Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
केचित्कदम्बपुष्पाभाः केचित्सिद्धार्थकोपमाः / शिरः पार्श्वांसजङ्घोरुवङ्क्षणाद्यधिकव्यथाः
kecitkadambapuṣpābhāḥ kecitsiddhārthakopamāḥ / śiraḥ pārśvāṃsajaṅghoruvaṅkṣaṇādyadhikavyathāḥ
ചിലർ കടമ്പപ്പൂവുപോലെ കാണപ്പെടുന്നു, ചിലർ കടുകുമണിപോലെ; മറ്റുചിലർക്കു തല, വശങ്ങൾ, തോളുകൾ, ജംഘ, ഊരു, വങ്ക്ഷണം മുതലായ ഭാഗങ്ങളിൽ അത്യധിക വേദന അനുഭവപ്പെടുന്നു।
Lord Vishnu (speaking to Garuda)
Concept: Symptom mapping across body regions (head to groin) as a diagnostic grid; appearance does not predict pain distribution.
Vedantic Theme: sarira-duhkha (bodily suffering) as a prompt for viveka between self and body.
Application: Track pain loci systematically (head, flanks, shoulders, shanks, thighs, groin) to guide targeted care and avoid neglecting migrating/compound pain.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.156.30 (forms); Garuda Purana 1.156.32 (systemic symptoms)
This verse highlights that post-death experiences vary by karma—beings may manifest different forms and localized pains, underscoring ethical causality and the urgency of dharmic living.
It implies that the departed (as a preta) undergoes tangible, body-like sensations—forms and pains—during the transitional after-death state, reflecting the imprint of actions before moving onward in Yama’s order.
Live with restraint and compassion, avoid harm that rebounds as suffering, and support appropriate śrāddha/ancestral rites for the departed to aid peace and stability in the post-death transition.