Nidāna of Mūtraghāta and Aśmarī: Doṣa-based Types, Signs, and Named Urinary Syndromes
पीडिते ज्वरकासे ऽस्मिन्नश्मर्येव च शर्करा / असौ वा वायुना भिन्ना सा त्वस्मिन्नमुलोमगे
pīḍite jvarakāse 'sminnaśmaryeva ca śarkarā / asau vā vāyunā bhinnā sā tvasminnamulomage
إذا ابتُلي المرء على هذا النحو—بحمّى وسعال—تكوَّن الحصى (śarkarā) كأنه حصاة بول (aśmarī). أو تنشطر تلك الحصاة بفعل ريح الجسد (vāyu) فتصير حصًى؛ ويكون ذلك حين يسير vāyu في مجراه الطبيعي الهابط (anuloma).
Lord Viṣṇu (in dialogue with Garuḍa)
Dosha: Vata
Concept: Systemic disturbance can manifest as related pathologies; vāyu can fragment a stone into gravel, and proper downward vāyu flow (anuloma) is physiologically significant.
Vedantic Theme: Interdependence within the embodied system; restoring order (ṛta-like regularity) reduces suffering.
Application: Address systemic illness (fever/cough) and vāta regulation; support normal downward movement (bowel/urine regularity) to reduce gravel/stone complications.
Primary Rasa: shanta
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.158.15-18 (aśmarī types, śukrāśmarī cause and symptoms)
This verse distinguishes between a solid urinary stone (aśmarī) and gravel-like deposits (śarkarā), explaining their formation through vāyu/vāta and the direction of its movement.
It does not describe the soul’s journey; it belongs to the Garuda Purana’s practical, dharmic-Āyurvedic instruction section on bodily disorders and their causes.
It highlights observing symptoms and causation (vital-air imbalance and obstruction) and encourages timely care for urinary discomfort rather than neglecting it.