Raktapitta Nidāna and Cikitsā: Causes, Signs, Srotas-Spread, and Śodhana Priority
सप्तचत्वारिंशदुत्तरशततमो ऽध्यायः धन्वन्तरिरुवाच / अथातो रक्तपित्तस्य निदानं प्रवदाम्यहम् / भृशोष्णतिक्तकट्वम्ललवणादिविदाहिभिः
saptacatvāriṃśaduttaraśatatamo 'dhyāyaḥ dhanvantariruvāca / athāto raktapittasya nidānaṃ pravadāmyaham / bhṛśoṣṇatiktakaṭvamlalavaṇādividāhibhiḥ
第148章。ダンヴァンタリは言った。「いまよりラक्तピッタ(出血の病)の因を説こう。過度に熱を生むもの、苦味・辛味・酸味・塩味、また身を灼き刺激する諸因によって起こる。」
Dhanvantari
Dosha: Pitta
Concept: Nidāna-parivarjana: avoiding causative factors (excess heat/irritants) to prevent disease.
Vedantic Theme: Sharira as an instrument (sādhana) requiring sattvic regulation; restraint (niyama) supports higher aims.
Application: Moderate intake of excessively heating/burning tastes and foods; observe bodily heat signs and adjust diet/seasonal regimen.
Primary Rasa: shanta
Related Themes: Garuda Purana 1.147 (contextual continuation of Ayurvedic section); Garuda Purana 1.148 (raktapitta nidāna-prakaraṇa)
This verse opens a medical teaching where Dhanvantari states he will explain the causes of raktapitta, framing the condition as arising from aggravating, burning factors—especially dietary tastes and heat.
It does not address the soul’s journey; it belongs to the Purana’s Ayurvedic instruction, focusing on bodily causation (nidāna) rather than afterlife narrative.
Moderate overly heating and irritant foods (very spicy, sour, salty, bitter in excess) and avoid habits that create internal “burning,” aligning diet and lifestyle to prevent bleeding/aggravation conditions.