Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
ईदृशैश्चापरैर्वायुरपानः कुपितो मले / पायोर्वलीषु सद्रवृत्तिभास्वन्निः पूर्णमूर्तिषु
īdṛśaiścāparairvāyurapānaḥ kupito male / pāyorvalīṣu sadravṛttibhāsvanniḥ pūrṇamūrtiṣu
ด้วยเหตุเช่นนี้และเหตุอื่นในทำนองเดียวกัน เพราะมลทินแห่งของเสีย อปานวายุจึงกำเริบ ครั้นแล้วที่รอยพับแห่งทวารหนักเกิดความร้อนแสบร้อนและการเคลื่อนไหวอันปั่นป่วน ประหนึ่งไฟปรากฏเต็มกำลังอยู่ ณ ที่นั้น
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Dosha: Vata
Concept: Improper actions and impurity disturb vital functions; suffering arises as a direct fruit (phala) in the body.
Vedantic Theme: Karma operates through the guṇas and the body-mind instrument; disorder (vikāra) follows misuse of the instrument.
Application: Maintain cleanliness, avoid causative behaviors (vegadhāraṇa, harsh acts), treat early signs of anorectal burning; adopt diet/regimen that pacifies vāta and supports elimination.
Primary Rasa: bhayanaka
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.156 (apāna-vāyu, anorectal pathology leading toward arśas)
This verse highlights apāna-vāyu as a crucial force governing downward functions; when aggravated by mala (impurity), it becomes a direct cause of intense burning and distress in the lower region.
In the Preta-kāṇḍa context, Garuda Purana links subtle physiological disturbances (vāyu imbalance) with suffering; such descriptions support the broader teaching that karmic and bodily conditions shape the preta’s experience after death.
Maintain purity and disciplined habits (śauca, moderation, and dharmic living) to reduce causes of agitation and suffering—an ethical takeaway aligned with Garuda Purana’s emphasis on conduct and cleanliness.