Shloka 2

Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis

Devanagari script

पाप्मभिः कर्मभिः सद्यः प्राक्तनैः प्रेरितामलाः / शिराः प्रपद्य तैर्युक्तास्त्वग्वसारक्तमामिषम्

Transliteration

pāpmabhiḥ karmabhiḥ sadyaḥ prāktanaiḥ preritāmalāḥ / śirāḥ prapadya tairyuktāstvagvasāraktamāmiṣam

Translation

罪の業――今のものも過去のものも――に駆り立てられた穢れは、ただちに脈道（血脈・ナーディ）へ入り、これと結びついて皮膚・脂肪・血・肉を悩ます。

Word by Word

• pāpmabhiḥ: by sins/evils
• pāpmabhiḥ: Karaṇa (Instrument/करण)
• Type: Noun
• Root: pāpman (प्रातिपदिक)
• Form: पुंलिङ्ग, तृतीया (3rd), बहुवचन

• karmabhiḥ: by actions/deeds
• karmabhiḥ: Karaṇa (Instrument/करण)
• Type: Noun
• Root: karman (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया (3rd), बहुवचन

• sadyaḥ: immediately
• sadyaḥ: Kriyā-viśeṣaṇa (Adverbial modifier)
• Type: Indeclinable
• Root: sadyaḥ (अव्यय)
• Form: कालवाचक-अव्ययम् (adverb of time)

• prāktanaiḥ: by former/previous (ones)
• prāktanaiḥ: Karaṇa (Instrument/करण)
• Type: Adjective
• Root: prāktana (प्रातिपदिक)
• Form: नपुंसकलिङ्ग/पुंलिङ्ग, तृतीया (3rd), बहुवचन; विशेषणम् (पूर्वकालिक)

• preritāḥ: impelled
• preritāḥ: Viśeṣaṇa (Qualifier)
• Type: Adjective
• Root: pra-īr (धातु) + ita (क्त, कृदन्त)
• Form: भूतकर्मणि कृदन्त (क्त), पुंलिङ्ग, प्रथमा (1st), बहुवचन; 'प्रेरित' = प्रेरिताः (impelled)

• amalāḥ: impurities/defilements (lit. 'stainless' used ironically/for entities named 'amala')
• amalāḥ: Karta (Subject/कर्ता)
• Type: Adjective
• Root: amala (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st), बहुवचन; विशेषणम्

• śirāḥ: veins/channels
• śirāḥ: Karta (Subject/कर्ता)
• Type: Noun
• Root: śiras (प्रातिपदिक)
• Form: स्त्रीलिङ्ग (शिरा), प्रथमा (1st), बहुवचन

• prapadya: having entered/reached
• prapadya: Kriyā-viśeṣaṇa (Prior action)
• Type: Indeclinable
• Root: pra-pad (धातु) + ya (ल्यप्, अव्ययकृदन्त)
• Form: ल्यप्-प्रत्ययान्त अव्ययकृदन्तम् (gerund), पूर्वक्रिया

• taiḥ: with those
• taiḥ: Karaṇa/Saha (Instrument/Association)
• Type: Noun
• Root: tad (सर्वनाम-प्रातिपदिक)
• Form: पुंलिङ्ग/नपुंसकलिङ्ग, तृतीया (3rd), बहुवचन; सर्वनाम

• yuktāḥ: joined/associated
• yuktāḥ: Viśeṣaṇa (Qualifier)
• Type: Adjective
• Root: yuj (धातु) + ta (क्त, कृदन्त)
• Form: भूतकर्मणि कृदन्त (क्त), पुंलिङ्ग, प्रथमा (1st), बहुवचन; 'युक्त' = संयुक्त

• tvak-vasā-rakta-māmiṣam: skin, fat, blood, and flesh
• tvak-vasā-rakta-māmiṣam: Karma (Object/कर्म)
• Type: Noun
• Root: tvac (प्रातिपदिक) + vasā (प्रातिपदिक) + rakta (प्रातिपदिक) + māṃsa/āmiṣa (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, द्वितीया (2nd), एकवचन; समाहार-द्वन्द्वः (collective)

Speaker

Dhanvantari

Medical Ayurveda

Dosha: Mixed

Philosophical Teaching

Concept: Prārabdha and immediate pāpa propel impurities that enter the body’s channels and afflict tissues; moral causality manifests physiologically.

Vedantic Theme: Karma-phala operating through the upādhi (body-mind complex); continuity of causation across time (prāktanaiḥ).

Application: Treat disease prevention as both medical and ethical: reduce harmful actions, purify habits, and seek timely correction before pathology spreads.

Verse Rasa

Primary Rasa: bhayanaka

Secondary Rasa: bibhatsa

Geographic Context

Type: microcosmic

Cross References

Related Themes: Garuda Purana medical passages attributing roga to pāpa and pramāda; tissue/channel descriptions consistent with Ayurvedic dhātu-srotas language

Characters & Entities

• Dhanvantari
• Karma (pāpa-karman)

FAQs

Does Garuda Purana teach that past karma can affect the body?

Yes. This verse explicitly mentions prāktana (former) karmas along with present actions as causes that drive impurities into the bodily channels.

What bodily tissues are said to be affected here?

The verse names skin (tvak), fat (vasā), blood (rakta), and flesh (māṃsa) as the primary sites impacted by these impurity-causes.

Practical application of this wisdom today?

Treat health as holistic: improve diet and conduct, reduce harmful habits, and practice ethical living—while also seeking appropriate medical care.