साटोपमत्युग्ररुजमाध्मानमुदरे भृशम् / ऊर्ध्वाधो वातरोधेन तमानाहं प्रचक्षते
sāṭopamatyugrarujamādhmānamudare bhṛśam / ūrdhvādho vātarodhena tamānāhaṃ pracakṣate
When the abdomen is greatly distended, with loud rumbling and intense pain, caused by obstruction of vāyu (wind) moving upward and downward, that condition is called ānāha (painful constipation/obstructed flatulence).
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: Anāha is defined by vata-rodha (obstruction of vāyu) causing distension, pain, and rumbling
Vedantic Theme: Prana as functional force within the upadhi; imbalance yields duhkha, prompting viveka and care of the instrument (sharira)
Application: Recognize anāha by triad: severe distension, loud borborygmi, intense pain; address obstruction and restore vata flow clinically
Primary Rasa: bhayanaka
Secondary Rasa: bibhatsa
Type: body (abdomen; vata pathways upward/downward)
Related Themes: Garuda Purana 1.160.60 (intestinal rumbling, stool obstruction); Garuda Purana 1.160 (vata/udara-roga descriptions)
This verse defines ānāha by its hallmark signs—distension, rumbling, and intense pain—linking suffering to vāta obstruction, a recurring Purāṇic-Ayurvedic explanation of bodily misery.
In the Preta-khaṇḍa context, bodily afflictions are part of the broader teaching on suffering and consequences; such descriptions underscore how pain and obstruction mirror bondage and constraint experienced due to karma.
Treat persistent abdominal pain and constipation seriously; adopt disciplined diet and conduct, and use the teaching as a reminder to reduce harmful habits that lead to suffering.