Vidradhi–Gulma Nidāna
Causes and Signs of Abscess and Abdominal Mass
नाभिबस्तियकृत्प्लीहक्लोमहृत्कुक्षिवङ्क्षणि / हृदये वेपमाने तु तत्रतत्रातितीव्ररुक्
nābhibastiyakṛtplīhaklomahṛtkukṣivaṅkṣaṇi / hṛdaye vepamāne tu tatratatrātitīvraruk
Im Nabelbereich, in Blase, Leber, Milz, Kloma, Herz, Bauch und Leiste—wenn das Herz bebt, entsteht dort jeweils ein überaus heftiger Schmerz.
Lord Vishnu (speaking to Garuda)
Concept: Precise observation of bodily signs as a means to discern disease and the transient nature of embodied life.
Vedantic Theme: Deha-anityatva and viveka between Self and body (śarīra-ātma-viveka).
Application: Attend early to systemic pain and cardiac tremor; cultivate detachment and timely care rather than denial.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Type: anatomical loci
Related Themes: Garuda Purana 1.160 (adjacent verses on doṣa-based symptomatology and complications)
Kloma is an Ayurvedic anatomical-vital term; traditional sources associate it with an important internal organ/region linked to vital fluids and thoraco-abdominal function, hence its mention among key sites of severe pain.
It gives a precise symptom-map—naming organs and regions—to convey the intensity and spread of suffering, a common Purāṇic method to make moral-spiritual teachings tangible through bodily experience.
Severe migrating pain with chest/heart trembling is a warning sign—seek prompt medical evaluation and avoid neglecting symptoms that involve vital regions.