Raktapitta Nidāna and Cikitsā: Causes, Signs, Srotas-Spread, and Śodhana Priority
उर्ध्वं नासाक्षिकर्णास्यैर्मेढ्रयोनिगुदैरधः / कुपितं रोमकूपैश्च समस्तैस्तत्प्रवर्तते
urdhvaṃ nāsākṣikarṇāsyairmeḍhrayonigudairadhaḥ / kupitaṃ romakūpaiśca samastaistatpravartate
ເມື່ອມັນ (ຄວາມຮ້ອນ/ໂທດພາຍໃນ) ກໍ່ກຳເລີບຮຸນແຮງ, ມັນເຄື່ອນໄປຕາມຊ່ອງທາງທັງໝົດໃນກາຍ—ຂຶ້ນເທິງຜ່ານດັ່ງ, ຕາ, ຫູ, ແລະປາກ; ລົງລຸ່ມຜ່ານອະວະເພດຊາຍ, ໂຍນີ, ແລະທະວານ; ແລະຍັງຜ່ານຮູຂົນທຸກຮູອີກດ້ວຍ।
Lord Vishnu (speaking to Garuda/Vinata-putra)
Concept: Understanding pathways of spread (ūrdhva/adho/sarvataḥ via pores) is essential to comprehend disease progression.
Vedantic Theme: Prakṛti’s guṇa-doṣa dynamics operate through nāḍī/srotas; discernment (viveka) begins with accurate seeing of causality.
Application: When symptoms become systemic (multiple orifices/skin involvement), treat as widespread aggravation; prioritize comprehensive management rather than local fixes.
Primary Rasa: adbhuta
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.148 (doṣa-gati/srotas spread description)
This verse highlights how intense inner distress can pervade the entire embodied system, indicating the comprehensive nature of suffering during the dying process as explained in the Preta Kanda.
It describes the movement of an aggravated inner force through sense organs, lower apertures, and pores—showing how the embodied life-force and suffering manifest throughout the body as the transition toward the preta state unfolds.
Live with restraint and dharma to reduce causes of agitation, and support end-of-life calm through prayer, remembrance of Vishnu, and appropriate rites that aim to steady the mind and prana.