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.
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)
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.