Shloka 29

Pāṇḍu-Śotha Nidāna: Doṣa-wise Signs, Complications, and Prognosis

Devanagari script

ऊर्ध्वशोथमधो बस्तौ मध्ये कुर्वन्ति मध्यगाः / सर्वाङ्गगः सर्वगतः प्रत्यप्रत्यगेति तदाश्रयः

Transliteration

ūrdhvaśothamadho bastau madhye kurvanti madhyagāḥ / sarvāṅgagaḥ sarvagataḥ pratyapratyageti tadāśrayaḥ

Translation

အလယ်ဒေသကို လှုပ်ရှားသွားလာသောအရာများသည် အပေါ်ပိုင်းတွင် ဖောင်းစေပြီး၊ အောက်ပိုင်းတွင် ဆီးအိမ်ရောဂါများကို ဖြစ်စေကာ၊ ကိုယ်ခန္ဓာ၏ အလယ်ပိုင်းကိုလည်း ထိခိုက်စေသည်။ ထိုသိမ်မွေ့သော သဘောတရားသည် အင်္ဂါအစိတ်အပိုင်း အားလုံးကို လွှမ်းမိုး၍ နေရာအနှံ့ ရှိနေပြီး၊ အပြင်သို့လည်း အတွင်းသို့လည်း ရွေ့လျားသည်ဟု ဆိုကြသည်—ကိုယ်ခန္ဓာ အားထားရာ အထောက်အကူ ဖြစ်၏။

Word by Word

• ऊर्ध्वशोथम्: upward swelling
• ऊर्ध्वशोथम्: Karma (Object/कर्म)
• Type: Noun
• Root: ऊर्ध्व (प्रातिपदिक) + शोथ (प्रातिपदिक)
• Form: पुंलिङ्ग, द्वितीया (2nd/Accusative), एकवचन; कर्मधारयः (ऊर्ध्वः शोथः)

• अधः: below/downwards
• अधः: Kriya-visheshana (Adverbial/क्रियाविशेषण)
• Type: Indeclinable
• Root: अधस् (अव्यय)
• Form: अव्यय; देशवाचक-क्रियाविशेषण (adverb of place)

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

• मध्ये: in the middle
• मध्ये: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: मध्य (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, सप्तमी (7th/Locative), एकवचन

• कुर्वन्ति: they produce/make
• कुर्वन्ति: Kriya (Action/क्रिया)
• Type: Verb
• Root: √कृ (धातु)
• Form: लट्-लकार (Present), प्रथमपुरुष (3rd person), बहुवचन; परस्मैपद

• मध्यगाः: those situated in the middle
• मध्यगाः: Karta (Subject/कर्ता)
• Type: Adjective
• Root: मध्य (प्रातिपदिक) + ग (कृदन्त; √गम् धातु)
• Form: पुंलिङ्ग, प्रथमा (1st/Nominative), बहुवचन; तत्पुरुषः (मध्ये गाः); कृदन्तः ‘ग’ (गत/ग-प्रत्ययान्त)

• सर्वाङ्गगः: going to all limbs
• सर्वाङ्गगः: Visheshana (Adjectival qualifier/विशेषण)
• Type: Adjective
• Root: सर्व (प्रातिपदिक) + अङ्ग (प्रातिपदिक) + ग (कृदन्त; √गम् धातु)
• Form: पुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; तत्पुरुषः (सर्वेषु अङ्गेषु गः)

• सर्वगतः: all-pervading
• सर्वगतः: Visheshana (Adjectival qualifier/विशेषण)
• Type: Adjective
• Root: सर्व (प्रातिपदिक) + गत (कृदन्त; √गम् धातु)
• Form: पुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; कर्मधारयः (सर्वं गतः); भूतकृदन्तः (क्त)

• प्रत्यप्रत्यक्: each and every (in all directions)
• प्रत्यप्रत्यक्: Kriya-visheshana (Adverbial/क्रियाविशेषण)
• Type: Indeclinable
• Root: प्रति (उपसर्ग) + प्रत्यक् (प्रातिपदिक/अव्ययार्थ)
• Form: अव्यय; दिशावाचक/पर्यायवाचक-निपात (adverbial ‘each and every/again and again’ sense)

• इति: thus
• इति: Sambandha (Quotative/सम्बन्ध)
• Type: Indeclinable
• Root: इति (अव्यय)
• Form: अव्यय; उद्धरण/निगमनार्थक (quotative particle)

• तदाश्रयः: its seat/support
• तदाश्रयः: Karta (Subject/कर्ता)
• Type: Noun
• Root: तद् (सर्वनाम-प्रातिपदिक) + आश्रय (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st/Nominative), एकवचन; तत्पुरुषः (तस्य आश्रयः)

Speaker

Lord Vishnu (speaking to Garuda)

Medical Ayurveda

Dosha: Vata

Philosophical Teaching

Concept: A pervading principle (doṣa/vāyu moving through regions) localizes disease above/below/middle; it can move outward/inward and supports bodily function—hence location-based diagnosis is essential.

Vedantic Theme: Pervasion (vyāpti) as a mode of understanding subtle causality; the ‘support’ (āśraya) relation between subtle forces and gross body mirrors adhyāsa of functions on a substrate.

Application: Diagnose by site and movement (outward/inward spread); tailor treatment to region (ūrdhva/madhya/adho) and to vāta movement patterns; monitor for generalized edema.

Verse Rasa

Primary Rasa: shanta

Secondary Rasa: adbhuta

Geographic Context

Type: anatomical-region

Cross References

Related Themes: Garuda Purana 1.162 (śotha-bheda by sthāna and gati: ūrdhva/adho/madhya; outward/inward movement)

Characters & Entities

• Garuda
• Vishnu

FAQs

What is the importance of pratyag–apratyag (inward–outward movement) in the Garuda Purana?

This verse frames a subtle life-principle as moving both inward and outward, indicating that bodily function and experience depend on an underlying, pervasive support rather than only gross anatomy.

How does this verse explain the path of the soul in relation to the body?

By describing an all-pervading support that operates throughout the limbs and directions (inward/outward), the verse points to the subtle basis (often understood as pranic or subtle-body functioning) that underlies embodied life—relevant to the Purana’s broader after-death teachings.

Practical application of this wisdom today?

Maintain discipline in breath, diet, and conduct (yama-niyama–style restraint), recognizing that imbalance in inner “currents” affects the whole system; use the insight to cultivate steadiness, moderation, and responsibility for one’s actions.