Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
वसाभसकफप्राज्यपुरीषासृक्प्रवाहिकाः / न स्त्रवन्ति न भिद्यन्ते पाण्डुस्निग्धत्वगादयः
vasābhasakaphaprājyapurīṣāsṛkpravāhikāḥ / na stravanti na bhidyante pāṇḍusnigdhatvagādayaḥ
വസ, കഫം, അധിക മലവും രക്തപ്രവാഹവും (പ്രവാഹിക മുതലായ അവസ്ഥകൾ) ഉള്ളപ്പോൾ ഇവ ശരിയായി സ്രവിക്കുകയോ പൊട്ടുകയോ ചെയ്യില്ല; പകരം പാണ്ഡുത്വം, ത്വക്കിൽ അസ്വാഭാവിക സ്നിഗ്ധ-മിനുക്ക് മുതലായ ലക്ഷണങ്ങൾ കാണപ്പെടും।
Lord Vishnu (in dialogue with Garuda/Vinata-putra)
Dosha: Kapha
Concept: Dhatu-mala imbalance and impaired resolution: despite excessive discharges, tissues may fail to suppurate/drain properly, producing pallor and abnormal skin oiliness.
Vedantic Theme: Observation of change (vikara) as a means to discriminate the non-self body from the witnessing self.
Application: In chronic flux states (including blood/stool disorders), assess skin and tissue quality (pandu, snigdha tvak) and consider stagnation/blocked resolution rather than assuming adequate drainage.
Primary Rasa: bibhatsa
Secondary Rasa: shanta
Related Themes: Garuda Purana 1.156.38-41: kapha features and complications culminating in tissue/skin signs
This verse shows that the Garuda Purana also preserves practical diagnostic knowledge—linking abnormal discharges (fat, phlegm, stool, blood) with visible signs like pallor and oily skin—so a person can recognize disorder and correct conduct, diet, and treatment.
Indirectly: by emphasizing bodily disorder and impurity, it underscores the Purana’s broader theme that embodied life is fragile and conditioned; recognizing illness supports mindful living and timely spiritual preparation rather than negligence.
Treat persistent pallor, abnormal glossy/oily skin, and unusual discharges as warning signs—seek medical care, correct diet and habits, and maintain disciplined living (sattvic conduct) aligned with dharma.