Atīsāra (Diarrhoea) and Grahaṇī-doṣa: Causes, Prodromal Signs, Doṣa-wise Symptoms, and Major-Disease Status
आध्मानमविपाकश्च तत्र वातेन विज्वरम् / अल्पाल्पं शब्दशून्याढ्यं विरु (ब)द्धमुपवेश्यते
ādhmānamavipākaśca tatra vātena vijvaram / alpālpaṃ śabdaśūnyāḍhyaṃ viru (ba)ddhamupaveśyate
There arise bloating and indigestion; and there, due to deranged vāyu, one becomes feverless yet afflicted. The person passes stool only in small amounts, with little sound, and with difficulty.
Lord Vishnu
Dosha: Vata
Concept: Vāta aggravation can produce ādhmāna (distension), avipāka (indigestion), and obstructed defecation with scanty output despite repeated effort.
Vedantic Theme: Duḥkha as a bodily signal; disciplined care of the instrument (śarīra) supports higher pursuits.
Application: When distension and avipāka appear with obstructed stools, prioritize vāta-pacifying measures (warmth, unctuous diet, regular routine) and avoid drying/irregular habits.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.157.4 (apāna-vāyu and agni); Garuda Purana 1.157.5 (pūrvarūpa of atīsāra)
This verse highlights that vāyu disturbance produces specific distressing symptoms—bloating, indigestion, and obstructed evacuation—showing how suffering manifests through the body as part of the Purana’s broader teaching on pain, discipline, and karmic consequence.
By detailing bodily affliction, the text frames embodied life as vulnerable and pain-bound, preparing the listener for the Preta Kanda’s larger narrative about impermanence, death-awareness, and the need for dharma and proper rites.
Cultivate disciplined living—regulated diet, timely digestion, and restraint—while remembering impermanence; in Garuda Purana’s spirit, reduce harm and follow dharma so that suffering (physical and subtle) is minimized.