Shloka 42

Cikitsā-sāra: Doṣa Nidāna–Lakṣaṇa, Agni, Ajīrṇa/Āma Cikitsā, Daśamūla, and Prognostic Signs

Devanagari script

शूलगुल्मौ च विण्मूत्रस्थानविष्टम्भसूचकौ / विधेयं स्वेदनं तत्र पानीयं लवणोदकम्

Transliteration

śūlagulmau ca viṇmūtrasthānaviṣṭambhasūcakau / vidheyaṃ svedanaṃ tatra pānīyaṃ lavaṇodakam

Translation

Kolikschmerz (śūla) und der abdominale „Gulma“ — eine harte, verstopfende Masse, die auf Blockaden im Bereich von Stuhl und Urin hinweist — sollen dort durch Schwitztherapie (svedana) behandelt werden; zudem soll man Salzwasser trinken.

Word by Word

• शूलगुल्मौ: colic and abdominal lump
• शूलगुल्मौ: Karta (Subject/कर्ता)
• Type: Noun
• Root: शूल + गुल्म (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1), द्विवचन; द्वन्द्व-समास (इतरेतर-द्वन्द्वः)

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

• विण्मूत्रस्थानविष्टम्भसूचकौ: indicating obstruction of stool/urine passage
• विण्मूत्रस्थानविष्टम्भसूचकौ: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: विण् + मूत्र + स्थान + विष्टम्भ + सूचक (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1), द्विवचन; बहुपद-तत्पुरुषः (विण्मूत्रस्थानस्य विष्टम्भस्य सूचकौ = indicating obstruction at the site of feces/urine)

• विधेयम्: should be done
• विधेयम्: Vidhi (Injunction/विधि)
• Type: Adjective
• Root: वि + धा (धातु) + यत् (कृत्) → विधेय (कृदन्त-प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; विधेय-विशेषण; 'कर्तव्यम्' (to be done)

• स्वेदनम्: fomentation/sudation
• स्वेदनम्: Karma (Object/कर्म)
• Type: Noun
• Root: स्विद् (धातु) + अन (कृत्) → स्वेदन (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; क्रियानाम (sudation/fomentation)

• तत्र: there/in that case
• तत्र: Adhikarana (Locus/अधिकरण)
• Type: Indeclinable
• Root: तत्र (अव्यय)
• Form: अव्यय; देश/प्रसङ्गवाचक-अव्यय (locative adverb)

• पानीयम्: to be drunk; drinking water
• पानीयम्: Karma (Object/कर्म)
• Type: Noun
• Root: पा (धातु) + अनीय (कृत्) → पानीय (कृदन्त-प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; 'पेयम्' (drinkable; as noun: drinking water)

• लवणोदकम्: salt water
• लवणोदकम्: Karma (Object/कर्म)
• Type: Noun
• Root: लवण + उदक (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; कर्मधारय-समास (लवणं च तत् उदकम्)

Speaker

Lord Vishnu (in dialogue with Garuda)

Medical Ayurveda

Dosha: Vata

Philosophical Teaching

Concept: Timely, appropriate intervention (yathā-yogya cikitsā) to remove obstruction and restore bodily order.

Vedantic Theme: Harmony/order (ṛta-like balance) mirrored in bodily channels; removing blockage supports clarity and duty.

Application: For colic and gulma with stool/urine obstruction signs, apply sudation therapy and drink saline water as advised (under proper guidance).

Verse Rasa

Primary Rasa: shanta

Secondary Rasa: karuna

Cross References

Related Themes: Garuda Purana 1.168.43 (āma/dosha progression and external paste); Garuda Purana 1.168.44-45 (pathya, warm water, incompatibilities)

Characters & Entities

• Vishnu
• Garuda

FAQs

What is the importance of obstruction (viṣṭambha) in Garuda Purana’s health teaching?

The verse links pain and abdominal masses to retention of stool/urine and recommends therapies aimed at relieving obstruction rather than suppressing symptoms.

How does this verse explain the path of the soul?

It does not describe afterlife geography; it teaches bodily regulation as a supportive discipline, aligning daily life with dharma and steadiness of mind.

Practical application of this wisdom today?

For signs of retention with colicky pain, use warming measures (as appropriate) and gentle hydration with electrolytes; seek qualified medical guidance for severe symptoms.