Shloka 23
Vidradhi–Gulma Nidāna
Causes and Signs of Abscess and Abdominal Mass
आपीड्य धमनीवृद्धिं करोति फलकोषयोः / दोषो मेदःसु तत्रास्ते सवृद्धिः सप्तधा गदः
āpīḍya dhamanīvṛddhiṃ karoti phalakoṣayoḥ / doṣo medaḥsu tatrāste savṛddhiḥ saptadhā gadaḥ
নাড়ি চেপে ধরে সে অণ্ডথলিতে ধমনীর বৃদ্ধি ঘটায়। সেখানে মেদধাতুতে দোষ অবস্থান করে; দোষ বৃদ্ধি পেলে রোগ সাত প্রকারে প্রকাশ পায়।
Lord Vishnu
Concept: Srotas-saṅkocha (channel compression) causing dhamanī-vṛddhi (vessel enlargement) and doṣa-sthāna (lodging) in medas (fat), yielding classified manifestations.
Vedantic Theme: Nāma-rūpa differentiation: one underlying disturbance appears as multiple forms when conditioned by loci (dhātu) and pathways (srotas).
Application: Diagnose by palpation/observation of scrotal enlargement and vessel distension; consider meda-dhātu involvement; tailor therapy to reduce doṣa and meda, relieve obstruction, and address the specific subtype among the seven.
Primary Rasa: bibhatsa
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.160: continuation of genital/urinary pathology and doṣa dynamics; Ayurveda parallels: Suśruta on vṛddhi/ślipada-like swellings and dhātu involvement; Aṣṭāṅga Hṛdaya on meda-doṣa and granthi/vṛddhi classifications
FAQs
It states that when a doṣa becomes lodged in meda (fat tissue) and increases, it produces a defined pathological condition—showing a tissue-based (dhātu) understanding of disease.
It attributes the condition to compression leading to enlargement of the dhamanīs (vessels/ducts), with the morbid factor settling in local fatty tissue and then worsening.
It highlights early attention to bodily imbalances—avoiding habits that cause obstruction/compression and addressing doṣa aggravation before it becomes chronic.