Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
गतमूत्रशकृद्वेगधारणात्तदुदीरणात् / जुगुप्सातीसारमेव ग्रहणी सो ऽप्युपद्रवः
gatamūtraśakṛdvegadhāraṇāttadudīraṇāt / jugupsātīsārameva grahaṇī so 'pyupadravaḥ
Dengan memaksa menahan dorongan semula jadi untuk kencing dan berak—lalu merangsang pengeluarannya—seseorang menanggung penyakit yang menjijikkan: cirit-birit dan juga penyakit usus (grahaṇī); ini pun suatu penderitaan.
Lord Vishnu (teaching Garuda/Vinata-putra)
Dosha: Vata
Concept: Vegadhāraṇa (suppression of natural urges) is adharma against the body’s order and leads to suffering.
Vedantic Theme: Deha as upādhi: neglect of the instrument (body-mind) obstructs sādhana; suffering follows from avidyā-driven compulsion.
Application: Do not forcibly suppress urine/stool urges; maintain regular elimination, hydration, and routine; avoid ‘holding’ due to shame, work pressure, or travel.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156 (Ayurvedic/health instruction section on vāyu disorders and anorectal disease)
This verse states that holding back urine and feces and then forcing their release leads to painful, “loathsome” disorders like diarrhoea and grahaṇī, showing that dharmic living includes respecting the body’s natural functions.
It links a specific habit (vega-dhāraṇa—urge suppression) to concrete suffering (upadrava—affliction), illustrating the Purana’s broader principle that improper conduct, even in bodily matters, produces harmful results.
Do not habitually delay urination or bowel movements; maintain regular routines and mindful self-care, treating bodily rhythms as part of disciplined, ethical living.