Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
कृच्छ्रसाध्यानि तान्याहुः परिसंवत्सराणि च / बाह्यायां तु वलौ जातान्येकदोषोल्बणानि च
kṛcchrasādhyāni tānyāhuḥ parisaṃvatsarāṇi ca / bāhyāyāṃ tu valau jātānyekadoṣolbaṇāni ca
कृच्छ्रसाध्यानि तान्याहुः परिसंवत्सराणि च। बाह्यायां तु वलौ जातान्येकदोषोल्बणानि च॥
Lord Vishnu (speaking to Garuda/Vainateya)
Concept: Certain difficult-to-remedy conditions/offences are addressed through kṛcchra penances and year-long observances; outward-origin lapses tend to be dominated by a single aggravated fault.
Vedantic Theme: Karma and purification (śuddhi) as preparatory discipline; regulation of conduct to reduce afflictive tendencies.
Application: When framed as prāyaścitta: adopt structured, time-bound discipline (fasting/regulated diet/vrata) for correction; when framed medically: treat single-doṣa dominance with targeted measures and sustained regimen.
Primary Rasa: shanta
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.156: interface of roga-classification with prāyaścitta vocabulary (kṛcchra, saṃvatsara)
This verse frames expiation as a practical dharmic remedy: certain faults are purified through defined penances like Kṛcchra or year-long observances, helping reduce karmic burden before the soul’s post-death accounting.
By emphasizing expiation and the ‘aggravation’ of faults, it supports the Garuda Purana’s broader teaching that unatoned sins intensify suffering in Yama’s domain, while disciplined prāyaścitta mitigates consequences.
Treat ethical lapses seriously: correct them with sustained discipline (vows, restraint, charity, truthful living), and avoid letting one recurring fault dominate your conduct.