Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
प्रभूतमूत्रमल्पा विडश्रद्धा धूम्रकोष्ठकः / शिरः पृष्ठोरसां शूलमालस्यं भिन्नवर्चसम्
prabhūtamūtramalpā viḍaśraddhā dhūmrakoṣṭhakaḥ / śiraḥ pṛṣṭhorasāṃ śūlamālasyaṃ bhinnavarcasam
Terdapat kencing berlebihan, najis sedikit, hilang selera makan, dan keadaan usus yang berasap/kecoklatan; kesakitan timbul di kepala, belakang, dan dada, bersama dengan kelesuan dan pergerakan usus yang tidak teratur.
Lord Vishnu (speaking to Garuda)
Dosha: Vata
Concept: Karmically conditioned embodiment manifests as multi-system disorder; suffering humbles and exposes the fragility of pride in the body.
Vedantic Theme: anityatva (impermanence) of bodily well-being; deha-abhimana as a source of sorrow
Application: Adopt moderation in food/sleep; practice humility and compassion toward the sick; remember mortality and prioritize dharma and devotion.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana: sequences describing roga-lakshana (symptom clusters) tied to doshic disturbance (contextual parallel)
This verse treats physical signs—urination, stool changes, pain, and lethargy—as diagnostic indicators, showing that the Garuda Purana also preserves practical, body-based guidance alongside spiritual instruction.
Indirectly: by emphasizing bodily decline and disorder, it highlights the fragility of embodied life—an underlying theme that motivates dharma, preparation for death, and right conduct taught elsewhere in the dialogue.
Treat persistent changes in urination, bowel habits, appetite, and unexplained pains as serious warning signs—seek timely medical evaluation and adopt disciplined daily habits (āhāra-vihāra) rather than neglecting the body.