Vidradhi–Gulma Nidāna
Causes and Signs of Abscess and Abdominal Mass
संक्लेशशीतकस्तम्भजृम्भारोचकगौरवाः / चिरोत्थानो ऽविपाकश्च संकीर्णः सन्निपातजः
saṃkleśaśītakastambhajṛmbhārocakagauravāḥ / cirotthāno 'vipākaśca saṃkīrṇaḥ sannipātajaḥ
ရောနှောသော (သန္နိပါတ) အခြေအနေတွင် ဒုက္ခပင်ပန်းခြင်း၊ ချမ်းတုန်ခြင်း၊ တင်းကျပ်ခြင်း၊ ဟားယားခြင်း၊ အစာမစားချင်ခြင်းနှင့် လေးလံခြင်းတို့ ရှိသည်; တဖြည်းဖြည်း ပေါ်လာပြီး အနာပုပ်မကောင်းသကဲ့သို့ ဖြစ်ကာ လက္ခဏာများ ရောထွေးရှုပ်ထွေးနေသည်။
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Mixed
Concept: When causes are mixed, signs become blended and treatment/prognosis is difficult; discernment must be nuanced.
Vedantic Theme: Complexity of prakṛti; necessity of viveka and equanimity (śama) amid uncertainty.
Application: Do not oversimplify diagnosis; track clusters (chills, stiffness, yawning, anorexia, heaviness), note slow onset and poor suppuration; seek comprehensive evaluation.
Primary Rasa: shanta
Secondary Rasa: karuna
Type: systemic (sannipāta)
Related Themes: Garuda Purana 1.160 (sannipāta description and contrasts with single-doṣa states)
Sannipāta is a combined doṣic disturbance where signs are mixed and complicated, often with slow onset and atypical or incomplete suppuration.
It emphasizes a cluster of systemic symptoms—chills, stiffness, heaviness, anorexia—along with delayed manifestation and unclear progression, indicating a mixed pathology.
When symptoms are mixed, persistent, and unclear, the verse suggests taking the condition seriously and seeking comprehensive evaluation rather than relying on a single-symptom approach.