Prameha-Nidāna-Lakṣaṇa-Bheda: Etiology, Signs, Varieties, and Complications of Meha
वसामेही वसामिश्रं वसाभं मूत्रयेन्मुहुः / मज्जाभं मज्जमिश्रं वा मज्जमेही मुहुर्मुहुः
vasāmehī vasāmiśraṃ vasābhaṃ mūtrayenmuhuḥ / majjābhaṃ majjamiśraṃ vā majjamehī muhurmuhuḥ
ຜູ້ທີ່ເປັນວະສາ-ເມຫະ ຈະຂັບນ້ຳປັດສະວະຊ້ຳໆ ທີ່ປົນໄຂມັນ ຫຼືມີລັກສະນະຄ້າຍໄຂມັນ. ເຊັ່ນດຽວກັນ ຜູ້ທີ່ເປັນມັດຊາ-ເມຫະ ຈະຂັບນ້ຳປັດສະວະຊ້ຳໆ ທີ່ເຫັນຄ້າຍໄຂກະດູກ ຫຼືປົນໄຂກະດູກ.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Concept: Dhātu-involvement in disease: vasā-meha and majjā-meha are identified by urine mixed with or resembling fat/marrow, with frequent urination emphasized.
Vedantic Theme: Embodied self’s entanglement with dhātus; discernment of material constituents as a step toward right management of prakṛti.
Application: Frequent urination with oily/fatty or marrow-like appearance indicates deeper tissue involvement; prioritize medical evaluation and regimen to address underlying dhātu derangement.
Primary Rasa: bibhatsa
Secondary Rasa: shanta
Related Themes: Garuda Purana 1.159.1-3 (prameha taxonomy and urine qualities)
The verse uses specific bodily symptoms as karmic indicators—showing how prior actions can manifest as concrete afflictions, serving as a moral and spiritual warning.
In the Preta Kanda framework, such descriptions function as signs of karmic burden that can shape one’s suffering near death and influence the post-death journey discussed elsewhere between Vishnu and Garuda.
Use it as a prompt for ethical self-correction and disciplined living; if illness appears, combine medical care with reflective repentance, charity, and dharmic conduct rather than ignoring consequences.