Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
असाध्या एवमाख्याताः सर्वे रोगाः कुलोद्भवाः / सहजानि विशेषेण रूक्षदुर्दर्शनानि तु
asādhyā evamākhyātāḥ sarve rogāḥ kulodbhavāḥ / sahajāni viśeṣeṇa rūkṣadurdarśanāni tu
ఇలా వంశోద్భవమైన అన్ని రోగాలు అసాధ్యమని చెప్పబడినవి; ప్రత్యేకంగా సహజంగా పుట్టుకతో వచ్చే, రూక్షంగా దుర్దర్శనంగా కనిపించేవి కూడా దుర్చికిత్స్యము।
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Concept: Suffering can manifest as congenital or lineage-linked disease, implying deep-rooted causes that resist ordinary remedies.
Vedantic Theme: Deha-duhkha and prarabdha-karma shaping bodily conditions; the body as a field where past causes ripen.
Application: Treat chronic/congenital illness with long-term regimen, humility, and prevention; recognize limits of quick cures and prioritize supportive care and dharmic living.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.156 (Ayurveda/roga-nidana context; preceding verses on causes of doṣa aggravation)
This verse classifies lineage-born ailments as generally “asādhya” (hard or impossible to cure), highlighting the role of inherited constitution and deeper causation attributed to family-line factors.
By emphasizing congenital and lineage-based illness as difficult to cure, the verse aligns with the Purana’s broader approach that some conditions have deep-rooted causes beyond immediate symptoms, including factors carried through birth and family continuity.
Treat chronic or congenital illness with realism and compassion: seek appropriate medical care while also supporting long-term lifestyle discipline, family health awareness, and ethical living rather than quick “miracle cure” expectations.