Atīsāra (Diarrhoea) and Grahaṇī-doṣa: Causes, Prodromal Signs, Doṣa-wise Symptoms, and Major-Disease Status
वातव्याध्यश्मरीकुष्ठमेहोदरभगन्दरम् / अर्शांसि ग्रहणीत्यष्टौ महारोगाः सुदुस्तराः
vātavyādhyaśmarīkuṣṭhamehodarabhagandaram / arśāṃsi grahaṇītyaṣṭau mahārogāḥ sudustarāḥ
Vāta disorders, urinary stones, kuṣṭha (leprosy/skin disease), prameha (urinary–metabolic disorder), abdominal enlargement/dropsy, bhagandara (fistula-in-ano), hemorrhoids, and grahaṇī—these eight are the great diseases, exceedingly difficult to overcome.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Mixed
Concept: Recognition of major, hard-to-cure diseases as a call to disciplined living, timely treatment, and humility regarding the body.
Vedantic Theme: Deha-anityatā (impermanence of the body) and duḥkha as a spur toward right conduct and higher aims.
Application: Use the list as a diagnostic ‘red-flag’ set: seek competent care early, avoid causative habits, and cultivate restraint in diet/sex/indulgence.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.158.1-4 (urological pathology context)
This verse enumerates them as vāta disorders, stones, kuṣṭha, prameha, udara, bhagandara, arśas, and grahaṇī—classified as severe and hard to cure.
It does not narrate afterlife events; it emphasizes the gravity of chronic illness, aligning with the Purana’s broader teaching that safeguarding health supports dharma and spiritual practice.
Treat these conditions as serious and chronic-risk categories; prioritize early diagnosis, disciplined lifestyle, and sustained treatment rather than waiting for complications.