सन्धिमर्मसु जायन्ते मांसलेषु च धामसु / अन्तोन्नता मध्यनिन्मा अक्लेदसुरुजान्विता
sandhimarmasu jāyante māṃsaleṣu ca dhāmasu / antonnatā madhyaninmā akledasurujānvitā
They arise at the joints and at the vital points (marma), and also in the fleshy regions of the body. Raised at the ends and depressed in the middle, they are dry, without moisture, and attended by slight pain.
Lord Vishnu (in instruction to Garuda)
Concept: Roga-rupa and sthana—disease is known by location (sandhi/marma/māṃsa) and form (raised edges, central depression, dryness, mild pain).
Vedantic Theme: Sharira as kshetra: observable modifications in the field of the body (implicit).
Application: Track lesion distribution and morphology to distinguish types and severity; protect marma regions and seek treatment when lesions appear near joints/vital spots.
Primary Rasa: bibhatsa
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.159 (pidika/vrana-like descriptions in the same medical section)
This verse highlights that certain bodily features manifest specifically around joints and marma points, implying these regions are structurally and sensitively significant in embodiment.
Rather than describing post-death travel directly, it supports the Garuda Purana’s broader framework: the jīva takes on a body with specific vulnerable and sensitive loci (joints/marmas), shaping lived experience and suffering.
Treat the body—especially joints and sensitive points—with care and restraint; cultivate disciplined living (ācāra) that reduces harm and pain, aligning with dharmic self-care.