Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
जायन्तेर्ऽशांसितु तत्पूर्वं लक्षणं वह्निमन्दता / विष्टम्भः सास्थिसदनं पिण्डि (ष्ट) कोद्वेष्टनं भ्रमः
jāyanter'śāṃsitu tatpūrvaṃ lakṣaṇaṃ vahnimandatā / viṣṭambhaḥ sāsthisadanaṃ piṇḍi (ṣṭa) kodveṣṭanaṃ bhramaḥ
Before piles (hemorrhoids) manifest, the prior signs are: a weakening of digestive fire, constipation and abdominal obstruction, aching in the joints and bones, twisting pain around the region of the pelvic lump/anus, and dizziness.
Lord Viṣṇu (in dialogue with Garuḍa/Vinātā-putra)
Dosha: Vata
Concept: Knowing pūrvarūpa (prodromal signs) enables prevention; right knowledge reduces suffering.
Vedantic Theme: Pramāṇa in practical life: accurate observation (yathārtha-jñāna) supports right action; care of the body aids higher pursuits.
Application: Monitor digestive fire (appetite), bowel regularity, joint aches, pelvic/anorectal twisting pain, and dizziness; intervene early with diet/regimen and medical consultation.
Primary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156 (arśas pūrvarūpa and agni-mandya)
The verse treats weakened digestion (vahnimandatā) as an early warning sign—when Agni declines, systemic imbalance appears, prompting timely care and religious preparedness.
It lists bodily pre-signs (lakṣaṇa) that arise before a serious condition manifests, aligning with the text’s broader aim: recognize decline early and perform appropriate discipline, remedies, and rites.
Treat persistent मंदाग्नि, constipation, twisting pelvic pain, and dizziness as signals to seek medical attention early and also to cultivate daily discipline—diet, conduct, prayer, and preparedness for life’s uncertainties.