Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
पिच्छिलाः स्तिमिताः श्लक्ष्णाः कण्ड्वाढ्याः स्पर्शनप्रियाः / करीरपनसास्थ्याभास्तथा गोस्तनसन्निभाः
picchilāḥ stimitāḥ ślakṣṇāḥ kaṇḍvāḍhyāḥ sparśanapriyāḥ / karīrapanasāsthyābhāstathā gostanasannibhāḥ
पिच्छिलाः स्तिमिताः श्लक्ष्णाः कण्ड्वाढ्याः स्पर्शनप्रियाः; करीरपनसास्थ्याभाः गोस्तनसन्निभाः च दृश्यन्ते।
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Kapha
Concept: Upamana (analogy) as a tool of medical knowledge: describing lesions by familiar plant/animal forms to aid identification.
Vedantic Theme: Pramana-vyavahara: knowledge in the world proceeds via comparison and shared experience.
Application: When communicating symptoms, use concrete analogies (texture, shape, resemblance) to improve clinical history-taking and patient understanding.
Primary Rasa: bibhatsa
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.156.38-42: kapha-vikara symptom continuum; this verse supplies upamana-lakshana
This verse uses vivid physical traits—slimy, itching, touch-seeking forms—to concretely portray karmic suffering, making the consequences of adharma psychologically and ethically compelling.
In the Vishnu–Garuda dialogue, the after-death journey includes experiencing results of karma through specific embodied conditions; here, sensory discomfort and distorted forms illustrate that post-mortem experience is felt and tangible, not merely symbolic.
Cultivate self-restraint and purity in conduct, reduce harm and indulgence, and follow dharmic living and prescribed rites with sincerity—so that one’s future experience is shaped by calmer, sattvic karma rather than painful reactions.