Atīsāra (Diarrhoea) and Grahaṇī-doṣa: Causes, Prodromal Signs, Doṣa-wise Symptoms, and Major-Disease Status
सरक्तमतिदुर्गन्धं तृण्मूर्छास्वेददाहवान् / सशूलपायुसन्तापपाकवाञ्छ्लेष्मणा घनम्
saraktamatidurgandhaṃ tṛṇmūrchāsvedadāhavān / saśūlapāyusantāpapākavāñchleṣmaṇā ghanam
It becomes stained with blood and exceedingly foul-smelling, attended by thirst, fainting, sweating, and burning heat. It is accompanied by pain, torment in the anus, and suppuration; and it grows thick and heavy with phlegm.
Lord Vishnu (speaking to Garuda/Vainateya)
Concept: Body as a site of impurity and suffering; implicit impetus toward restraint and right regimen.
Vedantic Theme: Deha-anityatva (impermanence of the body) prompting vairagya (dispassion).
Application: Cultivate cleanliness, moderation in diet, and timely treatment; remember bodily suffering to reduce attachment.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.157 (medical/diagnostic section on atisara and related disorders)
This verse illustrates how specific painful symptoms—bleeding, foul odor, burning, and suppuration—are presented as visible karmic consequences, reinforcing ethical restraint and purification in life.
By linking suffering in the embodied state to karma, it supports the broader Garuda Purana narrative that the soul carries consequences into Yama’s domain and the post-death journey unless purified through dharma and rites.
Live with self-control and cleanliness (śauca), avoid harmful actions that create suffering for others, and pair spiritual remedies (prāyaścitta, charity, mantra) with responsible medical care when illness arises.