Shloka 52

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

ఇలా వాతజ రోగాలు అత్యంత భయంకరంగా కలుగుతాయి; వీటిలో దుర్నామం (అర్శస్), మరణం, మరియు ఉదావర్తం (పైకి ఎగసే అవరోధం) పరమ ఉపద్రవాలుగా చెప్పబడినవి।

एतेthese
एते:
Karta (Subject/कर्ता)
TypeNoun
Rootएतद् (सर्वनाम-प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा-विभक्ति, बहुवचन; सर्वनाम
and
:
Sambandha (Connector/सम्बन्ध)
TypeIndeclinable
Rootच (अव्यय)
Formसमुच्चय-अव्यय (conjunction)
वात-जाःborn of vāta, vāta-origin
वात-जाः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootवात (प्रातिपदिक) + ज (कृदन्त-प्रातिपदिक; √जन्)
Formपुंलिङ्ग, प्रथमा-विभक्ति, बहुवचन; उपपद-तत्पुरुषः (वातात् जाताः) विशेषणम् (रोगाः)
रोगाःdiseases
रोगाः:
Karta (Subject/कर्ता)
TypeNoun
Rootरोग (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा-विभक्ति, बहुवचन
जायन्तेarise, are produced
जायन्ते:
Kriya (Action/क्रिया)
TypeVerb
Rootजन् (धातु)
Formलट् (Present), प्रथमपुरुष, बहुवचन; आत्मनेपद
भृश-दारुणाःexceedingly severe
भृश-दारुणाः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootभृशम् (अव्यय) + दारुण (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा-विभक्ति, बहुवचन; अव्ययीभावपूर्वक-विशेषणसमासः; विशेषणम् (रोगाः)
दुर्नामाpiles/hemorrhoids
दुर्नामा:
Karta (Subject/कर्ता)
TypeNoun
Rootदुर् (उपसर्ग/अव्यय) + नामन् (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा-विभक्ति, एकवचन (समासपूर्वपदम्); कर्मधारयः (दुष्टं नाम यस्य) ‘piles’ अर्थे रूढिः
मृत्युdeath
मृत्यु:
Karta (Subject/कर्ता)
TypeNoun
Rootमृत्यु (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा-विभक्ति, एकवचन (समासपूर्वपदम्)
उदावर्तupward-moving disorder/retention with reverse flow
उदावर्त:
Karta (Subject/कर्ता)
TypeNoun
Rootउदावर्त (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा-विभक्ति, एकवचन (समासपूर्वपदम्)
परमःsupreme, greatest
परमः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootपरम (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा-विभक्ति, एकवचन; विशेषणम् (उपद्रवः)
अयम्this
अयम्:
Karta (Subject/कर्ता)
TypeNoun
Rootइदम् (सर्वनाम-प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा-विभक्ति, एकवचन; सर्वनाम
उपद्रवःcomplication, secondary affliction
उपद्रवः:
Karta (Subject/कर्ता)
TypeNoun
Rootउपद्रव (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा-विभक्ति, एकवचन

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

V
Vishnu
G
Garuda

FAQs

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.