Nidāna of Mūtraghāta and Aśmarī: Doṣa-based Types, Signs, and Named Urinary Syndromes
मूत्रं सपित्तं सकफं सशुक्रं वा तदा क्रमात् / संजायते ऽश्मरी घोरा पित्तं गोरिव रोचना
mūtraṃ sapittaṃ sakaphaṃ saśukraṃ vā tadā kramāt / saṃjāyate 'śmarī ghorā pittaṃ goriva rocanā
Wenn der Harn der Reihe nach mit pitta, mit kapha oder sogar mit śukra (Samen) vermischt wird, entsteht mit der Zeit die schreckliche aśmarī (Harnstein); und pitta wird leuchtend gelb wie das helle Pigment namens gorocanā.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Pitta/Kapha
Concept: Etiological progression: admixture of doṣic elements (pitta/kapha) and śukra in urine leads over time to āśmarī (urinary calculus).
Vedantic Theme: Time-bound maturation of causes into effects (kārya-kāraṇa-bhāva) within the body; impermanence of bodily ease.
Application: Treat early doṣa admixture and urinary abnormalities promptly to prevent stone formation; monitor color/consistency changes as warning signs.
Primary Rasa: bhayanaka
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.158: āśmarī nidāna and pūrvarūpa (preliminary signs) sequence; Adjacent verses describing kapha-rootedness and bladder distension as prodromes
This verse frames aśmarī as a serious disorder arising from impurity/mixture in urine linked to doṣic factors (pitta, kapha) and śukra, showing the text’s practical, health-oriented teaching alongside dharma topics.
It describes a gradual (kramāt) progression: urine becomes mixed with pitta/kapha/śukra, and over time that compounded imbalance concretizes into a painful calculus (aśmarī), with pitta’s hallmark yellow coloration compared to gorocanā.
Treat worsening urinary symptoms as progressive and address underlying heat (pitta) and mucus/heaviness (kapha) factors early through diet, hydration, and timely medical care, rather than waiting for the condition to harden into a stone.