Shloka 38

Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids

श्लेष्मोल्बणा महामूला घना मन्दरुजः सिताः / उत्सन्नोपचितस्निग्धस्तब्धवृत्तगुरुस्थिराः

śleṣmolbaṇā mahāmūlā ghanā mandarujaḥ sitāḥ / utsannopacitasnigdhastabdhavṛttagurusthirāḥ

Dikuasai kahak (kapha), berakar dalam dan tebal, hanya menimbulkan sakit ringan serta tampak putih—keadaan ini timbul meninggi, padat berisi, berminyak, kaku, bulat, berat dan teguh.

śleṣma-ulbaṇāḥabounding in phlegm
śleṣma-ulbaṇāḥ:
Viśeṣaṇa (Qualifier)
TypeAdjective
Rootśleṣma (प्रातिपदिक) + ulbaṇa (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा (1st case), बहुवचन; समासः—षष्ठी-तत्पुरुष (śleṣmasya ulbaṇāḥ = ‘abounding in phlegm’)
mahā-mūlāḥhaving large roots/base
mahā-mūlāḥ:
Viśeṣaṇa
TypeAdjective
Rootmahā (प्रातिपदिक) + mūla (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, बहुवचन; कर्मधारयः (mahā mūlāḥ = ‘having great roots/base’)
ghanāḥdense/thick
ghanāḥ:
Viśeṣaṇa
TypeAdjective
Rootghana (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, बहुवचन
manda-rujaḥcausing mild pain
manda-rujaḥ:
Viśeṣaṇa
TypeAdjective
Rootmanda (प्रातिपदिक) + ruj (प्रातिपदिक; ‘pain’)
Formपुंलिङ्ग, प्रथमा, बहुवचन; कर्मधारयः (manda rujā yasya/ye = ‘with mild pain’)
sitāḥwhite/pale
sitāḥ:
Viśeṣaṇa
TypeAdjective
Rootsita (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, बहुवचन
utsanna-upacita-snigdha-stabdha-vṛtta-guru-sthirāḥbulging, swollen, oily, stiff, rounded, heavy, and firm
utsanna-upacita-snigdha-stabdha-vṛtta-guru-sthirāḥ:
Viśeṣaṇa
TypeAdjective
Rootutsanna (प्रातिपदिक) + upacita (कृदन्त; उप-√चि (धातु) क्त) + snigdha (प्रातिपदिक) + stabdha (कृदन्त; √स्तभ् (धातु) क्त) + vṛtta (कृदन्त; √वृत् (धातु) क्त) + guru (प्रातिपदिक) + sthira (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, बहुवचन; समाहार/विशेषण-समुच्चयः (बहुपद-समासः; गुणसमुच्चयः)

Lord Vishnu (in instruction to Garuda/Vinata-putra)

Dosha: Kapha

Concept: Roga-pariksha through lakshana: kapha-pradhana granthi/arbuda-like features (white, snigdha, guru, sthira, stabdha).

Vedantic Theme: Sharira as prakriti-vikara; viveka through accurate naming of embodied conditions.

Application: Use symptom-clusters (color, pain, consistency, mobility, heaviness) to infer doshic predominance and avoid misclassification.

Primary Rasa: bibhatsa

Secondary Rasa: karuna

Related Themes: Garuda Purana 1.156 (Ayurveda/roga-lakshana section): kapha-vikara descriptions continuing in 1.156.39-42

V
Vishnu
G
Garuda

FAQs

This verse classifies physical features (phlegm-dominant, white, firm, mildly painful, deep-rooted) as diagnostic signs, used in the text’s broader discussion of bodily conditions and their implications within the Preta Kanda context.

Preta Kanda often links embodied conditions with karmic and ritual concerns; such symptom-lists function as practical markers within the narrative framework that prepares one for right conduct and timely rites.

Treat it as a traditional diagnostic description: observe the body carefully, seek appropriate medical care, and use the reminder to maintain discipline (dharma) and preparedness for life’s impermanence.