Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
पुरीषं वातविष्णूत्रसंगं कुर्वीत दारुणम्? / तेन तीव्रा रुजा कोष्ठपृष्ठहृत्पार्श्वगा भवेत्
purīṣaṃ vātaviṣṇūtrasaṃgaṃ kurvīta dāruṇam? / tena tīvrā rujā koṣṭhapṛṣṭhahṛtpārśvagā bhavet
เมื่อการเคลื่อนไหวของวาตะกำเริบและทางลำไส้หดรัดจนกากอุจจาระอุดตันอย่างรุนแรง ย่อมเกิดความปวดแสบปวดร้อนอย่างแรง แผ่ไปทั่วท้อง หลัง บริเวณหัวใจ และสีข้างทั้งสอง
Lord Vishnu (teaching Garuda/Vinata-putra)
Dosha: Vata
Concept: Care of the body through recognizing vāta-aggravated obstruction and its systemic pain-patterns.
Vedantic Theme: Deha as an instrument (sādhana) requiring maintenance; suffering arises with imbalance in prakṛti’s guṇic/ doṣic functions.
Application: Identify constipation with vāta constriction and seek timely correction (diet, hydration, vāta-pacifying regimen) before pain generalizes.
Primary Rasa: bhayanaka
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.156.49; Garuda Purana 1.156.50; Garuda Purana 1.156.51; Garuda Purana 1.156.52
This verse highlights that disturbed vāta can create severe obstruction in the bowel passage, producing intense, spreading pain—showing how imbalance in subtle/bodily forces manifests as suffering.
It describes suffering in concrete physiological terms—obstruction and intense pain across vital regions—used in the Purana as a didactic way to understand the gravity of distress and the need for dharmic living and discipline.
Maintain disciplined habits that reduce vāta aggravation—regular routine, appropriate diet, hydration, and timely elimination—while treating bodily pain as a prompt for corrective, ethical, and balanced living.