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.
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)
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.