Nidāna of Mūtraghāta and Aśmarī: Doṣa-based Types, Signs, and Named Urinary Syndromes
धारावरोधश्चाप्येष वातबस्तिरिति स्मृतः / दुस्तरो दुस्तरतरो द्वितीयः प्रबलो ऽनिलः
dhārāvarodhaścāpyeṣa vātabastiriti smṛtaḥ / dustaro dustarataro dvitīyaḥ prabalo 'nilaḥ
この病は尿の流れを塞ぐゆえ「ヴァータ・バスティ」とも説かれる。克服しがたく—さらにいっそう困難である—第二の型は強大なヴァーユ(アニラ)によって起こるからである。
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: Nosological identification: obstruction of urinary stream defines vāta-basti; stronger vāyu makes a second type more intractable.
Vedantic Theme: Right naming (saṃjñā) and discrimination (viveka) as tools to navigate prakṛti’s complexities; acceptance of gradations of strength (bala) in causes.
Application: Do not delay care; stronger/advanced presentations require more intensive, sustained management and avoidance of provoking factors.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.158.20-22 (etiology and symptoms); Garuda Purana 1.158.24 (complication: aṣṭhīlā/granthi)
In this verse, vāta-basti refers to a vāyu (vata)-driven bladder condition characterized by obstruction of the urine stream.
It emphasizes that the disease is hard to overcome, and that a stronger, second manifestation arises from especially powerful vāyu (anila), increasing difficulty.
Take urinary obstruction seriously; reduce vata-aggravating routines (irregular meals, dehydration, excessive strain) and seek qualified medical evaluation.