Shloka 22

Nidāna of Mūtraghāta and Aśmarī: Doṣa-based Types, Signs, and Named Urinary Syndromes

Devanagari script

करोति तत्र रुग्दाहं स्पन्दनोद्वेष्टनानि च / बिन्दुशश्च प्रवर्तेत मूत्रं बस्तौ तु पीडिते

Transliteration

karoti tatra rugdāhaṃ spandanodveṣṭanāni ca / binduśaśca pravarteta mūtraṃ bastau tu pīḍite

Translation

Di situ ia menimbulkan sakit dan rasa terbakar, beserta denyutan dan rasa mencengkam. Apabila pundi kencing tertekan, air kencing keluar hanya setitis demi setitis.

Word by Word

• करोति: causes/produces
• करोति: Kriya (Action/क्रिया)
• Type: Verb
• Root: कृ (धातु √कृ ‘to do’)
• Form: लट् (Present), परस्मैपद, प्रथमपुरुष (3rd person), एकवचन (singular)

• तत्र: there/in that place
• तत्र: Adhikarana (Location/अधिकरण)
• Type: Indeclinable
• Root: तत्र (अव्यय)
• Form: अव्यय; देशवाचक (locative adverb)

• रुग्दाहम्: pain and burning
• रुग्दाहम्: Karma (Object/कर्म)
• Type: Noun
• Root: रुज्/रुग् (प्रातिपदिक) + दाह (प्रातिपदिक)
• Form: पुंलिङ्ग (masculine), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular); इतरेतर-द्वन्द्व (pain and burning)

• स्पन्दनोद्वेष्टनानि: throbbing and twisting sensations
• स्पन्दनोद्वेष्टनानि: Karma (Object/कर्म)
• Type: Noun
• Root: स्पन्दन (प्रातिपदिक) + उद्वेष्टन (प्रातिपदिक)
• Form: नपुंसकलिङ्ग (neuter), प्रथमा/द्वितीया विभक्ति (Nom./Acc. 1st/2nd), बहुवचन (plural); इतरेतर-द्वन्द्व (throbbing and twisting)

• च: and
• च: Samuccaya (Coordination/समुच्चय)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: अव्यय; समुच्चय (conjunction)

• बिन्दुशः: drop by drop
• बिन्दुशः: Prakara (Manner/प्रकार)
• Type: Indeclinable
• Root: बिन्दु (प्रातिपदिक) + शस् (शस्-प्रत्यय)
• Form: अव्यय; शस्-प्रत्ययान्त (distributive adverb)

• च: and
• च: Samuccaya (Coordination/समुच्चय)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: अव्यय; समुच्चय (conjunction)

• प्रवर्तेत: would flow/occur
• प्रवर्तेत: Kriya (Action/क्रिया)
• Type: Verb
• Root: प्र-वृत् (धातु √वृत्/√वृत्त ‘to proceed, occur’)
• Form: विधिलिङ् (Optative), आत्मनेपद, प्रथमपुरुष (3rd person), एकवचन (singular); उपसर्ग: प्र-

• मूत्रम्: urine
• मूत्रम्: Karta (Subject/कर्ता)
• Type: Noun
• Root: मूत्र (प्रातिपदिक)
• Form: नपुंसकलिङ्ग (neuter), प्रथमा/द्वितीया विभक्ति (Nom./Acc. 1st/2nd), एकवचन (singular)

• बस्तौ: in the bladder
• बस्तौ: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: बस्ति (प्रातिपदिक)
• Form: पुंलिङ्ग (masculine), सप्तमी विभक्ति (Locative/7th), एकवचन (singular)

• तु: but/indeed
• तु: Nipata (Particle/निपात)
• Type: Indeclinable
• Root: तु (अव्यय)
• Form: अव्यय; अवधारण/विरोध (particle: but/indeed)

• पीडिते: when pressed/afflicted
• पीडिते: Adhikarana (Condition/अधिकरण)
• Type: Adjective
• Root: पीड् (धातु √पीड् ‘to press, afflict’) → पीडित (कृदन्त; क्त)
• Form: पुंलिङ्ग (masculine) / नपुंसकलिङ्ग (neuter), सप्तमी विभक्ति (Locative/7th), एकवचन (singular); क्त-प्रत्ययान्त; ‘when (it is) pressed/afflicted’

Speaker

Lord Vishnu (speaking to Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Vata

Philosophical Teaching

Concept: Clinical markers of bladder affliction: dāha (burning), spandana (throbbing), udveṣṭana (constriction), and binduśaḥ pravṛtti (dribbling/strangury).

Vedantic Theme: Pramāṇa-based discernment: naming and distinguishing symptoms reduces confusion and supports right remedial action.

Application: Treat dribbling urination as a red-flag symptom; reduce vāta-aggravating factors (dryness, overexertion, suppression) and seek appropriate therapy.

Verse Rasa

Primary Rasa: karuna

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.158.21 (burning heat and distension); Garuda Purana 1.158.23 (vāta-basti definition: stream obstruction)

Characters & Entities

• Vayu (Anila)
• Basti (bladder)

FAQs

What is the importance of describing urinary disorders in the Garuda Purana?

This verse illustrates how specific bodily sufferings manifest as intense pain and obstruction, reinforcing the text’s broader teaching that embodied life involves consequences and the need for disciplined living.

How does this verse explain the nature of suffering in the body?

It portrays suffering as concrete, symptom-based affliction—burning, throbbing, constriction, and obstructed urination—showing how disturbance in vital functions becomes a direct experience of pain.

Practical application of this wisdom today?

Treat persistent urinary burning or obstructed urination as serious; pursue timely care, avoid aggravating habits, and adopt disciplined diet and conduct that reduce vata-aggravation.