वातशोणितसंशोथो जानुमध्ये महारुजः / ज्ञेयः क्रोष्टुकशीर्षस्तु स्थूलक्रोष्टुकशीर्षवत्
vātaśoṇitasaṃśotho jānumadhye mahārujaḥ / jñeyaḥ kroṣṭukaśīrṣastu sthūlakroṣṭukaśīrṣavat
വാതവും രക്തവും മൂലമുള്ള വീക്കം, മുട്ടിന്റെ നടുവിൽ അത്യന്തം വേദന—ഇത് ‘ക്രോഷ്ടുക-ശീർഷം’ എന്നു തിരിച്ചറിയണം; വലിയ കുറുക്കന്റെ തലപോലെ തോന്നും.
Lord Vishnu (instructional narration to Garuda)
Dosha: Vata
Concept: Vāta-śoṇita (vāta with blood involvement) can cause knee-centered swelling and intense pain; morphology guides diagnosis (kroṣṭuka-śīrṣa).
Vedantic Theme: Duḥkha as bodily modification: suffering arises in the changing body-mind complex; cultivate witness-consciousness alongside treatment.
Application: Recognize inflammatory joint presentations with severe localized pain and swelling; reduce aggravating factors (overexertion, dryness, irregularity) and seek therapies addressing vāta and rakta.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.166: vāta-śoṇita/joint disorders and named conditions
It names and characterizes a specific knee disorder: vāta-blood swelling with intense pain, described by a distinctive rounded shape metaphor (“jackal’s head”).
This verse is medical/diagnostic rather than eschatological; it shows that Garuda Purana also transmits embodied-life knowledge, not only afterlife doctrines.
Severe localized knee pain with swelling suggests inflammatory pathology; the verse encourages recognizing patterns early and seeking appropriate care rather than self-neglect.