Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
पित्तोत्तरा नीलमुखा रक्तपीतासितप्रभाः / तन्वग्रस्त्राविणो विश्रास्तनवो मृदवः श्लथाः
pittottarā nīlamukhā raktapītāsitaprabhāḥ / tanvagrastrāviṇo viśrāstanavo mṛdavaḥ ślathāḥ
അവർ പിത്തം മേലോടുന്നവർ, നീലമുഖമുള്ളവർ; അവരുടെ കാന്തി ചുവപ്പ്, മഞ്ഞ, കറുപ്പ് നിറങ്ങളിൽ ദീപ്തമാകുന്നു. ദേഹം ക്ഷീണിതം; അങ്കങ്ങളുടെ അറ്റങ്ങളിൽ നിന്ന് സ്രാവം ഒഴുകുന്നു; ശരീരം സളളമായും മൃദുവായും ശിഥിലാംഗങ്ങളോടെയും ഇരിക്കുന്നു।
Lord Vishnu (speaking to Garuda/Vinata-putra)
Afterlife Stage: Naraka
Dosha: Pitta
Concept: Inner moral disorder is mirrored by bodily doṣa-disorder and visible degeneration.
Vedantic Theme: Duhkha as inherent to embodied existence under karma; prompts viveka between Self and body.
Application: Practice moderation (ahara-vihara), avoid anger/intoxication/violence that aggravate ‘pitta-like’ heat; cultivate sattva through discipline and devotion.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156: sequential symptomatology of pretic/naraka afflictions (verses 33–37)
This verse uses vivid bodily symptoms to show how karma can manifest as tangible suffering in the post-death state, making moral causality concrete and memorable for spiritual practice.
It implies that the jiva, bound to a subtle post-death condition, experiences karmic results as distressing forms and sensations—an aspect of the journey associated with Yama’s domain and judgment of deeds.
Live with restraint and purity—avoid harmful actions and cultivate dharma—so that one’s after-death passage is not marked by fear and suffering but supported by merit and right conduct.