रूक्षक्लेशक्षयात्याग्निवाता वृतपथेषु / अथ दग्ध्वा शिराजालं योनिकर्म शिरोरुजि (जम् )
rūkṣakleśakṣayātyāgnivātā vṛtapatheṣu / atha dagdhvā śirājālaṃ yonikarma śiroruji (jam )
In those whose channels (nāḍī) are obstructed due to dryness, strain, depletion, excessive digestive fire, and aggravated vāta—then, having cauterized as needed the network of vessels (śirā-jāla), one should perform yoni-procedures (yoni-karma); this is also indicated in disorders such as headache.
Lord Vishnu (narrating to Garuda)
Dosha: Vata
Concept: When doṣa and srotas-obstruction become severe, stronger measures (agnikarma/cautery and procedures) may be warranted under expertise.
Vedantic Theme: Pragmatic compassion—upāya-kauśalya in alleviating duḥkha within embodied life.
Application: For obstructed channels due to dryness/strain/depletion/ati-agni/vāta, consider appropriate cauterization and indicated procedures only with qualified medical authority.
Primary Rasa: raudra
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.173.28 (taila for depletion); Garuda Purana 1.173.26-27 (doṣa-specific internal measures before escalation)
The verse frames disease as arising from obstruction of bodily pathways due to dryness, overstrain, depletion, high metabolic fire, and vāta—guiding treatment toward restoring flow and function.
It does not speak about the soul’s journey; it belongs to the Purana’s medical instruction layer, focusing on bodily causation and therapy rather than preta or yama-loka topics.
It emphasizes recognizing dryness/depletion and vāta aggravation as systemic patterns; invasive measures like cauterization or specialized reproductive therapies must only be considered under qualified medical supervision.