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.”
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)
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.