Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
सान्द्रोत्थोनेत्रयोः शोथः शकृद्भवेदो ऽथ वा ग्रहः / मारुतः पुरतो मूढः प्रायो नाभेरधश्चरन्
sāndrotthonetrayoḥ śothaḥ śakṛdbhavedo 'tha vā grahaḥ / mārutaḥ purato mūḍhaḥ prāyo nābheradhaścaran
眼に濃い(痰性の)腫れが起こり、便秘がある—あるいは締めつける停滞がある—そのときヴァーユ (vāyu) は前進の流れに迷い、多くは臍の下を巡る。
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Kapha
Concept: Symptom-pattern recognition: peripheral signs (eye swelling, constipation) indicate systemic vāyu derangement and altered movement.
Vedantic Theme: Interdependence of parts within prakṛti: disturbance in one channel reflects whole-system disharmony; knowledge guides corrective action.
Application: Treat constipation/obstruction promptly; evaluate systemic causes when eye swelling co-occurs; adopt vāta-kapha balancing regimen and seek clinical assessment.
Primary Rasa: bhayanaka
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.156 (vāyu gati-vikṛti; association of kapha signs with obstructed vāta)
This verse highlights that when vāyu’s normal forward movement is obstructed, it shifts downward below the navel, producing recognizable bodily signs like eye swelling and constipation—showing how prāṇa dynamics are central to health.
It links symptoms (netra-śotha, śakṛd-graha) to a directional disturbance of vāyu, implying that disease can be understood as misrouting or obstruction of vital air rather than only an external cause.
Treat constipation and chronic obstruction early and support balanced vāyu through disciplined routine, appropriate diet, and breath regulation—so bodily systems do not become “confused” and displaced downward.