Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
सोष्माणो द्रवनीलोष्णपीतरक्तामवर्चसः / यवमध्या हरित्पीतहारिद्रत्वङ्नखादयः
soṣmāṇo dravanīloṣṇapītaraktāmavarcasaḥ / yavamadhyā haritpītahāridratvaṅnakhādayaḥ
వారు ఉష్ణతతో కూడి ద్రవస్రావముతో ఉంటారు; నీలవర్ణ ఉష్ణతతో వారి కాంతి పసుపు, ఎరుపు మరియు ‘ఆమ’ (అపక్వ) వర్ణవికారంలా కనిపిస్తుంది. వారి నడుము యవగింజలా సన్నగా ఉంటుంది; చర్మం, గోర్లు మొదలైనవి పచ్చటి-పసుపు మరియు పసుపు-పసుపు (హరిద్ర) వర్ణంగా కనిపిస్తాయి।
Lord Vishnu (speaking to Garuda/Vinata-putra)
Afterlife Stage: Naraka
Dosha: Pitta
Concept: Karma ripens into ‘āmā’ (raw/undigested) states—impurity and incompletion—seen as discoloration and weakness.
Vedantic Theme: Samsara as repeated embodiment with doṣa/āmā-like bondage; prompts purification and turning toward moksha.
Application: Pursue inner ‘digestion’ of impulses—ethical discipline, truthful living, and devotional remembrance to prevent ‘raw’ karmic residues.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156: continuation of symptom series (āmavarcasa, haridra-varṇa, emaciation)
This verse treats external features—heat, discoloration, skin and nail color—as meaningful indicators of an internal condition (a morbid/‘āma’ state), used in the text’s diagnostic-style descriptions.
Indirectly: it focuses on embodied signs rather than the post-death journey, but in Garuda Purana such descriptions often frame how one’s condition (health/imbalance shaped by actions) is read as a consequence of karma while living.
Treat persistent heat, abnormal discoloration, and changes in skin/nails as warnings to correct lifestyle and seek proper care—while also using the reminder to live ethically and avoid causes of harm that lead to suffering.