Shloka 54

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

स्थितानि तान्यसाध्यानि याप्यन्ते ऽग्निबलादिभिः / द्वन्द्वजानि द्वितीयायां वला यान्याश्रितानि च

sthitāni tānyasādhyāni yāpyante 'gnibalādibhiḥ / dvandvajāni dvitīyāyāṃ valā yānyāśritāni ca

โรคที่ฝังแน่นแล้วเป็นอันรักษาไม่หาย ทำได้เพียงประคับประคองด้วยการเสริมอัคนี (ไฟย่อย) และกำลังชีวิต เป็นต้น เช่นเดียวกับโรคที่เกิดจากความคู่ตรงข้ามของธาตุ และโรคที่สถิตในชั้น ‘วลา’ ที่สอง หรืออาศัยอยู่ในสโรตัส/ธาตุ ก็เป็นเช่นนั้น

स्थितानिestablished / settled
स्थितानि:
Visheshana (Adjectival qualifier/विशेषण)
TypeAdjective
Rootस्था (धातु) → स्थित (कृदन्त, क्त)
Formनपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; क्त-प्रत्ययान्त कृदन्त; विशेषणम् (तानि)
तानिthose (conditions)
तानि:
Karta (Subject/कर्ता)
TypeNoun
Rootतद् (सर्वनाम-प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; सर्वनाम
असाध्यानिincurable
असाध्यानि:
Visheshana (Adjectival qualifier/विशेषण)
TypeAdjective
Rootअ + साध्य (प्रातिपदिक; साध् धातु से)
Formनपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; नञ्-समास/नकार-प्रत्ययार्थ (negation); विशेषणम् (तानि)
याप्यन्तेare managed/palliated
याप्यन्ते:
Kriya (Verb/क्रिया)
TypeVerb
Rootयाप् (धातु, causative sense)
Formलट् (Present/लट्), प्रथमपुरुष (3rd), बहुवचन; आत्मनेपद; कर्मणि-प्रयोग (passive sense): ‘are palliated/managed’
अग्निबलादिभिःby digestive power etc.
अग्निबलादिभिः:
Karana (Instrument/करण)
TypeNoun
Rootअग्निबल (प्रातिपदिक; अग्नि + बल) + आदि (प्रातिपदिक)
Formनपुंसकलिङ्ग, तृतीया (3rd/तृतीया), बहुवचन; समासः—अग्नेः बलम् (अग्निबल) तत्पुरुषः; ‘आदि’ सहित बहुवचन तृतीया
द्वन्द्वजानिarising from dual factors (dvandva)
द्वन्द्वजानि:
Visheshana (Adjectival qualifier/विशेषण)
TypeAdjective
Rootद्वन्द्व (प्रातिपदिक) + ज (प्रातिपदिक; √जन् अर्थे ‘born’)
Formनपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; समासः—द्वन्द्वात् जातानि (ablative-tatpurusha sense)
द्वितीयायाम्in the second (stage/region)
द्वितीयायाम्:
Adhikarana (Location/अधिकरण)
TypeNoun
Rootद्वितीया (प्रातिपदिक)
Formस्त्रीलिङ्ग, सप्तमी (7th/सप्तमी), एकवचन; अधिकरणम् (in the second)
वलायाम्in the valā (fold)
वलायाम्:
Adhikarana (Location/अधिकरण)
TypeNoun
Rootवला (प्रातिपदिक)
Formस्त्रीलिङ्ग, सप्तमी (7th/सप्तमी), एकवचन
यानिwhich
यानि:
Anvaya (Relative connector)
TypeNoun
Rootयद् (सर्वनाम-प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; सम्बन्धक-यत्
आश्रितानिlocated in / dependent on
आश्रितानि:
Visheshana (Adjectival qualifier/विशेषण)
TypeAdjective
Rootआ + श्रि (धातु) → आश्रित (कृदन्त, क्त)
Formनपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; क्त-प्रत्ययान्त कृदन्त; विशेषणम् (यानि/तानि)
and
:
Sambandha (Conjunction)
TypeIndeclinable
Rootच (अव्यय)
Formअव्यय; समुच्चयार्थ-निपातः

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

Concept: Chronic/fixed diseases become asādhya (incurable) and are only yāpya (palliable) via agni-bala enhancement; disorders from dualities (dvandva) and those lodged in deeper functional layers/channels are similarly difficult.

Vedantic Theme: Acceptance of limitation within embodied existence; skillful means (upāya) applied to prakṛti without mistaking it for ultimate freedom.

Application: Differentiate curable vs palliable conditions; strengthen agni and bala (digestive fire and vitality) as core supportive strategy; identify deeper-seated pathology before promising cure.

Primary Rasa: shanta

Secondary Rasa: karuna

Related Themes: Garuda Purana 1.156: discussion of asādhya/yāpya, agni-bala, dvandva-janya roga, valā/āśraya (lodgement)

A
Agni

FAQs

This verse treats agni (digestive/metabolic fire) and bala (vital strength) as primary supports for managing entrenched conditions—helping sustain life and reduce suffering even when cure is not possible.

It distinguishes “fixed” ailments as asādhya (not curable) and frames treatment as yāpya—palliation through strengthening inner vitality and balancing factors that generate disease.

Focus on sustainable supportive care—diet and routines that protect digestion and strength—while accepting limits of cure, emphasizing disciplined living (dharma) and compassionate management of chronic illness.