Shloka 19

Dhanvantari’s Therapeutics: Jvara to Vraṇa

Fever, GI Disorders, Bleeding, Respiratory, Urinary, Swelling, and Wound Care

भेषजं शस्त्रक्षाराग्न्यस्त्रिधा वै चार्शसां हरम् / विद्धि तच्चार्शसोघ्नन्तु यद्धि तक्रं नवोद्धृतम्

bheṣajaṃ śastrakṣārāgnyastridhā vai cārśasāṃ haram / viddhi taccārśasoghnantu yaddhi takraṃ navoddhṛtam

Wisse, dass das Heilmittel gegen arśas (Hämorrhoiden) dreifach ist: durch Operation, durch Ätzbehandlung mit Alkali (kṣāra) und durch Feuer (thermische Kauterisation). Doch erkenne: frische, eben bereitete Buttermilch (takra) ist wahrlich ein Vernichter der Hämorrhoiden.

bheṣajammedicine/remedy
bheṣajam:
Karma (Object/कर्म)
TypeNoun
Rootbheṣaja (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन
śastra-kṣāra-agni-astri-dhāin three ways: by surgery/alkali/cautery (etc.)
śastra-kṣāra-agni-astri-dhā:
Sambandha (Adverbial/क्रियाविशेषण)
TypeIndeclinable
Rootśastra (प्रातिपदिक) + kṣāra (प्रातिपदिक) + agni (प्रातिपदिक) + astri (प्रातिपदिक) + dhā (अव्यय)
Form‘त्रिधा’ (अव्यय) with enumeration: by three means—śastra, kṣāra, agni (text has ‘astrि’ as variant/epithet); treated as adverbial specification
tridhāthreefold
tridhā:
Sambandha (Adverbial/क्रियाविशेषण)
TypeIndeclinable
Roottridhā (अव्यय)
Formअव्यय; प्रकारवाचक (in three ways)
vaiindeed
vai:
Sambandha (Particle/निपात)
TypeIndeclinable
Rootvai (अव्यय)
Formअव्यय; निश्चयार्थक (indeed)
caand
ca:
Sambandha (Conjunction/समुच्चय)
TypeIndeclinable
Rootca (अव्यय)
Formअव्यय; समुच्चय (and)
arśasāmof piles/hemorrhoids
arśasām:
Sambandha (Genitive/सम्बन्ध)
TypeNoun
Rootarśas (प्रातिपदिक)
Formनपुंसकलिङ्ग, षष्ठी (6), बहुवचन
haramremoving/curing
haram:
Karma (Qualifier/कर्मविशेषण)
TypeAdjective
Roothara (प्रातिपदिक)
Formपुंलिङ्ग, द्वितीया (2), एकवचन; ‘हर’ = removing; qualifying bheṣajam
viddhiknow/understand
viddhi:
Kriya (Action/क्रिया)
TypeVerb
Root√vid (धातु)
Formलोट् (imperative), परस्मैपद, मध्यमपुरुष (2), एकवचन
tatthat
tat:
Karma (Object/कर्म)
TypeNoun
Roottad (सर्वनाम-प्रातिपदिक)
Formनपुंसकलिङ्ग, द्वितीया (2), एकवचन; demonstrative pronoun
arśasaḥ-ghnamdestroying piles
arśasaḥ-ghnam:
Karma (Object complement/कर्मविशेषण)
TypeAdjective
Rootarśas (प्रातिपदिक) + ghna (प्रातिपदिक)
Formनपुंसकलिङ्ग, द्वितीया (2), एकवचन; उपपद-तत्पुरुष (‘arśas’ + ‘ghna’) qualifying ‘tat’
tuindeed/however
tu:
Sambandha (Particle/निपात)
TypeIndeclinable
Roottu (अव्यय)
Formअव्यय; अवधान (indeed/however)
yatwhich/that which
yat:
Karta (Relative subject/कर्ता)
TypeNoun
Rootyad (सर्वनाम-प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; relative pronoun
hiindeed/for
hi:
Sambandha (Particle/निपात)
TypeIndeclinable
Roothi (अव्यय)
Formअव्यय; हेत्वर्थ/निश्चय (for/indeed)
takrambuttermilk
takram:
Karta (Predicate/कर्ता)
TypeNoun
Roottakra (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन
nava-uddhṛtamfreshly drawn/newly prepared
nava-uddhṛtam:
Karta (Qualifier/कर्तृविशेषण)
TypeAdjective
Rootnava (प्रातिपदिक) + uddhṛta (कृदन्त; √uddhṛ/उद्धृ)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; कर्मधारय (‘freshly drawn/just churned’) qualifying takram

Lord Vishnu (in discourse to Garuda)

Dosha: Pitta

Concept: Proportional response to suffering: escalate treatment as needed, but value simple, sattvic dietary measures when effective.

Vedantic Theme: Yukti (skillful means) in action; minimizing harm while restoring functional balance.

Application: Recognize three therapeutic modalities for arśas—śastra, kṣāra, agni—while employing fresh, newly churned buttermilk as a key supportive/primary remedy where suitable.

Primary Rasa: shanta

Secondary Rasa: bibhatsa

Related Themes: Garuda Purana 1.170 (arśas management; diet and procedures)

G
Garuda

FAQs

This verse states that while treatment is classically threefold (surgery, alkali, fire), fresh buttermilk (navoddhṛta takra) is specifically praised as arśas-destroying.

By emphasizing regulated, appropriate remedies and dietetic support (like fresh buttermilk), it reflects a dharmic approach to bodily maintenance as part of responsible household life.

It suggests dietary support alongside clinical care; in modern terms, use evidence-informed medical advice and consider traditional dietary measures only if suitable for one’s condition.