Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
तथा काशपिपासास्यवैरस्यश्वासपीनसैः / क्लमाङ्गभङ्गवमथुक्षवथुश्वयथुज्वरैः
tathā kāśapipāsāsyavairasyaśvāsapīnasaiḥ / klamāṅgabhaṅgavamathukṣavathuśvayathujvaraiḥ
അതുപോലെ അവന് ചുമ, ദാഹം, വായ് വരണ്ടുപോകൽ, രുചിനാശം, ശ്വാസകഷ്ടം, പീനസം (ജലദോഷം) എന്നിവ വരും; കൂടാതെ ക്ഷീണം, ശരീരവേദന, ഛർദ്ദി, തുമ്മൽ, വീക്കം, ജ്വരം എന്നിവയും ഉണ്ടാകും.
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Concept: Sin ripens as multi-system affliction—breath, taste, fluids, and strength are disturbed together.
Vedantic Theme: Interdependence of prāṇa and mind under karma; suffering as a didactic mirror prompting ethical correction.
Application: Use illness as a prompt for self-examination and reform; cultivate disciplined living and ethical restraint to avoid causes of harm.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156.23–27 (symptom catalogue as karmic consequence)
This verse functions as a scriptural catalog of afflictions, emphasizing that embodied suffering can manifest in many forms and is to be understood within the Purana’s broader karma-based moral framework.
By highlighting bodily misery—cough, thirst, breathlessness, fever, swelling—it underscores that the jiva’s journey is shaped by karmic residues that can express as tangible suffering during embodied existence (and in related descriptions of post-death consequences in the text).
Use the teaching as a prompt for dharmic living—truthfulness, restraint, charity, and non-harm—while responding to illness with responsible care, prayer, and corrective conduct rather than fatalism.