Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
गण्डूपदस्य रूपाणि पिच्छिलानि मृदूनि च / व्यानो गृहीत्वा श्लेष्माणं करोत्यर्शस्त्वचो बहिः
gaṇḍūpadasya rūpāṇi picchilāni mṛdūni ca / vyāno gṛhītvā śleṣmāṇaṃ karotyarśastvaco bahiḥ
Dengan mengambil kapha (lendir), arus hayat Vyāna membentuk rupa seperti cacing tanah—licin dan lembut—lalu menimbulkan arśas (buasir) yang menonjol keluar dari kulit.
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Dosha: Kapha
Concept: Pathogenesis of arśas: Vyāna vāyu, seizing kapha, produces slimy soft worm-like growths that protrude externally.
Vedantic Theme: Observation of doṣa-vāyu dynamics as part of embodied causality; dispassion (vairāgya) can arise from seeing the body’s mutable, impure processes.
Application: Address kapha accumulation and vāyu dysregulation (especially vyāna) through diet, movement, and therapies that reduce sliminess/congestion and normalize vāta flow.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156: arśas-samprāpti involving vyāna and śleṣman; external/protruding type (bahir-arśas)
This verse links disease formation to subtle physiological principles: Vyāna-vāyu acting on kapha creates specific pathological manifestations, illustrating the Purana’s doṣa–vāyu based view of bodily disorders.
Indirectly, it frames embodied suffering as part of the soul’s karmic experience in a physical body governed by vāyus and doṣas—showing how the jīva’s life in the body includes illness and its consequences.
Treat bodily health as dharmic stewardship: reduce kapha-aggravating habits, maintain balanced movement and circulation (Vyāna-related), and seek appropriate medical/Ayurvedic guidance rather than ignoring early symptoms.