Shloka 1

Atīsāra (Diarrhoea) and Grahaṇī-doṣa: Causes, Prodromal Signs, Doṣa-wise Symptoms, and Major-Disease Status

ऽध्यायः धन्वन्तरिरुवाच / अतीसारग्रहण्योश्च निदानं वच्मि सुश्रुत / दोषैर्व्यस्तैः समस्तैश्च भयाच्छोकाच्च षड्विधः

'dhyāyaḥ dhanvantariruvāca / atīsāragrahaṇyośca nidānaṃ vacmi suśruta / doṣairvyastaiḥ samastaiśca bhayācchokācca ṣaḍvidhaḥ

Dhanvantari said: “O Suśruta, I shall explain the causes of atīsāra (diarrhoea) and of grahaṇī-disorder. It is of six kinds—arising from the doṣas separately or together, and also from fear and from grief.”

अध्यायःchapter
अध्यायः:
Karta/Topic (कर्ता/विषय)
TypeNoun
Rootअध्याय (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा एकवचन; शीर्षक/विषय-निर्देश
धन्वन्तरिःDhanvantari
धन्वन्तरिः:
Karta (Subject/कर्ता)
TypeNoun
Rootधन्वन्तरि (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा एकवचन; व्यक्तिवाचक
उवाचsaid
उवाच:
Kriya (Action/क्रिया)
TypeVerb
Rootवच् (धातु)
Formलिट् (परोक्षभूत/Perfect), प्रथमपुरुष, एकवचन, परस्मैपद
अतीसारग्रहण्योःof diarrhea and grahaṇī disorder
अतीसारग्रहण्योः:
Sambandha (Genitive/सम्बन्ध)
TypeNoun
Rootअतीसार-ग्रहणी (प्रातिपदिक)
Formस्त्रीलिङ्ग (ग्रहणी) / पुंलिङ्ग (अतीसारः) समाहार-द्वन्द्वः; षष्ठी/सप्तमी द्विवचन (पाठानुसारं षष्ठी: ‘of’; रूपम्: -योः)
and
:
Sambandha (Connector/समुच्चय)
TypeIndeclinable
Rootच (अव्यय)
Formसमुच्चयबोधक-अव्यय (conjunction)
निदानम्cause/etiology
निदानम्:
Karma (Object/कर्म)
TypeNoun
Rootनिदान (प्रातिपदिक)
Formनपुंसकलिङ्ग, द्वितीया एकवचन
वच्मिI speak/tell
वच्मि:
Kriya (Action/क्रिया)
TypeVerb
Rootवच् (धातु)
Formलट् (वर्तमान/Present), उत्तमपुरुष, एकवचन, परस्मैपद
सुश्रुतO Suśruta
सुश्रुत:
Sambodhana (Address/सम्बोधन)
TypeNoun
Rootसुश्रुत (प्रातिपदिक)
Formपुंलिङ्ग, सम्बोधन एकवचन (vocative)
दोषैःby the doṣas
दोषैः:
Karana/Hetu (Instrument/Cause/करण-हेतु)
TypeNoun
Rootदोष (प्रातिपदिक)
Formपुंलिङ्ग, तृतीया बहुवचन (करण/हेतु)
व्यस्तैःseparately
व्यस्तैः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootव्यस्त (प्रातिपदिक; कृदन्ताधारित)
Formपुंलिङ्ग, तृतीया बहुवचन; विशेषण (separately/individually)
समस्तैःtogether
समस्तैः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootसमस्त (प्रातिपदिक; कृदन्ताधारित)
Formपुंलिङ्ग, तृतीया बहुवचन; विशेषण (collectively/together)
and
:
Sambandha (Connector/समुच्चय)
TypeIndeclinable
Rootच (अव्यय)
Formसमुच्चयबोधक-अव्यय (conjunction)
भयात्from fear/due to fear
भयात्:
Apadana/Hetu (Source/Cause/अपादान-हेतु)
TypeNoun
Rootभय (प्रातिपदिक)
Formनपुंसकलिङ्ग, पञ्चमी एकवचन (हेतु/अपादान)
शोकात्from grief/due to grief
शोकात्:
Apadana/Hetu (Source/Cause/अपादान-हेतु)
TypeNoun
Rootशोक (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी एकवचन (हेतु/अपादान)
and
:
Sambandha (Connector/समुच्चय)
TypeIndeclinable
Rootच (अव्यय)
Formसमुच्चयबोधक-अव्यय (conjunction)
षड्विधःsixfold
षड्विधः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootषड्-विध (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा एकवचन; द्विगु/तत्पुरुष-प्रायः (षड् प्रकाराः यस्य)

Dhanvantari

Dosha: Vata/Pitta/Kapha

Concept: Nidāna (etiology) as the basis of right treatment; disorders arise from doṣas and also from psychological causes.

Vedantic Theme: Antaḥkaraṇa–śarīra sambandha (mind-body linkage) within prakṛti; knowledge precedes right action.

Application: Assess both physiological doṣa imbalance and emotional triggers (fear, grief) when diagnosing diarrhoea/grahaṇī.

Primary Rasa: shanta

Secondary Rasa: adbhuta

Related Themes: Garuda Purana 1.157.2-3 (dietary and vāta-provoking causes elaborated); Garuda Purana 1.156 (preceding disease-sign discussion)

D
Dhanvantari
S
Suśruta
D
Doṣas (Vāta, Pitta, Kapha)

FAQs

This verse shows that the text preserves practical Ayurvedic instruction: knowing nidāna (causes) is the first step to prevention and correct treatment, linking bodily doṣas with mental factors like fear and grief.

It does not address the soul’s journey here; instead, it presents a health teaching where psychological states (bhaya, śoka) can directly disturb digestion, reflecting the Purana’s broader concern with right living and wellbeing.

Treat digestive upsets by considering both physiology (doṣa imbalance, diet) and mental stress (fear, grief); calming practices and emotional regulation can be part of prevention alongside appropriate food and routine.