Cikitsā-sāra: Doṣa Nidāna–Lakṣaṇa, Agni, Ajīrṇa/Āma Cikitsā, Daśamūla, and Prognostic Signs
शूलगुल्मौ च विण्मूत्रस्थानविष्टम्भसूचकौ / विधेयं स्वेदनं तत्र पानीयं लवणोदकम्
śūlagulmau ca viṇmūtrasthānaviṣṭambhasūcakau / vidheyaṃ svedanaṃ tatra pānīyaṃ lavaṇodakam
ဝမ်းဗိုက်ကိုက်ခဲသော ရှူလ (colic) နှင့် ဂုလ္မ (အတားအဆီးဖြစ်သော ခဲတုံးကဲ့သို့ အစု) တို့က ဝမ်းနှင့် ဆီးနေရာတွင် ပိတ်ဆို့နေကြောင်း ပြသလျှင် ထိုနေရာ၌ ချွေးထွက်အောင် အပူပေးကုသခြင်း (swedana) ပြုရမည်၊ ထို့ပြင် ဆားရေကို သောက်ရမည်။
Lord Vishnu (in dialogue with Garuda)
Dosha: Vata
Concept: Timely, appropriate intervention (yathā-yogya cikitsā) to remove obstruction and restore bodily order.
Vedantic Theme: Harmony/order (ṛta-like balance) mirrored in bodily channels; removing blockage supports clarity and duty.
Application: For colic and gulma with stool/urine obstruction signs, apply sudation therapy and drink saline water as advised (under proper guidance).
Primary Rasa: shanta
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.168.43 (āma/dosha progression and external paste); Garuda Purana 1.168.44-45 (pathya, warm water, incompatibilities)
The verse links pain and abdominal masses to retention of stool/urine and recommends therapies aimed at relieving obstruction rather than suppressing symptoms.
It does not describe afterlife geography; it teaches bodily regulation as a supportive discipline, aligning daily life with dharma and steadiness of mind.
For signs of retention with colicky pain, use warming measures (as appropriate) and gentle hydration with electrolytes; seek qualified medical guidance for severe symptoms.