Atīsāra (Diarrhoea) and Grahaṇī-doṣa: Causes, Prodromal Signs, Doṣa-wise Symptoms, and Major-Disease Status
प्रकल्पते ऽतीसारस्य लक्षणं तस्य भाविनः / भेदो हृद्गुदकोष्ठेषु गात्रस्वेदो मलग्रहः
prakalpate 'tīsārasya lakṣaṇaṃ tasya bhāvinaḥ / bhedo hṛdgudakoṣṭheṣu gātrasvedo malagrahaḥ
差し迫った下痢の前兆は次のように説明される:心臓、肛門、腹部の領域における刺すような痛み、手足の発汗、そして便の閉塞または滞留である。
Lord Vishnu (in discourse to Garuda)
Concept: Pūrvarūpa (prodromal signs) enable early recognition of atīsāra: piercing pains (hṛd-guda-koṣṭha), limb sweating, and mala-graha.
Vedantic Theme: Pramāṇa through observation of the body; viveka in responding early to suffering in embodied existence.
Application: Treat early: address pain and sweating with appropriate diet/rest; do not ignore mala-graha—seek timely intervention to prevent full diarrhoeal onset.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.157.4-8 (sequence of vāta/pitta gut pathology and symptomatology)
This verse shows that the Garuda Purana also preserves practical diagnostic knowledge—recognizing early signs (pain, sweating, stool retention) so one can respond before the condition worsens.
Indirectly, it supports the text’s broader aim: maintaining the body and clarity of mind for dharma and right action, which in turn shapes one’s karmic trajectory discussed elsewhere in the Purana.
Treat severe abdominal/rectal pain with sweating and difficulty passing stool as a warning sign—seek timely care, hydrate appropriately, and avoid neglecting digestive distress.