيثٍ ذي رائحة كريهة، وقد تُحدِث انسدادًا في المستقيم وانتفاخًا في البطن.
Lord Vishnu (in dialogue instruction to Garuda/Vinatā-putra, as typical in Garuḍa Purāṇa narration)
Dosha: Kapha
Concept: Pramāda (negligence) in health leads to escalation; wisdom is prompt remedial action.
Vedantic Theme: Kārya-kāraṇa (cause-effect) applied to embodied life; disciplined action sustains one’s capacity for dharma.
Application: Do not delay management of arśas (hemorrhoids); address kapha signs (snigdhata, granthita, uniform discoloration) and prevent obstruction/abdominal distension.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156 (arśas/roga-lakṣaṇa context); Garuda Purana 1.157 (digestive nidāna continuation)
This verse stresses prompt pacification of arśas because kapha-related thickening and discoloration can rapidly worsen into obstructive and foul complications affecting the rectum and abdomen.
It does not directly discuss the soul’s journey; instead, it gives dhārmic-practical instruction on maintaining bodily health, implying that neglect of disease is unwise and leads to suffering.
Recognize early signs of worsening kapha-related congestion and seek timely treatment; do not ignore chronic piles/constipation, as neglect can lead to more serious obstruction and abdominal distress.