Shloka 43

Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids

Devanagari script

संसृष्टलिङ्गत् संसर्गनिचयात्सर्वलक्षणाः / रक्तोल्बणा गुदे कीलाः पीताकृतिसमन्विताः

Transliteration

saṃsṛṣṭaliṅgat saṃsarganicayātsarvalakṣaṇāḥ / raktolbaṇā gude kīlāḥ pītākṛtisamanvitāḥ

Translation

Dari campuran tanda-tanda tubuh dan timbunan pergaulan yang tercemar, muncullah segala gejala: pada dubur tampak benjolan seperti paku, sangat merah darah, disertai rupa kekuningan.

Word by Word

• संसृष्टलिङ्गात्: from the mixed/affected genital organ
• संसृष्टलिङ्गात्: Apadana (Source/अपादान)
• Type: Noun
• Root: संसृष्ट-लिङ्ग (प्रातिपदिक; समास)
• Form: नपुंसकलिङ्ग, पञ्चमी (5th/अपादान), एकवचन; समासः—तत्पुरुषः (संसृष्टं लिङ्गं यस्मात्/संसृष्टलिङ्गात्)

• संसर्गनिचयात्: from the accumulation of contact/association
• संसर्गनिचयात्: Apadana (Source/अपादान)
• Type: Noun
• Root: संसर्ग-निचय (प्रातिपदिक; समास)
• Form: पुंलिङ्ग, पञ्चमी (5th/अपादान), एकवचन; समासः—तत्पुरुषः (संसर्गस्य निचयः)

• सर्वलक्षणाः: having all (these) signs
• सर्वलक्षणाः: Karta (Subject/कर्ता)
• Type: Adjective
• Root: सर्व-लक्षण (प्रातिपदिक; समास)
• Form: स्त्रीलिङ्ग, प्रथमा (1st/कर्ता), बहुवचन; विशेषणम् (कीलाः इति)

• रक्तोल्बणाः: intensely red
• रक्तोल्बणाः: Karta (Subject/कर्ता)
• Type: Adjective
• Root: रक्त-उल्बण (प्रातिपदिक; समास)
• Form: स्त्रीलिङ्ग, प्रथमा, बहुवचन; विशेषणम् (कीलाः)

• गुदे: in the anus/rectum
• गुदे: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: गुद (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, सप्तमी (7th/अधिकरण), एकवचन

• कीलाः: wart-like growths/piles (lit. pegs)
• कीलाः: Karta (Subject/कर्ता)
• Type: Noun
• Root: कील (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, बहुवचन

• पीताकृतिसमन्विताः: endowed with a yellowish form/appearance
• पीताकृतिसमन्विताः: Karta (Subject/कर्ता)
• Type: Adjective
• Root: पीत-आकृति-समन्वित (प्रातिपदिक; समास)
• Form: स्त्रीलिङ्ग, प्रथमा, बहुवचन; विशेषणम् (कीलाः); समासः—तत्पुरुषः (पीता आकृतिः यस्याः/येन समन्विताः)

Speaker

Lord Vishnu

Philosophical Teaching

Concept: Embodied affliction arises from corrupt associations/contacts and accumulated causes, manifesting as specific symptoms.

Vedantic Theme: Deha as kṣetra (field) where prior causes fructify; duḥkha as a signal of saṃsāric bondage.

Application: Avoid harmful contacts and habits; seek timely diagnosis and corrective regimen before causes consolidate.

Verse Rasa

Primary Rasa: bibhatsa

Secondary Rasa: karuna

Cross References

Related Themes: Garuda Purana 1.156.44-47 (continuation of symptomatology and vāta mechanism)

Characters & Entities

• Garuda

FAQs

What is the importance of ‘saṃsarga’ (harmful association) in the Garuda Purana?

This verse treats accumulated corrupt association (saṃsarganicaya) as a direct cause for manifest suffering, teaching that karma is strengthened by repeated exposure and participation in harmful conduct.

How does this verse explain karmic results in the body?

It presents physical signs as outward expressions of inner moral causes—mixed marks and accumulated wrong contacts producing specific painful growths—illustrating the Garuda Purana’s link between conduct and embodied consequence.

Practical application of this wisdom today?

Avoid repeated harmful habits and environments, cultivate purity in conduct and company, and treat ethical discipline as preventative spiritual hygiene that reduces future suffering.