Shloka 59
Vidradhi–Gulma Nidāna
Causes and Signs of Abscess and Abdominal Mass
धनश्चाष्ठ्युपमो ग्रन्थिलो ऽष्ठीलातु समुन्नता / समस्तालिङ्गसंयुक्तः प्रत्यष्ठीला तदाकृतिः
dhanaścāṣṭhyupamo granthilo 'ṣṭhīlātu samunnatā / samastāliṅgasaṃyuktaḥ pratyaṣṭhīlā tadākṛtiḥ
Ia menjadi seperti simpul keras bagaikan tulang; benjolan halus yang disebut aṣṭhīlā menonjol naik, dan apabila berserta segala tanda pada tubuh, ia tampak sebagai benjolan balasan (pratyaṣṭhīlā) dengan rupa yang sama.
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: Aṣṭhīlā is a hard, knotty, elevated mass; pratyaṣṭhīlā mirrors its form with associated signs
Vedantic Theme: Nama-rupa as organizing principle: naming stabilizes perception of changing bodily phenomena
Application: Palpate for bony-hard, nodular, elevated mass and correlate with accompanying signs to identify aṣṭhīlā/pratyaṣṭhīlā patterns
Primary Rasa: adbhuta
Secondary Rasa: bibhatsa
Type: body (granthi/lump; abdominal mass imagery)
Related Themes: Garuda Purana 1.160.56-58 (gulma/anaha symptom context); Garuda Purana 1.160.60 (vata from pakvashaya causing stool obstruction and rumbling)
FAQs
In this verse, aṣṭhīlā is presented as a technical affliction—a hard, knot-like formation—used to illustrate how karmic consequences can manifest as constriction and suffering within the subtle/experiential body of the departed.
It suggests that the departed being’s experience is shaped by karmic residues: even attachments like wealth (dhana) can become a cause of hardness and knotting, affecting the preta’s condition as it undergoes post-death states described in the Preta Kanda.
Cultivate non-attachment and ethical earning/charity: the verse cautions that clinging to wealth can harden the mind and leave painful impressions, so practice dana (giving), dharma, and remembrance of impermanence.