Shloka 24

Udara-roga Nidāna: Causes, Doṣa-Types, Spleen/Liver Enlargement, and Udakodara

वामपार्श्वास्थितः प्लीहा त्युतस्थानो विवर्धते / शोणिताद्वा रसादिभ्यो विवृद्धो जनयेद्व्यथाम्

vāmapārśvāsthitaḥ plīhā tyutasthāno vivardhate / śoṇitādvā rasādibhyo vivṛddho janayedvyathām

Limpa (plīhā) yang berada di sebelah kiri akan membesar apabila tersasar dari tempatnya yang wajar. Apabila ia meningkat kerana darah, atau kerana cecair tubuh bermula dengan rasa, maka timbullah kesakitan.

वामleft
वाम:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootवाम (प्रातिपदिक)
Formप्रातिपदिक (compound-member)
पार्श्वside/flank
पार्श्व:
Adhikarana (Location/अधिकरण)
TypeNoun
Rootपार्श्व (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रातिपदिक (compound-member)
स्थितःsituated
स्थितः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootस्थित (प्रातिपदिक; √स्था (धातु))
Formपुंलिङ्ग, प्रथमा, एकवचन; क्त-प्रत्ययान्त; समासः सप्तमी-तत्पुरुषः: वामपार्श्वे स्थितः (situated on the left side)
प्लीहाspleen
प्लीहा:
Karta (Subject/कर्ता)
TypeNoun
Rootप्लीहा (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, एकवचन (masculine, nominative singular)
त्युत(as read) displaced/abnormal
त्युत:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootत्युत (प्रातिपदिक)
Formप्रातिपदिक (compound-member; पाठभेद/दुर्लभ-शब्द)
स्थानःhaving (such) position
स्थानः:
Visheshana (Qualifier/विशेषण)
TypeNoun
Rootस्थान (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, एकवचन; समासः कर्मधारय/तत्पुरुषः: त्युतस्थानः (one having an abnormal position)
विवर्धतेenlarges
विवर्धते:
Kriya (Action/क्रिया)
TypeVerb
Root√वृध् (धातु) + वि- (उपसर्ग)
Formलट् (present), प्रथमपुरुष, एकवचन, आत्मनेपद (it enlarges)
शोणितात्from blood
शोणितात्:
Apadana (Source/अपादान)
TypeNoun
Rootशोणित (प्रातिपदिक)
Formनपुंसकलिङ्ग, पञ्चमी, एकवचन (ablative singular)
वाor
वा:
Sambandha (Connector/सम्बन्ध)
TypeIndeclinable
Rootवा (अव्यय)
Formविकल्पार्थक-निपात (disjunctive particle: or)
रसात्from rasa (plasma/juice)
रसात्:
Apadana (Source/अपादान)
TypeNoun
Rootरस (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी, एकवचन (ablative singular; compound-member)
आदिभ्यःfrom and the like (others)
आदिभ्यः:
Apadana (Source/अपादान)
TypeNoun
Rootआदि (प्रातिपदिक)
Formपुं/नपुंसक, पञ्चमी, बहुवचन (ablative plural: from etc. [others])
विवृद्धःenlarged
विवृद्धः:
Karta (Subject/कर्ता)
TypeAdjective
Rootविवृद्ध (प्रातिपदिक; √वृध् (धातु) + वि-)
Formपुंलिङ्ग, प्रथमा, एकवचन; क्त-प्रत्ययान्त (having enlarged)
जनयेत्would produce
जनयेत्:
Kriya (Action/क्रिया)
TypeVerb
Root√जन् (धातु)
Formविधिलिङ् (optative), प्रथमपुरुष, एकवचन, परस्मैपद (would produce)
व्यथाम्pain/affliction
व्यथाम्:
Karma (Object/कर्म)
TypeNoun
Rootव्यथा (प्रातिपदिक)
Formस्त्रीलिङ्ग, द्वितीया, एकवचन (feminine, accusative singular)

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

Dosha: Pitta

Concept: Right knowledge of bodily loci and causes supports effective response; pain signals disorder of placement and humoral increase.

Vedantic Theme: Jñāna in the empirical domain (vyavahāra) is a support for dharma; yet the knower remains distinct from bodily change.

Application: Recognize left-sided abdominal pain/swelling as possible splenic enlargement; avoid blood-aggravating habits; seek diagnosis and appropriate therapy.

Primary Rasa: karuna

Secondary Rasa: adbhuta

Type: bodily-region

Related Themes: Garuda Purana 1.161 (plīhā/udara context)

V
Vishnu
G
Garuda
P
Plīhā (spleen)
R
Rasa
Ś
Śoṇita

FAQs

It states that the spleen on the left side becomes enlarged when displaced from its proper position, and that increase arising from blood (śoṇita) or fluids like rasa leads to pain.

Rasa refers to the primary nutritive fluid (the first dhātu) and, by extension, associated bodily fluids; imbalance or increase in these can contribute to organ swelling and pain.

Treat persistent left-side abdominal pain or suspected enlargement seriously, and view health through balance of bodily fluids and proper bodily function—seeking timely medical evaluation while appreciating the text’s diagnostic emphasis on cause and symptom.