Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
अग्नौ मले ऽतिनिचिते पुनश्चायं (ति) व्यवायतः / पानसंक्षोभविषमकठिनक्षुद्रकाशनात्
agnau male 'tinicite punaścāyaṃ (ti) vyavāyataḥ / pānasaṃkṣobhaviṣamakaṭhinakṣudrakāśanāt
ကိုယ်ခန္ဓာအတွင်း မလ (mala) အညစ်အကြေးများ အလွန်အကျွံ စုပုံလာသောအခါ၊ ဤအခြေအနေသည် ထပ်မံဖြစ်ပေါ်လာသည်—မသင့်လျော်သော လိင်ဆက်ဆံမှုကြောင့်လည်းကောင်း၊ သောက်သုံးမှုကြောင့် ဖြစ်သော လှုပ်ရှားနှိုးဆော်မှုကြောင့်လည်းကောင်း၊ ထို့ပြင် မညီမညာ၊ ကြမ်းတမ်း၊ နိမ့်ကျ၊ မှားယွင်းသော အစားအစာအလေ့အထများကြောင့်လည်းကောင်း ဖြစ်သည်။
Lord Vishnu (in dialogue with Garuda/Vinata-putra)
Dosha: Mixed
Concept: Excess accumulation of mala and doṣa disturbance arise from misconduct and intemperance—especially sexual impropriety, intoxicants, and faulty diet.
Vedantic Theme: Indriya-nigraha (sense restraint) as support for health and clarity; tamas/rajas-driven habits produce suffering.
Application: Moderate alcohol, regularize meals, avoid harsh/low-quality foods, and practice sexual restraint; prioritize digestion and elimination health.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156.10 (doṣa aggravation causes); Garuda Purana 1.156.12 (injury/cold exposure as further causes)
This verse links excess impurity and bodily disorder to undisciplined habits—improper intercourse, agitating drink, and harsh/irregular eating—so self-restraint is presented as a dharmic safeguard for health and purity.
It indicates that when impurity accumulates, the digestive fire is disturbed; the resulting imbalance is intensified by intoxicants and faulty diet, implying that agni must be protected through disciplined living.
Maintain regular, wholesome meals; avoid intoxicants that agitate the body and mind; and follow responsible, moderate sexual conduct—habits that support clarity, health, and ritual purity.