Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
अर्शांसि सुखसाध्यानि न चिरोत्पत्तिकानि च / मेढ्रादिष्वपि वक्ष्यन्ते यथास्वं नाभिजानि तु
arśāṃsi sukhasādhyāni na cirotpattikāni ca / meḍhrādiṣvapi vakṣyante yathāsvaṃ nābhijāni tu
อรศัส (ริดสีดวง) รักษาได้โดยง่าย และมิได้เกิดช้าแต่เกิดขึ้นไม่นาน แม้ที่เกิดในอวัยวะเพศและส่วนอื่น ๆ ก็จะกล่าวตามลักษณะของตน แต่ชนิดที่เป็นมาแต่กำเนิดไม่รวมไว้ที่นี่
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Concept: Arśas (hemorrhoids) are generally easy to treat and quick in onset; variants by location (including genital) are described by features; congenital types are excluded from this discussion.
Vedantic Theme: Right knowledge of categories (bheda-jñāna) reduces fear and confusion; discernment in scope and definition.
Application: Do not overgeneralize: classify by site and onset; reassure patients about common, treatable forms; refer congenital/anatomical anomalies for specialized evaluation.
Primary Rasa: shanta
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.156: arśas-lakṣaṇa and bheda by sthāna; exclusion of nābhijā/sahaja types
This verse frames arśas as a manageable bodily disorder—emphasizing practical body-care as part of dharmic living, and setting up a systematic description of types and locations.
Although the Garuda Purana is famous for afterlife themes, it also contains conduct and health instruction; here, Vishnu gives a clinical classification approach, distinguishing treatable acquired conditions from congenital ones.
Treat health issues early and systematically—identify the type and location of a condition and seek appropriate treatment rather than ignoring symptoms or assuming they are untreatable.