Shloka 25

Udara-roga Nidāna: Causes, Doṣa-Types, Spleen/Liver Enlargement, and Udakodara

सो ऽष्ठीला चातिकठिनः प्रोन्नतः कूर्मपृष्ठवत्? / क्रमेण वर्धमानश्च कुक्षौ व्याततिमाहरेत्

so 'ṣṭhīlā cātikaṭhinaḥ pronnataḥ kūrmapṛṣṭhavat? / krameṇa vardhamānaśca kukṣau vyātatimāharet

ഈ അഷ്ടീല അത്യന്തം കഠിനമായി, കൂർമപൃഷ്ഠംപോലെ ഉയർന്നിരിക്കും; ക്രമേണ വർധിച്ച് ഉദരത്തിൽ വ്യാപ്തി വരുത്തും.

सःhe/that (entity)
सः:
Karta (Subject/कर्ता)
TypeNoun
Rootतद् (सर्वनाम-प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन
अष्ठीलाa hard swelling/tumor (a disease term)
अष्ठीला:
Pradhana-predicative (विधेय/विशेष्य)
TypeNoun
Rootअष्ठीला (प्रातिपदिक)
Formस्त्रीलिङ्ग, प्रथमा (1st/Nominative), एकवचन
and
:
Sambandha (connector)
TypeIndeclinable
Rootच (अव्यय)
Formसमुच्चय-अव्यय (conjunction)
अतिकठिनःvery hard
अतिकठिनः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootअति (उपसर्ग/अव्यय) + कठिन (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; विशेषण
प्रोन्नतःraised, elevated
प्रोन्नतः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootप्र + उद् + नत (कृदन्त-प्रातिपदिक; √नम्)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; भूतकृदन्त (past participle)
कूर्मपृष्ठवत्like a tortoise’s back
कूर्मपृष्ठवत्:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootकूर्म (प्रातिपदिक) + पृष्ठ (प्रातिपदिक) + वत् (तद्धित)
Formअव्ययवत्-प्रयोगः; वत्-प्रत्ययान्त विशेषण (like/possessing); समासः: कूर्मस्य पृष्ठम् इव
क्रमेणgradually, in order
क्रमेण:
Adhikarana/Avyaya-bhava (manner)
TypeIndeclinable
Rootक्रम (प्रातिपदिक)
Formनपुंसकलिङ्ग, तृतीया (3rd/Instrumental), एकवचन; क्रियाविशेषण-प्रयोग (adverbial)
वर्धमानःincreasing, growing
वर्धमानः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootवर्धमान (कृदन्त-प्रातिपदिक; √वृध्)
Formपुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; वर्तमानकृदन्त (present participle)
and
:
Sambandha (connector)
TypeIndeclinable
Rootच (अव्यय)
Formसमुच्चय-अव्यय (conjunction)
कुक्षौin the abdomen/belly
कुक्षौ:
Adhikarana (Location/अधिकरण)
TypeNoun
Rootकुक्षि (प्रातिपदिक)
Formपुंलिङ्ग, सप्तमी (7th/Locative), एकवचन
व्याततिम्distension/expansion
व्याततिम्:
Karma (Object/कर्म)
TypeNoun
Rootव्यातति (प्रातिपदिक)
Formस्त्रीलिङ्ग, द्वितीया (2nd/Accusative), एकवचन
आहरेत्would produce/bring about
आहरेत्:
Kriya (Predicate/क्रिया)
TypeVerb
Rootआ + √हृ (धातु)
Formविधिलिङ् (Optative), प्रथमपुरुष (3rd person), एकवचन; परस्मैपद

Lord Vishnu (in instruction to Garuda/Vinata-putra)

Dosha: Vata

Concept: Neglect of bodily order (vāta disturbance, obstruction) leads to cascading suffering; cultivate disciplined regimen and timely care.

Vedantic Theme: Deha-anityatā (impermanence of the body) and duḥkha-darśana prompting vairāgya; body as instrument, not Self.

Application: Attend early to udāvarta/ānāha signs; regulate diet, evacuation, and vāta-pacifying routine; seek competent vaidya rather than ignoring progressive symptoms.

Primary Rasa: bibhatsa

Secondary Rasa: bhayanaka

Related Themes: Garuda Purana 1.160–1.162 (medical/roga-nidāna context, vāta disorders, udāvarta, gulma/pleeha-yakṛt topics)

V
Vishnu
G
Garuda

FAQs

Udāvarta indicates an abnormal upward movement of vāta—often linked with obstruction—leading to distress such as distension, thirst, and severe fever.

The verse stresses how bodily imbalance and mental delusion can dominate consciousness; the Garuda Purana uses this to encourage steadiness, dharma, and preparedness for death and post-death transitions.

Recognize that health and appearance are unstable; practice moderation, seek timely care, and maintain spiritual routines so the mind stays clear during suffering.