Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
वङ्क्षणानाहिनः पुयुबस्तिनाभिविकर्तनाः / सकाशश्वासहृल्लासप्रसेकारुचिपीनसाः
vaṅkṣaṇānāhinaḥ puyubastinābhivikartanāḥ / sakāśaśvāsahṛllāsaprasekārucipīnasāḥ
それらは鼠径の腫れ、腸の閉塞、化膿と膀胱の障り、臍の周りを切り裂くような痛みを起こす。さらに咳、息切れ、心の苦しさと吐き気、過多の唾液、食欲不振、慢性の鼻カタルを伴う。
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Dosha: Kapha
Concept: Srotas involvement and systemic spread: local pathology correlates with multi-system symptoms (urogenital, GI, respiratory, cardiac).
Vedantic Theme: Interdependence within the embodied field (kshetra): one disturbance propagates through connected channels.
Application: Treat beyond the visible lesion—screen for associated systemic symptoms (urinary, GI, respiratory) and triage severity (shvasa, hrillasa).
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156.41: continuation of systemic complications; Garuda Purana 1.156.38-39: kapha-lakshana basis for these complications
This verse presents bodily afflictions as karmic outcomes, reinforcing ethical restraint and purification as part of the soul’s welfare in the Preta Kanda framework.
Within the Vishnu–Garuda dialogue, such lists function as moral diagnostics: sins lead to specific sufferings, shaping the preta’s experience and motivating rites and repentance to reduce distress.
Use it as a reminder to live dharmically, avoid harmful actions that generate suffering, and adopt repentance, charity, and prescribed rites (as taught in the Garuda Purana) for ethical correction.