Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
तैरार्तो ग्रथितं स्तोकं सशब्दं सप्रवाहिकम् / रुक्फेनपिच्छानुगतं विबद्धमुपवेश्यते
tairārto grathitaṃ stokaṃ saśabdaṃ sapravāhikam / rukphenapicchānugataṃ vibaddhamupaveśyate
ผู้ถูกทรมานด้วยทุกขเวทนาเหล่านั้น ย่อมถ่ายอุจจาระเพียงเล็กน้อย เป็นก้อนติดขัด มีเสียงและมีอาการถ่ายไหลร่วมด้วย ปนเลือด ฟอง และเสมหะ; ถูกสภาพโรคผูกมัด จึงถูกบังคับให้นั่งอยู่ ณ ที่นั้น
Lord Vishnu (narrating to Garuda/Vinata-putra)
Afterlife Stage: Naraka
Dosha: Vata
Concept: Karmic retribution manifests as embodied suffering and loss of bodily autonomy.
Vedantic Theme: Adhyasa on the body and the inevitability of karma-phala within samsara; disgust as a spur to vairagya.
Application: Cultivate restraint and purity of conduct; use contemplation of bodily fragility to reduce attachment and harmful actions.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana Pretakalpa: descriptions of naraka torments and disease-birth consequences (adjacent adhyayas around 1.150–1.160)
This verse functions as a karmic warning: vivid bodily affliction is used to show that harmful actions and negligence of dharma lead to painful consequences in the post-death (preta/Yama) narrative.
It portrays the preta experience as one of constraint and torment, where the being undergoes punitive, embodied suffering as a result of karma while passing through Yama’s jurisdiction before relief through merit and rites.
Live with restraint and cleanliness in conduct (dharma), avoid injuring others, and support death-rites and charity with sincerity—using the text’s warnings as motivation for ethical living and compassionate action.