Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis
शरिरसन्धिमाविश्य ताः शिराः प्रतिपीडयन् / मुखानि स्रोतसां रुद्ध्वा तथैवातिविसृज्य वा
śarirasandhimāviśya tāḥ śirāḥ pratipīḍayan / mukhāni srotasāṃ ruddhvā tathaivātivisṛjya vā
Ia memasuki sendi-sendi tubuh lalu menekan kuat urat-urat nāḍī; dan dengan menyumbat mulut saluran-saluran (srotas)—atau sebaliknya memaksa ia mengalir berlebihan—ia menimbulkan penderitaan yang amat berat.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: Causal anatomy: vāta entering sandhis (joints) compresses nāḍīs and disrupts srotas by either obstruction or over-flow, producing duḥkha.
Vedantic Theme: Prakṛti’s guṇic imbalance manifests as suffering; discernment of cause-effect reduces attachment to harmful habits.
Application: Attend to early signs of vāta disturbance (joint discomfort, irregular elimination); adopt stabilizing routines (warmth, regularity, unctuous diet) and avoid behaviors that dry/derange.
Primary Rasa: bhayanaka
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.152 (srotas/nāḍī disturbance by vāta; joint involvement as roga-mārga)
This verse highlights that suffering arises when the openings of the body’s channels are either blocked or made to flow excessively, showing how subtle forces can disturb vital pathways and create torment in the preta-condition.
It implies that the departed being’s experience is shaped by subtle-body physiology—channels, joints, and inner flows—where karmic forces can constrict or over-stimulate these pathways, producing pain during the post-death transition.
Maintain disciplined living (diet, conduct, restraint) and perform appropriate śrāddha/charitable acts with sincerity, as the text links post-death ease or distress with the regulation of life-forces and the moral quality of one’s actions.