Vidradhi–Gulma Nidāna
Causes and Signs of Abscess and Abdominal Mass
नाभिबस्तियकृत्प्लीहक्लोमहृत्कुक्षिवङ्क्षणि / हृदये वेपमाने तु तत्रतत्रातितीव्ररुक्
nābhibastiyakṛtplīhaklomahṛtkukṣivaṅkṣaṇi / hṛdaye vepamāne tu tatratatrātitīvraruk
नाभिबस्तियकृत्प्लीहक्लोमहृत्कुक्षिवङ्क्षणिषु हृदये च वेपमाने सति तत्र तत्रातितीव्रा रुक् प्रादुर्भवति।
Lord Vishnu (speaking to Garuda)
Concept: Precise observation of bodily signs as a means to discern disease and the transient nature of embodied life.
Vedantic Theme: Deha-anityatva and viveka between Self and body (śarīra-ātma-viveka).
Application: Attend early to systemic pain and cardiac tremor; cultivate detachment and timely care rather than denial.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Type: anatomical loci
Related Themes: Garuda Purana 1.160 (adjacent verses on doṣa-based symptomatology and complications)
Kloma is an Ayurvedic anatomical-vital term; traditional sources associate it with an important internal organ/region linked to vital fluids and thoraco-abdominal function, hence its mention among key sites of severe pain.
It gives a precise symptom-map—naming organs and regions—to convey the intensity and spread of suffering, a common Purāṇic method to make moral-spiritual teachings tangible through bodily experience.
Severe migrating pain with chest/heart trembling is a warning sign—seek prompt medical evaluation and avoid neglecting symptoms that involve vital regions.