Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
गण्डूपदस्य रूपाणि पिच्छिलानि मृदूनि च / व्यानो गृहीत्वा श्लेष्माणं करोत्यर्शस्त्वचो बहिः
gaṇḍūpadasya rūpāṇi picchilāni mṛdūni ca / vyāno gṛhītvā śleṣmāṇaṃ karotyarśastvaco bahiḥ
వ్యాన వాయువు శ్లేష్మాన్ని (కఫాన్ని) గ్రహించి గండూపదం (పాముకీటకం/కెంచు) వంటి జారుడు, మృదువైన రూపాలను సృష్టించి, చర్మం బయటకు ఉబ్బిన అర్శసును కలిగిస్తుంది.
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Dosha: Kapha
Concept: Pathogenesis of arśas: Vyāna vāyu, seizing kapha, produces slimy soft worm-like growths that protrude externally.
Vedantic Theme: Observation of doṣa-vāyu dynamics as part of embodied causality; dispassion (vairāgya) can arise from seeing the body’s mutable, impure processes.
Application: Address kapha accumulation and vāyu dysregulation (especially vyāna) through diet, movement, and therapies that reduce sliminess/congestion and normalize vāta flow.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.156: arśas-samprāpti involving vyāna and śleṣman; external/protruding type (bahir-arśas)
This verse links disease formation to subtle physiological principles: Vyāna-vāyu acting on kapha creates specific pathological manifestations, illustrating the Purana’s doṣa–vāyu based view of bodily disorders.
Indirectly, it frames embodied suffering as part of the soul’s karmic experience in a physical body governed by vāyus and doṣas—showing how the jīva’s life in the body includes illness and its consequences.
Treat bodily health as dharmic stewardship: reduce kapha-aggravating habits, maintain balanced movement and circulation (Vyāna-related), and seek appropriate medical/Ayurvedic guidance rather than ignoring early symptoms.