Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
सरक्तः परिकृन्तंश्च कृच्छ्रादाकुञ्चति श्वसन् / अन्त्रकूजनमाटोपः क्षारितोद्गारभूरिता
saraktaḥ parikṛntaṃśca kṛcchrādākuñcati śvasan / antrakūjanamāṭopaḥ kṣāritodgārabhūritā
Schwer atmend krampft er und zieht sich zusammen; er ist blutbefleckt und wie zerschnitten und zerrissen. Es gibt ein lautes Rumpeln und Gluckern in den Eingeweiden, und er wird von häufigem Aufstoßen und Würgen saurer, ätzender Flüssigkeiten geplagt.
Lord Vishnu (in dialogue, instructing Garuda/Vinata-putra)
Dosha: Vata
Concept: Embodied suffering as a consequence of prior causes; the body becomes a field where karmic afflictions ripen.
Vedantic Theme: duhkha-darshana (seeing the inherent misery of embodied existence) prompting vairagya
Application: Cultivate restraint and sattvic living; use illness as a reminder to reduce attachment and intensify japa/charity/service.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana (Preta/karma sections): descriptions of bodily torments and disease as papa-phala (general thematic parallel)
This verse portrays specific bodily distress at the end of life to emphasize the gravity of embodied existence and the urgency of dharma, repentance, and proper rites before death.
By detailing the painful breakdown of bodily functions as prana struggles, it sets the narrative context for the soul’s separation from the gross body and the subsequent preta journey described in the Preta Kanda.
Live with ethical restraint and spiritual preparation (japa, charity, truthfulness), and support end-of-life care and rites so the transition is faced with clarity rather than panic and regret.