Shloka 49

Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids

Devanagari script

आध्मानमुदरे विष्ठा हृल्लासपरिकर्तने / बस्तौ च सुतरां शूलो गण्डश्वयथुसंभवः

Transliteration

ādhmānamudare viṣṭhā hṛllāsaparikartane / bastau ca sutarāṃ śūlo gaṇḍaśvayathusaṃbhavaḥ

Translation

เมื่ออุจจาระอุดกั้นในท้อง ย่อมเกิดท้องอืดพอง; บริเวณหัวใจและทวารหนักมีอาการคลื่นไส้และปวดเหมือนถูกกรีด; และที่กระเพาะปัสสาวะเกิดอาการจุกเสียดรุนแรง ก่อให้เกิดก้อนและอาการบวมน้ำ

Word by Word

• आध्मानम्: bloating, distension
• आध्मानम्: Karta (Subject/कर्ता)
• Type: Noun
• Root: आध्मान (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा-विभक्ति, एकवचन

• उदरे: in the abdomen
• उदरे: Adhikarana (Locus/अधिकरण)
• Type: Noun
• Root: उदर (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, सप्तमी-विभक्ति (अधिकरण), एकवचन

• विष्ठा: fecal matter
• विष्ठा: Karta (Subject/कर्ता)
• Type: Noun
• Root: विष्ठा (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा-विभक्ति, एकवचन

• हृल्लास-परिकर्तने: in nausea and cutting pain (tenesmus)
• हृल्लास-परिकर्तने: Adhikarana (Locus/अधिकरण)
• Type: Noun
• Root: हृल्लास (प्रातिपदिक) + परिकर्तन (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, सप्तमी-विभक्ति (अधिकरण), एकवचन; इतरेतर-द्वन्द्वः (हृल्लासः च परिकर्तनम् च)

• बस्तौ: in the bladder
• बस्तौ: Adhikarana (Locus/अधिकरण)
• Type: Noun
• Root: बस्ति (प्रातिपदिक)
• Form: पुंलिङ्ग, सप्तमी-विभक्ति (अधिकरण), एकवचन

• च: and
• च: Sambandha (Connector/सम्बन्ध)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: समुच्चय-अव्यय (conjunction)

• सुतराम्: excessively, very much
• सुतराम्: Kriya-visheshana (Adverbial/क्रियाविशेषण)
• Type: Indeclinable
• Root: सुतराम् (अव्यय)
• Form: अव्यय; क्रियाविशेषण (adverb)

• शूलः: colic pain
• शूलः: Karta (Subject/कर्ता)
• Type: Noun
• Root: शूल (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा-विभक्ति, एकवचन

• गण्ड-श्वयथु-सम्भवः: arising from cheek/jaw swelling
• गण्ड-श्वयथु-सम्भवः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: गण्ड (प्रातिपदिक) + श्वयथु (प्रातिपदिक) + सम्भव (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा-विभक्ति, एकवचन; षष्ठी-तत्पुरुषः (गण्डश्वयथोः सम्भवः) विशेषणम् (शूलः)

Speaker

Lord Vishnu (in discourse to Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Vata

Philosophical Teaching

Concept: Attentiveness to progressive symptom-clusters (ādhmāna, hṛllāsa, parikartana, basti-śūla) as a duty of self-care.

Vedantic Theme: Duḥkha as a signal within prakṛti; wise action reduces avoidable suffering while pursuing higher aims.

Application: Recognize that obstruction can manifest beyond constipation—bloating, nausea, anorectal cutting pain, bladder colic, and edema—prompting comprehensive treatment.

Verse Rasa

Primary Rasa: bibhatsa

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.156.48; Garuda Purana 1.156.50; Garuda Purana 1.156.51; Garuda Purana 1.156.52

Characters & Entities

• Garuda

FAQs

What is the importance of describing bodily pains in the Garuda Purana?

This verse uses concrete physical torments—bloating, nausea, cutting pain, and severe colic—to illustrate how karmic consequences are experienced as suffering in the post-death (preta) condition, motivating ethical restraint and ritual responsibility.

How does this verse explain the path of the soul after death?

Within the Preta Kanda narrative, the soul’s journey is portrayed as accompanied by distress in a subtle/experiential body; this verse is one such catalog of pains that arise as the departed undergoes karmic retribution before further judgment and transition.

Practical application of this wisdom today?

Treat it as a reminder to reduce harm and excess, cultivate purity and self-control, and support dharmic living—so one’s karmic burden (and fear of suffering) is lessened.