Shloka 20

Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis

स्रोतोमुखेषु रुद्धेषु धातुषु स्वल्पकेषु च / विदाहो मनसः स्थाने भवन्त्यन्ये ह्युपद्रवाः

srotomukheṣu ruddheṣu dhātuṣu svalpakeṣu ca / vidāho manasaḥ sthāne bhavantyanye hyupadravāḥ

When the mouths of the bodily channels (srotas) are obstructed and the dhātus, the vital constituents, become scant, a burning arises in the region of the heart-mind, and other afflictions also manifest.

srotaḥ-mukheṣuin the openings of the channels
srotaḥ-mukheṣu:
Adhikarana (Locative/अधिकरण)
TypeNoun
Rootsrotaḥ (प्रातिपदिक) + mukha (प्रातिपदिक)
Formनपुंसकलिङ्ग, सप्तमी (7th/सप्तमी), बहुवचन; षष्ठी-तत्पुरुष (srotaḥ = of channels + mukha = openings)
ruddheṣublocked
ruddheṣu:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootrudh (धातु) → ruddha (कृदन्त/प्रातिपदिक)
Formभूतकृदन्त (क्त), नपुंसकलिङ्ग, सप्तमी (7th), बहुवचन; विशेषण (qualifying srotaḥ-mukheṣu)
dhātuṣuin the bodily constituents (dhātus)
dhātuṣu:
Adhikarana (Locative/अधिकरण)
TypeNoun
Rootdhātu (प्रातिपदिक)
Formपुंलिङ्ग, सप्तमी (7th), बहुवचन
svalpakeṣusmall / scanty
svalpakeṣu:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootsvalpaka (प्रातिपदिक)
Formपुंलिङ्ग, सप्तमी (7th), बहुवचन; विशेषण (qualifying dhātuṣu)
caand
ca:
Sambandha (Connector/सम्बन्ध)
TypeIndeclinable
Rootca (अव्यय)
Formसमुच्चयबोधक अव्यय (conjunction)
vidāhaḥburning sensation / inflammation
vidāhaḥ:
Karta (Subject/कर्ता)
TypeNoun
Rootvidāha (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st/प्रथमा), एकवचन
manasaḥof the mind
manasaḥ:
Shashthi-sambandha (Genitive relation/षष्ठी-सम्बन्ध)
TypeNoun
Rootmanas (प्रातिपदिक)
Formनपुंसकलिङ्ग, षष्ठी (6th/षष्ठी), एकवचन
sthānein the place/seat
sthāne:
Adhikarana (Locative/अधिकरण)
TypeNoun
Rootsthāna (प्रातिपदिक)
Formनपुंसकलिङ्ग, सप्तमी (7th), एकवचन
bhavantiarise / occur
bhavanti:
Kriya (Action/क्रिया)
TypeVerb
Rootbhū (धातु)
Formलट् (Present), प्रथमपुरुष (3rd person), बहुवचन
anyeother
anye:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootanya (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), बहुवचन; विशेषण (qualifying upadravāḥ)
hiindeed
hi:
Sambandha (Particle/निपात)
TypeIndeclinable
Roothi (अव्यय)
Formनिपात (particle; emphasis/causal nuance)
upadravāḥcomplications / afflictions
upadravāḥ:
Karta (Subject/कर्ता)
TypeNoun
Rootupadrava (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st), बहुवचन

Lord Vishnu (narrating to Garuda/Vinata-putra)

Dosha: Mixed

Concept: Suffering arises from bodily imbalance and obstruction; recognize early signs to prevent cascading afflictions.

Vedantic Theme: Deha-asatva and duḥkha as prompts for vairāgya; mind-body linkage within prakṛti.

Application: Attend to early symptoms (srotorodha, dhātu-kṣaya, internal burning); seek timely care and reduce aggravating habits (overexertion, irregular diet, stress).

Primary Rasa: karuna

Secondary Rasa: bhayanaka

Related Themes: Garuda Purana 1.152 (medical/āyurveda section on kṣaya and doṣa pathology)

G
Garuda
V
Vishnu

FAQs

This verse links obstruction of srotas with systemic distress—showing that blocked flow in the body’s channels leads to depletion of dhātus and triggers mental-region burning and other complications.

It states that physical obstruction and tissue depletion can produce vidāha (burning) specifically in the manasaḥ-sthāna (seat of mind), indicating a direct psychosomatic relationship in the Purāṇic-Ayurvedic worldview.

Treat health as whole-body: support circulation/flow, nourishment of tissues, and mental calm—since physical imbalance can manifest as mental burning and cascading complications.