Shloka 13

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

Devanagari script

गतमूत्रशकृद्वेगधारणात्तदुदीरणात् / जुगुप्सातीसारमेव ग्रहणी सो ऽप्युपद्रवः

Transliteration

gatamūtraśakṛdvegadhāraṇāttadudīraṇāt / jugupsātīsārameva grahaṇī so 'pyupadravaḥ

Translation

小便と大便という自然の衝動を力ずくで抑え—さらにそれを無理に排出させるなら—忌むべき病を招く。すなわち下痢、そして腸の病（グラハニー grahaṇī）；これもまた一つの苦患である。

Word by Word

• gata: passed/voided
• gata: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: gata (कृदन्त; √gam धातु)
• Form: भूतकृदन्त (क्त), नपुंसकलिङ्गे प्रथमा/द्वितीया एकवचनम्; 'gone/passed' (as qualifier in compound)

• mūtra: urine
• mūtra: Samasa-anga (Compound member/समासाङ्ग)
• Type: Noun
• Root: mūtra (प्रातिपदिक)
• Form: नपुंसकलिङ्ग; समासाङ्ग (stem form)

• śakṛt: feces
• śakṛt: Samasa-anga (Compound member/समासाङ्ग)
• Type: Noun
• Root: śakṛt (प्रातिपदिक)
• Form: नपुंसकलिङ्ग; समासाङ्ग (stem form)

• vega: urge/impulse
• vega: Samasa-anga (Compound member/समासाङ्ग)
• Type: Noun
• Root: vega (प्रातिपदिक)
• Form: पुंलिङ्ग; समासाङ्ग (stem form)

• dhāraṇāt: from retention
• dhāraṇāt: Apadana (Source/Cause/अपादान)
• Type: Noun
• Root: dhāraṇā (प्रातिपदिक)
• Form: स्त्रीलिङ्ग; पञ्चमी विभक्ति (अपादान), एकवचनम्; 'from/owing to retention'

• tat: that
• tat: Samasa-anga (Compound member/समासाङ्ग)
• Type: Noun
• Root: tad (सर्वनाम-प्रातिपदिक)
• Form: नपुंसकलिङ्ग; समासाङ्ग (stem form)

• udīraṇāt: from forcing out
• udīraṇāt: Apadana (Source/Cause/अपादान)
• Type: Noun
• Root: udīraṇā (प्रातिपदिक)
• Form: स्त्रीलिङ्ग; पञ्चमी विभक्ति (अपादान), एकवचनम्; 'from excitation/forcing out'

• jugupsā: disgust/nausea
• jugupsā: Karta (Subject/कर्ता)
• Type: Noun
• Root: jugupsā (प्रातिपदिक)
• Form: स्त्रीलिङ्ग; प्रथमा विभक्ति, एकवचनम्

• atīsāram: diarrhea
• atīsāram: Karma (Object/कर्म)
• Type: Noun
• Root: atīsāra (प्रातिपदिक)
• Form: पुंलिङ्ग; द्वितीया विभक्ति, एकवचनम्

• eva: indeed/only
• eva: Avyaya (Particle/निपात)
• Type: Indeclinable
• Root: eva (अव्यय)
• Form: निपात (emphatic particle)

• grahaṇī: grahaṇī disorder (malabsorption)
• grahaṇī: Karta (Subject/कर्ता)
• Type: Noun
• Root: grahaṇī (प्रातिपदिक)
• Form: स्त्रीलिङ्ग; प्रथमा विभक्ति, एकवचनम्

• saḥ: that/it
• saḥ: Karta (Subject/कर्ता)
• Type: Noun
• Root: tad (सर्वनाम-प्रातिपदिक)
• Form: पुंलिङ्ग; प्रथमा विभक्ति, एकवचनम्

• api: also/even
• api: Avyaya (Particle/निपात)
• Type: Indeclinable
• Root: api (अव्यय)
• Form: निपात (also/even)

• upadravaḥ: complication/affliction
• upadravaḥ: Karta (Predicate nominative/प्रथमा-सम्बन्ध)
• Type: Noun
• Root: upadrava (प्रातिपदिक)
• Form: पुंलिङ्ग; प्रथमा विभक्ति, एकवचनम्

Speaker

Lord Vishnu (teaching Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Vata

Philosophical Teaching

Concept: Vegadhāraṇa (suppression of natural urges) is adharma against the body’s order and leads to suffering.

Vedantic Theme: Deha as upādhi: neglect of the instrument (body-mind) obstructs sādhana; suffering follows from avidyā-driven compulsion.

Application: Do not forcibly suppress urine/stool urges; maintain regular elimination, hydration, and routine; avoid ‘holding’ due to shame, work pressure, or travel.

Verse Rasa

Primary Rasa: bibhatsa

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.156 (Ayurvedic/health instruction section on vāyu disorders and anorectal disease)

Characters & Entities

• Vishnu
• Garuda

FAQs

What is the importance of avoiding suppression of natural urges in the Garuda Purana?

This verse states that holding back urine and feces and then forcing their release leads to painful, “loathsome” disorders like diarrhoea and grahaṇī, showing that dharmic living includes respecting the body’s natural functions.

How does this verse explain consequences of actions in daily life?

It links a specific habit (vega-dhāraṇa—urge suppression) to concrete suffering (upadrava—affliction), illustrating the Purana’s broader principle that improper conduct, even in bodily matters, produces harmful results.

Practical application of this wisdom today?

Do not habitually delay urination or bowel movements; maintain regular routines and mindful self-care, treating bodily rhythms as part of disciplined, ethical living.