Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
क्लैब्यबाधिर्यस्तैमित्यशर्करापरिपीडितः / क्षामो भिन्नस्वरो ध्यायन्मुहुः ष्ठीवन्नरोचकी
klaibyabādhiryastaimityaśarkarāparipīḍitaḥ / kṣāmo bhinnasvaro dhyāyanmuhuḥ ṣṭhīvannarocakī
അവൻ ക്ലൈബ്യം (നപുംസകത), ബധിരത, ദൃഷ്ടിമന്ദത എന്നിവ കൊണ്ട് പീഡിതനാകും; മൂത്രവ്യാധികളും മധുമേഹവും വേദനിപ്പിച്ച് ക്ഷീണിച്ച് ശബ്ദം കരകശമാകും; നിരന്തരം ചിന്തയിൽ മുങ്ങി, ഇടയ്ക്കിടെ തുപ്പി, അരുച്ചിയാൽ വലയുന്നു.
Lord Vishnu (in discourse to Garuda/Vinatā-putra)
Concept: Pāpa can ripen as impairment of virility, hearing/vision, and as pramehaja disorders; mind becomes sunk in brooding (dhyāyan) rather than clarity.
Vedantic Theme: Indriya-nigraha and sattva loss: when dharma is violated, the instruments of experience (indriyas) degrade; duḥkha binds attention to the body.
Application: Maintain ethical restraint and disciplined living; cultivate clarity practices (japa, satya, moderation) to prevent the spiral of bodily decline into mental rumination.
Primary Rasa: bibhatsa
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.156.23–27
This verse emphasizes that specific forms of physical debility and chronic illness can manifest as consequences of prior actions, urging ethical restraint and dharmic living to prevent such suffering.
By linking conduct to embodied results, it shows that the jīva’s journey is shaped by karma even before death—one’s lived condition becomes part of the karmic trajectory that continues into post-death states described elsewhere in the Purana.
Live with self-control, honesty, and compassion; avoid harmful actions that generate heavy karmic residues, and use illness as a prompt for ethical correction, prayer, charity, and disciplined sāttvic conduct.