Shloka 9

Vidradhi–Gulma Nidāna

Causes and Signs of Abscess and Abdominal Mass

Devanagari script

संक्लेशशीतकस्तम्भजृम्भारोचकगौरवाः / चिरोत्थानो ऽविपाकश्च संकीर्णः सन्निपातजः

Transliteration

saṃkleśaśītakastambhajṛmbhārocakagauravāḥ / cirotthāno 'vipākaśca saṃkīrṇaḥ sannipātajaḥ

Translation

Im gemischten Zustand (Sannipāta) treten Bedrängnis, Schüttelfrost, Steifheit, Gähnen, Appetitlosigkeit und Schwere auf; er entsteht langsam, eitert nicht richtig und zeigt eine verworrene Mischung von Zeichen.

Word by Word

• संक्लेश: distress
• संक्लेश: Karta (Subject/कर्ता)
• Type: Noun
• Root: संक्लेश (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन (सूची-बहुवचन); ‘distress’

• शीतक: chill
• शीतक: Karta (Subject/कर्ता)
• Type: Noun
• Root: शीतक (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन; ‘chill/coldness’

• स्तम्भ: stiffness
• स्तम्भ: Karta (Subject/कर्ता)
• Type: Noun
• Root: स्तम्भ (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन; ‘stiffness/rigidity’

• जृम्भा: yawning
• जृम्भा: Karta (Subject/कर्ता)
• Type: Noun
• Root: जृम्भा (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, बहुवचन; ‘yawning’

• अरोचक: loss of appetite
• अरोचक: Karta (Subject/कर्ता)
• Type: Noun
• Root: अरोचक (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन; ‘loss of appetite’

• गौरवाः: heaviness
• गौरवाः: Karta (Subject/कर्ता)
• Type: Noun
• Root: गौरव (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन; ‘heaviness’

• चिर-उत्थानः: slow to arise; late-onset
• चिर-उत्थानः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: चिर (अव्यय/प्रातिपदिक) + उत्थान (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; ‘चिरेण उत्थानः’ — slow in arising/late onset

• अविपाकः: indigestion
• अविपाकः: Karta (Subject/कर्ता)
• Type: Noun
• Root: अ (उपसर्ग/नञ्) + विपाक (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; ‘विपाकस्य अभावः’ — indigestion/non-digestion

• च: and
• च: Sambandha (Connector/सम्बन्ध)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: अव्यय; समुच्चयार्थक-निपात — ‘and’

• संकीर्णः: mixed
• संकीर्णः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: संकीर्ण (कृदन्त/प्रातिपदिक; √कॄ/कीर्)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; भूतकर्मणि क्त-प्रत्ययान्त — ‘mixed/combined’

• सन्निपातजः: born of sannipāta (combined doṣas)
• सन्निपातजः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: सन्निपात (प्रातिपदिक) + ज (कृदन्त/प्रातिपदिक; √जन्)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; ‘सन्निपातात् जातः’ — arising from tridoṣa concurrence

Speaker

Lord Vishnu (speaking to Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Mixed

Philosophical Teaching

Concept: When causes are mixed, signs become blended and treatment/prognosis is difficult; discernment must be nuanced.

Vedantic Theme: Complexity of prakṛti; necessity of viveka and equanimity (śama) amid uncertainty.

Application: Do not oversimplify diagnosis; track clusters (chills, stiffness, yawning, anorexia, heaviness), note slow onset and poor suppuration; seek comprehensive evaluation.

Verse Rasa

Primary Rasa: shanta

Secondary Rasa: karuna

Geographic Context

Type: systemic (sannipāta)

Cross References

Related Themes: Garuda Purana 1.160 (sannipāta description and contrasts with single-doṣa states)

Characters & Entities

• Garuda
• Vishnu
• Sannipāta
• Vāta
• Pitta
• Kapha

FAQs

What is sannipāta as described in this verse of the Garuda Purana?

Sannipāta is a combined doṣic disturbance where signs are mixed and complicated, often with slow onset and atypical or incomplete suppuration.

How does this verse explain the nature of complicated illness?

It emphasizes a cluster of systemic symptoms—chills, stiffness, heaviness, anorexia—along with delayed manifestation and unclear progression, indicating a mixed pathology.

Practical application of this wisdom today?

When symptoms are mixed, persistent, and unclear, the verse suggests taking the condition seriously and seeking comprehensive evaluation rather than relying on a single-symptom approach.