Shloka 17

Prameha-Nidāna-Lakṣaṇa-Bheda: Etiology, Signs, Varieties, and Complications of Meha

पित्तं रक्तमतिक्षीणे कफादौ मूत्रसंश्रयम् / धातुं बस्तिमुपानीय तत्क्षयेच्चैव मारुतः

pittaṃ raktamatikṣīṇe kaphādau mūtrasaṃśrayam / dhātuṃ bastimupānīya tatkṣayeccaiva mārutaḥ

When pitta (bile) and blood (rakta) are excessively depleted, kapha and the other doṣas take refuge in the urine (urinary system). Bearing the essence of the dhātus into the bladder, maruta (vāta, the vital wind) is also diminished when that essence is wasted.

पित्तम्pitta (bile)
पित्तम्:
Karma (Object/कर्म)
TypeNoun
Rootपित्त (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति, एकवचन (Neuter, Nom./Acc., Singular)
रक्तम्blood
रक्तम्:
Karma (Object/कर्म)
TypeNoun
Rootरक्त (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति, एकवचन (Neuter, Nom./Acc., Singular)
अतिक्षीणेwhen greatly depleted
अतिक्षीणे:
Adhikarana (Condition/अधिकरण)
TypeAdjective
Rootअति (उपसर्ग/अव्यय) + क्षीण (कृदन्त; क्त)
Formनपुंसकलिङ्ग/पुंलिङ्ग, सप्तमी-विभक्ति, एकवचन; विशेषण (Locative singular; 'when greatly diminished')
कफ-आदौin kapha and the like
कफ-आदौ:
Adhikarana (Location/अधिकरण)
TypeNoun
Rootकफ (प्रातिपदिक) + आदि (प्रातिपदिक)
Formपुंलिङ्ग, सप्तमी-विभक्ति, एकवचन; तत्पुरुष (Locative singular; 'in kapha etc.')
मूत्र-संश्रयम्having its seat in urine/urinary tract
मूत्र-संश्रयम्:
Karma (Object/कर्म)
TypeAdjective
Rootमूत्र (प्रातिपदिक) + संश्रय (प्रातिपदिक)
Formनपुंसकलिङ्ग, द्वितीया-विभक्ति, एकवचन; विशेषण (Neuter, Accusative, Singular; 'having urinary seat/abode')
धातुम्bodily tissue/element
धातुम्:
Karma (Object/कर्म)
TypeNoun
Rootधातु (प्रातिपदिक)
Formपुंलिङ्ग, द्वितीया-विभक्ति, एकवचन (Masculine, Accusative, Singular)
बस्तिम्bladder
बस्तिम्:
Karma (Object/कर्म)
TypeNoun
Rootबस्ति (प्रातिपदिक)
Formपुंलिङ्ग, द्वितीया-विभक्ति, एकवचन (Masculine, Accusative, Singular)
उपानीयhaving brought to
उपानीय:
Kriya-viseshana (Adverbial to verb/क्रियाविशेषण)
TypeIndeclinable
Rootउप-नी (धातु) → उपानीय (कृदन्त; ल्यप्/क्त्वान्त अव्यय)
Formल्यपन्त अव्यय (Gerund): 'having brought near/led to'
तत्-क्षयेत्then it should diminish that
तत्-क्षयेत्:
Kriya (Action/क्रिया)
TypeVerb
Rootतत् (सर्वनाम-प्रातिपदिक) + क्षि (धातु)
Formलोट्/विधिलिङ्-सम्भाव्य पाठभेद; क्षयेत् = विधिलिङ्, प्रथमपुरुष, एकवचन, परस्मैपद (Optative, 3rd person, Singular): 'should diminish'; तत् = नपुंसकलिङ्ग, द्वितीया, एकवचन (that)
and
:
Sambandha (Connector/सम्बन्ध)
TypeIndeclinable
Rootच (अव्यय)
Formसमुच्चयबोधक अव्यय (conjunction)
एवindeed/only
एव:
Sambandha (Emphasis/सम्बन्ध)
TypeIndeclinable
Rootएव (अव्यय)
Formनिश्चय/अवधारणार्थक अव्यय (emphatic particle)
मारुतःvāta/wind (doṣa)
मारुतः:
Karta (Subject/कर्ता)
TypeNoun
Rootमारुत (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा-विभक्ति, एकवचन (Masculine, Nominative, Singular)

Lord Vishnu (in dialogue with Garuda/Vinata-putra)

Dosha: Vata

Concept: Interdependence of doṣas and dhātus: depletion of pitta/rakta destabilizes the system; loss of essence leads to vāta diminution and dysfunction.

Vedantic Theme: The body’s ‘essence’ is contingent and exhaustible; fosters viveka and non-identification while encouraging right stewardship.

Application: Address bleeding/heat depletion and urinary pathology early; avoid over-depleting regimens; nourish appropriately under guidance; monitor signs of dhātu-kṣaya (fatigue, dryness, weakness).

Primary Rasa: karuna

Secondary Rasa: bhayanaka

Type: anatomical

Related Themes: Garuda Purana 1.159 (continuation of meha/prameha pathogenesis; doṣa-dhātu involvement)

V
Vata (Maruta)
P
Pitta
K
Kapha
R
Rakta
D
Dhatu
B
Basti

FAQs

This verse links depletion of vital tissues (dhātu) with systemic imbalance: when pitta and blood decline, other humors shift toward the urinary system, and vāta (maruta) weakens—showing how loss of essence destabilizes the body.

Although Garuda Purana is famous for afterlife and ritual sections, it also preserves dharma-linked health knowledge; here Vishnu explains a technical bodily process (doṣa and dhātu dynamics) as part of instructive, practical wisdom.

Treat chronic depletion seriously: support blood and tissue nourishment, watch urinary symptoms, and avoid habits that worsen vāta (overexertion, irregular meals, dehydration), ideally with qualified Ayurvedic guidance.