Shloka 45

Udara-roga Nidāna: Causes, Doṣa-Types, Spleen/Liver Enlargement, and Udakodara

Devanagari script

पक्षाच्च जातसलिलं विष्टम्भोपद्रवान्वितम् / जन्मनैवोदरं सर्वं प्रायः कृच्छ्रतमं मतम्

Transliteration

pakṣācca jātasalilaṃ viṣṭambhopadravānvitam / janmanaivodaraṃ sarvaṃ prāyaḥ kṛcchratamaṃ matam

Translation

பதினைந்து நாளுக்குள் வயிற்றில் நீர்போன்ற திரவம் உருவாகி, விஷ்டம்பம் (மலக்கட்டு/வயிற்றுப் பெருக்கு) மற்றும் உபத்ரவங்களுடன் சேர்ந்தால்—பிறப்பிலிருந்தே எழும் அத்தகைய உதரநோய் பொதுவாக மிகக் கடினமாகச் சிகிச்சையளிக்கத்தக்கது எனக் கருதப்படுகிறது।

Word by Word

• पक्षात्: from the side/wing; from a fortnight (context-dependent)
• पक्षात्: Apadana (Source/अपादान)
• Type: Noun
• Root: पक्ष (प्रातिपदिक)
• Form: पुंलिङ्ग, पञ्चमी-विभक्ति (अपादान/ablative), एकवचन

• च: and
• च: Sambandha (Connector)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: समुच्चय-अव्यय (conjunction)

• जातसलिलम्: having produced fluid; fluid-born/with fluid formed
• जातसलिलम्: Visheshana (Qualifier)
• Type: Adjective
• Root: जात (√जन् धातु, क्त-प्रत्यय; कृदन्त) + सलिल (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति, एकवचन; समासः—षष्ठी/कर्मधारय-प्रायः (जातं सलिलं यस्मिन्/जातं सलिलम्)

• विष्टम्भोपद्रवान्वितम्: accompanied by obstruction and complications
• विष्टम्भोपद्रवान्वितम्: Visheshana (Qualifier)
• Type: Adjective
• Root: विष्टम्भ (प्रातिपदिक) + उपद्रव (प्रातिपदिक) + अन्वित (√अन्वि/अनु+इ, क्त; कृदन्त)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति, एकवचन; समासः—विष्टम्भ-उपद्रव-सम्बद्धम् (विष्टम्भेन उपद्रवैश्च अन्वितम्)

• जन्मना: by birth; from birth
• जन्मना: Karana (Instrument/Means)
• Type: Noun
• Root: जन्मन् (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया-विभक्ति (करण/instrumental), एकवचन

• एव: indeed; just
• एव: Sambandha (Emphasis)
• Type: Indeclinable
• Root: एव (अव्यय)
• Form: निश्चय/अवधारण-अव्यय (emphatic particle)

• उदरम्: abdominal disorder/dropsy; belly condition
• उदरम्: Karta (Subject/कर्ता)
• Type: Noun
• Root: उदर (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा-विभक्ति, एकवचन

• सर्वम्: entire; all
• सर्वम्: Visheshana (Qualifier)
• Type: Adjective
• Root: सर्व (सर्वनाम-प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा-विभक्ति, एकवचन; विशेषण

• प्रायः: generally; mostly
• प्रायः: Sambandha (Adverbial)
• Type: Indeclinable
• Root: प्रायः (अव्यय)
• Form: अव्यय (adverb)

• कृच्छ्रतमम्: most difficult; extremely severe
• कृच्छ्रतमम्: Visheshana (Qualifier)
• Type: Adjective
• Root: कृच्छ्र (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति, एकवचन; तमप्-प्रत्यय (superlative)

• मतम्: considered; regarded
• मतम्: Kriya-visheshana (Predicative complement)
• Type: Adjective
• Root: √मन् (धातु) + क्त (कृदन्त)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति, एकवचन; क्त-प्रत्यय; भावे/कर्मणि प्रयोगः—‘considered/held’

Speaker

Lord Vishnu (in discourse to Garuda/Vinata-putra)

Philosophical Teaching

Concept: Early-stage pathology with complications indicates a severe, difficult-to-cure abdominal disorder; prognosis depends on origin and associated upadravas.

Vedantic Theme: Sharira as kshetra (field) governed by causality; discernment (viveka) through accurate diagnosis.

Application: Treat early; watch for fluid accumulation with obstruction/complications; prioritize timely medical attention and preventive regimen.

Verse Rasa

Primary Rasa: karuna

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.162 (continuation of medical nidana/roga-vijnana)

Characters & Entities

• Vishnu
• Garuda

FAQs

What is the importance of rapid fluid accumulation in this Garuda Purana verse?

Rapid onset (within a fortnight) plus obstruction and complications is treated as a grave prognostic sign, marking the condition as especially hard to manage.

How does this verse explain the path of the soul?

It does not describe the afterlife directly; it reinforces the Garuda Purana’s wider message that suffering and decline are inherent to embodiment, motivating dharma and preparedness.

Practical application of this wisdom today?

Sudden abdominal fluid build-up with systemic complications should be treated as urgent; seek immediate professional medical assessment.