Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
एते च वातजा रोगा जायन्ते भृशदारुणाः / दुर्नामामृत्यूदावर्तपरमो ऽयमुपद्रवः
ete ca vātajā rogā jāyante bhṛśadāruṇāḥ / durnāmāmṛtyūdāvartaparamo 'yamupadravaḥ
एते वातजा रोगा भृशदारुणा जायन्ते; तेषु दुर्नाम मृत्युश्च उदावर्तश्च परम उपद्रवः स्मृतः।
Lord Vishnu (speaking to Garuda/Vinatā-putra)
Dosha: Vata
Concept: Seriousness of vāta pathology and the ethical imperative of prevention; mortality is a proximate consequence of unchecked disorder.
Vedantic Theme: Anityatā (impermanence) highlighted through ‘mṛtyu’; prompts vigilance and prioritization of higher aims while caring for the body.
Application: Treat severe constipation/udāvarta and anorectal disease promptly; do not normalize chronic symptoms that can become life-threatening.
Primary Rasa: bhayanaka
Secondary Rasa: raudra
Related Themes: Garuda Purana 1.156.48; Garuda Purana 1.156.49; Garuda Purana 1.156.50; Garuda Purana 1.156.51
This verse highlights that vāta-origin diseases can become extremely dreadful, and it singles out certain conditions—durnāma, udāvarta, and even death—as the gravest outcomes, stressing the seriousness of imbalance and neglect.
Indirectly, it frames bodily suffering and fatal outcomes as significant “upadravas” (afflictions), aligning with the Purana’s broader teaching that embodied life is fragile and that right living and discipline are essential before death-related teachings unfold.
Treat vāta-aggravating habits seriously (irregular routine, excessive dryness, strain, suppression of urges), and seek timely care—because the text warns that complications like udāvarta and durnāma can become severe if ignored.