Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
अग्नौ मले ऽतिनिचिते पुनश्चायं (ति) व्यवायतः / पानसंक्षोभविषमकठिनक्षुद्रकाशनात्
agnau male 'tinicite punaścāyaṃ (ti) vyavāyataḥ / pānasaṃkṣobhaviṣamakaṭhinakṣudrakāśanāt
Apabila mala (kekotoran tubuh) terkumpul berlebihan, keadaan ini timbul lagi kerana persetubuhan yang tidak wajar, kerana kegelisahan akibat minuman, dan kerana tabiat makan yang tidak teratur, keras, hina, serta salah.
Lord Vishnu (in dialogue with Garuda/Vinata-putra)
Dosha: Mixed
Concept: Excess accumulation of mala and doṣa disturbance arise from misconduct and intemperance—especially sexual impropriety, intoxicants, and faulty diet.
Vedantic Theme: Indriya-nigraha (sense restraint) as support for health and clarity; tamas/rajas-driven habits produce suffering.
Application: Moderate alcohol, regularize meals, avoid harsh/low-quality foods, and practice sexual restraint; prioritize digestion and elimination health.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156.10 (doṣa aggravation causes); Garuda Purana 1.156.12 (injury/cold exposure as further causes)
This verse links excess impurity and bodily disorder to undisciplined habits—improper intercourse, agitating drink, and harsh/irregular eating—so self-restraint is presented as a dharmic safeguard for health and purity.
It indicates that when impurity accumulates, the digestive fire is disturbed; the resulting imbalance is intensified by intoxicants and faulty diet, implying that agni must be protected through disciplined living.
Maintain regular, wholesome meals; avoid intoxicants that agitate the body and mind; and follow responsible, moderate sexual conduct—habits that support clarity, health, and ritual purity.