Atīsāra (Diarrhoea) and Grahaṇī-doṣa: Causes, Prodromal Signs, Doṣa-wise Symptoms, and Major-Disease Status
तस्य स्यादग्निनिर्वाणकार्यैरत्यर्थसञ्चितैः / सामं शकृन्निरामं वा जीर्णं येनातिसार्यते
tasya syādagninirvāṇakāryairatyarthasañcitaiḥ / sāmaṃ śakṛnnirāmaṃ vā jīrṇaṃ yenātisāryate
For that person, because of factors that extinguish agni—the digestive fire—and because of excessive accumulation of morbid matter, diarrhoea arises, passing stool that is either ‘with āma’ (undigested, toxic) or ‘without āma’, according to what has been digested and what has not.
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Concept: Right understanding of causation and signs (nimitta-lakṣaṇa) guides proper response; agni is central to health.
Vedantic Theme: Viveka (discernment) applied to embodied life; recognizing causes and effects reduces suffering.
Application: Identify whether diarrhea is sāma (with toxins/undigested matter) or nirāma; prioritize restoring digestive fire and reducing accumulation through appropriate diet and measures.
Primary Rasa: shanta
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.157.16 (definition and behavior of atisāra); Garuda Purana 1.157.17-18 (grahaṇī types and symptoms)
This verse links diarrhoea to āma and weakened digestive fire, showing that purification and restoring agni are central to correcting disease.
Indirectly: it emphasizes bodily discipline and health (agni/āma management) as part of dharmic living, which supports clarity of mind for spiritual practice.
Treat recurrent loose motions as a sign of impaired digestion (agni) and possible āma—prioritize light, digestible food and avoid overeating/accumulation.