Prameha-Nidāna-Lakṣaṇa-Bheda: Etiology, Signs, Varieties, and Complications of Meha
बस्तिमाश्रित्य कुरुते प्रमेहाद्दूषितः कफः / दूषयित्वा वपुः क्लेदं स्वेदमेदोवसामिषम्
bastimāśritya kurute pramehāddūṣitaḥ kaphaḥ / dūṣayitvā vapuḥ kledaṃ svedamedovasāmiṣam
プラメーハ(排尿・代謝の病)により穢れたカパ(痰)は膀胱に寄りかかり宿る。身を汚したのち、体内の湿り、汗、脂、髄、そして肉をも損なう。
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Dosha: Kapha
Concept: Disease arises from doṣic corruption and localization; understanding pathogenesis guides restraint and treatment.
Vedantic Theme: Embodiment is impermanent and conditioned; discernment (viveka) about the body supports detachment and responsible care.
Application: Recognize early signs of prameha/kapha aggravation; reduce kapha-increasing diet and sedentary habits; seek appropriate medical guidance.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Type: anatomical
Related Themes: Garuda Purana 1.159 (meha/prameha nidāna and doṣa-dūṣya discussion across adjacent verses)
This verse treats prameha as a doṣa-driven pathology where vitiated kapha localizes in the bladder and then contaminates multiple bodily tissues, showing the Purana’s Ayurvedic framing of disease causation.
It describes a sequence: kapha becomes दूषित (vitiated), settles in the basti (bladder), and then spreads दूषण (contamination) through kleda (morbid moisture), sweat, fat, marrow, and flesh—indicating systemic tissue involvement.
Use it as a reminder to manage kapha-aggravating habits (excess heaviness, inactivity, overly sweet/oily foods) and to treat urinary/metabolic issues early, since the text links them to wider tissue deterioration.